SHORE MEMORIAL HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SHORE MEMORIAL HOSPITAL (EIN 21-0660835)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-13
IRS object ID: 202303179349303850
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-13T10:12:08-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 Jefferson Park Suite 400	AddressLine1Txt
City	Whippany	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	079811070	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	210660835	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHORE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVID R HUGHES	InCareOfNm
Business Name Control	SHOR	BusinessNameControlTxt
Phone	6096533545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MEDICAL CENTER WAY	AddressLine1Txt
City	SOMERS POINT	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	082442387	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID R HUGHES	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6096533545	PhoneNum
Signature	2023-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVID R	PersonFirstNm
Person Last	HUGHES	PersonLastNm

Field	Value	IRS element (for citing)
SSN	000000000	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	HAYLEY L STOUT CPA	PreparerPersonNm
PTIN	P01293083	PTIN
Phone	9738989494	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SHORE MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	RONALD W JOHNSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MEDICAL CENTER WAY	AddressLine1Txt
City	SOMERS POINT	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	082442387	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$259,698,650	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SHOREMEDICALCENTER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	TO CARE FOR & RESPECT ALL PATIENTS, THEIR FAMILIES & EACH OTHER.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	1410	TotalEmployeeCnt
Total Volunteers	80	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,234,728	PYContributionsGrantsAmt
CY Contributions Grants	$4,615,658	CYContributionsGrantsAmt
PY Program Service Revenue	$225,705,940	PYProgramServiceRevenueAmt
CY Program Service Revenue	$252,212,456	CYProgramServiceRevenueAmt
PY Investment Income	$3,426,685	PYInvestmentIncomeAmt
CY Investment Income	$1,135,092	CYInvestmentIncomeAmt
PY Other Revenue	$1,234,965	PYOtherRevenueAmt
CY Other Revenue	$1,367,721	CYOtherRevenueAmt
PY Total Revenue	$235,602,318	PYTotalRevenueAmt
CY Total Revenue	$259,330,927	CYTotalRevenueAmt
PY Grants And Similar Paid	$110,930	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$915,665	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$83,559,915	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$85,933,224	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$720,106	CYTotalFundraisingExpenseAmt
PY Other Expenses	$114,720,894	PYOtherExpensesAmt
CY Other Expenses	$122,388,872	CYOtherExpensesAmt
PY Total Expenses	$198,391,739	PYTotalExpensesAmt
CY Total Expenses	$209,237,761	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,210,579	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,093,166	CYRevenuesLessExpensesAmt
Total Assets BOY	$335,831,463	TotalAssetsBOYAmt
Total Assets EOY	$334,920,102	TotalAssetsEOYAmt
Total Liabilities BOY	$157,596,774	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$102,530,811	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$178,234,689	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$232,389,291	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF SHORE MEDICAL CENTER IS TO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. THE ORGANIZATION PROVIDES EMERGENCY AND MEDICAL NECESSARY HEALTHCARE SERVICES FOR ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR ADDITIONAL INFORMATION, PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$71,049,624	ExpenseAmt
Revenue	$65,595,251	RevenueAmt
Desc	Expenses incurred in providing medically necessary inpatient medical services (excludes surgical cases and maternal child health), to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. During 2022, the organization had 6,378 discharges for a total of 30,012 patient days. Please refer to Schedule O for the organization's community benefit statement.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$24,865,242	ExpenseAmt
Revenue	$35,780,659	RevenueAmt
Desc	Expenses incurred in providing medical necessary same day surgery services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. During 2022, the organization treated 3,476 same day surgery cases. Please refer to Schedule O for the organization's community benefit statement.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,433,870	ExpenseAmt
Revenue	$12,373,302	RevenueAmt
Desc	Expenses incurred in providing medical necessary maternal and pediatric inpatient services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. During 2022, the organization had 2,176 discharges for a total of 5,569 patient days. Please refer to Schedule O for the organization's community benefit statement.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$69,426,729	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$915,665	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$138,463,244	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$173,775,465	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	277	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1410	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID R HUGHES	PersonNm
Phone	6096533545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MEDICAL CENTER WAY	AddressLine1Txt
City	SOMERS POINT	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	082442387	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RONALD W JOHNSON
TRUSTEE - PRESIDENT/CEO	55.0	0.0	Yes (X)	Yes (X)	$1,259,378	$0	$80,242
DAVID R HUGHES
CFO/CDO	55.0	0.0		Yes (X)	$606,867	$0	$91,732
JEANNE M ROWE MD
CHIEF MEDICAL OFFICER	55.0	0.0		Yes (X)	$601,535	$0	$92,338
FREDERICK L BANNER
CHIEF INFORMATION OFFICER	55.0	0.0			$378,139	$0	$43,319	Yes (X)
ROBIN KEYACK
VP AMBULATORY & SURGICAL SVCS	55.0	0.0			$316,367	$0	$54,356	Yes (X)
ALAN L BEATTY
VP HUMAN RESOURCES	55.0	0.0			$333,776	$0	$30,579	Yes (X)
STEPHEN CAPECCI DO
HOSPITALIST	55.0	0.0			$334,611	$0	$26,698		Yes (X)
HOLLY BADALI
CHIEF NURSING OFFICER	55.0	0.0			$311,477	$0	$31,521	Yes (X)
DANIEL JACOBY MD
HOSPITALIST	55.0	0.0			$276,539	$0	$21,232		Yes (X)
ROBERT L WOOD
DIRECTOR OF FINANCE	55.0	0.0			$223,346	$0	$33,223		Yes (X)
MARIA YRAY RN
RN, CRITICAL CARE	55.0	0.0			$215,875	$0	$2,183		Yes (X)
LAURA ROOKSTOOL RN
RN, RT/IV/ENDOSCOPY	55.0	0.0			$196,539	$0	$17,966		Yes (X)
DAVID BEYEL
CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
EDWARD KUEHNLE
VICE CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
R SCOTT HALLIDAY
SECRETARY/ASST TREAS - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
RONALD B STABLINI CPA MBA
TREAS/ASST SECRETARY - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT C ALLEN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL BRAY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ROBERT J BRAY DDS MS
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
AUGGIE CIPOLLINI
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PATRICIA Q CONNOLLY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOHN DABEK
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JAY A GILLIAN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KEN KOREYVA
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
FRANCIS LAMB CPA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ROBERTA MAY DO
TRUSTEE; EX-OFFICIO	1.0	0.0	Yes (X)		$0	$0	$0
JUDITH L ROMAN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MUKESH ROY MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ANGELO SPARAGNA III MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
CARMINE J TAGLIALATELLA JWC
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RICHARD L TRAA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
AUTUMN BAYLES
TRUSTEE (TERMED 05/31/2022)	1.0	0.0	Yes (X)		$0	$0	$0
ARTHUR T FORD III ESQ
TRUSTEE (TERMED 06/01/2022)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,054,449	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$525,389	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	162	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIDINE CORPORATION
1000 WASHINGTON STREET SUITE 510	BOSTON	MA	02118	FOOD MANAGEMENT	$3,901,806
XANITOS INC
3809 WEST CHESTER PIKE	NEWTON SQUARE	PA	19073	CLEANING	$3,831,625
VARIAN MEDICAL SYSTEMS
3100 HANSEN WAY	PALO ALTO	CA	94304	MEDICAL	$3,101,555
TRUSTEES OF THE UNIVERSITY OF PA
1st Floor South Pavilion Extension	PHILADELPHIA	PA	19104	MEDICAL	$2,023,491
SOUTHERN ONCOLOGY HEMATOLOGY OF PA
1505 W SHERMAN AVENUE SUITE 101	VINELAND	NJ	08360	MEDICAL	$1,770,167

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	64	CntrctRcvdGreaterThan100KCnt
Fundraising	$69,656	FundraisingAmt
Government Grants	$2,587,986	GovernmentGrantsAmt
All Other Contributions	$1,958,016	AllOtherContributionsAmt
Total Contributions	$4,615,658	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$249,833,249	$249,833,249
OTHER HEALTHCARE RELATED REVENUE	621111	$2,044,199	$2,044,199
AUXILIARY INCOME	813410	$335,008	$335,008

Field	Value	IRS element (for citing)
Total Program Service Revenue	$252,212,456	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,051,320	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$326,463	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$724,857	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$724,857	TotalRevenueColumnAmt
Exclusion	$724,857	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,131,755	SecuritiesAmt
Other	$3,397	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$60	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,131,755	SecuritiesAmt
Other	$3,337	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,135,092	TotalRevenueColumnAmt
Exclusion	$1,135,092	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$34,114	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$69,656	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$34,114	FundraisingDirectExpensesAmt
Gaming Gross Income	$13,110	GamingGrossIncomeAmt
Gaming Direct Expenses	$7,086	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,024	TotalRevenueColumnAmt
Exclusion	$6,024	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA/VENDING	Desc
Business	722310	BusinessCd
Total Revenue Column	$636,840	TotalRevenueColumnAmt
Exclusion	$636,840	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$636,840	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,330,927	TotalRevenueColumnAmt
Related Or Exempt Func Income	$252,212,456	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,502,813	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$145,865	TotalAmt
Program Services	$145,865	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$769,800	TotalAmt
Program Services	$769,800	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,231,626	TotalAmt
Program Services	$3,503,343	ProgramServicesAmt
Management And General	$703,205	ManagementAndGeneralAmt
Fundraising	$25,078	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$66,833,902	TotalAmt
Program Services	$54,591,539	ProgramServicesAmt
Management And General	$11,885,513	ManagementAndGeneralAmt
Fundraising	$356,850	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,578,990	TotalAmt
Program Services	$1,307,239	ProgramServicesAmt
Management And General	$262,394	ManagementAndGeneralAmt
Fundraising	$9,357	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,282,780	TotalAmt
Program Services	$6,029,380	ProgramServicesAmt
Management And General	$1,210,240	ManagementAndGeneralAmt
Fundraising	$43,160	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,005,926	TotalAmt
Program Services	$4,972,278	ProgramServicesAmt
Management And General	$998,055	ManagementAndGeneralAmt
Fundraising	$35,593	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$163,907	TotalAmt
Program Services	$113,597	ProgramServicesAmt
Management And General	$49,679	ManagementAndGeneralAmt
Fundraising	$631	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$154,242	TotalAmt
Program Services	$109,162	ProgramServicesAmt
Management And General	$44,514	ManagementAndGeneralAmt
Fundraising	$566	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$278,000	TotalAmt
Program Services	$192,669	ProgramServicesAmt
Management And General	$84,260	ManagementAndGeneralAmt
Fundraising	$1,071	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$65,000	TotalAmt
Program Services	$65,000	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$17,303	TotalAmt
Program Services	$11,991	ProgramServicesAmt
Management And General	$5,245	ManagementAndGeneralAmt
Fundraising	$67	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$46,545,482	TotalAmt
Program Services	$32,892,467	ProgramServicesAmt
Management And General	$13,481,731	ManagementAndGeneralAmt
Fundraising	$171,284	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$524,984	TotalAmt
Program Services	$524,984	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,078,306	TotalAmt
Program Services	$1,440,876	ProgramServicesAmt
Management And General	$629,433	ManagementAndGeneralAmt
Fundraising	$7,997	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,221,872	TotalAmt
Program Services	$2,232,936	ProgramServicesAmt
Management And General	$976,529	ManagementAndGeneralAmt
Fundraising	$12,407	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,304,165	TotalAmt
Program Services	$2,296,402	ProgramServicesAmt
Management And General	$995,120	ManagementAndGeneralAmt
Fundraising	$12,643	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$19,990	TotalAmt
Program Services	$19,990	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$48,031	TotalAmt
Program Services	$48,031	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$845,307	TotalAmt
Program Services	$585,845	ProgramServicesAmt
Management And General	$256,207	ManagementAndGeneralAmt
Fundraising	$3,255	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,154,134	TotalAmt
Program Services	$5,651,480	ProgramServicesAmt
Management And General	$2,471,257	ManagementAndGeneralAmt
Fundraising	$31,397	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,254,876	TotalAmt
Program Services	$1,562,754	ProgramServicesAmt
Management And General	$683,439	ManagementAndGeneralAmt
Fundraising	$8,683	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$43,518,115	$43,518,115
PHYSICIAN SERVICES	$6,688,549	$6,688,549
REPAIRS & MAINTENANCE	$3,223,586	$3,223,586
CONTRACTED SERVICES	$1,257,808	$1,257,808

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,215	TotalAmt
Program Services	$19,779	ProgramServicesAmt
Management And General	$5,369	ManagementAndGeneralAmt
Fundraising	$67	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$209,237,761	TotalAmt
Program Services	$173,775,465	ProgramServicesAmt
Management And General	$34,742,190	ManagementAndGeneralAmt
Fundraising	$720,106	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,173,852	BOYAmt
EOY	$5,023,469	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$541,257	BOYAmt
EOY	$2,095,911	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$129,410	BOYAmt
EOY	$76,646	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,865,222	BOYAmt
EOY	$24,830,999	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,134,161	BOYAmt
EOY	$4,598,613	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,233,931	BOYAmt
EOY	$4,445,396	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$390,664,493	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$281,965,802	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$106,360,159	BOYAmt
EOY	$108,698,691	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$165,720,912	BOYAmt
EOY	$156,028,270	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$28,672,559	BOYAmt
EOY	$29,122,107	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$335,831,463	BOYAmt
EOY	$334,920,102	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,209,953	BOYAmt
EOY	$34,678,742	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,170,943	BOYAmt
EOY	$1,872,578	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,396,767	BOYAmt
EOY	$31,425,952	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,819,111	BOYAmt
EOY	$34,553,539	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$157,596,774	BOYAmt
EOY	$102,530,811	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$174,379,075	BOYAmt
EOY	$229,201,704	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,855,614	BOYAmt
EOY	$3,187,587	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$178,234,689	BOYAmt
EOY	$232,389,291	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$335,831,463	BOYAmt
EOY	$334,920,102	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,093,166	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$12,272,528	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$16,333,964	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$65,000	OtherActivitiesAmt
Total Lobbying Expenditures	$65,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B; QUESTION 1I	FormAndLineReferenceDesc
Explanation	SHORE MEDICAL CENTER ("MEDICAL CENTER") ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2022, THE MEDICAL CENTER PAID AN INDEPENDENT LOBBYING FIRM A TOTAL OF $65,000 FOR LOBBYING CONSULTING SERVICES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,071,577	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$182,588	InvestmentEarningsOrLossesAmt
End Year Balance	$888,989	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,076,572	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$4,995	InvestmentEarningsOrLossesAmt
End Year Balance	$1,071,577	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$942,234	BeginningYearBalanceAmt
Investment Earnings Or Losses	$134,338	InvestmentEarningsOrLossesAmt
End Year Balance	$1,076,572	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$819,362	BeginningYearBalanceAmt
Investment Earnings Or Losses	$122,872	InvestmentEarningsOrLossesAmt
End Year Balance	$942,234	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$871,862	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$52,500	InvestmentEarningsOrLossesAmt
End Year Balance	$819,362	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,378,070	OtherCostOrOtherBasisAmt
Book Value	$5,378,070	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$143,296,130	OtherCostOrOtherBasisAmt
Depreciation	$65,172,233	DepreciationAmt
Book Value	$78,123,897	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$240,649,908	OtherCostOrOtherBasisAmt
Depreciation	$215,498,642	DepreciationAmt
Book Value	$25,151,266	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,340,385	OtherCostOrOtherBasisAmt
Depreciation	$1,294,927	DepreciationAmt
Book Value	$45,458	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$108,698,691	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CASH & CASH EQUIVALENTS	$99,873,529	F
CERTIFICATES OF DEPOSIT	$14,768,833	F
EQUITY MUTUAL FUNDS	$44,847,262	F
FIXED INCOME MUTUAL FUNDS	$141,792	F
U.S. EQUITY SECURITIES	$805,755	F
INSURANCE CONTRACTS	$178,734	F
BEN INT IN PERPETUAL TRUST	$1,812,194	F
INVESTMENT IN AFFILIATES	-$6,399,829	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$156,028,270	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$19,237,245
DEPOSITS	$234,892
OTHER RECEIVABLES	$8,820,132
OTHER ASSETS	$829,838

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$29,122,107	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$2,828,347
DUE TO THIRD PARTIES	$2,036,339
ACCRUED RETIREMENT BENEFITS	$24,043,160
RESERVE FOR INSURANCE CLAIMS	$3,577,107
OTHER LIABILITIES	$2,068,586

Field	Value	IRS element (for citing)
Total Liability	$34,553,539	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V; QUESTION 4

THE MEDICAL CENTER HAS ADOPTED INVESTMENT POLICIES FOR ITS ENDOWMENT ASSETS THAT ARE CONSISTENT WITH THE POLICIES AND OBJECTIVES OF THEIR OVERALL INVESTMENTS; TO FURTHER THE ORGANIZATION'S CHARITABLE PURPOSES, PROGRAMS AND SERVICES. THE ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE A POSITIVE RATE OF RETURN WHILE ASSUMING A LOW LEVEL OF RISK. FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH THE DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR REQUIRES THE MEDICAL CENTER TO MAINTAIN IN PERPETUAL DURATION.

SCHEDULE D, PART X

THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021; RESPECTIVELY. THE FOOTNOTE BELOW IS FROM THE SYSTEM'S 2022 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF	Event1Nm
Gross Receipts Event1	$103,770	GrossReceiptsEvent1Amt
Charitable Contri Event1	$69,656	CharitableContriEvent1Amt
Gross Revenue Event1	$34,114	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$31,888	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,479	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$747	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$103,770	GrossReceiptsTotalAmt
Charitable Contributions Tot	$69,656	CharitableContributionsTotAmt
Gross Revenue Total Events	$34,114	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$31,888	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,479	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$747	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$34,114	DirectExpenseSummaryEventsAmt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 MEDICAL CENTER WAY	AddressLine1Txt
City	SOMERS POINT	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08244	ZIPCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,111,914	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$286,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$825,793	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,020,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,347,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,672,482	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,132,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,633,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,498,275	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$910,115	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$910,115	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,318,834	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,318,834	NetCommunityBenefitExpnsAmt
Total Expense	0.03980	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$874,380	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$874,380	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,169,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,169,914	NetCommunityBenefitExpnsAmt
Total Expense	0.04860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,301,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,633,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,668,189	NetCommunityBenefitExpnsAmt
Total Expense	0.06050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$10,141,509	BadDebtExpenseAmt
Bad Debt Expense Attributable	$557,783	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$56,222,723	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$63,917,353	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,694,630	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHORE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MEDICAL CENTER WAY	AddressLine1Txt
City	SOMERS POINT	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	082442387	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.shoremedicalcenter.org	WebsiteAddressTxt
State License	10103	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SHORE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.shoremedicalcenter.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.shoremedicalcenter.org	StrategyWebsiteURLTxt
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.shoremedicalcenter.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.shoremedicalcenter.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.shoremedicalcenter.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 3I	THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN SMC'S PRIOR CHNA WAS INADVERTENTLY OMITTED FROM THE 2022 CHNA. HOWEVER, THE ORGANIZATION HAS COMPILED THIS INFORMATION, WHICH IS CURRENTLY MADE WIDELY AVAILABLE ON ITS WEBSITE AS WELL AS INCLUDED BELOW: AS A RESULT OF THE FINDING OF SHORE MEDICAL CENTER'S 2019 CHNA, THE ORGANIZATION DEVELOPED AND ADOPTED AN IMPLEMENTATION PLAN TO ADDRESS THE FOLLOWING HEALTH RISK FACTORS AND DISEASES IDENTIFIED AS HAVING THE GREATEST LEVEL OF PRIORITIZATION FOR THE COMMUNITY WE SERVE, THROUGH 2022. THOSE AREAS ARE: - OBESITY; - HEART DISEASE; - CANCER; - DIABETES; AND - OPIOIDS. BELOW PLEASE FIND A DESCRIPTION OF THE ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE ORGANIZATION'S CHNA. ADDITIONALLY, DESCRIBED BELOW IS THE IMPACT OF ALL OF THOSE ACTIONS TAKEN. OBESITY ------- SHORE PHYSICIANS GROUP WELCOMED DR. MARIA CERNA TO ITS PRIMARY CARE TEAM IN MAY OF 2022. DR. CERNA SEES PATIENTS OUT OF NORTHFIELD AND IS FLUENT IN BOTH ENGLISH AND SPANISH. ONE OF DR. CERNA'S FOCUS IS OBESITY. PRIOR TO JOINING THE TEAM DR. CERNA PARTICIPATED IN NUMEROUS COMMUNITY SERVICE PROGRAMS BOTH IN HONDURAS AND THE UNITED STATES, INCLUDING A PROJECT IN THE BRONX TO HELP REDUCE THE OBESITY RATE IN CHILDREN. SHORE PARTNERED WITH GOJI, A LOCAL EATERY TO PROMOTE HEALTHY EATING HABITS TO EMPLOYEES OF THE HOSPITAL, PATIENTS, AND COMMUNITY MEMBERS. TIFFANY RIOS, A CERTIFIED DIABETES EDUCATOR AND REGISTERED DIETITIAN WAS INTERVIEWED TWICE ON LOCAL TALK RADIO, WOND, ON BEHALF OF SHORE TO DISCUSS OBESITY, HEALTHY WEIGHT LOSS, AND ADVOCATE FOR THE PLATE METHOD. HEART DISEASE -------------- SCREENING & EDUCATION: SHORE PARTICIPATED IN SEVERAL MAJOR HEALTH SCREENING EVENTS DURING THE TIME FRAME, INCLUDING THE ANNUAL BAYFEST HEALTH FAIR, AMERICAN HEART WALK, OCEAN CITY SUMMER HEALTH FAIR, SOMERS POINT GOOD OL' DAYS FESTIVAL WHICH EACH RESULTED IN DIRECT EDUCATION AND BLOOD PRESSURE TESTING FOR HUNDREDS OF MEMBERS SHORE MEDICAL CENTER'S CARDIOVASCULAR SERVICES FEATURE A TEAM OF HIGHLY TRAINED AND EXPERIENCED DOCTORS, NURSES AND SUPPORT STAFF THAT PROVIDES COMPREHENSIVE CARDIOVASCULAR HEALTH SERVICES WITH A SPECIAL EMPHASIS ON ADVANCED DIAGNOSIS, EDUCATION AND PREVENTION. WITH ITS PARTNERSHIP WITH PENN CARDIOLOGY, SHORE HAS BROUGHT UNIVERSITY-SETTING CARDIAC AND VASCULAR SERVICES TO THE COMMUNITY HOSPITAL ENVIRONMENT. PENN CARDIOLOGY-SOMERS POINT OFFICES ARE LOCATED ACROSS AN ENCLOSED WALK-BRIDGE THAT CONNECTS THE HOSPITAL TO THE HOSPITAL PARKING GARAGE. THE CLINICAL TEAM AT SHORE MEDICAL CENTER CARDIOVASCULAR SERVICES USES SOPHISTICATED TECHNOLOGY FOR DIAGNOSIS AND TREATMENT OF DISORDERS OF THE HEART AND CIRCULATORY SYSTEM. THROUGH ITS CLINICAL AFFILIATION WITH THE NATIONALLY RENOWNED PENN HEART & VASCULAR NETWORK PROGRAM AT THE PENN PRESBYTERIAN MEDICAL CENTER, SHORE HAS CONTINUED ACCESS TO THE NEWEST ADVANCES, TECHNIQUES AND CLINICAL RESEARCH IN THE FIGHT AGAINST HEART DISEASE. CANCER ------ SHORE MEDICAL CENTER HAS A DEDICATED CANCER CENTER. THE CANCER CENTER WORKS ON A VARIETY OF PROJECTS THAT FOCUS ON COMMUNITY OUTREACH. THIS IS DONE THROUGH OUR CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAM, REGIONAL COALITION (CAPE ATLANTIC COALITION FOR HEALTH), RUTGERS SCREENNJ GRANT, AND COMMISSION ON CANCER PROGRAMS. A RANGE OF SPEAKERS IS OFFERED ON SHORE MEDICAL CENTER'S SPEAKERS BUREAU. DURING 2022, PARTICIPATION IN 49 EVENTS OCCURRED REACHING OVER 1,737 PEOPLE ON VARIOUS CANCER AND HEALTH/WELLNESS TOPICS. EXAMPLES OF COMMUNITY EFFORTS TO IMPACT THESE HEALTH RISKS INCLUDE: - CEED PROGRAM: THE CEED PROGRAM PROVIDES FREE SCREENINGS FOR BREAST, CERVICAL, COLORECTAL, AND/OR PROSTATE CANCER. THIS IS AVAILABLE FOR UNINSURED AND UNDERINSURED LOW-INCOME PATIENTS. THESE EFFORTS RESULTED IN 685 SCREENINGS DURING 2022. - SIX FREE CANCER SCREENINGS EVENTS OCCURRED IN 2022. THE SCREENINGS INCLUDED ONE BREAST, TWO LUNG, ONE CERVICAL, ONE PROSTATE, AND ONE SKIN RESULTING IN 88 PARTICIPANTS. - A CANCER SUPPORT SIX WEEK WORKSHOP SERIES (CANCER THRIVING AND SURVIVING) WAS MADE AVAILABLE ONLINE TO ASSIST CANCER PATIENTS, CANCER SURVIVORS, AND CANCER PATIENT CAREGIVERS WITH SUPPORT AND EDUCATION REGARDING A VARIETY OF TOPICS SUCH AS FATIGUE MANAGEMENT, NUTRITION, EXERCISE, BETTER SLEEP, EMOTIONAL COMPONENTS, AND MORE. TWO WORKSHOP SERIES WERE COMPLETED IN 2022. - MEDITATION WORKSHOPS WERE AVAILABLE FOR DROP-IN CLASSES FOR PATIENTS, SURVIVORS, AND CAREGIVERS TO PARTICIPATE AND LEARN ABOUT MEDITATION. APPROXIMATELY FIVE SESSIONS WERE AVAILABLE EACH WEEK FROM JANUARY THROUGH DECEMBER 2022 WITH 200 INTERACTIONS. - SUN SAFETY PROJECT. POSTER CONTEST WITH AN EDUCATIONAL VIDEO. CHILDREN MADE POSTERS FEATURING THE INFORMATION THEY LEARNED IN CLASS ABOUT PROTECTING THEIR SKIN. DIABETES -------- THE HOSPITAL WORKS WITH SHORE PHYSICIANS GROUP TO OFFER A GRANT-FUNDED DIABETES PREVENTION PROGRAM. THE PROGRAM WAS CREATED PRIOR TO THE PANDEMIC AND CONTINUED TO HAVE GREAT SUCCESS IN 2022. IN 2022 THE PROGRAM HAD 22 PATIENTS. SPG'S TIFFANY RIOS IS A CERTIFIED DIABETES EDUCATOR AND REGISTERED DIETICIAN WHO HAS SPOKEN AT MANY EVENTS TO PROVIDE DIABETES EDUCATION TO COMMUNITY MEMBERS. MS. RIOS SPOKE AT SHORE'S COMMUNITY BREAKFAST DIABETES 101: MANAGEMENT AND PREVENTION EVENT ALONGSIDE TAYLOR DONOVAN, RN, MSN, DIABETES CARE SPECIALIST AND DR. MATTHEW CORCORAN, ENDOCRINOLOGIST IN NOVEMBER 2022. THIS EVENT WAS ATTENDED BY OVER 100 PEOPLE. OPIOIDS ------- SHORE MEDICAL CENTER IMPLEMENTED AND PARTOOK IN THE FOLLOWING INITIATIVES AND PROGRAMS TO ADDRESS THE ABUSE OF OPIOIDS IN ATLANTIC COUNTY: INPATIENT AND EMERGENCY DEPARTMENT POWERPLANS. THESE UPDATED PLANS INCLUDE EVIDENCE-BASED MULTIMODAL PAIN MANAGEMENT STRATEGIES. IV PUSH DIPHENHYDRAMINE (BENADRYL) RESTRICTION: (1) IMPLEMENTED TO DETER DRUG-SEEKING BEHAVIOR DUE TO THE EUPHORIC EFFECTS OF ADMINISTERING DIPHENHYDRAMINE QUICKLY; AND (2) ADMINISTRATION OF IV DIPHENHYDRAMINE IS STILL PERMITTED AS AN IV PIGGYBACK OF MORE THAN 30-60 MINUTES FOR PATIENTS WHO REQUIRE THIS MEDICATION FOR THE ITCHING OFTEN EXPERIENCED AFTER RECEIVING HIGH DOSES OF IV OPIOIDS NALOXONE DISCHARGE KITS: SHORE IS PROVIDING NALOXONE DISCHARGE KITS TO PATIENTS WHO PRESENT TO SHORE MEDICAL CENTER AFTER AN OPIOID OVERDOSE OR WHO DISPLAY SIGNS/SYMPTOMS OF OPIOID AND/OR IV DRUG ABUSE. A NALOXONE DISCHARGE KIT CONTAINS: 1 DOSE OF NASAL NALOXONE, INFORMATION ON HOW TO USE NASAL NALOXONE FOR PATIENTS AND CAREGIVERS, A JTAC ALCOHOL AND DRUG TREATMENT RESOURCE GUIDE, AND NEW JERSEY SYRINGE ACCESS PROGRAM INFORMATION SHORE IS ALSO PILOTING A PHARMACY PAIN CONSULT SERVICE AS A PHARMACY RESIDENT RESEARCH PROJECT. PROVIDERS CAN CONTACT A PHARMACIST TO PERFORM A COMPREHENSIVE CHART REVIEW AND PROVIDE PATIENT-SPECIFIC PAIN MANAGEMENT RECOMMENDATIONS. SHORE PARTICIPATED IN THE ATLANTIC COUNTY OPIOID COMMITTEE. THIS COMMITTEE WAS ESTABLISHED TO HELP IDENTIFY THE BEST USE OF FUNDS ALLOCATED TO ATLANTIC COUNTY FROM DAMAGES AWARDED IN THE NATIONAL OPIOID SETTLEMENT. THE COMMITTEE WAS CHARGED TO REVIEW CURRENT SERVICES AND PRIORITIZE HOW WE COULD BEST ADDRESS GAPS IN CARE. MEMBERS OF THE PHARMACY STAFF HAVE COMPLETED ADDITIONAL PAIN MANAGEMENT CERTIFICATE TRAINING. PROVIDERS CAN CONTACT A PHARMACIST TO PERFORM A COMPREHENSIVE CHART REVIEW AND PROVIDE PATIENT-SPECIFIC PAIN MANAGEMENT RECOMMENDATIONS.
SCHEDULE H, PART V, SECTION B, QUESTION 5	THE ORGANIZATION'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY. SHORE MEDICAL CENTER COMPLETED AN ONLINE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY IN AN EFFORT TO GAIN INPUT FROM THE COMMUNITY ON HEALTH ISSUES OF CONCERN. THE SURVEY QUESTIONS WERE DEVELOPED IN A TEAM APPROACH BY BRAINSTORMING QUESTIONS AND EXAMINING SEVERAL SAMPLE SURVEYS. THE SURVEY WAS DISPERSED THROUGH SHORE MEDICAL CENTER EMAIL BLASTS (21,000 TOTAL EMAILS SENT) AND A LINK/DESCRIPTION OF THE SURVEY WAS HIGHLIGHTED ON THE HOME PAGE THE SHORE MEDICAL CENTER WEBSITE (HOME PAGE RECEIVES A MINIMUM OF 70,000 HITS A MONTH). THE SURVEY WAS UP ON THE ORGANIZATION'S WEBSITE FOR FOUR MONTHS. APPROXIMATELY 100 PEOPLE COMPLETED THE SURVEY. PEOPLE WHO RESPONDED TO THE SURVEY WERE PREDOMINANTLY WOMEN, WHITE, AND/OR OVER 65. THE INFORMATION GATHERED COMPLEMENTED INFORMATION RECEIVED FROM OUR PATIENT POPULATION AT THE HOSPITAL TO HELP DETERMINE CONCERNS THAT SHORE NEEDED TO ADDRESS IN THE COMMUNITY. SHORE MEDICAL CENTER'S 2022 CHNA PROCESS INCLUDED REVAMPING ALL THE STATISTICS, ADDING NEW TOPICS SUCH AS COVID-19, AND CONDENSING CONTENT FOR CONSISTENCY. ALL STATISTICAL INFORMATION WAS GATHERED FROM QUALITY DATA SOURCES, WHICH INCLUDED THE FOLLOWING: - AMERICAN DIABETES ASSOCIATION - CENTERS FOR DISEASE CONTROL AND PREVENTION - COUNTY HEALTH RANKINGS, UNIVERSITY OF WISCONSIN - MAYO CLINIC - NATIONAL CANCER INSTITUTE - NATIONAL INSTITUTE OF DRUG ABUSE - NATIONAL INSTITUTE OF HEALTH - NEW JERSEY STATE HEALTH ASSESSMENT DATA - NEW JERSEY CANCER REGISTRY - NEW JERSEY DEPARTMENT OF HEALTH - THE STATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES - UNITED STATES CENSUS BUREAU SHORE'S CHNA INTERNAL COMMITTEE INCLUDED THE FOLLOWING INDIVIDUALS/GROUPS IN ORDER TO ENSURE THAT THE HOSPITAL'S OUTREACH EFFORTS TRULY REFLECT THE CHANGING HEALTH NEEDS OF THE COMMUNITY THAT IT SERVES. - ALAN BEATTY, MBA, VICE PRESIDENT OF HUMAN RESOURCES - FREDERICK CANTZ, CHIEF COMPLIANCE OFFICER - BRIAN CAHILL, DIRECTOR OF MARKETING - ANGELA A. BAILEY, MSW, LSW, MANAGER OF CANCER COMMUNITY OUTREACH - JASIAH SANCHEZ, OUTREACH COORDINATOR - ALEXA PETILLO, HUMAN RESOURCE ASSISTANT - ERICA BARRON, COMMUNITY HEALTH WORKER - ALYSSA RICKETTS, SOCIAL WORK INTERN - NICK PELLEGRINO, MARKETING INTERN
SCHEDULE H, PART V, SECTION B, QUESTION 7A	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/WELLYES/COMMUNITY_NEEDS_ASSESSMENT
SCHEDULE H, PART V, SECTION B, QUESTION 10	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/WELLYES/COMMUNITY_NEEDS_ASSESSMENT
SCHEDULE H, PART V, SECTION B, QUESTION 11	THE ORGANIZATION'S IMPLEMENTATION STRATEGY WAS ADOPTED AND POSTED ON THE HOSPITAL'S WEBSITE ON DECEMBER 5, 2022. THIS IMPLEMENTATION STRATEGY IDENTIFIES THE MEANS BY WHICH SHORE MEDICAL CENTER PLANS TO ADDRESS COMMUNITY HEALTH NEEDS DURING 2023 THROUGH 2025. BEYOND THE SERVICES AND PROGRAMS DETAILED IN ITS IMPLEMENTATION STRATEGY, SHORE HAS AND CONTINUES TO PROVIDE A FULL-RANGE OF SERVICES AND PROGRAMS TO OUR COMMUNITY. SHORE MEDICAL CENTER'S COMMITMENT TO ITS COMMUNITY, PATIENTS AND THEIR FAMILY MEMBERS RUNS PARALLEL TO ITS NOT-FOR-PROFIT MISSION. THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED AS PRIORITY HEALTH NEEDS: OBESITY, TOBACCO, CANCER, MENTAL HEALTH, OPIOIDS, COVID-19, AND PRIMARY CARE SHORTFALLS. PROJECTS WERE DEVELOPED TO SPECIFICALLY ADDRESS EACH OF THE IDENTIFIED HEALTH NEEDS OVER THE COURSE OF THE IMPLEMENTATION PERIOD. THIS STRATEGY INCLUDES PROVIDING PRIORITY ATTENTION AND PLANS TO ADDRESS THESE KEY HEALTH ISSUES THROUGH BETTER EDUCATION AND IMPLEMENTATION OF PROGRAMS DESIGNED TO ADDRESS THE NEEDS OF OUR COMMUNITY. THROUGH THE IMPLEMENTATION STRATEGY PLAN, SHORE MEDICAL CENTER LOOKS TO IMPACT THE FOLLOWING: - CHRONIC DISEASE REDUCTION - IMPROVED ACCESS TO CARE (INCLUDING MENTAL HEALTH) - INCREASED ACCESS TO ADDICTION TREATMENT - IMPROVEMENT TO HEALTHY LIFESTYLES - CONNECTION TO FINANCIAL RESOURCES BELOW IS A SUMMARY OF HOW THE ORGANIZATION PLANS TO ADDRESS THE IDENTIFIED HEALTH NEEDS: POOR HEALTH STATUS AND CHRONIC DISEASE CAN RESULT WHEN MEMBERS OF THE COMMUNITY ARE IMPACTED BY RISK FACTORS. SOME RISK FACTORS CAN BE PREVENTED AND CAN SERVE TO IMPORVE QUALITY OF LIFE AND REDUCE MORTALITY AND MORBIDITY. THE LEADING PREVENTABLE CAUSES OF CHRONIC DISEASE IS OBESITY AND TOBACCO USE (SPECIFICALLY SMOKING). STRATEGY 1: OBESITY - DEVELOP AND INTEGRATE NUTRITIONAL SERVICES INTO THE SHORE PHYSICIANS GROUP ADULT PRIMARY CARE OFFICES. PROVIDE A HIGH FOCUS ON PEDIATRICS, COORDINATING A WORKING RELATIONSHIP BETWEEN OUR ONSITE NEONATAL PARTNERS AS WELL AS UNIDINE IN BOTH AN AMBULATORY AND INPATIENT ENVIRONMENT. STRATEGY 2: TOBACCO - EDUCATE PROVIDERS AND STAFF ABOUT THE BENEFITS OF QUITTING TOBACCO THROUGH OFFERING ASK, ADVISE, REFER TRAINING; OBTAINING EASY TO HANDOUT MATERIALS FOR PATIENTS ON SMOKING CESSATION SERVICES AVAILABLE; AND DEVELOP AN EASY REFERRAL PROCESS TO SERVICES. CANCER IS A COMPLEX DISEASE IN WHICH PREVENTION, SCREENING AND TREATMENT IS AN ASPECT OF FOCUS. DETECTING CANCER EARLY AND OFFERING QUALITY TREATMENT LOCALLY FOR THE COMMUNITY IN ESPECIALLY HIGH INCIDENCE CANCERS IS A PRIORITY. STRATEGY 3: INCREASE CAPACITY AND ACCESS OF QUALITY MEDICAL AND RADIATION ONCOLOGY TARGETING BOTH HIGH INCIDENCE AND MORTALITY. STRATEGY 4: EXPAND ACCESS TO CANCER SCREENING INCLUDING UNDERSERVED POPULATIONS TO FIND CANCER EARLY WHEN MOST TREATABLE. STRATEGY 5: EDUCATE PRIMARY CARE PROVIDERS ABOUT CANCER SCREENING, SPECIFICALLY LUNG CANCER SCREENING. DEVELOP EASY REFERRAL PROCESSES TO CONNECT PATIENTS TO CANCER SCREENING. MENTAL HEALTH ISSUES HAVE BECOME MORE ACKNOWLEDGED DURING THE COVID-19 PANDEMIC. THE OPIOID EPIDEMIC HAS GAINED MOMENTUM BOTH LOCALLY AND NATIONALLY AND HAS BECOME A GROWING CONCERN. SHORE SUPPORTS HEALTHCARE PROVIDERS AND PATIENTS IN THE BATTLE AGAINST OPIOID ADDICTION AND REFERRALS TO MENTAL HEALTH SERVICES. STRATEGY 6: MENTAL HEALTH - DEVELOP STRATEGIES FOR INTEGRATING MORE MENTAL HEALTH RESOURCES AND REFERRALS INTO PRIMARY CARE PROVIDER PRACTICES LEVERAGING OUR MENTAL HEALTH PARTNER LEGACY. STRATEGY 7: OPIOIDS - LEVERAGING A FOUR YEAR, $1 MIL/YEAR, FEDERAL GRANT RECEIVED BY OUR MENTAL HEALTH PARTNERS LEGACY, INCREASE ACCESS TO OPIOID ADDICTION SUPPORT SERVICES BY PARTNERING WITH ADDICTION/MENTAL HEALTH SERVICE AGENCIES. CONTINUE THE SUPPORT TO OUR BAYFRONT EMERGENCY PARTNERS IN THEIR OPIOID MONITORING/REDUCTION PROGRAM IN THE EMERGENCY DEPARTMENT. THE COVID-19 PANDEMIC HAS DISRUPTED ALL ASPECTS OF LIFE. REMAINING PREPARED FOR SHIFTS OF SERVICES AND PATIENTS' NEEDS THROUGH HEIGHTENED PERIODS OF CONTAGIOUS OUTBREAKS REMAINS IMPORTANT. STRATEGY 8: CONTINUE TO MONITOR COMMUNITY COVID-19 INFECTION RATES; MAINTAIN SAFETY PRECAUTIONS TO PREVENT SPREAD OF CONTAGIOUS DISEASE; AND MAINTAIN APPROPRIATE LEVELS OF NEGATIVE PRESSURE ROOMS AND CONVERT ROOMS AS NECESSARY. STRATEGY 9: PARTNER WITH PRIMARY CARE AND PUBLIC HEALTH ORGANIZATIONS TO PROMOTE COVID-19 VACCINE COMPLIANCE AND ACCESS. MANY HEALTH PROVIDERS RELY ON VIRTUAL COMMUNICATION WITH PATIENTS TO PROVIDE SERVICES. FOR EXAMPLE, PROVIDERS CLOSED THEIR OFFICES TO PREVENT THE TRANSMISSION OF THE VIRUS DURING THE COVID-19 PANDEMIC. POPULATIONS WITH POOR ACCESS TO VIRTUAL HEALTHCARE TEND TO HAVE HIGHER RATES OF CHRONIC CONDITIONS AND WORSE HEALTH OUTCOMES, SUGGESTING THAT THEY MAY BE PARTICULARLY VULNERABLE TO THE CONSEQUENCES FROM LAPSES IN CARE. STRATEGY 10: PROVIDE INITIAL FINANCIAL RESOURCES AS SECURED BY A FEDERAL FCC GRANT TO ACQUIRE AND DEPLOY FREE INTERNET TABLETS PRELOADED WITH PATIENT PORTALS AND A WIDE RANGE OF HEALTHCARE RESOURCES. CHRONIC DISEASE, AGAIN POPULATIONS, AND UNHEALTHY LIFESTYLE HABITS ALL CONNECT TO THE NEED OF ROUTINE HEALTHCARE. PATIENT'S FIRST POINT OF CONTACT FOR NON-URGENT HEALTH CONCERNS SHOULD BE THEIR PRIMARY CARE PHYSICIAN. A SHORTFALL IN THE NUMBER OF HEALTHCARE PROVIDERS HAS MAJOR CONSEQUENCES FOR PATIENTS. STRATEGY 11: PROVIDE ROBUST MEDICAL SERVICES IN OUR COMMUNITY THROUGH MAINTAINING, RECRUITING AND TRAINING PHYSICIANS AS WELL AS SUPPORTING DELIVERY OF CARE THROUGH ADVANCE NURSE PRACTITIONERS. LEVERAGE TELEHEALTH FOR SERVICES WHERE APPROPRIATE. DELIVER SERVICES IN A WAY THAT PROVIDES THE MOST CONVENIENT ACCESS FOR THE GENERAL COMMUNITY WHILE ALSO OFFERING EXCEPTIONAL PATIENT EXPERIENCE.
SCHEDULE H, PART V, SECTION B, QUESTION 16	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/PATIENTS_VISITORS/PATIENTS/INSURANCE/FINANC IAL_ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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SCHEDULE H, PART I, LINE 3C	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CHARITY CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") -------------------------------------------------------------------------- CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME CRITERIA: PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% AND LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE. FREE CARE OR PARTIALLY COVERED CHARGES WILL BE DETERMINED BY USE OF THE NEW JERSEY DEPARTMENT OF HEALTH FEE SCHEDULE. IF PATIENTS ON THE 20% TO 80% SLIDING FEE SCALE ARE RESPONSIBLE FOR QUALIFIED OUT-OF-POCKET PAID MEDICAL EXPENSES IN EXCESS OF 30% OF THEIR GROSS ANNUAL INCOME (I.E. BILLS UNPAID BY OTHER PARTIES), THEN THE AMOUNT IN EXCESS OF 30% IS CONSIDERED HOSPITAL CARE PAYMENT ASSISTANCE. ASSET CRITERIA: CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. NEW JERSEY UNINSURED DISCOUNT PUBLIC LAW 2008, C. 60 ("UNINSURED DISCOUNT") ---------------------------------------------------------------- THE NEW JERSEY UNINSURED DISCOUNT (NJ LAW - BILL S-1797/A-2609) IS AVAILABLE TO UNINSURED PATIENTS WHOSE FAMILY GROSS INCOME IS LESS THAN 500% OF FPG. ELIGIBLE INDIVIDUALS MUST BE NEW JERSEY RESIDENTS. HOWEVER, SMC HAS ELECTED TO APPLY THIS DISCOUNT TO ALL UNINSURED PATIENTS IRRESPECTIVE OF INCOME LEVEL OR RESIDENCY. SMC OFFERS DISCOUNTED RATES TO ALL UNINSURED INDIVIDUALS. UNDER THIS PROGRAM, AN ELIGIBLE PATIENT WILL BE CHARGED AN AMOUNT NO GREATER THAN 115% OF THE MEDICARE FEE SCHEDULE. UNINSURED BILLING LIMITS ARE IN ACCORDANCE WITH NJ P.L.2008 C60.
SCHEDULE H, PART I, LINE 6A	NOT APPLICABLE.
SCHEDULE H, PART I, LINE 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART I, QUESTION 7B	Shore Memorial Hospital d/b/a Shore Medical Center partnered with Atlantic County and the State of New Jersey through a provider assessment mechanism to make the State of New Jersey Medicaid program healthier for all. The program increases financial resources provided to the hospital using the State of New Jersey's Medicaid program and certain federal matching funds in order to better serve the needs in the community. THE ASSOCIATED COUNTY OPTION EXPENSES ARE INCLUDED IN SCHEDULE H, PART I, LINE 7B, COLUMN C; TOTAL COMMUNITY BENEFIT EXPENSE. IF SHORE MEDICAL CENTER DID NOT RECEIVE THESE ADDITIONAL FUNDS, THE NET COMMUNITY BENEFIT EXPENSE REPORTED ON SCHEDULE H, PART I; LINE 7K WOULD BE $21,606,306 AND THE NET COMMUNITY BENEFIT PERCENTAGE REPORTED ON SCHEDULE H, PART I; LINE K WOULD BE 10.33%.
SCHEDULE H, PART II	SHORE MEMORIAL HOSPITAL D/B/A SHORE MEDICAL CENTER ("THE MEDICAL CENTER") IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE MODEL OF CARE IS A PATIENT-CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS.
SCHEDULE H, PART III, LINES 2, 3 & 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. SHORE MEMORIAL HEALTH SYSTEM PREPARES AND ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF SHORE MEMORIAL HEALTH SYSTEM & AFFILIATES. PATIENT ACCOUNTS RECEIVABLE --------------------------- THE SYSTEM RECOGNIZES A RECEIVABLE WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE. PATIENT SERVICE REVENUE ----------------------- PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION TO WHICH THE SYSTEM IS EXPECTED TO BE ENTITLED TO IN EXCHANGE FOR PROVIDING PATIENT CARE FOR BOTH THE MEDICAL CENTER AND ANY EMPLOYED PHYSICIANS. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING MANAGED CARE ORGANIZATIONS AND GOVERNMENT PROGRAMS, I.E., MEDICARE AND MEDICAID) AND OTHERS AND THEY INCLUDE VARIABLE CONSIDERATION FOR RETROACTIVE ADJUSTMENTS DUE TO SETTLEMENT OF FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, PATIENTS AND THIRD-PARTY PAYORS ARE BILLED SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR SHORTLY AFTER DISCHARGE. PATIENT SERVICE REVENUE IS RECOGNIZED IN THE PERIOD IN WHICH THE PERFORMANCE OBLIGATIONS ARE SATISFIED UNDER CONTRACTS BY TRANSFERRING SERVICES TO PATIENTS. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE SYSTEM RECOGNIZES REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED CHARGES. THE SYSTEM BELIEVES THAT THIS METHOD PROVIDES AN APPROPRIATE DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF PERFORMANCE OBLIGATIONS BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATIONS. GENERALLY, PERFORMANCE OBLIGATIONS ARE SATISFIED OVER TIME RELATED TO PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES. THE SYSTEM MEASURES PERFORMANCE OBLIGATIONS FROM ADMISSION TO THE POINT WHEN THERE ARE NO FURTHER SERVICES REQUIRED FOR THE PATIENT, WHICH IS GENERALLY THE TIME OF DISCHARGE. THE SYSTEM RECOGNIZES REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, WHICH GENERALLY RELATE TO PATIENTS RECEIVING OUTPATIENT SERVICES, WHEN: (1) SERVICES ARE PROVIDED; AND (2) WHEN IT IS BELIEVED THE PATIENT DOES NOT REQUIRE ADDITIONAL SERVICES. THE SYSTEM HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE SYSTEM AT AMOUNTS DIFFERENT FROM ESTABLISHED CHARGES. INPATIENT ACUTE CARE SERVICES FOR MEDICARE AND MEDICAID BENEFICIARIES AND OUTPATIENT SERVICES FOR MEDICARE BENEFICIARIES ARE PAID PRIMARILY AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO PATIENT CLASSIFICATION SYSTEMS THAT ARE BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN OUTPATIENT SERVICES FOR MEDICAID BENEFICIARIES ARE PAID BASED ON A COST-REIMBURSEMENT METHODOLOGY, SUBJECT TO CERTAIN LIMITATIONS. THE SYSTEM IS REIMBURSED FOR COST REIMBURSABLE AND OTHER ITEMS AT A TENTATIVE RATE, WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE SYSTEM AND AUDITS THEREOF, BY THE PROGRAMS' FISCAL INTERMEDIARY. PROVISIONS FOR ESTIMATED ADJUSTMENTS RESULTING FROM AUDIT AND FINAL SETTLEMENTS HAVE BEEN RECORDED. DIFFERENCES BETWEEN THE ESTIMATED ADJUSTMENTS AND THE AMOUNTS SETTLED ARE RECORDED IN THE YEAR OF SETTLEMENT. THE SYSTEM'S COST REPORTS HAVE NOT BEEN SETTLED BY THE FISCAL INTERMEDIARIES FOR THE YEARS ENDED DECEMBER 31, 2019 THROUGH DECEMBER 31, 2022. IN THE OPINION OF MANAGEMENT, ADEQUATE PROVISION HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR ANY ADJUSTMENTS THAT MAY RESULT FROM THE FINAL SETTLEMENT OF THE SYSTEM'S COST REPORTS. FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, PATIENT SERVICE REVENUE INCLUDES REVENUE OF APPROXIMATELY $8,072,000 AND $1,307,000, RESPECTIVELY, RELATED to favorable final settlements of prior year cost reports and other changes in estimates. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. The System believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material adverse effect on the accompanying consolidated financial statements. While no such regulatory inquiries have been made, compliance with such laws and regulations can be subject to future government review and interpretations as well as significant regulatory action including fines, penalties, and exclusion from the Medicare and Medicaid programs. THE SYSTEM HAS ALSO ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS AND HEALTH MAINTENANCE ORGANIZATIONS. THE BASIS FOR PAYMENT TO THE SYSTEM UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES PER DISCHARGE, DISCOUNTS FROM ESTABLISHED CHARGES, AND PROSPECTIVELY DETERMINED DAILY RATES. THESE AGREEMENTS HAVE RETROSPECTIVE AUDIT CLAUSES ALLOWING THE PAYOR TO REVIEW AND ADJUST CLAIMS SUBSEQUENT TO INITIAL PAYMENT. THE SYSTEM RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF THE CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR THE STATE CHARITY CARE ASSISTANCE PROGRAM, THE SYSTEM RECOGNIZES REVENUE ON THE BASIS OF DISCOUNTED RATES UNDER THE UNINSURED SELF PAY PATIENT DISCOUNT POLICY. UNDER THIS POLICY, UNINSURED PATIENTS THAT ARE INELIGIBLE FOR ANY GOVERNMENT ASSISTANCE PROGRAM ARE BILLED AT REDUCED CHARGES COMPARABLE TO THE COST OF PROVIDING CARE BASED UPON THE SYSTEM-SPECIFIC MEDICARE COST TO CHARGE RATIO. THE IMPACT OF THIS UNINSURED SELF PAY DISCOUNT POLICY ON THE CONSOLIDATED FINANCIAL STATEMENTS IS LOWER PATIENT SERVICE REVENUE, AS THE DISCOUNT IS CONSIDERED A PRICING CONSTRAINT. DEDUCTIBLES AND COPAYMENTS UNDER THIRD-PARTY PAYMENT PROGRAMS WITHIN THE THIRD-PARTY PAYOR AMOUNTS ABOVE ARE THE PATIENTS' RESPONSIBILITY, AND THE SYSTEM CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE IMPLICIT PRICE CONCESSIONS BASED ON COLLECTION EXPERIENCE. The System is also eligible to receive additional Medicaid funding under the New Jersey County Option Hospital Fee Program. This program is administered through the New Jersey Department of Human Services-Division of Medical Assistance and Health Services and went into effect in Atlantic County, New Jersey during 2021. The program requires that participating hospitals pay quarterly assessed fees based on estimated Medicaid utilization data within the county, and such payments are then pooled with federal Medicaid matching funds and redistributed to the participating hospitals as State Directed Payments. The State Directed Payments are subject to an annual settlement based on actual Medicaid utilization data and other factors. For the years ended December 31, 2022 and 2021, the System paid assessments of $4,640,322 and $2,320,161, which are included in supplies and other expenses in the consolidated statements of operations and changes in net assets and received Medicaid State Directed Payments of $14,208,471 and $5,850,223, which are included in patient service revenue in the consolidated statements of operations and changes in net assets.
SCHEDULE H, PART III, LINE 8	MEDICARE COSTS WERE DERIVED FROM THE 2022 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. MEDICARE REIMBURSES HOSPITALS APPROXIMATELY 80 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED,
SCHEDULE H, PART III, LINE 9B	ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. SHORE MEDICAL CENTER PROVIDES A FULL-RANGE OF HEALTHCARE SERVICES TO OUR COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. WE RECOGNIZE THAT A CRITICAL PART OF PROVIDING HEALTHCARE SERVICES INCLUDES MITIGATING CONCERNS OUR PATIENTS MAY HAVE RELATED TO BILLING MATTERS. THIS BUSINESS PHILOSOPHY IS OUR COMMITMENT TO THE COMMUNITY, PATIENTS AND FAMILY MEMBERS WE SERVE. THIS COMMITMENT RUNS PARALLEL TO OUR NOT FOR PROFIT MISSION AND IS EVIDENCED BY THE FOLLOWING PROACTIVE MEASURES TAKEN BY SHORE MEDICAL CENTER TO PROVIDE FINANCIAL ASSISTANCE TO OUR PATIENTS. SHORE MEDICAL CENTER HAS A DISCOUNT PROGRAM TO ASSIST PATIENTS WHO ARE LEAST ABLE TO PAY. THE POLICY IS DESIGNED TO PROVIDE FINANCIAL RELIEF TO OUR SELF-PAY POPULATION BY REDUCING THE HOSPITAL'S STANDARD CHARGE FOR SERVICES RENDERED. AT THE TIME OF BILLING THE PATIENT, THE CHARGES ARE REDUCED TO AN ESTIMATED COST OF SERVICES. THE HOSPITAL ALSO ENSURES THAT ALL PATIENTS RECEIVE INFORMATION PERTAINING TO THE STATE CHARITY CARE PROGRAM FOR THE UNINSURED AND UNDER-INSURED. TO INQUIRE ABOUT SHORE'S SELF-PAY BILLING AND DISCOUNT POLICY, CHARITY CARE OR PAYMENT ARRANGEMENTS, PATIENTS MAY CONTACT THE PATIENT FINANCIAL SERVICES CREDIT AND COLLECTIONS OFFICE. SHORE MEDICAL CENTER ALSO OFFERS FINANCIAL COUNSELING AND SCREENING FOR PATIENTS TO ENSURE THAT ANY POTENTIAL THIRD PARTY COVERAGE UNDER OTHER GOVERNMENT PROGRAMS, SUCH AS MEDICAID, CAN BE IDENTIFIED. THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. BILLING & COLLECTIONS --------------------- THE ORGANIZATION ABIDES BY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THESE PROVISIONS INCLUDE THE FOLLOWING: THE HOSPITAL APPROVES PAYMENT ARRANGEMENTS FOR OUR PATIENTS WHO CANNOT PAY THEIR BILLS IN FULL. THESE PAYMENT ARRANGEMENTS CAN BE TAILORED TO THE INDIVIDUAL NEEDS OF THE PATIENT. WE DO NOT CHARGE ADDITIONAL FEES IN THE FORM OF INTEREST FOR CARRYING THE BALANCES BEING PAID UNDER THESE ARRANGEMENTS. THE ACCOUNTS OF PATIENTS FOR WHICH THERE IS NO IDENTIFIED THIRD PARTY INSURANCE WILL FOLLOW A PREDEFINED SELF-PAY COLLECTION CYCLE. ANY REMAINING UNPAID ACCOUNTS THAT ARE NOT IN THE PROCESS OF MAKING PAYMENT ARRANGEMENTS AFTER A DEFINED SELF-PAY COLLECTION CYCLE OF 120 DAYS WILL BE TRANSFERRED TO A THIRD PARTY AGENCY FOR COLLECTION. THE ACCOUNT WILL REMAIN WITH THIS AGENCY FOR 180 DAYS. AFTER THIS TIME PERIOD, WITHOUT ANY AGREED UPON PAYMENT ARRANGEMENTS TO SATISFY THE UNPAID BALANCE, THE ACCOUNT WILL BE TRANSFERRED TO ANOTHER THIRDS PARTY COLLECTION AGENCY. AT THIS TIME, THE UNPAID BALANCE MAY BE REPORTED TO A CREDIT AGENCY, AND AS SUCH, APPEAR ON THE ACCOUNT GUARANTOR'S CREDIT REPORT. SHORE MEDICAL CENTER PURSUES COLLECTION OF BALANCES RIGHTFULLY OWED BY PATIENTS FOR SERVICES RENDERED AND CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES FOR THE PURPOSE OF COLLECTING DELINQUENT ACCOUNT BALANCES. THE COLLECTION AGENCIES OPERATE UNDER THE FEDERAL FAIR DEBT, CREDIT AND COLLECTION GUIDELINES. COLLECTION AGENCY ACTIVITY IS CLOSELY MONITORED BY THE HOSPITAL TO ENSURE THAT PATIENT COLLECTION EFFORTS ARE APPROPRIATE AND IN-LINE WITH OUR CUSTOMER SERVICE PHILOSOPHY. ALL PATIENT COMPLAINTS REGARDING DISSATISFACTION WITH SERVICES RENDERED OR BILLING ISSUES ARE HANDLED PROMPTLY AND IN A COURTEOUS MANNER TO ENSURE THAT CUSTOMER SERVICE REMAINS THE FOCUS OF ANY PATIENT CONCERN. ALL COMPLAINTS ARE CONSIDERED VALID AND PATIENT FEEDBACK IS WELCOME WITH RESPECT TO DISPUTED MATTERS. THE HOSPITAL ABSORBS A SIGNIFICANT AMOUNT OF BAD DEBT ANNUALLY (BALANCES DUE BY PATIENTS THAT ARE INTENTIONALLY NOT PAID), OR ARE INCURRED AS A RESULT OF MITIGATING CIRCUMSTANCES, BANKRUPTCY FILINGS AND OTHER COLLECTION MATTERS.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, AND QUESTIONS 1-12 AND SECTION C, THE ORGANIZATION TOOK THE FOLLOWING STEPS TO ENSURE THAT THE CHNA WAS MANAGED IN A LOGICAL AND EFFECTIVE MANNER INCLUDING THE FOLLOWING: - SELECTED QUALITY DATA SOURCES FROM KEY ORGANIZATION SUCH AS U.S. CENSUS BUREAU, NEW JERSEY DEPARTMENT OF HEALTH, AMERICAN CANCER SOCIETY, ETC. - DEFINED THE COMMUNITY THAT WE SERVE THROUGH ZIP CODE ANALYSIS OF THE HOSPITAL CATCHMENT AREA - DEVELOPED AND ADMINISTERED A COMMUNITY SURVEY IN AN EFFORT TO GAIN THE COMMUNITY'S INPUT - PRIORITIZED THE HEALTH AND HEALTH-RELATED PROBLEMS BASED ON RELEVANT STATISTICS AND COMMUNITY'S CONCERN THE GUIDES AND EXPERT ADVICE FOR THE CONDUCTING THE ASSESSMENT INCLUDED: - SCHEDULE H (FORM 990) BY THE US DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE - DEVELOPED AN INTERNAL COMMITTEE FOR THE REVISION PROCESS IN ADDITION, THE ORGANIZATION REFERENCED KEY QUANTITATIVE SOURCES OF DATA IN ORDER TO ASSESS THE HEALTH NEEDS OF ITS COMMUNITY. INCLUDED BELOW ARE THE DATA SOURCES USED BY THE ORGANIZATION: - AMERICAN DIABETES ASSOCIATION - CENTERS FOR DISEASE CONTROL AND PREVENTION - COUNTY HEALTH RANKINGS, UNIVERSITY OF WISCONSIN - MAYO CLINIC - NATIONAL CANCER INSTITUTE - NATIONAL INSTITUTE OF DRUG ABUSE - NATIONAL INSTITUTE OF HEALTH - NEW JERSEY STATE HEALTH ASSESSMENT DATA - NEW JERSEY CANCER REGISTRY - NEW JERSEY DEPARTMENT OF HEALTH - THE STATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES - UNITED STATES CENSUS BUREAU
SCHEDULE H, PART VI; QUESTION 3	IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: (1) THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"), FINANCIAL ASSISTANCE APPLICATION ("APPLICATION") AND PLAIN LANGUAGE SUMMARY ("PLS") ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/PATIENTS_VISITORS/PATIENTS/INSURANCE/FINANC IAL_ASSISTANCE (2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE IN AT VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITY. (3) THE ORGANIZATION'S FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED. (4) SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. (5) THE ORGANIZATION ALSO MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SHORE MEDICAL CENTER HAS ENGAGED A THIRD PARTY TO PROVIDE EDUCATION AND ELIGIBILITY PROCESSING FOR FINANCIAL ASSISTANCE AND MEDICAID ELIGIBILITY. THIS THIRD PARTY MEETS WITH INPATIENTS, THEIR FAMILIES AND WALK IN PATIENTS TO PROVIDE ALL NECESSARY GUIDANCE FOR THE PATIENT FINANCIAL NEEDS. IN ADDITION, THEY ALSO MAKE HOUSE CALLS FOR THOSE THAT NEED FURTHER ASSISTANCE AND HELP IN GETTING TO THE AGENCIES NECESSARY TO COMPLETE STATE APPLICATIONS. THE MEDICAL CENTER ALSO HAS AN ADDITIONAL 4 INDIVIDUALS THAT HELP PATIENTS COMPLETE THESE FORMS IN THE BUSINESS OFFICE, EMERGENCY DEPARTMENT AND THE ADMISSIONS OFFICE.
SCHEDULE H, PART VI; QUESTION 4	SHORE MEDICAL CENTER IS LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. THE MEDICAL CENTER SERVES THE HEALTHCARE NEEDS OF BOTH THE YEAR ROUND AND SUMMER RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES AS WELL AS SEASONAL VISITORS FROM OTHER COMMUNITIES AND STATES. THE FOLLOWING DEMOGRAPHICS WERE CITED IN THE ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT: - POPULATION HAS BEEN FAIRLY CONSISTENT IN NEW JERSEY, ATLANTIC COUNTY AND CAPE MAY COUNTY OVER THE LAST TEN YEARS. SLIGHT INCREASES BETWEEN 2010 AND 2015 OCCURRED AND SLIGHT DECREASES BETWEEN 2015 AND 2020 OCCURRED. IN 2020, ATLANTIC COUNTY'S POPULATION WAS 264,650 AND CAPE MAY COUNTY'S POPULATION WAS 92,701 WITH SLIGHTLY MORE THAN HALF OF THE POPULATION BEING FEMALE. - THE MEDIAN AGE IN 2020 WAS 47.8 FOR ATLANTIC COUNTY AND 50.3 FOR CAPE MAY COUNTY. THE POPULATION IS GROWING OLDER. A NOTABLE DIFFERENCE BETWEEN THE COUNTIES CAN BE SEEN WITH OVER ONE-QUARTER OR 26.6% OF CAPE MAY COUNTY BEING OVER 65. THE SAME CAN BE SEEN WITH UNDER 18 AS 17.5% OF CAPE MAY COUNTY IS UNDER 18 YEARS OF AGE. - THE TWO COUNTIES LOOK DIFFERENT IN REGARDS TO RACE AND ETHNICITY. ATLANTIC COUNTY HAS A HIGHER PERCENTAGE OF BLACK/AFRICAN AMERICANS, HISPANIC/LATINO, AND ASIAN POPULATIONS, WHEREAS CAPE MAY COUNTY IS PREDOMINIATELY WHITE WITH SMALLER AMOUNTS OF MINORITY POPULATIONS. IT IS IMPORTANT TO NOTE THAT CAPE MAY COUNTY'S MINORITY POPULATION HAS GROWN OVER THE LAST TEN YEARS. THE BREAKDOWN IS AS FOLLOWS: ATLANTIC COUNTY: 54.22% WHITE; 19.57% HISPANIC/LATINO; 14.21% BLACK/AFRICAN AMERICAN; AND 7.85% ASIAN. CAPE MAY COUNTY: 84.02% WHITE; 9.37% ASIAN; 7.84% HISPANIC/LATINO; AND 3.47% BLACK/AFRICAN AMERICAN. - ATLANTIC COUNTY IS SLIGHTLY LOWER AND CAPE MAY COUNTY IS SLIGHTLY HIGHER IN REGARDS TO EDUCATIONAL ATTAINMENT COMPARED TO NEW JERSEY. THE PERCENTAGES ARE VERY CLOSE BETWEEN MEN AND WOMEN. EVEN THOUGH THE HIGH SCHOOL DIPLOMA OR EQUIVALENCY PERCENTAGE IS HIGH THIS STILL LEAVES APPROXIMATELY TWENTY-TWO THOUSAND ATLANTIC COUNTY RESIDENTS AND FORTY-SIX HUNDRED CAPE MAY COUNTY RESIDENTS WITH LESS THAN A HIGH SCHOOL EDUCATION. IT SEEMS THAT MANY OF THE RESIDENTS WITH LOWER EDUCATIONAL LEVELS MOVE INTO OUR COMMUNITY. IN ATLANTIC COUNTY 70% AND IN CAPE MAY COUNTY 60% OF PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA/EQUIVALENCY WERE BORN OUTSIDE OF THE COUNTY IN ANOTHER STATE OR COUNTRY. - APPROXIMATELY 72.7% OF ALL ATLANTIC COUNTY RESIDENTS AND 91.8% OF CAPE MAY COUNTY RESIDENTS SPEAK ONLY ENGLISH. THE MOST COMMON LANGUAGE OTHER THAN ENGLISH IS SPANISH. THE CONCERN IS ISOLATED HOUSEHOLDS IN WHICH ENGLISH IS LIMITED. IN ATLANTIC COUNTY 5.0% OF ALL HOUSEHOLDS ARE LIMITED ENGLISH-SPEAKING HOUSEHOLDS WITH THE MOST NUMBER OF HOUSEHOLDS SPEAKING SPANISH AND ASIAN/PACIFIC ISLAND LANGUAGES. IN CAPE MAY COUNTY 1.0% OF ALL HOUSEHOLDS ARE LIMITED ENGLISH-SPEAKING HOUSEHOLDS WITH THE MOST NUMBER OF HOUSEHOLDS SPEAKING SPANISH, OTHER INDO-EUROPEAN LANGUAGES AND ASIAN/PACIFIC ISLAND LANGUAGES. IT IS IMPORTANT TO NOTE THAT NOT ALL PEOPLE LIVING IN OUR COMMUNITY ARE COUNTED IN SURVEYS. IT IS ESTIMATED THAT THERE WERE ABOUT TWELVE THOUSAND UNDOCUMENTED IMMIGRANTS LIVING IN ATLANTIC COUNTY IN 2017. - FINANICAL CONSTRAINT CAN BE A BARRIER. BOTH ATLANTIC AND CAPE MAY COUNTIES HAVE LOWER INCOME LEVELS WHEN COMPARED TO NEW JERSEY. THE 2020 AMERICAN COMMUNITY SURVEY REPORTS: ATLANTIC COUNTY'S MEDIAN INCOME IS 63,680; MEAN INCOME IS 88,111; POVERTY STATUS AT 13.5% AND 29.3% OF HOUSEHOLDS RECEIVE ASSISTANCE. CAPE MAY COUNTY'S MEDIAN INCOME IS 72,385; MEAN INCOME IS 99,103; POVERTY STATUS AT 9.9% AND 21.0% OF HOUSEHOLDS RECEIVE ASSISTANCE. IT IS ALSO FOUND THAT BLACK/AFRICAN AMERICANS, HISPANIC/LATINO, WOMEN WITH CHILDREN AND NO SPOUSE LIVING IN THE HOME, AS WELL AS OTHER MINORITY GROUPS ARE CONSISTENTLY EXPERIENCING LOWER INCOMES, HIGHER POVERTY STATUS AND NEED PUBLIC ASSISTANCE MORE OFTEN. CHILDREN UNDER EIGHTEEN EXPERIENCE THE GREATEST LEVEL OF POVERTY WITH ATLANTIC COUNTY AT 19.9% AND CAPE MAY COUNTY AT 14.5%. HOUSING AFFORDABILITY CAN ALSO CAUSE DIFFICULTIES FINANCIALLY. HOME COSTS CAN TAKE A SIGNIFICANT AMOUNT FROM A FAMILY'S AVAILABLE INCOME. IN ATLANTIC COUNTY THE MEDIAN HOUSEHOLD MORTGAGE IS $23,784 PER YEAR WITH 26.9% OF MORTGAGES FALLING BETWEEN $1,500 AND $1,999 PER MONTH. THE MEDIAN HOUSEHOLD RENTER COST IS $10,596 PER YEAR WITH 49.9% FALLING BETWEEN $600 AND $999 PER MONTH. IN CAPE MAY COUNTY THE MEDIAN HOUSEHOLD MORTGAGE IS $22,152 PER YEAR WITH 29.0% OF MORTGAGES FALLING BETWEEN $1,500 AND $1,999 PER MONTH. THE MEDIAN HOUSEHOLD RENTER COST IS $9,624 PER YEAR WITH 50.3% FALLING BETWEEN $600 AND $999 PER MONTH. THE NUMBERS ILLUSTRATE HOW DIFFICULT IT CAN BE FOR LOWER INCOME POPULATIONS TO BE ABLE TO AFFORD THEIR OWN HOME. RENTERS MAY ALSO BE MORE LIKELY TO SHARE HOUSING WITH OTHER NONFAMILY MEMBERS. - IN 2020, ATLANTIC COUNTY HAD APPROXIMATELY 11-12 THOUSAND VETERANS. THIS IS 5.5% OF THE POPULATION WITH A MAJORITY BEING VIETNAM ERA VETERANS AT 38.5%. IN CAPE MAY COUNTY THERE WERE APPROXIMATELY 6-7 THOUSAND VETERANS WITH A MAJORITY ALSO BEING FROM THE VIETNAM ERA AT 38.0%. IT IS IMPORTANT TO NOTE THAT THERE ARE ALSO A CONSIDERABLE NUMBER OF GULF WAR VETERANS AS WELL AND KOREAN WAR VETERANS. - AMERICANS WHO DO NOT HAVE HEALTH INSURANCE ARE LESS LIKELY TO RECEIVE ANNUAL PREVENTIVE CARE SUCH AS ROUTINE EXAMS AND SCREENINGS FOR CHRONIC DISEASE OR ACCESS TO MEDICATION. THESE INDIVIDUALS OFTEN RECEIVE DELAYED TREATMENT, HAVE POORER HEALTH OUTCOMES AND PREMATURE MORTALITY. POPULATIONS SUCH AS RACIAL AND ETHNIC MINORITIES AND LOWER-INCOME ADULTS ARE AT GREATER RISK FOR NOT HAVING HEALTH INSURANCE. APPROXIMATELY 15,000 PEOPLE IN ATLANTIC COUNTY AND 4,500 PEOPLE IN CAPE MAY COUNTY DO NOT HAVE HEALTH INSURANCE. HIGHER PERCENTAGES OF MEN ARE WITHOUT HEALTH INSURANCE. - OBESITY IS A COMMON, SERIOUS CHRONIC DISEASE THAT HAS BECOME A SIGNIFICANT PROBLEM. IN NEW JERSEY, OVER THE LAST TEN YEARS OBESITY RATES INCREASED 40%. THIS CALCULATES TO ONE IN FOUR ADULTS OR 24.6% OF THE ADULT POPULATION BEING OBESE. IF OBESITY RATES CONTINUE TO RISE AT THIS RATE NEARLY HALF OF NEW JERSEY WILL BE OBESE BY 2030. ACCORDING TO NEW JERSEY STATE HEALTH ASSESSMENT DATA, ATLANTIC AND CAPE MAY COUNTY FALL INTO THESE SAME PERCENTAGES. THE NEW JERSEY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (NJBRFSS) ESTIMATES THAT 30% OF ATLANTIC COUNTY AND 32% OF CAPE MAY COUNTY ADULTS 18 AND OVER WERE OBESE IN 2018. CHILDREN ARE ALSO AFFECTED. THE NEW JERSEY HOSPITAL ASSOCIATION REPORTS ONE IN FOUR NEW JERSEY CHILDREN (10-17) ARE OVERWEIGHT OR OBESE (24.7%). ELEVEN PERCENT OF HIGH SCHOOL STUDENTS ARE OBESE. - BOTH ATLANTIC AND CAPE MAY COUNTY HAVE SOME OF THE HIGHEST SMOKING PERCENTAGES IN NEW JERSEY. EIGHTEEN PERCENT OF ADULTS 18 AND OVER SMOKE. THIS ESPECIALLY AFFECTS POPULATIONS WITH LOWER EDUCATIONAL ATTAINMENT AND LOWER INCOME LEVELS AS THESE POPULATIONS ARE MORE AT RISK FOR SMOKING. OTHER SUBSTANCES ARE ALSO ISSUES. SEVENTEEN PERCENT OF ATLANTIC COUNTY AND 21% OF CAPE MAY COUNTY REPORTED BINGE DRINKING OR HEAVY DRINKING IN 2018. THIRTY PERCENT OF NEW JERSEY HIGH SCHOOL STUDENTS SURVEYED IN 2019 HAD AT LEAST ONE DRINK IN THE PAST 30 DAYS BEFORE THE SURVEY AND 23.1% OF NEW JERSEY YOUTH (12-20) USED ALCOHOL IN THE PAST MONTH. OPIOIDS ARE ALSO ON AN UPHILL TREND WITH 2022 SUSPECTED TO BE ONE OF THE HIGHEST YEARS OF REPORTED CASES OF NEW JERSEY REPORTED OPIOID DEATHS. ATLANTIC AND CAPE MAY COUNTY ALSO SHOW A GENERAL RISING TREND SIMILAR TO NEW JERSEY. ADDITIONAL HEALTH RISK FACTORS ARE DISCUSSED IN THE CHNA SUCH AS LOW BIRTH WEIGHTS, HEALTH LITERACY, MENTAL HEALTH, AND COVID-19 VACCINATION RATES. - THE LEADING CAUSE OF DEATH IN NEW JERSEY, ATLANTIC COUNTY AND CAPE MAY COUNTY IN 2020 WAS HEART DISEASE. GENERALLY LEADING CAUSES OF DEATH HAVE BEEN CONSISTENT OVER THE YEARS HOWEVER; COVID-19 SIGNIFICANTLY AFFECTED MORTALITY RATES IN 2020. COVID-19 WAS THE SECOND LEADING CAUSE OF DEATH IN 2020 FOR NEW JERSEY AND THIRD IN ATLANTIC AND CAPE MAY COUNTY. LEADING CAUSES OF DEATH FOR BOTH COUNTIES RESPECTIVELY INCLUDED: HEART DISEASE, CANCER, COVID-19, LOWER RESPIRATORY DISEASE, STROKE AND DIABETES. HEART DISEASE: ACCORDING TO THE NEW JERSEY DEPARTMENT OF HEALTH, ATLANTIC AND CAPE MAY COUNTIES HAVE SOME OF THE HIGHEST MORTALITY RATES IN THE STATE. THE MORTALITY RATE FOR ATLANTIC COUNTY WAS 203.0 AND FOR CAPE MAY COUNTY WAS 197.9 PER 100,000 PEOPLE (2016-2020). MALE GENDER AND BLACK POPULATIONS HAVE HIGHER RATES. CANCER: ATLANTIC COUNTY'S CANCER INCIDENCE RATE FOR ALL CANCERS IS 3.2% HIGHER THAN THE STATE, AT 558.5 VS. 541.3 PER 100,000. CAPE MAY COUNTY'S CANCER INCIDENCE RATE FOR ALL CANCERS IS 22.7% HIGHER THAN THE STATE, AT 664.1 VS. 541.3 PER 100,000. ATLANTIC COUNTY'S CANCER MORTALITY RATE FOR ALL CANCERS IS 9.5% HIGHER THAN THE STATE, AT 162.4 VS. 148.3. CAPE MAY COUNTY'S CANCER MORTALITY RATE FOR ALL CANCERS IS 22.5% HIGHER THAN THE STATE, AT 181.7 VS. 148.3. ALL RATES ARE 2014-2018. COVID-19: ACCO
SCHEDULE H, PART VI; QUESTION 5	SHORE MEDICAL CENTER IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE NETWORK IS A PATIENT CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS.
SCHEDULE H, PART VI; QUESTION 6	OUTLINED BELOW IS A SUMMARY OF THE ENTITIES THAT COMPRISE SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES. SHORE MEMORIAL HOSPITAL D/B/A SHORE MEDICAL CENTER -------------------------------------------------- SHORE MEDICAL CENTER IS AN ACUTE-CARE TAX-EXEMPT HOSPITAL LOCATED IN SOMERS POINT, NEW JERSEY. THE MEDICAL CENTER PROVIDES GENERAL HEALTHCARE SERVICES TO RESIDENTS WITHIN ITS GEOGRAPHIC LOCATION FOR A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, GYNECOLOGICAL, PEDIATRIC, EMERGENCY AND AMBULATORY CARE. THE HOSPITAL IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE MEDICAL CENTER 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, THE MEDICAL CENTER OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) THE MEDICAL CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) THE MEDICAL CENTER OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS PER YEAR; 3) THE MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF THE MEDICAL CENTER RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS 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 ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. SHORE HEALTH SERVICES CORPORATION --------------------------------- SHORE HEALTH SERVICES CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS CURRENTLY INACTIVE. SHORE MEMORIAL HEALTH SYSTEM ---------------------------- SHORE MEMORIAL HEALTH SYSTEM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION FUNCTIONS AS THE PARENT CORPORATION OF AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES, INCLUDING SHORE MEDICAL CENTER, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SHORE MEMORIAL HEALTH FOUNDATION, INC. -------------------------------------- SHORE MEMORIAL HEALTH FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS AND RAISES FUNDS ON BEHALF OF THE SHORE MEMORIAL HEALTH SYSTEM, INCLUDING SHORE MEDICAL CENTER. THE ORGANIZATION IS CURRENTLY INACTIVE. BRIGHTON BAY, LLC ----------------- BRIGHTON BAY, LLC IS A LIMITED LIABILITY COMPANY WHOSE SOLE CORPORATE MEMBER IS SHORE MEDICAL CENTER. BRIGHTON BAY, LLC MAINTAINS AND OPERATES CERTAIN HEALTHCARE RELATED RENTAL REAL ESTATE. SHORE QUALITY PARTNERS, LLC --------------------------- SHORE QUALITY PARTNERS, LLC IS A LIMITED LIABILITY COMPANY WHOSE SOLE CORPORATE MEMBER IS SHORE MEDICAL CENTER. SHORE QUALITY PARTNERS, LLC OPERATES AN INTEGRATED PHYSICIAN NETWORK. SHORE QUALITY PARTNERS ACO, LLC ------------------------------- SHORE QUALITY PARTNERS ACO, LLC IS A LIMITED LIABILITY COMPANY WHOSE SOLE CORPORATE MEMBER IS SHORE MEDICAL CENTER. SHORE QUALITY PARTNERS ACO, LLC OPERATES AS AN ACCOUNTABLE CARE ORGANIZATION. SHORE HEALTH ENTERPRISES, INC. ------------------------------ SHORE HEALTH ENTERPRISES, INC. IS CORPORATION WHOSE SOLE SHAREHOLDER IS SHORE MEMORIAL HEALTH SYSTEM. THIS CORPORATION IS A MANAGEMENT SERVICE ORGANIZATION THAT PROVIDES SERVICES TO THE SYSTEM'S AFFILIATES. SHORE MEMORIAL PHYSICAN'S GROUP, P.C. ------------------------------------- SHORE MEMORIAL PHYSICIAN'S GROUP, P.C. IS A PHYSICIAN PRACTICE PROFESSIONAL CORPORATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION WAS INCORPORATED AS A PROFESSIONAL CORPORATION FOR THE PURPOSE OF DEVELOPING AN EMPLOYED PHYSICIAN NETWORK. THE PHYSICIANS GROUP IS DESIGNED TO ACHIEVE A MORE INTEGRATED APPROACH TO THE DELIVERY OF MEDICAL CARE FOR THE COMMUNITY SERVED BY THE MEDICAL CENTER. THIS ORGANIZATION PROVIDES HIGH QUALITY AND COST EFFECTIVE MEDICAL SERVICES FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE TAX-EXEMPT PURPOSES OF SHORE MEDICAL CENTER. BAYFRONT URGENT CARE PROFESSIONAL ASSOCIATION D/B/A SHORE URGENT CARE, P.A. --------------------------------------------------------------------- SHORE URGENT CARE, P.A. IS A CONTROLLED AFFILIATE OF SHORE MEMORIAL PHYSICIANS GROUP, P.C.; A PHYSICIAN PRACTICE PROFESSIONAL ASSOCIATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES HIGH QUALITY AND COST EFFECTIVE URGENT CARE SERVICES FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE TAX-EXEMPT PURPOSES OF SHORE MEDICAL CENTER. SHORE PATHOLOGY ASSOCIATES, P.C. -------------------------------- SHORE PATHOLOGY ASSOCIATES, P.C. IS A PHYSICIAN PRACTICE PROFESSIONAL CORPORATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES HIGH QUALITY AND COST EFFECTIVE PATHOLOGY SERVICES FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE TAX-EXEMPT PURPOSES OF SHORE MEDICAL CENTER. SHORE HOSPITALISTS ASSOCIATES, P.A. ----------------------------------- SHORE HOSPITALISTS ASSOCIATES, P.A IS A PHYSICIAN PRACTICE PROFESSIONAL ASSOCIATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES HIGH QUALITY AND COST EFFECTIVE INPATIENT MEDICAL SERVICES FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE TAX-EXEMPT PURPOSES OF SHORE MEDICAL CENTER. SHORE SPECIALTY CONSULTANTS, P.A. --------------------------------- SHORE SPECIALTY CONSULTANTS, P.A. IS A PHYSICIAN PRACTICE PROFESSIONAL ASSOCIATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES HIGH QUALITY AND COST EFFECTIVE SPECIALTY MEDICAL SERVICES FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE TAX-EXEMPT PURPOSES OF SHORE MEDICAL CENTER.
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	IRC SectionIRCSectionDesc
ATLANTIC MEDICAL IMAGING LLC
PO BOX 1564	INDIANAPOLIS	IN	462061564	270525195	$36,456	SUB-GRANTEE
ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH
201 SHORE ROAD	NORTHFIELD	NJ	08225	216000049	$21,988	PROGRAM SUPPORT	GOV'T ORG
ADVANCED SHORE IMAGING ASSOCIATES LLC
PO BOX 6750	PORTSMOUTH	NH	03802	471561390	$20,054	SUB-GRANTEE
SHORE PATHOLOGY ASSOCIATES PC
100 MEDICAL CTR WAY	SOMERS POINT	NJ	08244	464221478	$6,695	SUB-GRANTEE
THE PREMIER SURGICAL NETWORK
222 NEW ROAD SUITE 6	LINWOOD	NJ	08221	222052641	$26,359	SUB-GRANTEE
VMD Primary Providers of New Jersey LLC
2354 US HWY 9	HOWELL	NJ	77314	861454831	$9,156	SUB-GRANTEE

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TABLETS FOR COMMUNITY	GrantTypeTxt
Recipient	1283	RecipientCnt
Non Cash Assistance	$769,800	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	TABLETS	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, QUESTION 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RONALD W JOHNSON
TRUSTEE - PRESIDENT/CEO	$647,099	$0	$223,649	$0	$388,630	$0	$58,000	$0	$22,242	$0	$1,339,620	$0	$0	$0
DAVID R HUGHES
CFO/CDO	$436,891	$0	$114,645	$0	$55,331	$0	$60,756	$0	$30,976	$0	$698,599	$0	$41,595	$0
JEANNE M ROWE MD
CHIEF MEDICAL OFFICER	$429,500	$0	$120,773	$0	$51,262	$0	$59,944	$0	$32,394	$0	$693,873	$0	$40,057	$0
FREDERICK L BANNER
CHIEF INFORMATION OFFICER	$273,588	$0	$62,978	$0	$41,573	$0	$14,127	$0	$29,192	$0	$421,458	$0	$12,634	$0
ROBIN KEYACK
VP AMBULATORY & SURGICAL SVCS	$237,986	$0	$52,588	$0	$25,793	$0	$36,262	$0	$18,094	$0	$370,723	$0	$20,430	$0
ALAN L BEATTY
VP HUMAN RESOURCES	$249,075	$0	$77,858	$0	$6,843	$0	$12,644	$0	$17,935	$0	$364,355	$0	$0	$0
STEPHEN CAPECCI DO
HOSPITALIST	$318,415	$0	$16,000	$0	$196	$0	$9,150	$0	$17,548	$0	$361,309	$0	$0	$0
HOLLY BADALI
CHIEF NURSING OFFICER	$267,800	$0	$41,590	$0	$2,087	$0	$29,458	$0	$2,063	$0	$342,998	$0	$0	$0
DANIEL JACOBY MD
HOSPITALIST	$260,318	$0	$16,000	$0	$221	$0	$5,177	$0	$16,055	$0	$297,771	$0	$0	$0
ROBERT L WOOD
DIRECTOR OF FINANCE	$221,540	$0	$0	$0	$1,806	$0	$0	$0	$33,223	$0	$256,569	$0	$0	$0
MARIA YRAY RN
RN, CRITICAL CARE	$214,846	$0	$0	$0	$1,029	$0	$1,607	$0	$576	$0	$218,058	$0	$0	$0
LAURA ROOKSTOOL RN
RN, RT/IV/ENDOSCOPY	$194,513	$0	$0	$0	$2,026	$0	$1,491	$0	$16,475	$0	$214,505	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 1	THE ORGANIZATION MAINTAINS A CLUB MEMBERSHIP FOR BUSINESS PURPOSES AND MEETINGS. THIS MEMBERSHIP ENTITLES CERTAIN SHORE MEDICAL CENTER SENIOR EXECUTIVES TO THE USE OF THE CLUB'S FACILITIES. THE AMOUNTS OUTLINED HEREIN RELATING TO THE PERSONAL USE OF THIS CORPORATE MEMBERSHIP ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2022 FORM W-2 AS TAXABLE WAGES: RONALD W. JOHNSON, $1,898; DAVID HUGHES, $1,898 AND ALAN L. BEATTY, $1,235.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES A CURRENT YEAR VESTING IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) 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: RONALD W. JOHNSON, $357,152. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTINGS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WERE INCLUDED EACH INDIVIDUAL'S 2022 FORM W-2 AS TAXABLE WAGES: DAVID R. HUGHES, $43,271; JEANNE M. ROWE, M.D., $41,312; FREDERICK L. BANNER, $37,464 AND ROBIN KEYACK, $20,430. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINE HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2 BOX 5, AS TAXABLE MEDICARE WAGES: DAVID R. HUGHES, $44,356; JEANNE M. ROWE, M.D., $43,544; FREDERICK L. BANNER, $14,127; ROBIN KEYACK, $24,205; ALAN L. BEATTY, $12,644 AND HOLLY BADALI, $26,780.
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 AS TAXABLE 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 AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND WERE REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	221987084	BondIssuerEIN
Bond Issued	2019-12-01	BondIssuedDt
Issue Price	$49,075,000	IssuePriceAmt
Purpose	PLEASE REFER TO PART VI	PurposeDesc
Defeased	Yes (true)	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$49,642,251	BondDefeasedAmt
Total Proceeds	$49,075,000	TotalProceedsAmt
In Reserve Fund	$1,005,913	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$436,027	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$2,635	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.01000	PrivateBusUseByOthersPct
Total Private Business Use	0.01000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K	FormAndLineReferenceDesc
Explanation	SCHEDULE K, PART I, LINE A, COLUMN F PER THE ORGANIZATION'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, THE PROCEEDS OF THE 2019 BONDS WERE USED TO: (1) REFINANCE THE SERIES 2009, 2010, 2011, AND 2013 BONDS; AND (2) PAY CERTAIN COSTS INCIDENTAL TO THE ISSUANCE OF THE 2019 BONDS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SONYA BANNER
FAMILY MEMBER OF OFFICER	$75,515	EMPLOYEE	false
HANNA BANNER
FAMILY MEMBER OF OFFICER	$12,067	EMPLOYEE	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,831,625	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,770,167	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,184,204	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$454,747	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$379,549	PERFORMANCE OF SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$196,577	PERFORMANCE OF SERVICES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (25 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Background ========== Shore Medical Center ("the medical center") is a general medical and surgical hospital recognized by the IRS as an internal revenue code section 501(c) (3) tax-exempt organization. Pursuant to its charitable purposes, Shore 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, the medical center operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1) The medical center provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2) The medical center operates an active emergency department for all persons; which is open 24 hours a day, seven days a week, 365 days per year; 3) The medical center maintains an open medical staff, with privileges available to all qualified physicians; 4) Control of the medical center rests with its board of trustees; which is 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 advance medical care; programs and activities. The operations of the medical center, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the medical center provides substantial community benefit and that the use and control of Shore 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. Mission Statement ================= We care for and respect all patients, their families and each other. Organization Overview ===================== The medical center is a not-for-profit healthcare resource that has served southern New Jersey for more than 80 years. In that time, the medical center has become known for providing a compassionate level of service that goes hand in hand with its advanced technology and modern medical facilities. The medical center is a 203 bed, not-for-profit acute care medical center located in Somers Point, Atlantic County, New Jersey, approximately 10 miles south of Atlantic City, New Jersey. The medical center is licensed and approved by the state of New Jersey to operate as a general acute care hospital providing both inpatient and outpatient services to the community. Founded in 1928 and chartered in 1940 as a not-for-profit corporation, the medical center serves the healthcare needs of both the year-round and summer residents of Atlantic and Cape May counties, as well as visitors from other communities and states. The medical center has undergone more than fourteen major construction and renovation projects since 1940 to provide necessary facilities and services for its expanding patient population. In 2013, the medical center unveiled a new state-of-the-art medical oncology suite on the third floor of its freestanding cancer center. The 3,600 square foot expansion features eight spacious infusion therapy bays, three exam rooms, a family waiting room, nutrition center and a fully equipped and stocked pharmacy with a full-time oncology pharmacist. The medical center engages the talents and teamwork of the best and brightest people in the industry. Our team of physicians, nurses, technologists, managers, financial experts, board of trustees and our affiliates all work together to ensure that the community has access to the best healthcare resources when needed. The medical center continues to be accredited by the Joint Commission, the nation's predominant standards setting and accrediting body in healthcare, as a Primary Stroke Center. Shore also is also certified by the Joint Commission for its spine surgery and hip and knee replacement programs in recognition of the medical center's strict adherence to quality standards. In addition, Shore Medical Center is a member of Penn Medicine Teleneurology; a member of the New Jersey Health Care Quality Institute to improve the safety, quality and affordability of health care for everyone; and a member of the Penn Medicine Cancer Network. Shore Medical Center's ICU is managed by Board Certified Critical Care physicians, 24/7/365. In addition, Shore Medical Center's state-of-the-art pediatric care center now offers an "ouchless" program to reduce the pain and fear children may experience in the hospital, as well as a sensory friendly program for children on the autism spectrum or with sensory processing disorders to help reduce sensory stimuli and create a more calming environment for receiving care. In 2022, 8,495 patients were admitted to the medical center and 3,512 placed in Observation. There were 45,856 patients treated in Shore's emergency department. Community Focused Education =========================== The medical center's wellness program has been an integral part of the community, offering health education and screenings for more than 20 years. Cancer Outreach --------------- Shore is the lead agency for the New Jersey Cancer Education and Early Detection (CEED) program in Atlantic County. The program provides cancer screening, diagnostic and navigation services for underserved populations at convenient locations within the community. Shore coordinated 371 breast cancer screenings, 276 cervical cancer screenings, 29 colorectal cancer screenings, and 11 prostate cancer screenings. This resulted in detecting 5 breast cancers and 4 CIN III severe dysplasia cervical results. In 2022, Shore Medical Center received $342,172 in CEED grant funding for these services. Shore is also the lead agency for the Comprehensive Cancer Control (CCC) coalition grant to provide policy, environmental and system changes in Atlantic and Cape May County in an effort to reduce cancer. In 2022, Shore Medical Center received $167,012 for these initiatives. In 2022, 1,849 individuals were part of the education and outreach conducted through CEED and CCC through awareness events, workshops or lectures. Activities included table events, a meditation program for cancer survivorship and a variety of webinars that were recorded live that can be viewed on-demand. Since COVID cancer screening events became more prevalent in our outreach activities due to the ability to have them during the pandemic and the success of the events. During 2022, six cancer screenings occurred with 88 participants attending these events. Some of these screenings were enabled by Rutgers ScreenNJ funding. This was an additional grant obtained by Shore Medical Center to focus on lung and colorectal cancer screening, as well as provide free lung cancer screening for uninsured/underinsured populations. The funding received in 2022 was $35,227. In order to assist with health equity a grant from the FCC for $769,800 was written in partnership with Southern Jersey Family Medical Center (SJFMC), the local FQHC. This grant enabled 200 telehealth devices designated for the cancer center, 400 for the hospital and 683 for SJFMC. The focus was to improve telehealth access for patients - specifically underserved patients. Shore Medical Center began handing out devices in 2022. Childbirth ---------- Childbirth education, breast feeding support and other programs to welcome a newborn into the family are offered to the entire community through the Shore Beginnings Prenatal and Wellness Program. Virtual & In-Person Resources and Support ----------------------------------------- The medical center's website provides information on medical center programs, services and physicians. It also offers educational videos, health-focused articles and assessments. The medical center's physician finder service is free and available on the internet. The service matches a person's needs such as specialty, location, insurance and office hours to a Shore medical staff physician. Shore's Veterans Affairs Navigator Program, Alzheimer's Association Caregiver Support Group and support through the Center for Family Caregivers continued in 2022 on a limited bases due to Covid, providing support to patients and families virtually when in-person was not possible. 1. Veterans Affairs Navigator Program: Guides veterans through the process of seeking VA medical care and helps them overcome barriers they may encounter, demystifying the process and helping them take full advantage of their healthcare opportunities.
FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	2. Alzheimer's Association's Caregiver Support Group: Designed to provide emotional, educational and social support for caregivers through regularly scheduled meetings. They help participants develop methods and skills to solve problems. The groups encourage caregivers to maintain their own personal, physical and emotional health, as well as optimally care for the person with dementia. The support group at Shore is held the second Tuesday of every month. 3. Center for Family Caregivers Support: Staff are available to provide emotional, educational and social support for family caregivers in need of assistance and support as they manage the often-daunting role of family caregiver for a loved one at home after they are discharged. In 2022, Shore Medical Center introduced a new monthly virtual wellness program, "Caring Together, Living Well", in partnership with Angelic Health. The program provided speakers on a wide range of health and wellness topics including music therapy, grief and loss, and how to write your memoir. These sessions began virtually and then transitioned to in-person. In addition to these support groups, Shore has been very proactive in assisting patients with Alzheimer's Disease and Dementia, working with the Alzheimer's Association of America and the Purple Angel project on educational and awareness issues. Uncompensated Care ================== The medical center has long been a regional leader in meeting its commitment to the medically underserved members of the community. In addition to its community outreach programs, the medical center provides substantial amounts of uncompensated care to those least able to pay for these services. In keeping with its mission to care for patients, the medical center serves all without regard to ability to pay. In 2022, the medical center spent approximately $1.12 million at cost for medical services delivered to these patients. The medical center only received a state subsidy of approximately $286,000 to offset this amount. The medical center recognizes the financial difficulty imposed on the self-pay patient who is least able to afford to pay for healthcare services when billed at the medical center's standard charges. Therefore, the medical center established an innovative policy to address the disparity between hospital-billed charges and the actual cost of providing care to the self-pay patient or under-insured patient. The method adopted is based upon sound accounting principles to determine the actual cost of providing care to patients using a known standard developed for the Medicare cost report. The policy is to apply the most current hospital specific Medicare cost to charge ratio to the self-pay patient's total charge balance and adjust the bill to cost. This adjustment is limited only to those patients not covered by insurance. This ratio is subject to change as determined by the Medicare fiscal intermediary. Patients unable to pay the cost adjusted bill in full are permitted to enter into a hospital-approved payment arrangement. Payment arrangements are determined based upon the financial condition of the patient and paid over time using our existing payment arrangement methodology. As a non-profit healthcare provider, it is the medical center's responsibility to deliver high-quality healthcare regardless of the patient's ability to pay. The medical center is committed to the community that it serves. The challenge of meeting the high costs of providing quality health services is made possible through the dedication of physicians, staff and volunteers. Affiliations ============ Shore Physicians Group ---------------------- Shore Medical Center is aligned with Shore Physicians Group (SPG), a multi-specialty physician group that is committed to changing the way people are cared for in the community. This group features specialists in the fields of Endocrinology, Neurology, Non-operative Sports Medicine, Primary Care, and Rheumatology. The Surgical Division, which is a Penn Surgical affiliate, offers general surgery, endovascular surgery, vascular surgery, plastic & reconstructive surgery, neurosurgery, and urology. SPG also cares for its community through its Orthopedic Division in Somers Point and its Urgent Care Center in Northfield. Penn Medicine ------------- The medical center's long-standing affiliation with Penn Medicine continues to be a valuable partnership, providing patients with access to advanced treatment in multiple disciplines, including cancer care, maternal-fetal medicine, cardiac care, and pulmonology. - In December 2019, Shore Cancer Center became a member of the Penn Cancer Network. As part of this network, clinicians at the Shore Cancer Center have expanded access to advanced expertise and a variety of resources. - The Penn maternal-fetal medicine program at Shore provides extra care to mothers-to-be and their children. Women facing high-risk pregnancies can be treated for a variety of conditions, including heart disease, placental problems, diabetes, multiple gestation pregnancy and later-age pregnancy. - Through a cardiology affiliation with Penn Medicine, Shore offers patients with cardiovascular disease the highest levels of medical expertise and care, as well as access to Penn's leading interventional cardiologists. - In 2020, Penn Pulmonology opened its Somers Point office in the Shore Medical Center Medical Office Building where it offers interventional pulmonology capabilities. - In 2021, Shore Medical Center became affiliated with Penn Medicine Teleneurology and Telestroke. The Shore Neuroscience Center's extraordinary high-tech diagnosis and treatment options, which are enhanced through the advanced technology found within the Shore surgical pavilion, are delivered with the caring touch expected from the medical center. With the Penn Medicine Teleneurology affiliation, specialists from the Shore Neurosciences Center and Penn collaborate using a multi-disciplinary approach to evaluation, diagnosis and treatment. Highly complex cases can be referred with accuracy and speed, aided by a seamless exchange of information, 24/7. Mayo Medical Laboratories ------------------------- Shore continues to utilize Mayo Medical Laboratories as its primary reference laboratory, a relationship established in 2014 that gives the medical center access to Mayo Clinic's extensive menu of laboratory tests and clinical expertise, while enhancing the efficiency and affordability of advanced laboratory testing. Additional Clinical Partnerships -------------------------------- - Advanced Radiology Solutions ("ARS") for diagnostic imaging services. - Envision Healthcare to provide 24/7 anesthesiologist coverage. - Onsite Neonatal Partners provides neonatologists in the hospital. Onsite physicians also provide staffing for Shore's Pediatric Care Center. - Advantage Women's Health for its Laborist Program. Spirit of Shore =============== Hospitals are busy places, but the staff at the medical center is never too busy to pay attention to the thoughtful gestures and kind acts that can make a meaningful difference to patients and their family members. This philosophy is the driving force behind the Spirit of Shore initiative at the medical center. The Spirit of Shore reflects the culture of caring that is unique to Shore. Since the implementation of its Spirit of Shore program in 2008, the medical center has been on a journey to create and nurture an institutional culture of patient-centered clinical, emotional and spiritual care for its patients, their families and staff. Initiatives touch every corner of the medical center's community, promoting an environment where everyone is a caregiver, regardless of their position within the organization. Our many programs and initiatives include, but are not limited to, the following: - Shared medical records; - Comfortable family lounges; - Patient directed visitation; - Hourly rounds; - Leadership rounds; - Bedside report; - E-ICU; - No passing zone; - Motorized scooters for patients; - Patient Partner program - Community education; and - Weekly prayer circles. The medical center's No One Dies Alone program is a volunteer program that provides companions for patients near death who do not have any family or close friends to be with them in their final hours. Volunteers sit with patients and offer solace through meditation, music, poems or simply through touch. The medical center's Patient and Family Advisory Council is made up of former Shore patients and family members, community members and volunteers. Group members share stories, provide valuable feedback on their hospital experiences and assist leadership in decision making by incorporating their experiences into Shore's philosophy and operation. The medical center staff members also use these meetings to educate the council about the medical center and healthcare issues in general.
FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Centers of Excellence ===================== The medical center's recognized centers of excellence include but are not limited to the following: Cancer CENTER ------------- A cancer diagnosis is an experience that is unique to every individual. At Shore Cancer Center, a member of the Penn Cancer Network, we respond to each patient with optimism and real solutions: a comprehensive, nationally recognized program combining the best available technology, experts in the field and quality services, including our state-of-the-art facility. The Shore Cancer Center was designed with one goal in mind: fulfilling our continuing mission to provide the most advanced healthcare services by using a multidisciplinary approach for you and your family in a warm and caring environment. A Nationally-Recognized Cancer Care Program Since 1987, Shore Medical Center has received approval from the American College of Surgeons Commission on Cancer by meeting or exceeding the organization's stringent standards for patient care. Approximately 1,500 cancer programs in the United States and Puerto Rico qualify for this level of approval. The Shore Cancer Center specializes in prevention, early detection, radiation oncology, medical oncology, nurse navigation and support services, including nutritional support, social services, and a cancer survivorship support. The Shore Medical Center Radiation Oncology Department is accredited by the American College of Radiology (ACR). ACR Accreditation ensures that Shore's program meets the most current and stringent standards in staffing, equipment, quality control and technical capability. Cardiovascular Institute (CVI) ------------------------------ The medical center's cardiovascular services bring university-setting cardiac and vascular services to the community. The facility houses sophisticated technology for the diagnosis and treatment of disorders of the heart and circulatory system. The medical center's comprehensive cardiac care program includes advanced diagnostic capabilities and treatment options, as well as prevention, rehabilitation and education for those with coronary and vascular disease. The medical center's 138,000-squarefoot surgical pavilion includes a state-of-the-art cardiovascular services suite for invasive procedures such as cardiac catheterizations. Patients in need of less invasive testing, including EKGs and echocardiograms, can also have their testing done in the cardiovascular suite. The medical center also offers a non-invasive heart and lung testing center, featuring cardiac stress testing, holter-monitoring and transesophageal echocardiography. Penn Heart and Vascular at Shore Medical Center ----------------------------------------------- As a member of Penn Heart and Vascular, the medical center provides residents of the community with access to a number of high-tech diagnoses, treatments and services. Our affiliation with this national leader in heart care enhances the level of extraordinary cardiac care available in our cardiovascular suite - and provides quick, coordinated access to a wide range of world-class cardiac services. The medical center also provides 24-hour, seven-day-a-week emergency transport to Philadelphia via ambulance or Pennstar helicopter for cardiac patients in need. Emergency Services ------------------ (1) Emergency Department Whether it's a sprained ankle from a run on the boardwalk or a life-threatening heart attack or stroke, the emergency staff at the medical center is ready, willing and able to help. Board certified emergency medicine physicians, who are specially trained in cardiology, neurosciences, orthopedics, obstetrics, pediatrics and more, staff the Shore Medical Center emergency department. (2) Nationally Recognized Primary Stroke Center Having received advanced certification as a Primary Stroke Center by the Joint Commission, our emergency department staff and physicians are trained in the care and treatment of stroke patients and skilled in administering TPA, the "clot busting" medication that can provide full cognitive and physical recovery when administered in time. We also provide 24-hour neurology and neurosurgery physician care. Through our affiliation with Penn Medicine in Teleneurology and Telestroke, Penn Neuroscience specialists are available virtually 24/7 to evaluate patients, speak with their families and, if needed, facilitate their transfer to another facility for care. (3) Penn Heart Rescue Through the Penn Heart Rescue program, patients who arrive at the Shore emergency department with symptoms of a heart attack can immediately be referred and transported via helicopter to Penn Presbyterian Medical Center in Philadelphia, a part of Penn Medicine. While the helicopter is en route, a flight nurse and paramedic perform the essential tests needed to prepare the patient for an emergency angioplasty so that no time is lost during the 25-minute helicopter flight. Neuroscience Center ------------------- The medical center has received advanced certification as a Primary Stroke Center by the Joint Commission, earning the organization's Gold Seal of Approval for strict adherence to the national standards and guidelines that help diagnose and treat stroke faster with better outcomes for our patients. Using state-of-the-art technology, including leading-edge, computer-assisted image guidance and microsurgical instrumentation, Shore's board-certified neurosurgeons, neurologists, specially trained nurses and technical staff are able to diagnose and treat neurological injuries and disorders with amazing precision. The medical center's neurosciences center provides extraordinary high-tech diagnosis and treatment services, which are enhanced through the advanced technology found within the Shore surgical pavilion and delivered with the caring touch you expect from the medical center. The medical center affiliation with Penn Medicine Teleneurology further ensures the highest quality care for area residents. Specialists from the Shore Neurosciences Center and Penn Neuroscience specialists collaborate using a multi-disciplinary approach to evaluation, diagnosis and treatment. This team approach provides unmatched services and medical sophistication to our community, a seamless delivery of care and rehabilitation designed to produce the best medical outcomes possible. Maternity Care Center --------------------- The medical center has a family-centered approach when it comes to childbirth and the hospitalization of a child. The maternity care center provides patients with a special combination of compassion, expertise and advanced technology. Special attention is paid to helping pregnant mothers and new families develop and maintain those early bonds. The medical center's family centered approach to care is also evident in the inpatient Pediatric Care Center. In 2022, 1,019 babies were born at the medical center. Maternal-Fetal Medicine Program ------------------------------- Sometimes a woman needs additional expertise in the form of a maternal-fetal medicine specialist - an obstetrician who is trained in fetal medicine and high-risk pregnancies. Through our affiliation with Penn Medicine and renowned specialist Dr. Robert Debbs, D.O., the Penn maternal-fetal medicine program at the medical center provides these expectant mothers with the specialized care they need. Groundbreaking Pediatric Care Center ------------------------------------ The medical center's child-friendly Pediatric Care Center was the first of its kind in New Jersey, featuring a dedicated and separate pediatric treatment area for minor illnesses and injuries, as well as inpatient rooms. Children are seen by expert emergency department physicians in consultation with the physicians of Onsite Neonatal Partners. The medical center's laborist program ensures that a highly trained obstetrician-gynecologist is on site at Shore 24 hours a day, seven days a week to assist patients in labor until their own physician arrives. The laborist program features seven skilled laborists who rotate to assist with gynecological emergencies, inpatient consultations, emergency C-sections and other needs. Thanks to the laborist program, births at Shore are on the rise, and we've seen a significant reduction in the hospital's C-section rates.
FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	In partnership with the Atlantic County Special Services School District, Shore Medical Center developed a Sensory Friendly Pediatric Emergency Care program designed to help children with autism have a better experience when coming to the hospital, from door to discharge. The program officially launched in April 2021 on World Autism Awareness Day and has proven to be a success for helping children and families with sensory processing differences get the care they need. Shore continues to work with Atlantic County Special Services School to provide training to new staff and make adjustments to the program where it is needed. In 2022, the Pediatric Care Center launched a new "ouchless" program to help reduce the pain and discomfort children feel during medical procedures. Through a wide variety of modalities and techniques and ongoing staff training, the Pediatric Care Center team is able to help improve the experience children and families have at the hospital and reduce the likelihood of trauma from potentially painful procedures. Advanced Spine & Orthopedic Institute ------------------------------------- The medical center's Advanced Spine & Orthopedic Institute (ASOI) offers a comprehensive continuum of care within a highly integrated healthcare delivery network that takes our patients from diagnosis through treatment and rehabilitation. We help patients deal with everything from everyday aches and strains to sports injuries, serious spine and orthopedic injuries and disease, as well as joint replacement and reconstruction. Our goal is to return our patients to normal function as quickly and safely as possible. The medical center's spine surgery and hip and knee replacement programs have received the Gold Seal of Approval for Healthcare Quality by the Joint Commission. Advanced Care from the Region's Top Physicians ---------------------------------------------- The exceptional spine surgeons at the medical center have access to some of the most advanced technology available in their fields. When a patient's problem exceeds our advanced capabilities, the medical center's affiliation with Penn Medicine allows for a seamless transfer of care to specialists at these two leading Philadelphia healthcare providers, in addition to the area's most exceptional and passionate physicians. Joint Replacement & Spine Education ----------------------------------- Joint and spine education classes are offered regularly for patients about to undergo joint replacement or spine surgery, as well as for the community at large through the medical center's Advanced Spine & Orthopedic Institute. Medical Services ================ Consistent with revenue ruling 69-545, all qualified physicians are eligible for medical staff privileges. During 2022, the medical center had approximately 480 physicians on its medical staff comprised of the following medical specialties: - Alcohol & drug dependency; - Allergy/immunology; - Anesthesiology; - Cardiology; - Critical Care Medicine; - Dermatology; - Emergency medicine; - Endocrinology; - Family practice; - Gastroenterology; - Gynecology; - Hematology; - Hospital Medicine; - Internal medicine; - Infectious disease; - Maternal & fetal medicine; - Medical oncology; - Neonatology; - Nephrology; - Neurological surgery; - Neurology; - Obstetrics; - Ophthalmology; - Oral Surgery; - Orthopedic surgery; - Otorhinolaryngology; - Pain management; - Palliative Care Medicine; - Pathology; - Pediatrics; - Physical medicine/rehabilitation; - Plastic surgery; - Podiatry; - Psychiatry; - Psychology; - Pulmonary medicine; - Radiation therapy; - Radiology; - Rheumatology; - General surgery; - Vascular surgery; and - Urology. Community programs and medical screenings ========================================= 1. Shore Speakers Bureau - a free program where Shore healthcare specialists and educators provide screenings, give presentations and provide question and answer sessions for community groups who request them. 2. Cancer screenings for the uninsured funded by the NJ CEED/OCCP grant (breast, cervical, colorectal and prostate) 3. Mammograms - free mammogram event on 10-22-22 4. Cervical - free annual exam and pap test event on 1-28-22 5. LDCT Lung Cancer Screening - free lung cancer screening events on 2-5-22 and 3-5-22 6. Skin Cancer - free skin cancer screening on 6-18-22 7. Prostate Cancer - free prostate cancer screening on 7-16-22 Please note that the aforementioned list of medical screening programs is not an all-inclusive list. Lectures and Seminars ===================== The medical center provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax-exempt purposes, including the following: 1. Be Well Connected Events. Shore Medical Center often provides experts to speak at Shore Physicians Group's "Be Well Connected" Health Education breakfast events, featuring physicians and clinical staff presenting to audiences ranging from 50-125 people. 2. Shore Beginnings: Prenatal and Wellness - Lamaze-Inspired Childbirth Classes; - Breastfeeding Your Baby; and - Maternal child health community outreach. 3. Adult support groups: - Family Caregiver One-on-One Support; - Alzheimer's Association Caregiver Support Group; - Caring Together, Living Well; and - Vet 2 Vet Cafe. 4. Free Surgical Education Programs (neck & spine surgery, joint replacement education). 5. Cancer Survivorship Workshops - Cancer: Thriving and Surviving (an evidence based six-week supportive workshop series): focuses on cancer survivorship; cancer side effects; life after cancer; etc. - Meditation Program: weekly online meditation programing to assist cancer patients, survivors, and caregivers with meditation. Multiple classes offered at different times throughout the week. 6. Sun Safety Project - Poster contest with an educational video for school systems. Children made posters featuring the information they learned in class about protecting their skin. 7. Webinars: - Multiple webinars offered on different health topics. The webinars are held live and recorded for an on-demand viewing option for the future. Presentations to Healthcare Professionals ----------------------------------------- Shore Medical Center makes every effort to pass along valuable information acquired through pilot programs to help other healthcare professionals improve care to its community. In 2022, Emergency Department leadership attended the Emergency Nurses Association Conference where they presented the results of a 2021 Pilot Project to improve the time it takes to get a patient who is exhibiting signs of a stroke from door to treatment, with a goal of helping other healthcare professionals duplicate their results in their communities and hospitals. Please note that the aforementioned list of community education programs is not an all-inclusive list. Community Involvement ===================== Giving Back to the Community In 2022, Shore staff continued their annual tradition of providing gifts at the holidays to residents of the Linwood Care Center. More than 100 residents benefited from their generosity. Shore Medical Center typically supports the following annual community events: - American Heart Association Heart Walk; - Walk for the Wounded; - the Somers Point Memorial Day Parade; - Somers Point Bayfest and Good Old Days Festival; and - Residents of Linwood Care Center through an annual holiday gift drive. Of note in 2022, Shore Medical Center partnered with ScreenNJ at Somers Point's annual Bayfest street fair to raise awareness of colorectal cancer and the importance of colonoscopies for those who are eligible. ScreenNJ brought an inflatable colon for people to walk through and learn about, which attracted the attention of hundreds of people and resulted in 135 engaged participants who walked through the colon and participated in a post-test. The medical center also typically provides health screenings at these events and other community health fairs at 55 and over communities, fitness centers and some of our area's larger employers.
CORE FORM, PART III, QUESTION 4D	EXPENSES INCURRED IN PROVIDING 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. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART V; QUESTION 15	RONALD JOHNSON IS AN OFFICER AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION. MR. JOHNSON IS EMPLOYED BY THIS ORGANIZATION AND RECEIVES A FEDERAL FORM W-2. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH SHORE MEMORIAL HOSPITAL (EIN: 21-0660835). SHORE MEMORIAL HOSPITAL FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. JOHNSON'S COMPENSATION IN EXCESS OF $1M.
CORE FORM, PART VI, QUESTION 2	MICHAEL BRAY & ROBERT J. BRAY, DDS - FAMILY RELATIONSHIP
CORE FORM, PART VI, QUESTION 4	EFFECTIVE JANUARY 1, 2022 THE ORGANIZATION'S BYLAWS WERE AMENDED. THE FOLLOWING SECTIONS WERE AMENDED TO INCLUDE SIGNIFICANT CHANGES, AS DEFINED BY THE IRS FORM 990 INSTRUCTIONS: ARTICLE III, SECTION 6 - POWERS RESERVED TO THE MEMBER ARTICLE IV, SECTION 2 - NUMBER OF TRUSTEES ARTICLE IV, SECTION 5 - ELECTION OF TRUSTEES ARTICLE IV, SECTION 11 - QUORUM ARTICLE V, SECTION 4 - POWERS AND DUTIES
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM 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.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 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 SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") 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 INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S 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 INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WITH THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990. AT THIS MEETING, THE CPA FIRM GAVE A FORM 990 PRESENTATION TO THE COMMITTEE. THEREAFTER, THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND ITS CHIEF COMPLIANCE OFFICER FOR REVIEW. THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. THEREAFTER, ANY SIGNIFICANT DISCLOSURES OF A MATERIAL NATURE INVOLVING THE ORGANIZATION'S GOVERNING BODY OR SENIOR LEADERSHIP IS REPORTED TO THE SYSTEM'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. SHORE MEMORIAL HEALTH SYSTEM'S BOARD OF TRUSTEES HAS A LEADERSHIP DEVELOPMENT AND COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT PERSONNEL INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER/CHIEF DEVELOPMENT OFFICER, CHIEF OPERATING OFFICER/CHIEF NURSING OFFICER, CHIEF MEDICAL OFFICER, CHIEF INFORMATION OFFICER AND VICE PRESIDENT OF HUMAN RESOURCES ("SENIOR LEADERSHIP"). 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. 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 THE ORGANIZATION'S SENIOR LEADERSHIP. 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 SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. 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 ONLY APPLIES TO THE ORGANIZATION'S SENIOR LEADERSHIP. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM 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 HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUCTION 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. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
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 OR INDEPENDENT CONTRACTORS 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, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS 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 ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, 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 SHORE MEMORIAL HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - OTHER ACCRUED RETIREMENT COST - ($742,802); - OTHER CHANGES IN PENSION & POSTRETIREMENT BENEFITS - $17,744,793; - DONOR RESTRICTED NET INVESTMENT RETURN - ($182,588); - CHANGE IN DONOR RESTRICTED BENEFICIAL INTEREST IN PERPETUAL TRUST - ($461,129); AND - CHANGES IN DONOR RESTRICTED NET ASSETS - ($24,310).
CORE FORM, PART XI; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SHORE MEMORIAL HEALTH SYSTEM AND ITS AFFILIATES 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 FOR EACH YEAR. THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3A	THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AS A RESULT OF FEDERAL AWARDS RECEIVED, THE ORGANIZATION WAS INCLUDED IN A SYSTEM WIDE CONSOLIDATED AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R., PART 200, SUBPART F. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE THE UNIFORM GUIDANCE AUDIT.
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:19162952
FORM 990 PART IX LINE 11G	DESCRIPTION:CARE MANAGEMENT FEES TOTAL FEES:12532786
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11055482
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION EXPENSE TOTAL FEES:1516561
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:606429
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:1671272

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BRIGHTON BAY LLC
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	454335590	HOLDING/MGMT	NJ	$607,436	$3,906,849	SMH
SHORE QUALITY PARTNERS LLC
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	464384840	HEALTH SVCS.	NJ	$2,151,619	$523,436	SMH
SHORE QUALITY PARTNERS ACO LLC
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	842099293	HEALTH SVCS.	NJ	$36,463	$560,354	SMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
SHORE HEALTH SERVICES CORPORATION
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	222866335	holding co.	NJ	501(C)(3)	509(A)(3)	SMHS	false
SHORE MEMORIAL HEALTH SYSTEM
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	222866326	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)		false	N/A
SHORE MEMORIAL HEALTH FOUNDATION INC
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	342027846	inactive	NJ	501(C)(3)	509(A)(1)	SMH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
SHORE HEALTH ENTERPRISES INC
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	223501680	RENTAL REAL EST.	NJ	N/A	C CORP.	false
SHORE MEMORIAL PHYSICIAN'S GROUP PC
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	275440611	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)	SMH	$12,174,319	$4,667,470	1.00000
BAYFRONT URGENT CARE PA
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	274211365	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)	SMH	$2,359,189	$1,049,000	1.00000
SHORE HOSPITALISTS ASSOCIATES PA
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	472173802	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)	SMH	$3,301,120	$878,436	1.00000
SHORE PATHOLOGY ASSOCIATES PC
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	464221478	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)	SMH	$483,630	$50,124	1.00000
SHORE SPECIALTY CONSULTANTS PA
100 MEDICAL CENTER WAY	SOMERS POINT	NJ	08244	472248436	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)	SMH	$11,426,482	$1,622,689	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A MEMBER OF SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; 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. THE SYSTEM'S 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.	ExplanationTxt