SALEM COUNTY HOSPITAL CORP: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SALEM COUNTY HOSPITAL CORP (EIN 82-4971362)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202213189349320356
- Schema version
- 2021v4.2
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T21:37:50-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | 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 | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 824971362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM COUNTY HOSPITAL CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % VINCENT RICCITELLI | InCareOfNm |
| Business Name Control | SALE | BusinessNameControlTxt |
| Phone | 8569351000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 WOODSTOWN ROAD | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08079 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VINCENT RICCITELLI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8563396007 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | VINCENT | PersonFirstNm |
| Person Last | RICCITELLI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Scott J Mariani | PreparerPersonNm |
| PTIN | P00642486 | PTIN |
| Phone | 9738989494 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMMY TORRES DNP MSN RN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 WOODSTOWN ROAD | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08079 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $50,205,745 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SMC.HEALTH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2018 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER HIGH QUALITY, COMPASSIONATE HEALTHCARE TO GREATER SALEM COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 514 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $18,538,528 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,520,439 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $40,080,474 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $44,575,877 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,300 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $114,421 | PYOtherRevenueAmt |
| CY Other Revenue | $109,429 | CYOtherRevenueAmt |
| PY Total Revenue | $58,732,123 | PYTotalRevenueAmt |
| CY Total Revenue | $50,205,745 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $578 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,471,816 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,329,548 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,458,423 | PYOtherExpensesAmt |
| CY Other Expenses | $40,723,732 | CYOtherExpensesAmt |
| PY Total Expenses | $63,930,817 | PYTotalExpensesAmt |
| CY Total Expenses | $64,053,780 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,198,694 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$13,848,035 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,372,450 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,972,962 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $50,783,060 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $57,231,607 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$6,410,610 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$20,258,645 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO DELIVER HIGH QUALITY, COMPASSIONATE HEALTHCARE TO GREATER SALEM COUNTY. SALEM MEDICAL CENTER PROVIDES EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO INDIVIDUALS IN THE COMMUNITY REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION OR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $51,423,721 | ExpenseAmt |
| Grant | $500 | GrantAmt |
| Revenue | $44,575,877 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, SEXUAL ORIENTATION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION. | Desc |
| Total Program Service Expenses | $51,423,721 | 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 | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 514 | 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 | false | QuidProQuoContributionsInd |
| 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 | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VINCENT RICCITELLI | PersonNm |
| Phone | 8563396007 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 WOODSTOWN ROAD | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08079 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| BRADFORD BOBRIN MD | ||||||||
| PSYCH MEDICAL DIRECTOR | 55.0 | 0.0 | Yes (X) | $280,159 | $0 | $37,041 | ||
| DAVID G MARINI | ||||||||
| PHARMACIST | 55.0 | 0.0 | Yes (X) | $142,082 | $0 | $40,863 | ||
| DODI K BALDWIN RN | ||||||||
| REGISTERED NURSE | 55.0 | 0.0 | Yes (X) | $144,088 | $0 | $37,938 | ||
| EKENE EJIMOFOR DNP RN | ||||||||
| CHIEF NURSING OFFICER | 55.0 | 0.0 | $170,622 | $0 | $9,202 | Yes (X) | ||
| JUSTINE C MURPHY BSHA RN | ||||||||
| AVP CLINICAL OPERATIONS | 55.0 | 0.0 | Yes (X) | $148,876 | $0 | $30,428 | ||
| PATRICIA M PALMIERI | ||||||||
| AVP, DIRECTOR OF PHARMACY | 55.0 | 0.0 | Yes (X) | $140,441 | $0 | $10,272 | ||
| WAMIQ S SULTAN MD | ||||||||
| TRUSTEE - CMO | 55.0 | 0.0 | $83,490 | $0 | $0 | Yes (X) | ||
| WILLIAM J COLGAN | ||||||||
| CHAIRMAN - TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| STEVEN ROSEFSKY JD | ||||||||
| VICE PRESIDENT - TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MICHAEL R GORMAN EDD | ||||||||
| SECRETARY - TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| BRENDA GOINS | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MANNY GUANTEZ | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| BRUCE W HERDMAN PHD MBA | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| RAQUEL MAZON JEFFERS | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| REVEREND AWOOD A JONES | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| CHARLES MCFEATERS PE | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| CEIL SMITH | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| RALPH THOMAS | ||||||||
| TRUSTEE | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DONALD ASAY | ||||||||
| TRUSTEE (TERMED 10/4/21) | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| TAMMY TORRES DNP MSN RN | ||||||||
| CHIEF EXECUTIVE OFFICER | 55.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| VINCENT RICCITELLI | ||||||||
| CHIEF FINANCIAL OFFICER | 55.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,109,758 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $165,744 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | 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 |
|---|---|---|---|---|---|
| METRO REAL ESTATE DEVELOPMENT | |||||
| 2 BROAD STREET SUITE 400 | BLOOMFIELD | NJ | 07003 | CONSTRUCTION | $3,350,210 |
| SIERRA HEALTH GROUP LLC | |||||
| 440 FRANKLIN STREET SUITE 300 | BLOOMFIELD | NJ | 07003 | BILLING/REV CYCLE | $3,277,188 |
| MORRISON HEALTHCARE | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | FOOD/DIETARY | $1,195,662 |
| EDGE BUSINESS ALLIANZ LLC | |||||
| 2 BROAD STREET SUITE 401 | BLOOMFIELD | NJ | 07003 | HR/ACCOUNTING/IT | $776,413 |
| N AMERICAN PARTNERS IN ANETHESIA O | |||||
| 68 SOUTH SERVICE ROAD SUITE 350 | MELLVILLE | NY | 11747 | MEDICAL | $622,329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,520,289 | GovernmentGrantsAmt |
| All Other Contributions | $150 | AllOtherContributionsAmt |
| Total Contributions | $5,520,439 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $44,468,974 | $44,468,974 |
| OTHER HEALTHCARE RELATED REVENUE | 622110 | $106,903 | $106,903 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $44,575,877 | 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 | $109,429 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $109,429 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,429 | TotalRevenueColumnAmt |
| Exclusion | $109,429 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,205,745 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,575,877 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $109,429 | 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 | $500 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $179,824 | TotalAmt |
| Program Services | $172,092 | ProgramServicesAmt |
| Management And General | $7,732 | ManagementAndGeneralAmt |
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 | $18,891,479 | TotalAmt |
| Program Services | $18,079,145 | ProgramServicesAmt |
| Management And General | $812,334 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,398,650 | TotalAmt |
| Program Services | $2,101,217 | ProgramServicesAmt |
| Management And General | $297,433 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,859,595 | TotalAmt |
| Program Services | $1,628,082 | ProgramServicesAmt |
| Management And General | $231,513 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $715,000 | TotalAmt |
| Program Services | $500,142 | ProgramServicesAmt |
| Management And General | $214,858 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,304 | TotalAmt |
| Program Services | $271,619 | ProgramServicesAmt |
| Management And General | $116,685 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,362 | TotalAmt |
| Program Services | $157,641 | ProgramServicesAmt |
| Management And General | $67,721 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,332 | TotalAmt |
| Program Services | $4,429 | ProgramServicesAmt |
| Management And General | $1,903 | ManagementAndGeneralAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,206,007 | TotalAmt |
| Program Services | $11,736,099 | ProgramServicesAmt |
| Management And General | $3,469,908 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,839 | TotalAmt |
| Program Services | $160,772 | ProgramServicesAmt |
| Management And General | $69,067 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,734 | TotalAmt |
| Program Services | $559,414 | ProgramServicesAmt |
| Management And General | $240,320 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,119,859 | TotalAmt |
| Program Services | $1,482,841 | ProgramServicesAmt |
| Management And General | $637,018 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,629,529 | TotalAmt |
| Program Services | $3,937,856 | ProgramServicesAmt |
| Management And General | $1,691,673 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,887 | TotalAmt |
| Program Services | $2,719 | ProgramServicesAmt |
| Management And General | $1,168 | ManagementAndGeneralAmt |
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 | $50,787 | TotalAmt |
| Program Services | $35,526 | ProgramServicesAmt |
| Management And General | $15,261 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,917 | TotalAmt |
| Program Services | $32,881 | ProgramServicesAmt |
| Management And General | $864,036 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,072,323 | TotalAmt |
| Program Services | $2,611,475 | ProgramServicesAmt |
| Management And General | $460,848 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,621 | TotalAmt |
| Program Services | $493,582 | ProgramServicesAmt |
| Management And General | $212,039 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $7,071,008 | $4,946,170 | $2,124,838 |
| REPAIRS & MAINTENANCE | $1,444,857 | $1,010,677 | $434,180 |
| DIETARY/CAFETERIA | $1,053,006 | $736,578 | $316,428 |
| DUES & SUBSCRIPTIONS | $133,091 | $93,097 | $39,994 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $972,269 | TotalAmt |
| Program Services | $669,167 | ProgramServicesAmt |
| Management And General | $303,102 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,053,780 | TotalAmt |
| Program Services | $51,423,721 | ProgramServicesAmt |
| Management And General | $12,630,059 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,037 | BOYAmt |
| EOY | $992,926 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,434,776 | BOYAmt |
| EOY | $1,849,770 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,008,409 | BOYAmt |
| EOY | $5,370,824 | 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 | $2,001,296 | BOYAmt |
| EOY | $1,861,979 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $964,855 | BOYAmt |
| EOY | $806,294 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,349,075 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,797,172 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,763,678 | BOYAmt |
| EOY | $12,551,903 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,159 | BOYAmt |
| EOY | $651,386 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,418,240 | BOYAmt |
| EOY | $12,887,880 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,372,450 | BOYAmt |
| EOY | $36,972,962 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,655,089 | BOYAmt |
| EOY | $23,538,966 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $32,614,653 | BOYAmt |
| EOY | $28,203,242 | 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 | $7,513,318 | BOYAmt |
| EOY | $5,489,399 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,783,060 | BOYAmt |
| EOY | $57,231,607 | 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 | -$6,410,610 | BOYAmt |
| EOY | -$20,258,645 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,410,610 | BOYAmt |
| EOY | -$20,258,645 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,372,450 | BOYAmt |
| EOY | $36,972,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$13,848,035 | ReconcilationRevenueExpnssAmt |
| 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 | false | 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 | $6,332 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,332 | 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; LINE 1I | FormAndLineReferenceDesc |
| Explanation | SALEM MEDICAL CENTER ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND THE NEW JERSEY HOSPITAL ASSOCIATION ("NJHA") WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $6,332 DURING 2021. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,501,135 | OtherCostOrOtherBasisAmt |
| Depreciation | $714,030 | DepreciationAmt |
| Book Value | $5,787,105 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,696,904 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,969,183 | DepreciationAmt |
| Book Value | $4,727,721 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,151,036 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,113,959 | DepreciationAmt |
| Book Value | $2,037,077 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,551,903 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ENTITY | $12,238,771 |
| OTHER ASSETS | $649,109 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,887,880 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICARE ADVANCE LIABILITY | $4,974,399 |
| OTHER LIABILITIES | $515,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,489,399 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2021 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CENTER 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 CENTER DOES NOT BELIEVE ITS COMBINED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. IN ADDITION, THERE HAVE BEEN NO TAX RELATED INTEREST OR PENALTIES FOR THE PERIOD PRESENTED IN THESE COMBINED FINANCIAL STATEMENTS. SHOULD ANY SUCH PENALTIES BE INCURRED, THE CENTER'S POLICY WOULD BE TO RECOGNIZE THEM AS OPERATING EXPENSES. | ExplanationTxt |
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 | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,515,824 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $64,498 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,451,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,356,369 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,185,513 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,170,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08070 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,872,193 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,250,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,622,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,600,697 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,600,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,600,697 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,600,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,472,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,250,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,222,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,712,943 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $302,954 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,771,583 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,977,277 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,794,306 | 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 | SALEM MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 WOODSTOWN ROAD | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08079 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SMC.HEALTH | WebsiteAddressTxt |
| State License | 71702 | 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 | SALEM MEDICAL CENTER | 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 |
| CHNA Conducted | 20 | 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 | HTTPS://WWW.SMC.HEALTH/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.SMC.HEALTH/ | StrategyWebsiteURLTxt |
| 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 | HTTPS://WWW.SMC.HEALTH | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.SMC.HEALTH | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.SMC.HEALTH | 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 | PER INTERNAL REVENUE CODE SECTION 501(R), AN ORGANIZATION THAT BECOMES NEWLY SUBJECT TO THE REQUIREMENT OF IRC 501(R) BECAUSE IT IS RECOGNIZED AS DESCRIBED IN SECTION 501(C)(3) AND IS OPERATING A HOSPITAL FACILITY MUST MEET THE REQUIREMENT OF SECTION 501(R)(3) BY THE LAST DAY OF THE SECOND TAXABLE YEAR BEGINNING AFTER THE LATER OF THE EFFECTIVE DATE OF THE DETERMINATION LETTER OR THE FIRST DATE THAT A FACILITY OPERATED BY THE ORGANIZATION WAS LICENSED, REGISTERED OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL. SALEM MEDICAL CENTER WAS RECOGNIZED AS A HOSPITAL BY THE STATE OF NEW JERSEY WHEN IT BEGAN OPERATIONS EFFECTIVE FEBRUARY 1, 2019. THEREFORE, THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS REQUIRED TO BE CONDUCTED EFFECTIVE DECEMBER 31, 2020. SINCE THE ORGANIZATION JUST COMPLETED ITS 1ST CHNA, THE REQUIREMENT TO INCLUDE THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITY'S PRIOR CHNA IS NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 5 | THROUGH THE HELP OF COMMUNITY GROUPS, COMMUNITY MEMBERS TALKED ABOUT HEALTH IN THEIR COMMUNITIES WITH POTENTIAL CONCERNS. THE ORGANIZATION'S FOCUS ON COMMUNITY VOICE MEANS THAT ITS ASSESSMENT OF HEALTH NEEDS WERE FRAMED BY THE COMMUNITY'S PERCEPTION OF NEEDS. THESE COMMUNITY PERCEPTIONS ARE CONSISTENT WITH RECENT RESEARCH IN POPULATION HEALTH, WHICH SUGGESTS THAT TARGETED INTERVENTIONS IN THESE UPSTREAM DETERMINANTS COULD PROVIDE COST-SAVINGS AND IMPROVEMENTS IN HEALTH THAT ARE MUCH LARGER THAN EVEN THE BEST IMPROVEMENTS IN THE EFFICIENCY AND DELIVERY OF DIRECT CLINICAL CARE. IN PREPARATION FOR THE CHANGE OF OWNERSHIP STRUCTURE (WHICH TOOK PLACE IN FEBRUARY 2019), SMC LEADERSHIP MET EXTENSIVELY WITH THE STAKEHOLDERS LISTED BELOW. THE INPUT RECEIVED DURING THESE MEETINGS, AS WELL AS FROM SUBSEQUENT CONVERSATIONS POST CHANGE IN OWNERSHIP, PLAYED A SIGNIFICANT ROLE IN THE DEVELOPMENT OF THE SMC COMMUNITY HEALTH NEEDS ASSESSMENT. THE TIMING OF THE CHANGE IN OWNERSHIP WAS SOMEWHAT FORTUNATE, SINCE THE RESTRICTIONS ASSOCIATED WITH THE COVID-19 PANDEMIC LIMITED PERSONAL INTERACTION WITH COMMUNITY STAKEHOLDERS. ALTERNATE METHODS WERE UTILIZED (E.G., VIDEO CONFERENCING) IN 2020 TO CONTINUE TO ENGAGE WITH THE COMMUNITY IN LIGHT OF THE CHALLENGES POSED BY THE PANDEMIC. - NJ COMMISSIONER OF HEALTH - NJ DEPUTY COMMISSIONER OF HEALTH NJ SENATE PRESIDENT - NJ ASSEMBLYMAN FOR DISTRICT MAYOR OF SALEM NJ - SALEM COUNTY EXECUTIVE - THE LEADERSHIP OF THE SALEM HEALTH AND WELLNESS FOUNDATION - MEMBERS OF THE SMC MEDICAL STAFF - SMC EMPLOYEES - OTHER AREA HEALTHCARE SYSTEMS (COOPER HEALTH AND INSPIRA HEALTH) - LOCAL BUSINESS LEADERS PRIMARILY THROUGH MEMBERSHIP IN THE LOCAL CHAMBER OF COMMERCE - LOCAL RELIGIOUS LEADERS IN ADDITION, IN COMPLETING ITS CHNA, SALEM MEDICAL CENTER UTILIZED VARIOUS SECONDARY DATA SOURCES AND PUBLICLY AVAILABLE DATA, INCLUDING BUT NOT LIMITED TO: - RUTGERS CENTER FOR STATE HEALTH POLICY: IMPROVING HEALTH IN SALEM COUNTY FINAL REPORT - INSPIRA HEALTH NETWORK: COMMUNITY HEALTH NEEDS ASSESSMENT. - STUDY PERFORMED BY THE NEW JERSEY HEALTH CARE FINANCING AUTHORITY ON THE HEALTH NEEDS OF SALEM COUNTY. THESE REPORTS WHICH COVER THE SAME SERVICE AREA AS SALEM MEDICAL CENTER PROVIDED COMPREHENSIVE INFORMATION REGARDING COMMUNITY DEMOGRAPHICS AND IDENTIFIED COMMUNITY HEALTH NEEDS OF SALEM'S PRIMARY SERVICE AREA. THE REFERENCED REPORTS UTILIZED A MIXED METHODOLOGY OF PRIMARY AND SECONDARY DATA SOURCES TO OBTAIN THE REQUIRED INFORMATION. |
| SCHEDULE H, PART V, SECTION B, QUESTION 7A | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; 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 BY CLICKING THE "SMC COMMUNITY HEALTH NEEDS ASSESSMENT" HYPERLINK WITHIN THE "OUR VISION" SECTION AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.SMC.HEALTH/MISSION/ |
| SCHEDULE H, PART V, SECTION B, QUESTION 10A | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION CAN BE ACCESSED BY CLICKING THE "IMPLEMENTATION PLAN" HYPERLINK WITHIN THE "OUR VISION" SECTION AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.SMC.HEALTH/MISSION/ |
| SCHEDULE H, PART V, SECTION B, QUESTION 11 | BASED ON THE INPUT OF COMMUNITY, KEY STAKEHOLDERS AND THE REVIEW OF RELEVANT HEALTH DATA FOR THE SMC SERVICE AREA, THE FOLLOWING WERE IDENTIFIED AS IMPORTANT HEALTHCARE ISSUES IN NEED OF ATTENTION AND ACTION: - OBESITY - SUBSTANCE ABUSE AND ADDICTION BEHAVIORAL HEALTH - SERVICES FOR INDIVIDUALS WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES - ACCESS TO CARE - INVESTMENT IN LOCAL HEALTHCARE - LOCAL RESPONSE TO THE COVID-19 PANDEMIC - WOMEN'S HEALTH SERVICES OBESITY ------- COMMUNITY MEMBERS RANKED OBESITY AS THEIR TOP HEALTH ISSUE. NATIONALLY, OBESITY IS ALSO A CONCERN, WITH HEALTH CARE COSTS AND MORTALITY RELATED TO OBESITY RAPIDLY OVERCOMING TOBACCO-RELATED COSTS/MORTALITY. SINCE 2000, THE ADULT OBESITY RATE IN NEW JERSEY HAS INCREASED BY OVER 60%. THIS PERIOD HAS ALSO SEEN AN INCREASE IN THE BURDEN OF OBESITY-RELATED DISEASES SUCH AS DIABETES, HYPERTENSION, AND HEART DISEASE. PROJECTIONS FOR THE CHRONIC DISEASE BURDEN RELATED TO OBESITY ARE DIRE, WITH AN EXPECTED FOUR-FOLD INCREASE IN THE NUMBER OF HEART DISEASE CASES WITHIN THE NEXT 20 YEARS. EVEN MORE TROUBLING IS THAT OBESITY AND RELATED CHRONIC HEALTH CONDITIONS OCCUR AT HIGHER RATES IN SOUTHERN NEW JERSEY THAN THEY DO IN THE REST OF THE STATE AND NATIONALLY. ACTION STEP: MEDICAL WEIGHT-MANAGEMENT THROUGH OUR FAMILY AND INTERNAL MEDICINE PRACTICES IS THE FIRST LINE OF DEFENSE IN HELPING CONTROL ONE'S WEIGHT. HOWEVER, BARIATRIC SURGERY REMAINS THE MOST EFFECTIVE AND DURABLE THERAPY OPTION FOR OBESITY. BARIATRIC SURGERY IS GENERALLY CONSIDERED WHEN NON-SURGICAL INTERVENTIONS HAVE FAILED IN A PATIENT WITH A BMI GREATER THAN 35-40. SMC MADE A MAJOR COMMITMENT IN THIS SPECIALTY BY BRINGING BACK ONE OF SOUTH JERSEY'S PREMIER BARIATRIC SURGEONS, DR. HARISH KAKKILAYA. WITH MORE THAN 20 YEARS OF EXPERIENCE, DR. KAKKILAYA HAS PERFORMED MORE THAN 1,000 WEIGHT LOSS SURGERIES AND HAS HAD BETTER RESULTS AND LESS COMPLICATIONS THAN THE NATIONAL AVERAGE. DR. KAKKILAYA'S REPUTATION - AND THE REASONABLE CASH PRICE OFFERED FOR THE SURGERY - GIVE SMC AN OPPORTUNITY TO MARKET THE SERVICE BEYOND THE TRADITIONAL SERVICE AREAS OF SMC - EVEN BEYOND THE SOUTH JERSEY REGION. SMC HAS THE CAPABILITY TO PROVIDE LIFE-CHANGING SURGERY TO THE COMMUNITY AS EVIDENCED BY THE MANY PERSONAL STORIES OF WEIGHT-LOSS SUCCESS. ADDICTION MEDICINE ------------------ COMMUNITY MEMBERS ARE CONCERNED ABOUT MULTIPLE TYPES OF SUBSTANCE ABUSE, PARTICULARLY THE OPIOID CRISIS THAT HAS PLAGUED THE UNITED STATES IN RECENT YEARS. ACCORDING TO THE CENTERS FOR DISEASE CONTROL, FROM 1999-2019, NEARLY 500,000 PEOPLE DIED FROM AN OVERDOSE INVOLVING ANY OPIOID, INCLUDING PRESCRIPTION AND ILLICIT OPIOIDS. INADEQUATE SERVICES AND FACILITIES WERE REPORTED TO HELP THOSE WITH SUBSTANCE ABUSE ISSUES. THE NEEDS ASSESSMENT REVEALED THAT INDIVIDUALS AND FAMILIES HAD A LACK OF RESOURCES AND SUPPORT AVAILABLE IN THEIR COMMUNITIES TO HELP THEM AND THEIR LOVED ONES BATTLE THIS ADDICTION. ACTION STEP: SMC PARTNERED WITH LEGACY TREATMENT SERVICES TO OPEN AN OUTPATIENT/INTENSIVE OUTPATIENT TREATMENT PROGRAM. ON THE GROUNDS OF THE MEDICAL CENTER, THEY OFFER EVIDENCE-BASED SERVICES THAT ARE DELIVERED BY A STAFF OF PSYCHIATRISTS, CLINICIANS, FAMILY THERAPISTS, ADDICTION SPECIALISTS, SOCIAL WORKERS, PEER SUPPORT SPECIALISTS, CARE COORDINATORS, AND ADVANCED PRACTICE NURSES. OUTPATIENT SERVICES FOR SUBSTANCE USE DISORDER INCLUDE: INDIVIDUAL AND GROUP COUNSELING, FAMILY COUNSELING, INDIVIDUAL AND GROUP THERAPY, THERAPY FOR CHILDREN AGE 13 AND UP, PSYCHIATRY AND MEDICATION MONITORING FOR ADULTS AND CHILDREN, SUBSTANCE ABUSE COUNSELING FOR ADULTS AND ADOLESCENTS, INTENSIVE OUTPATIENT TREATMENT FOR ADULTS WITH A SUBSTANCE USE DISORDER, AND INTENSIVE OUTPATIENT SERVICES FOR ADULTS WITH A CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE DIAGNOSIS. IN ADDITION TO THE PARTNERSHIP WITH LEGACY, SMC INITIATED AN ER PROGRAM TO HELP REDUCE THE RISK OF OPIOID ABUSE. IN 2021, SMC LAUNCHED THE ADDICTION PATHWAYS PROGRAM - A MEDICATION-ASSISTED TREATMENT PROGRAM USING THE DRUG BUPRENORPHINE FOR OPIOID USE DISORDERS. BY IMPLEMENTING THIS PROGRAM, SMC HOPES TO REDUCE OPIOID USE AND OPIOID-RELATED DEATHS IN THE COMMUNITY. BEHAVIORAL HEALTH ----------------- COMMUNITY MEMBERS REPORTED THAT BEHAVIORAL HEALTH ISSUES WERE AFFECTING THEIR COMMUNITIES IN GENERAL, AND THEMSELVES SPECIFICALLY. INCREASED ACCESS TO BEHAVIORAL HEALTH TREATMENT WAS REPORTED AS AN IMPORTANT DELIVERABLE. ACTION STEP: SMC OPENED A NEW 26-BED INPATIENT PSYCHIATRIC UNIT. WORKING WITH BEHAVIORAL HEALTH EXPERTS, LAW ENFORCEMENT AND OTHER COMMUNITY LEADERS, SMC'S BOARD OF TRUSTEES COMMITTED ITSELF FULLY TO ADDRESS THE SALEM AREA'S NEED FOR ADDITIONAL MENTAL HEALTH RESOURCES. IN PARTNERSHIP WITH LEGACY TREATMENT SERVICES, SMC OFFERS OUTPATIENT MENTAL HEALTH TREATMENT PROVIDED ON THE GROUNDS OF THE MEDICAL CENTER USING A HIGHLY ORGANIZED TREATMENT APPROACH WHICH OFFERS MORE FREEDOM AND FLEXIBILITY THAN RESIDENTIAL INPATIENT CARE. SERVICES ARE PROVIDED BY A TREATMENT TEAM COMPRISED OF LICENSED PROFESSIONALS INCLUDING PSYCHIATRISTS, THERAPISTS, AND ADDICTION SPECIALISTS. THERAPIES AND SERVICES OFFERED AS PART OF OUR OUTPATIENT PROGRAM INCLUDE: PSYCHIATRIC EVALUATION AND ASSESSMENT, INDIVIDUAL AND GROUP THERAPY, FAMILY THERAPY, COUPLES THERAPY, MEDICATION MANAGEMENT, CO-OCCURRING SUBSTANCE USE DISORDER AND MENTAL HEALTH THERAPY. INTELLECTUAL/DEVELOPMENTAL DISABILITY ------------------------------------- PERSONS WITH INTELLECTUAL/DEVELOPMENTAL DISABILITY (IDD) EXPERIENCING A PSYCHIATRIC CRISIS NEED AN APPROPRIATE SETTING WITH A COMPREHENSIVE WRAP-AROUND SERVICES TO HELP PERSONS WITH IDD. NONE SUCH SETTING EXISTS FOR IDD PATIENTS IN SOUTH JERSEY. ACTION STEP: SMC WILL PARTNER WITH WOODS SERVICES AND LEGACY TREATMENT SERVICES, A LEADING SPECIALIST IN THE FIELD OF INTELLECTUAL/DEVELOPMENTAL DISABILITIES. SMC WILL ESTABLISH AN INPATIENT CRISIS STABILIZATION UNIT WITH WRAP-AROUND SERVICES TO HELP PERSONS WITH IDD. THE PROGRAM WILL PROVIDE SPECIALIZED STABILIZATION AND ONGOING CARE. THE GOAL OF THIS PROGRAM IS TO PLACE PATIENTS IN THE CORRECT CLINICAL SETTING. MOST TIMES THESE PATIENTS ARE MISPLACED AND FOUND IN MED/SURG UNITS AND NURSING HOMES, WHERE THE CARE SETTING IS NOT SUITED TO THEIR PRESENTING AND CHRONIC CONDITIONS. SMC WILL BE ABLE TO OFFER BETTER CARE MANAGEMENT WITH COORDINATED PRIMARY AND BEHAVIORAL HEALTH CARE. IN A WIN FOR THE COMMUNITY: NJ STATE SENATE PRESIDENT SWEENEY IS IN COMPLETE SUPPORT OF THE PROGRAM AND PASSED LEGISLATION TO SUPPORT IT. SMC HAS REQUESTED PROGRAM FUNDING OF $4.8 MILLION. NJ DEPARTMENT OF HEALTH ALSO SUPPORTS PROGRAM AND WILL ASSIST WITH ANY WAIVERS AS NEEDED. THE STATE OF NJ WILL BENEFIT FROM THE PROGRAM THROUGH COST SAVINGS OF APPROXIMATELY 15%. ACCESS TO CARE -------------- COMMUNITY MEMBERS' REPORTED ACCESS TO CARE WAS AN ISSUE THAT CREATED A BARRIER FOR THEM. GENERALLY, LACK OF FACILITIES AND PROVIDERS WERE A STRONG CONCERN FOR COMMUNITY MEMBERS IN SALEM AND SURROUNDING COUNTIES. ACTION STEP: SMC NOW OFFERS TELEMEDICINE AT EACH OF OUR LOCATIONS AS WELL AS SEVERAL WAYS TO ARRANGE A TELEMEDICINE VISIT TO ACCOUNT FOR INDIVIDUAL'S ACCESS OR LACK OF ACCESS TO TECHNOLOGY. TO HELP WITH ACCESS, SMC'S WOUND CARE WAS RELOCATED TO THE FRONT OF THE HOSPITAL AND HAS A NEW HOME AT THE FRONT OF THE FACILITY. THERE IS PUBLIC BUS TRANSPORTATION THAT HAS STOPS AT THE HOSPITAL. RECOGNIZING THAT SOME PATIENTS DO NOT HAVE THEIR OWN SOURCE OR ACCESS TO PUBLIC TRANSPORT, THE HOSPITAL DEVELOPED A PARTNERSHIP WITH A PRIVATE TRANSPORTATION SERVICE TO ARRANGE FOR THE APPROPRIATE LEVEL OF SERVICE (E.G. STANDARD SEDAN, VEHICLE WITH WHEELCHAIR LIFT) GIVEN THE PATIENT'S NEED. FINALLY, THE HOSPITAL CONTINUES TO ACTIVELY RECRUIT PHYSICIANS TO THE SALEM MEDICAL CENTER SERVICE AREA. THE PRIMARY FOCUS WILL BE TO FILL GAPS IN CLINICAL SERVICES AS NOTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE RECRUITMENT OF PHYSICIANS WILL BE DEPENDENT ON THE AVAILABILITY OF FINANCIAL RESOURCES TO SUPPORT THE START-UP OF NEW PRACTICES. INVESTMENT IN LOCAL HEALTHCARE ------------------------------ THE NEED FOR IMPROVED MEDICAL TECHNOLOGY AND UPGRADED FACILITIES IS CAUSE FOR A SIGNIFICANT INVESTMENT INTO THE FUTURE OF SMC. ACTION STEP: TO CONTINUE PROVIDING HIGH QUALITY, COMPASSIONATE HEALTHCARE TO SALEM COUNTY AND BEYOND, SMC HAS SEEN IMPROVEMENTS IN FACILITIES, INFRASTRUCTURE, MEDICAL TECHNOLOGY AND HEALTHCARE UPGRADES. A SIGNIFICANT INVESTMENT HAS BEEN MADE IN SEVERAL AREAS INCLUDING: IMAGING AND RADIOLOGY TECHNOLOGY: 3D MAMMOGRAPHY, DEXA, NUCLEAR MEDICINE AND FULLY DIGITIZED RADIOLOGY SUITE; RELOCATION AND CONSTRUCTION OF BRAND-NEW WOUND CARE CENTER, WHICH INCLUDES A HYPERBARIC CHAMBER; CONSTRUCTION OF A 26-BED INPATIENT PSYCHIATRIC UNIT; ADDITION OF OUTPATIENT BEHAVIORAL HEALTH OFFICES; UPGRADED INFORMATION TECHNOLOGY INFRASTRUCTURE; AND RETRO-FIT 58 TELE/MED-SURG BEDS FOR NEGATIVE PRESSURE AND TELEMETRY. LOCAL RESPONSE TO THE COVID-19 PANDEMIC --------------------------------------- IN RESPONSE TO THE ESTIMATED POTENTIAL IMPACT |
| SCHEDULE H, PART V, SECTION B, QUESTION 16 | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; 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://WWW.SMC.HEALTH/PATIENT-TOOLS/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM PHYSICAL THERAPY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 499 BECKETT ROAD | AddressLine1Txt |
| City | LOGAN TOWNSHIP | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08085 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | OUTPATIENT - PT | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I; LINE 3C | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, SALEM MEDICAL CENTER USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. 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 CHARITY CARE ----------------------- NJ CHARITY CARE IS FREE OR REDUCED CHARGE CARE WHICH IS PROVIDED TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. CHARITY CARE IS AVAILABLE ONLY FOR EMERGENT OR MEDICALLY NECESSARY HOSPITAL CARE. SOME SERVICES SUCH AS PHYSICIAN FEES, ANESTHESIOLOGY FEES, RADIOLOGY INTERPRETATION, AND OUTPATIENT PRESCRIPTIONS ARE SEPARATE FROM HOSPITAL CHARGES AND MAY NOT BE ELIGIBLE FOR REDUCTION. IN ACCORDANCE WITH CHARITY CARE GUIDELINES, PAYMENT ASSISTANCE IS AVAILABLE TO NEW JERSEY RESIDENT PATIENTS WHOSE HOUSEHOLD GROSS INCOME IS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES AND WHO: 1. HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE BILL; 2. ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID): AND 3. MEET THE INCOME AND ASSETS CRITERIA DESCRIBED BELOW. CHARITY CARE IS AVAILABLE TO THOSE THAT DO NOT QUALIFY FOR STATE OR FEDERAL PROGRAMS. INCOME CRITERIA - PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE UNDER THE CHARITY CARE PROGRAM. ASSETS CRITERIA - INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000. SHOULD AN APPLICANT'S ASSETS EXCEED THESE LIMITS, HE/SHE MAY "SPEND DOWN" THE ASSETS TO THE ELIGIBLE LIMITS THROUGH PAYMENT OF THE EXCESS TOWARD THE HOSPITAL BILL AND OTHER APPROVED OUT-OF-POCKET MEDICAL EXPENSES. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, SUBJECT TO SPECIFIC PROVISIONS (SUCH AS EMERGENCY MEDICAL CONDITIONS). NEW JERSEY UNINSURED DISCOUNT CARE RATE --------------------------------------- UNINSURED NEW JERSEY STATE RESIDENT PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE AND WHOSE INCOME FALLS LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR A DISCOUNT BASED UPON MEDICARE RATES AS PER THE NJ STATE STATUTE P.L. 2008, CHAPTER 60, APPROVED ON AUGUST 8, 2008, ASSEMBLY, NO. 2609, AS ENACTED BY THE SENATE AND GENERAL ASSEMBLY OF THE STATE OF NEW JERSEY. ADDITIONALLY, PLEASE NOTE THAT THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME. AMOUNT GENERALLY BILLED ("AGB") ------------------------------- PER INTERNAL REVENUE CODE 501(R)(5) CHARGES FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE FOR FAP-ELIGIBLE INDIVIDUALS UNDER SMC'S FAP WILL BE LIMITED TO BUT NOT BILLED MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. |
| SCHEDULE H, PART I, QUESTION 6A | NOT APPLICABLE. |
| SCHEDULE H, PART I, QUESTION 7 | WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. |
| SCHEDULE H, PART II | NOT APPLICABLE. |
| SCHEDULE H, PART III, SECTION A, QUESTIONS 2, 3 & 4 | SALEM MEDICAL CENTER AND ITS AFFILIATE PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE BELOW WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE SYSTEM. PATIENT ACCOUNTS RECEIVABLE --------------------------- PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT ESTABLISHED RATES NET OF PRICE CONCESSIONS, INCLUDING CONTRACTUAL ADJUSTMENTS AND DISCOUNTS AND DO NOT BEAR INTEREST. MANAGEMENT ASSESSES THE REASONABLENESS OF THE ACCOUNTS RECEIVABLE BASED ON HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS NOT SIGNIFICANT AT DECEMBER 31, 2021 AND 2020. NET PATIENT SERVICE REVENUE --------------------------- NET PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE MEDICAL CENTER EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE, IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") 606. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS AND INCLUDE VARIABLE CONSIDERATION (REDUCTIONS TO REVENUE) IN DETERMINING A TRANSACTION PRICE. THE MEDICAL CENTER USES A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR CATEGORIES OF PATIENT CONTRACTS AS COLLECTIVE GROUPS RATHER THAN RECOGNIZING REVENUE ON AN INDIVIDUAL CONTRACT BASIS. THE PORTFOLIOS CONSIST OF MAJOR PAYOR CLASSES FOR INPATIENT REVENUE AND MAJOR PAYOR CLASSES AND TYPES OF SERVICES PROVIDED FOR OUTPATIENT REVENUE. BASED ON HISTORICAL COLLECTION TRENDS AND OTHER ANALYSES, THE MEDICAL CENTER BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WERE USED. THE MEDICAL CENTER'S INITIAL ESTIMATE OF THE TRANSACTION PRICE FOR SERVICES PROVIDED TO PATIENTS SUBJECT TO REVENUE RECOGNITION IS DETERMINED BY REDUCING THE TOTAL STANDARD CHARGES RELATED TO THE PATIENT SERVICES PROVIDED BY VARIOUS ELEMENTS OF VARIABLE CONSIDERATION, INCLUDING CONTRACTUAL ADJUSTMENTS, DISCOUNTS, IMPLICIT PRICE CONCESSIONS AND OTHER REDUCTIONS TO THE MEDICAL CENTER'S STANDARD CHARGES. THE MEDICAL CENTER DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL OR FORMULA-DRIVEN RATES FOR THE SERVICES RENDERED (SEE DESCRIPTION OF THIRD-PARTY PAYOR PAYMENT PROGRAMS BELOW). THE ESTIMATES FOR CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, THE MEDICAL CENTER'S DISCOUNT POLICIES AND HISTORICAL EXPERIENCE OF THEIR PREDECESSOR. FOR UNINSURED AND UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE MEDICAL CENTER DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH THE SERVICES RENDERED ON THE BASIS OF CHARGES REDUCED BY AN IMPLICIT PRICE CONCESSION. GENERALLY, THE MEDICAL CENTER BILLS PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED. NET PATIENT SERVICE REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE MEDICAL CENTER. NET PATIENT SERVICE REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL CHARGES. THE MEDICAL CENTER BELIEVES THAT THIS METHOD PROVIDES A REASONABLE DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE SERVICES NEEDED TO SATISFY THE OBLIGATION. ALL OF THE MEDICAL CENTER'S PERFORMANCE OBLIGATIONS ARE SATISFIED OVER TIME. THE MEDICAL CENTER MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE MEDICAL CENTER OR THE COMMENCEMENT OF AN OUTPATIENT SERVICE TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE OR THE COMPLETION OF THE OUTPATIENT VISIT. SUBSTANTIALLY ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS PRIMARILY RELATE TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD FOR PATIENTS WHO REMAIN ADMITTED AT THAT TIME (IN-HOUSE PATIENTS). THE PERFORMANCE OBLIGATIONS FOR IN-HOUSE PATIENTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH FOR THE MAJORITY OF THE MEDICAL CENTER'S IN-HOUSE PATIENTS OCCURS WITHIN DAYS OR WEEKS AFTER THE END OF THE REPORTING PERIOD. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS) ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020 WAS NOT SIGNIFICANT. CONTRACT ASSETS ARE RELATED TO IN-HOUSE PATIENTS WHO WERE PROVIDED SERVICES DURING THE REPORTING PERIOD BUT WERE NOT DISCHARGED AS OF THE REPORTING DATE AND FOR WHICH THE MEDICAL CENTER DOES NOT HAVE THE RIGHT TO BILL. SETTLEMENTS WITH THIRD-PARTY PAYORS (SEE DESCRIPTION OF THIRD-PARTY PAYOR PAYMENT PROGRAMS BELOW) FOR COST REPORT FILINGS AND RETROACTIVE ADJUSTMENTS DUE TO ONGOING (CURRENTLY, NO ONGOING AUDITS) AND FUTURE AUDITS, REVIEWS OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENT WITH THE PAYOR, AND CORRESPONDENCE FROM THE PAYOR, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED. ONCE THE MEDICAL CENTER HAS HISTORICAL SETTLEMENT ACTIVITY (FOR EXAMPLE, COST REPORT FINAL SETTLEMENTS OR REPAYMENTS RELATED TO RECOVERY AUDITS), THE ESTIMATE WILL ALSO BE BASED ON THAT HISTORICAL ACTIVITY. SUCH ESTIMATES ARE DETERMINED THROUGH EITHER A PROBABILITY-WEIGHTED ESTIMATE OR AN ESTIMATE OF THE MOST LIKELY AMOUNT, DEPENDING ON THE CIRCUMSTANCES RELATED TO A GIVEN ESTIMATED SETTLEMENT ITEM. ESTIMATED SETTLEMENTS WILL BE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN (THAT IS, NEW INFORMATION BECOMES AVAILABLE), OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. |
| SCHEDULE H, PART III, SECTION B, QUESTION 8 | MEDICARE COSTS WERE DERIVED FROM THE 2021 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. FROM THE LATEST DATA PROVIDED BY THE AHA, MEDICARE REIMBURSES HOSPITALS ONLY 87 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 RE |
| SCHEDULE H, PART III, SECTION B, QUESTION 9B | IT IS THE POLICY OF SALEM MEDICAL CENTER TO TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR ALL EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES AND TO BILL AND COLLECT ACCOUNTS RECEIVABLE IN ACCORDANCE WITH ALL FEDERAL AND STATE BILLING AND COLLECTION REGULATIONS. ADDITIONALLY, THE ORGANIZATION'S BILLING AND COLLECTION POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AS FURTHER OUTLINED BELOW. DEBT COLLECTION ACTIVITIES SHALL BE PROHIBITED FROM OCCURRING IN SMC'S EMERGENCY DEPARTMENT OR OTHER SMC VENUES WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE TREATMENT OF EMERGENCY MEDICAL CONDITIONS WITHOUT DISCRIMINATION. IN ADDITION, THE HOSPITAL PROHIBITS COLLECTIONS AGAINST ANY PATIENT WHO IS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES ARE RENDERED. THE HOSPITAL WILL NOT SEND AN ACCOUNT TO COLLECTION IF A FINANCIAL ASSISTANCE APPLICATION IS PENDING. THE HOSPITAL WILL BILL RESPONSIBLE INDIVIDUALS FOR ANY OUTSTANDING BALANCE AS SOON AS THE PATIENT BALANCE IS CONFIRMED. FOR UNINSURED PATIENTS, THE FIRST POST-DISCHARGE BILLING STATEMENT WILL MARK THE BEGINNING OF THE 120-DAY NOTIFICATION PERIOD IN WHICH NO EXTRAORDINARY COLLECTION ACTIONS ("ECA") (DEFINED BELOW) MAY BE INITIATED AGAINST THE RESPONSIBLE INDIVIDUAL. FOR INSURED OR UNDERINSURED PATIENTS, THE FIRST POST- DISCHARGE BILLING STATEMENT REFLECTING PROCESSING BY AN INSURER WILL MARK THE BEGINNING OF THE 120-DAY NOTIFICATION PERIOD IN WHICH NO ECAS MAY BE INITIATED AGAINST THE RESPONSIBLE INDIVIDUAL (THE "120-DAY NOTIFICATION PERIOD"). EACH BILLING STATEMENT WILL INCLUDE A CONSPICUOUS NOTICE REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE, ALONG WITH A TELEPHONE NUMBER FOR THE HOSPITAL'S PATIENT FINANCIAL SERVICES OFFICE WHERE A PATIENT OR RESPONSIBLE INDIVIDUAL CAN RECEIVE INFORMATION ABOUT THE FAP AND ASSISTANCE WITH THE APPLICATION FOR FINANCIAL ASSISTANCE. THE BILLING STATEMENT WILL ALSO INCLUDE THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, APPLICATION FOR FINANCIAL ASSISTANCE, AND PLS CAN BE OBTAINED. WHEN A RESPONSIBLE INDIVIDUAL IS DELINQUENT IN PAYMENT, A NOTICE WILL BE SENT TO THE RESPONSIBLE INDIVIDUAL OFFERING TO DISCUSS THE BILLING STATEMENT TO DETERMINE IF FINANCIAL ASSISTANCE OR A NEW OR REVISED PAYMENT PLAN IS NEEDED. THE HOSPITAL MAY ACCOMMODATE RESPONSIBLE INDIVIDUALS WHO REQUEST AND ESTABLISH PAYMENT PLANS. AT LEAST THREE (3) SEPARATE ACCOUNT STATEMENTS WILL BE MAILED TO THE LAST KNOWN ADDRESS OF EACH RESPONSIBLE INDIVIDUAL. AT LEAST 120 DAYS MUST ELAPSE BETWEEN THE FIRST POST- DISCHARGE BILL AND INITIATION OF ECAS. AT LEAST ONE OF THE STATEMENTS SENT DURING THIS TIME WILL INCLUDE WRITTEN NOTICE THAT INFORMS THE RESPONSIBLE INDIVIDUAL ABOUT THE ECAS THAT MAY BE TAKEN IF THE RESPONSIBLE INDIVIDUAL DOES NOT APPLY FOR FINANCIAL ASSISTANCE UNDER THE FAP OR PAY THE AMOUNT DUE BY THE BILLING DEADLINE. SUCH STATEMENT MUST BE PROVIDED TO THE RESPONSIBLE INDIVIDUAL AT LEAST 30 DAYS BEFORE THE DEADLINE SPECIFIED IN THE STATEMENT, IF COMMENCING ECAS. IF NO PAYMENT HAS BEEN RECEIVED AT THE END OF THE 120-DAY NOTIFICATION PERIOD AND A RESPONSIBLE INDIVIDUAL HAS NOT APPLIED FOR FINANCIAL ASSISTANCE OR ARRANGED WITH THE HOSPITAL'S PATIENT FINANCIAL SERVICES OFFICE FOR AN ALTERNATE PAYMENT PLAN, THE RESPONSIBLE INDIVIDUAL'S ACCOUNT WILL BE SUBJECT TO ECAS. EXTRAORDINARY COLLECTION ACTIONS (ECAS): ECA REFERS TO ANY ACTION AGAINST AN INDIVIDUAL RELATED TO OBTAINING PAYMENT SUCH AS SELLING AN INDIVIDUAL'S DEBT TO ANOTHER PARTY; REPORTING ADVERSE INFORMATION ABOUT THE RESPONSIBLE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; DEFERRING OR DENYING OR REQUIRING A PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF AN INDIVIDUAL'S NONPAYMENT OF ONE OR MORE BILLS FOR PREVIOUS CARE COVERED UNDER THE HOSPITAL'S FAP; OR OTHER ACTIONS THAT REQUIRE A LEGAL OR JUDICIAL PROCESS INCLUDING: (A) PLACING A LIEN ON AN INDIVIDUAL'S PROPERTY (OTHER THAN A LIEN THAT THE HOSPITAL IS ENTITLED TO ASSERT UNDER STATE LAW ON THE PROCEEDS OF A JUDGMENT, SETTLEMENT, OR COMPROMISE OWED TO AN INDIVIDUAL (OR HIS OR HER REPRESENTATIVE) AS A RESULT OF PERSONAL INJURIES FOR WHICH THE HOSPITAL PROVIDED CARE); (B) FORECLOSING ON AN INDIVIDUAL'S REAL PROPERTY; (C) ATTACHING OR SEIZING AN INDIVIDUAL'S BANK ACCOUNT OR ANY OTHER PERSONAL PROPERTY; (D) COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; (E) CAUSING AN INDIVIDUAL'S ARREST; (F) CAUSING AN INDIVIDUAL TO BE SUBJECT TO A WRIT OF BODY ATTACHMENT; AND (G) GARNISHING AN INDIVIDUAL'S WAGES. ALL COLLECTION AGENCIES AFFILIATED WITH THE HOSPITAL HAVE A COPY OF AND MUST FOLLOW THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND WILL REFER ANY RESPONSIBLE INDIVIDUAL NEEDING ASSISTANCE BACK TO THE HOSPITAL FOR EVALUATION AND REDUCTION OF A BILL BASED ON ANNUAL INCOME AND FAMILY SIZE. RESPONSIBLE INDIVIDUALS WILL RECEIVE A WRITTEN NOTICE 30 DAYS PRIOR TO ANY ACCOUNT BEING FORWARDED TO A COLLECTION AGENCY OR THE INITIATION OF ANY OTHER ECA. A REASONABLE EFFORT TO ORALLY NOTIFY THE RESPONSIBLE INDIVIDUAL BY TELEPHONE AT THE LAST KNOWN TELEPHONE NUMBER MUST ALSO BE MADE. DURING ALL CONVERSATIONS, THE RESPONSIBLE INDIVIDUAL WILL BE INFORMED ABOUT THE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE UNDER THE FAP. AFTER THE COMMENCEMENT OF ECAS IS PERMITTED, EXTERNAL COLLECTION AGENCIES SHALL BE AUTHORIZED TO FILE LITIGATION, OBTAIN JUDGMENT LIENS AND EXECUTE UPON SUCH JUDGMENT LIENS USING LAWFUL MEANS OF COLLECTION; PROVIDED, HOWEVER, THAT PRIOR WRITTEN APPROVAL FROM THE PATIENT FINANCIAL SERVICES DEPARTMENT SHALL BE REQUIRED BEFORE ANY LEGAL ACTION MAY BE INITIATED AND PRIOR APPROVAL OF THE PATIENT FINANCIAL SERVICES DEPARTMENT SHALL BE REQUIRED BEFORE COLLECTION AGENCIES MAY USE ANY MEANS OF COLLECTION THAT INVOLVES PHYSICAL DETENTION OR ARREST OF ANY RESPONSIBLE INDIVIDUAL. COLLECTION AGENCIES ARE PROHIBITED FROM FORCING THE SALE OF OR FORECLOSURE ON A RESPONSIBLE INDIVIDUAL'S PRIMARY RESIDENCE. IF THE HOSPITAL REFERS OR SELLS PATIENT DEBTS TO ANOTHER PARTY DURING THE APPLICATION PERIOD, THE WRITTEN AGREEMENT WITH SUCH PARTY MUST OBLIGATE SUCH PARTY TO: (A) REFRAIN FROM ENGAGING IN ECAS UNTIL THE BILLING DEADLINE; (B) SUSPEND ANY ECAS IF THE INDIVIDUAL SUBMITS A FAP APPLICATION DURING THE APPLICATION PERIOD; (C) IF THE RESPONSIBLE INDIVIDUAL IS DETERMINED TO BE FAP-ELIGIBLE, ENSURE THAT THE INDIVIDUAL DOES NOT PAY AND IS NOT OBLIGATED TO PAY MORE THAN REQUIRED, AND TO REVERSE ANY ECA PREVIOUSLY TAKEN; AND (D) OBTAIN SIMILAR PROVISIONS IN A WRITTEN AGREEMENT IF SUCH PARTY REFERS OR SELLS THE DEBT TO ANOTHER PARTY. IF AN INCOMPLETE APPLICATION FOR FINANCIAL ASSISTANCE IS RECEIVED, THE HOSPITAL WILL PROVIDE THE RESPONSIBLE INDIVIDUAL WITH WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION OR DOCUMENTATION REQUIRED TO MAKE A FAP-ELIGIBILITY DETERMINATION. THE HOSPITAL WILL INFORM THIRD PARTIES THAT AN INCOMPLETE APPLICATION FOR FINANCIAL ASSISTANCE WAS SUBMITTED AND THIRD PARTIES WILL SUSPEND ANY ECAS TO OBTAIN PAYMENT FOR CARE FOR A 30-DAY PERIOD. ONCE A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE IS RECEIVED, THE HOSPITAL WILL ENSURE THAT THE FOLLOWING WILL TAKE PLACE: - ECAS AGAINST THE RESPONSIBLE INDIVIDUAL WILL BE SUSPENDED; - AN ELIGIBILITY DETERMINATION WILL BE MADE AND DOCUMENTED IN A TIMELY MANNER; - THE HOSPITAL WILL NOTIFY THE RESPONSIBLE INDIVIDUAL IN WRITING OF THE DETERMINATION AND THE BASIS FOR THE DETERMINATION; - AN UPDATED BILLING STATEMENT WILL BE PROVIDED WHICH WILL INDICATE THE AMOUNT OWED BY THE FAP-ELIGIBLE RESPONSIBLE INDIVIDUAL (IF APPLICABLE), AND HOW THAT AMOUNT WAS DETERMINED; - IF APPLICABLE, ANY AMOUNTS PAID IN EXCESS OF THE AMOUNT OWED BY THE FAP- ELIGIBLE RESPONSIBLE INDIVIDUAL WILL BE REFUNDED ACCORDINGLY; AND - THIRD PARTIES WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY ECAS TAKEN AGAINST THE RESPONSIBLE INDIVIDUALS TO COLLECT THE DEBT, SUCH AS VACATING A JUDGMENT OR LIFTING A LEVY OR LIEN. |
| SCHEDULE H, PART VI, QUESTION 2 | THE ORGANIZATION HAS CREATED A COMMUNITY HEALTH ADVISORY BOARD. THIS BOARD MEETS FREQUENTLY TO DISCUSS AND ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY SERVED BY THE ORGANIZATION. |
| SCHEDULE H, PART VI, QUESTION 3 | SALEM MEDICAL CENTER INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED IN THE FOLLOWING WAYS: - THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ("FAP") FAP, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY ("PLS") ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: WWW.SMC.HEALTH. - THE PLS IS OFFERED TO ALL RESPONSIBLE INDIVIDUALS AS PART OF THE INTAKE PROCESS. - THE HOSPITAL'S FAP, APPLICATION FOR FINANCIAL ASSISTANCE AND PLS ARE AVAILABLE IN ENGLISH, SPANISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED BY THE HOSPITAL'S PRIMARY SERVICE AREA. EVERY EFFORT WILL BE MADE TO ENSURE THAT THE FAP, APPLICATION FOR FINANCIAL ASSISTANCE AND PLS ARE CLEARLY COMMUNICATED TO RESPONSIBLE INDIVIDUALS WHOSE PRIMARY LANGUAGES ARE NOT INCLUDED AMONG THE AVAILABLE TRANSLATIONS. - PAPER COPIES OF THE FAP, APPLICATION FOR FINANCIAL ASSISTANCE AND PLS ARE AVAILABLE UPON REQUEST BY MAIL, WITHOUT CHARGE, AND ARE PROVIDED IN VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITIES INCLUDING ADMISSIONS DEPARTMENTS, EMERGENCY DEPARTMENTS, AND THE PATIENT ACCESS DEPARTMENT. APPLICATIONS FOR FINANCIAL ASSISTANCE CAN BE SUBMITTED IN PERSON, BY MAIL, BY FAX OR BY E-MAIL. - IF RESPONSIBLE INDIVIDUALS NEED ASSISTANCE OBTAINING PAPER COPIES OF THE FAP, THE APPLICATION FOR FINANCIAL ASSISTANCE OR THE PLS, OR IF THEY NEED OTHER ASSISTANCE, THEY CAN REACH THE PATIENT ACCESS DEPARTMENT AT (856)878-6894 OR VISIT THE PATIENT ACCESS DEPARTMENT. - SIGNS OR DISPLAYS THAT NOTIFY AND INFORM RESPONSIBLE INDIVIDUALS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE CONSPICUOUSLY POSTED THROUGHOUT THE HOSPITAL, INCLUDING IN ADMISSIONS AREAS, OUTPATIENT CLINIC AREAS, THE EMERGENCY DEPARTMENT, AND THE PATIENT ACCESS DEPARTMENT. NOTICES WILL ALSO BE POSTED IN SPANISH. THE HOSPITAL IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTH CARE SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, THE HOSPITAL WILL WIDELY PUBLICIZE THIS FAP, THE APPLICATION FOR FINANCIAL ASSISTANCE AND THE PLS IN THE COMMUNITIES IT SERVES THROUGH COLLABORATIONS WITH LOCAL SOCIAL SERVICE AND NON-PROFIT AGENCIES. SMC'S PATIENT ACCESS DEPARTMENT PROVIDES ASSISTANCE TO PATIENTS WHO HAVE QUESTIONS OR WHO NEED HELP IN COMPLETING THE FINANCIAL AID APPLICATION AND, IF APPLICABLE, PROVIDES INFORMATION ON INSURANCE OPTIONS. |
| SCHEDULE H, PART VI, QUESTION 4 | SALEM MEDICAL CENTER IS LOCATED IN SALEM COUNTY. SALEM COUNTY IS LOCATED IN THE SOUTHWESTERN PART OF NEW JERSEY. IT IS BORDERED TO THE WEST BY THE DELAWARE RIVER, AND ITS GEOGRAPHY IS ALMOST ENTIRELY FLAT COASTAL PLAIN. THE COUNTY SEAT IS SALEM. SALEM COUNTY IS THE LEAST POPULATED OF THE 21 COUNTIES IN THE STATE OF NEW JERSEY BUT THE TENTH LARGEST COUNTY IN SQUARE MILES. THE COUNTY HAS BEEN SUCCESSFUL IN MAINTAINING THE CULTURAL HISTORY OF AGRICULTURE AND OPEN SPACE THAT HAS LONG DEFINED MUCH OF SOUTH JERSEY. TODAY, 42.6% OF THE LAND IS UNDER ACTIVE FARM CULTIVATION. THE COUNTY HAS 6 RIVERS, MORE THAN 34,000 ACRES OF MEADOW AND MARSHLAND, AND 40 LAKES AND PONDS. THE POPULATION OF SALEM COUNTY INCREASED 2.8% FROM 64,285 IN 2000 TO 66,083 IN 2010, BUT PROJECTIONS FROM THE 2010 CENSUS SUGGEST THAT THE POPULATION IS NOW DECLINING. THE TOP EMPLOYMENT SECTORS IN SALEM COUNTY ARE EDUCATION AND HEALTH CARE, WHICH REPRESENT 22.1% OF THE JOBS IN THE COUNTY. THE LARGEST EMPLOYER IS PSE&G, WITH ROUGHLY 1,300 EMPLOYEES. MOST SECTORS IN THE COUNTY HAVE PAYROLLS THAT ARE WELL BELOW THE STATE'S AVERAGE. HOWEVER, DUE TO THE PRESENCE OF PSE&G'S NUCLEAR FACILITY, THE TRADE, TRANSPORTATION, AND UTILITIES SECTORS PAY EMPLOYEES MORE THAN THEIR STATEWIDE COUNTERPARTS. IN TERMS OF PROJECTIONS FOR THE FUTURE, THE COUNTY IS EXPECTED TO EXPERIENCE A POPULATION GROWTH OF ONLY 1.5%, WHILE THE STATE'S POPULATION IS PROJECTED TO INCREASE BY 3.9%. EMPLOYMENT NUMBERS FOR SALEM COUNTY ARE PROJECTED TO REMAIN VIRTUALLY UNCHANGED SHOWING A SMALL GROWTH OF 0.1% PER YEAR. THIS IS PARTIALLY DUE TO LOSSES IN MANUFACTURING, UTILITIES, AND RETAIL TRADE THAT ARE EXPECTED TO OFFSET THE GROWTH EXPERIENCED IN CONSTRUCTION, HEALTH CARE AND SOCIAL SERVICES IN THIS AREA. IN SALEM COUNTY, THE PRELIMINARY UNEMPLOYMENT RATE IN APRIL 2018 WAS 5.3%, WHICH IS HIGHER THAN THE STATE'S RATE OF 4.1%. ESTIMATES INDICATE THAT FROM JANUARY 2014 TO APRIL 2018, THE UNEMPLOYMENT RATE IN SALEM COUNTY DROPPED FROM 9.8% TO 5.3%, AN APPROXIMATELY 46% DECREASE, SURPASSING THE STATE'S ESTIMATED DROP FROM 6.6% TO 4.1%, AN APPROXIMATELY 38% DECREASE. WHILE THE COUNTY'S OVERALL UNEMPLOYMENT RATE HAS CONTINUED TO DECREASE, IT CONTINUES TO BE HIGHER THAN THE STATE'S RATE. FURTHERMORE, THERE CONTINUE TO BE A NUMBER OF MUNICIPALITIES IN SALEM COUNTY WITH HIGH UNEMPLOYMENT RATES, INCLUDING SALEM (12.1%), PENNS GROVE (9.0%), AND CARNEY'S POINT (6.8%). |
| SCHEDULE H, PART VI, QUESTION 5 | SALEM MEDICAL CENTER WAS INCORPORATED ON MARCH 28, 2018 UNDER NEW JERSEY LAW. THE MEDICAL CENTER WAS FORMED TO PROMOTE HEALTH IN THE CITY OF SALEM AND SURROUNDING AREAS, TO ENSURE THAT THE RESIDENTS OF SALEM COUNTY CONTINUE TO HAVE ACCESS TO CRITICALLY NEEDED HIGH QUALITY HEALTH CARE. OPERATION OF THE HOSPITAL IS IN FURTHERANCE OF ITS CHARITABLE PURPOSES OF PROMOTING HEALTH IN SALEM COUNTY. SALEM MEDICAL CENTER IS A PROVIDER OF GENERAL ACUTE HEALTHCARE SERVICES IN SALEM, NEW JERSEY AND IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF SALEM 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. SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, AND ALSO TO MEET FUTURE PROGRAMMATIC NEEDS, WHICH MEETS THE ORGANIZATION'S COMMITMENT TO MEET THE EXPECTATIONS OF ITS PATIENTS BY PROVIDING QUALITY HEALTHCARE AND THEREFORE, MAKES THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY. THE OPERATIONS OF THE MEDICAL CENTER AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL 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. |
| SCHEDULE H, PART VI; QUESTION 6 | OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE SALEM MEDICAL CENTER AND ITS AFFILIATES. SALEM COUNTY HOSPITAL CORP. -------------------------- SALEM COUNTY HOSPITAL CORP. D/B/A SALEM MEDICAL CENTER ("SMC") IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SMC 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, SMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SALEM PHYSICIAN PRACTICES, P.C. ------------------------------- SALEM PHYSICIANS PRACTICES ("SPP") IS A NOT-FOR-PROFIT CAPTIVE PROFESSIONAL CORPORATION WHICH CONSISTS OF 12 CLINICIANS, PRIMARILY SPECIALTY AND PRIMARY CARE PHYSICIANS IN SALEM AND GLOUCESTER COUNTIES. SPP IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. |
| SCHEDULE H, PART VI; QUESTION 7 | NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY SUBMIT A COMMUNITY BENEFIT REPORT. |
| SCHEDULE H: REVENUE PROCEDURE 2015-21 | IN ACCORDANCE WITH REV PROC 2015-15, UNDER 1.501(R)-2(B) OF THE TREASURY REGULATIONS, A HOSPITAL FACILITY'S OMISSION OF REQUIRED INFORMATION FROM A REPORT OR POLICY DESCRIBED IN 1.501(R)-3 OR 1.501(R)-4, OR ERROR WITH RESPECT TO THE IMPLEMENTATION OR OPERATIONAL REQUIREMENTS DESCRIBED IN 1.501(R)-3 THROUGH 1.501(R)-6, WILL NOT BE CONSIDERED A FAILURE TO MEET A REQUIREMENT OF 501(R) IF: (1) SUCH OMISSION OR ERROR WAS MINOR AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE; AND (2) THE HOSPITAL FACILITY CORRECTS SUCH OMISSION OR ERROR AS PROMPTLY AFTER DISCOVERY AS IS REASONABLE GIVEN THE NATURE OF THE OMISSION OR ERROR. FOR PURPOSES OF THIS PROVISION, CORRECTION MUST INCLUDE THE ESTABLISHMENT (OR REVIEW AND, IF NECESSARY, REVISION) OF PRACTICES OR PROCEDURES (FORMAL OR INFORMAL) THAT ARE REASONABLY DESIGNED TO PROMOTE AND FACILITATE OVERALL COMPLIANCE WITH THE REQUIREMENTS OF 501(R). UNDER 1.501(R)-2(C), A HOSPITAL FACILITY'S FAILURE TO MEET THE REQUIREMENTS OF 1.501(R)-3 THROUGH 1.501(R)-6 THAT IS NEITHER WILLFUL NOR EGREGIOUS SHALL BE EXCUSED FOR PURPOSES OF 501(R)(1) AND 501(R)(2)(B) IF THE HOSPITAL FACILITY CORRECTS AND MAKES DISCLOSURE IN ACCORDANCE WITH RULES SET FORTH BY REVENUE PROCEDURE, NOTICE, OR OTHER GUIDANCE PUBLISHED IN THE INTERNAL REVENUE BULLETIN. DURING THE YEAR ENDED DECEMBER 31, 2021, SALEM MEDICAL CENTER IDENTIFIED AN EXCUSABLE FAILURE FOR NON-COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4),(5) & (6); RESPECTIVELY. THE FAILURE IDENTIFIED BY THE ORGANIZATION WAS NOT WILLFUL OR EGREGIOUS; HAS BEEN CORRECTED AND IS BEING DISCLOSED AS PROVIDED FOR UNDER IRS REVENUE PROCEDURE 2015-21. HOSPITAL PERSONNEL WERE UNDER A GOOD FAITH BELIEF THAT THE HOSPITAL COMPLIED WITH IRC 501(R)(4),(5) & (6) REGARDING ITS FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, FINANCIAL ASSISTANCE APPLICATION AND BILLING AND COLLECTION POLICY. UPON DISCOVERY THE HOSPITAL ORGANIZATION ACTED REASONABLY AND TIMELY IN ORDER TO CORRECT AND REMEDY THE EXCUSABLE FAILURE INCLUDING REVISING ITS POLICY, ENGAGING HEALTHCARE TAX PROFESSIONALS FOR ASSISTANCE AND PERFORMING A LOOK BACK TO THE 2019 YEAR TO ENSURE NO INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FAP WAS HARMED AS A RESULT OF THEIR NON-COMPLIANCE. THE ORGANIZATION HAS MAINTAINED RECORDS DOCUMENTING ITS REVIEW. IN ADDITION, THE ORGANIZATION CORRECTED THE FOLLOWING AREA'S OF NON-COMPLIANCE: (1) A PROVIDER LISTING WAS ADDED AS APPENDIX A; (2) INCLUDED THE BASIS FOR AMOUNTS CHARGED TO PATIENTS, SPECIFICALLY IT'S LIMITATIONS ON CHARGES AND AMOUNTS GENERALLY BILLED METHODOLOGY. THE HOSPITAL'S REVISED FINANCIAL ASSISTANCE POLICY INCLUDES APPENDIX C WHICH OUTLINES THE ORGANIZATION'S CURRENT YEAR AMOUNTS GENERALLY BILLED PERCENTAGE BASED ON THE LOOK-BACK METHOD (MEDICARE-FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS); (3) CREATED A PLAIN LANGUAGE SUMMARY; AND (4) ALL REQUIRED DOCUMENTS WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE. THE RESPONSIBILITY TO ENSURE 501(R) COMPLIANCE PROSPECTIVELY HAS BEEN JOINTLY DELEGATED TO THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND CONTROLLER WHICH INCLUDES A PREPARATION AND REVIEW FUNCTION BETWEEN THE TWO JOB RESPONSIBILITIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRADFORD BOBRIN MD | ||||||||||||||
| PSYCH MEDICAL DIRECTOR | $273,232 | $0 | $0 | $0 | $6,927 | $0 | $0 | $0 | $37,041 | $0 | $317,200 | $0 | $0 | $0 |
| DAVID G MARINI | ||||||||||||||
| PHARMACIST | $120,346 | $0 | $0 | $0 | $21,736 | $0 | $0 | $0 | $40,863 | $0 | $182,945 | $0 | $0 | $0 |
| DODI K BALDWIN RN | ||||||||||||||
| REGISTERED NURSE | $137,560 | $0 | $0 | $0 | $6,528 | $0 | $0 | $0 | $37,938 | $0 | $182,026 | $0 | $0 | $0 |
| EKENE EJIMOFOR DNP RN | ||||||||||||||
| CHIEF NURSING OFFICER | $159,743 | $0 | $0 | $0 | $10,879 | $0 | $0 | $0 | $9,202 | $0 | $179,824 | $0 | $0 | $0 |
| JUSTINE C MURPHY BSHA RN | ||||||||||||||
| AVP CLINICAL OPERATIONS | $128,539 | $0 | $0 | $0 | $20,337 | $0 | $0 | $0 | $30,428 | $0 | $179,304 | $0 | $0 | $0 |
| PATRICIA M PALMIERI | ||||||||||||||
| AVP, DIRECTOR OF PHARMACY | $128,536 | $0 | $0 | $0 | $11,905 | $0 | $0 | $0 | $10,272 | $0 | $150,713 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SALEM HOSPITAL MGMT LLC | |||
| SEE PART V, COLUMN D | $660,000 | SEE PART V | false |
| 310 WOODSTOWN URBAN REN LLC | |||
| SEE PART V, COLUMN D | $1,168,772 | SEE PART V | false |
| HEALTHCARE PREF PARTNERS LLC | |||
| SEE PART V, COLUMN D | $101,881 | SEE PART V | false |
| METRO REAL ESTATE DEV CORP | |||
| SEE PART V, COLUMN D | $118,597 | SEE PART V | false |
| 499 BECKETT ROAD ASSOC LLC | |||
| SEE PART V, COLUMN D | $152,660 | SEE PART V | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | NAME OF INTERESTED PERSON: SALEM HOSPITAL MANAGEMENT, LLC. ---------------------------------------------------------- TRUSTEES WILLIAM J. COLGAN, STEVEN ROSEFSKY AND MANUEL GUANTEZ ARE INDIRECT OWNERS OF SALEM HOSPITAL MANAGEMENT, LLC. AFTER PERFORMING AN OBJECTIVE REVIEW PROCESS WHICH INCLUDED A COMPARISON TO COMPETITIVE ALTERNATIVES, IN WHICH THE ABOVE-REFERENCED TRUSTEES DID NOT PARTICIPATE, SMC UTILIZED THE SERVICES OF SALEM HOSPITAL MANAGEMENT, LLC. NAME OF INTERESTED PERSON: 310 WOODSTOWN URBAN RENEWAL, LLC. ------------------------------------------------------------ TRUSTEES WILLIAM J. COLGAN, STEVEN ROSEFSKY, AND MANUEL GUANTEZ ARE INDIRECT OWNERS OF 310 WOODSTOWN URBAN RENEWAL, LLC. AFTER PERFORMING AN OBJECTIVE REVIEW PROCESS WHICH INCLUDED A COMPARISON TO COMPETITIVE ALTERNATIVES, IN WHICH THE ABOVE-REFERENCED TRUSTEES DID NOT PARTICIPATE, SMC RENTED MEDICAL OFFICE SPACE FROM 310 WOODSTOWN URBAN RENEWAL, LLC. NAME OF INTERESTED PERSON: HEALTHCARE PREFERRED PARTNERS, LLC. -------------------------------------------------------------- OFFICER VINCENT RICCITELLI IS A MEMBER IN HEALTHCARE PREFERRED PARTNERS, LLC. AFTER PERFORMING AN OBJECTIVE REVIEW PROCESS WHICH INCLUDED A COMPARISON TO COMPETITIVE ALTERNATIVES, IN WHICH THE ABOVE-REFERENCED OFFICER DID NOT PARTICIPATE, SMC UTILIZED THE SERVICES OF HEALTHCARE PREFERRED PARTNERS, LLC. NAME OF INTERESTED PERSON: METRO REAL ESTATE DEVELOPMENT CORP. -------------------------------------------------------------- TRUSTEES WILLIAM J. COLGAN AND STEVEN ROSEFSKY OWN SHARES IN METRO REAL ESTATE DEVELOPMENT CORP. AFTER PERFORMING AN OBJECTIVE REVIEW PROCESS WHICH INCLUDED A COMPARISON TO COMPETITIVE ALTERNATIVES, IN WHICH THE ABOVE-REFERENCED TRUSTEES DID NOT PARTICIPATE, SMC ENGAGED METRO REAL ESTATE DEVELOPMENT CORP. ("METRO") PURSUANT TO A COST-PLUS CONTRACT AND METRO THEREAFTER PROVIDED CONSTRUCTION MANAGEMENT SERVICES TO ENSURE COMPLIANCE WITH REQUIRED COVID AND EMERGENCY PREPAREDNESS REQUIREMENTS. PURSUANT TO THE COST-PLUS CONTRACT, WITH THE EXCEPTION OF A MANAGEMENT FEE EQUAL TO APPROXIMATELY EIGHT PERCENT (8.0%) OF PROJECT COSTS, THE ENTIRETY OF THE AMOUNTS PAID TO METRO (AS SHOWN IN COLUMN (C)) REIMBURSED METRO FOR AMOUNTS THAT METRO PAID TO SUBCONTRACTORS WHOM PROVIDED CONSTRUCTION SERVICES AT THE HOSPITAL. NAME OF INTERESTED PERSON: 499 BECKETT ROAD ASSOCIATES, LLC. ------------------------------------------------------------ TRUSTEES WILLIAM J. COLGAN, STEVEN ROSEFSKY, AND MANUEL GUANTEZ ARE INDIRECT OWNERS OF 499 BECKETT ROAD ASSOCIATES, LLC. AFTER PERFORMING AN OBJECTIVE REVIEW PROCESS WHICH INCLUDED A COMPARISON TO COMPETITIVE ALTERNATIVES, IN WHICH THE ABOVE-REFERENCED TRUSTEES DID NOT PARTICIPATE, SMC RENTED MEDICAL OFFICE SPACE FROM 499 BECKETT ROAD ASSOCIATES, LLC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BACKGROUND ========== SALEM COUNTY HOSPITAL CORPORATION ("SALEM MEDICAL CENTER") IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SALEM MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SALEM MEDICAL CENTER OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF SALEM 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 SALEM MEDICAL CENTER AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF SALEM MEDICAL CENTER 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. SALEM MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, SALEM MEDICAL CENTER PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SALEM MEDICAL CENTER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FINANCIAL ASSISTANCE POLICY. HISTORY ======= SALEM MEDICAL CENTER WAS ORIGINALLY FOUNDED AS "SALEM COUNTY MEMORIAL HOSPITALBECAME ONE OF THE FIRST MEDICAL CENTERS IN SOUTHERN NEW JERSEY. THE MEDICAL CENTER'S FOUNDING CAN BE TRACED BACK TO LATE 1918, WHEN IMMEDIATELY FOLLOWING THE END OF WORLD WAR I, A SMALL GROUP OF CONCERNED SALEM COUNTY CITIZENS SPEARHEADED THE DRIVE TO ESTABLISH A MUCH-NEEDED HOSPITAL FOR THE PEOPLE OF SALEM COUNTY AS A MEMORIAL "TO THE SOLDIERS AND SAILORS OF SALEM COUNTY WHO PARTICIPATED IN THE GREAT WAR." THE ORIGINAL MEDICAL STAFF OF THE 30-BED HOSPITAL WAS COMPOSED OF 12 PHYSICIANS, SUPPORTED BY 4 NURSES, AN ORDERLY, A COOK, AND A MATRON. THE MEDICAL CENTER REMAINED AT ITS ORIGINAL LOCATION FOR 32 YEARS BEFORE MOVING OPERATIONS TO ITS CURRENT LOCATION IN NEIGHBORING MANNINGTON TOWNSHIP IN SEPTEMBER 1951. APPROXIMATELY 10 YEARS LATER, CONSTRUCTION EXPANDED THE HOSPITAL TO 133 BEDS AND BY THE EARLY 1970S, THE HOSPITAL WOULD BE EXPANDED AGAIN WITH THE ADDITION OF OPERATING ROOMS, RADIOLOGY, A LABORATORY, AND EMERGENCY UNITS. CONSTRUCTION PROJECTS CONTINUED, ADDING INTENSIVE CARE, TELEMETRY, AND A WOMEN'S UNIT. IN 2006, THE NEW EMERGENCY DEPARTMENT OPENED. COMMITMENT TO COMMUNITY ======================= MISSION: TO DELIVER HIGH QUALITY, COMPASSIONATE HEALTHCARE TO GREATER SALEM COUNTY. VISION: AS A NOT-FOR-PROFIT HOSPITAL, SALEM MEDICAL CENTER WILL FOCUS ON PATIENTS FIRST, ENSURING THAT THE HIGHEST QUALITY OF CARE IS ALWAYS PRIORITY NUMBER ONE. WE ARE PROUD TO SERVE SALEM COUNTY AND ARE COMMITTED TO WORKING WITH THE COMMUNITY TO MAKE THE FUTURE OF HEALTHCARE DELIVERY IN THE REGION BRIGHTER AND MORE SUSTAINABLE THAN THE PAST. SALEM MEDICAL CENTER WILL KEEP A FOCUS ON MAKING THE SERVICES THAT WE PROVIDE, BOTH HOSPITAL BASED AND OUTPATIENT PROGRAMS, REFLECTIVE OF THE EVOLVING NEEDS OF THE POPULATION WE SERVE. TODAY, 100 YEARS LATER, SALEM MEDICAL CENTER CONTINUES TO BUILD ON ITS PROUD HISTORY, WITH THE SAME MISSION OF PROVIDING QUALITY HEALTHCARE TO THE PEOPLE OF SALEM COUNTY AND SURROUNDING AREAS. AS PART OF A STRONG COMMITMENT TO THE COMMUNITY, SALEM MEDICAL CENTER IS PROUD TO DEBUT ITS FIRST MAGAZINE CALLED "HEALTH CONNECTIONS." THE MAGAZINE WILL PUBLISH THREE TIMES A YEAR AND WILL FEATURE ARTICLES ON SALEM MEDICAL CENTER SERVICES AND ITS PHYSICIANS, AS WELL AS GENERAL WELLNESS ARTICLES, HEALTHY RECIPES, AND EXERCISE TIPS. AS ONE OF ONLY TWO ACUTE CARE HOSPITALS IN SALEM COUNTY, SALEM MEDICAL CENTER SEES THE LAUNCH OF ITS HEALTH CONNECTIONS MAGAZINE AS A WAY TO FURTHER CONNECT WITH THE SURROUNDING COMMUNITY THAT IT SERVES. SMC IS GUIDED BY A VOLUNTEER BOARD, COMPRISED OF MANY LOCAL MEMBERS, WITH ONLY THE BEST INTEREST OF THE HOSPITAL AND COMMUNITY IN MIND. SMC PARTNERS WITH TRANSPORTATION SERVICE ---------------------------------------- DURING SEPTEMBER 2021 SMC PARTNERED WITH NJ MOBILE HEALTHCARE TO PROVIDE MEDICAL TRANSPORTATION TO AND FROM THE MEDICAL CENTER. THE AMBULANCES ARE STAFFED BY N.J. STATE CERTIFIED EMERGENCY MEDICAL TECHNICIANS (EMTS) AND NURSES WHO CAN QUICKLY ASSESS THE PATIENT'S NEEDS AND HELP STABILIZE THE PATIENT IN EMERGENCY SITUATIONS. "THIS SERVICE WILL PROVIDE ADDITIONAL MEDICAL TRANSPORTATION TO BENEFIT OUR PATIENTS," SAID DR. TAMMY TORRES, CEO. THE VEHICLES WILL CARRY SMC'S IDENTITY BY SHOWCASING THE LOGO AND COLOR SCHEME ON THE EXTERIOR. INSIDE, THEY ARE FULLY EQUIPPED WITH ADVANCED MEDICAL AND EMERGENCY EQUIPMENT TO PROVIDE THE CARE THE PATIENT NEEDS WHETHER IN AN EMERGENCY SITUATION OR FOR TRANSPORT. AS THIS NEW SERVICE GROWS, THE PARTNERSHIP CAN EXPECT TO GROW TO PROVIDE GREATER SERVICES TO THE COMMUNITY AS NEEDS ARISE. BASIC LIFE SUPPORT CLASSES NOW OPEN TO THE PUBLIC ------------------------------------------------- WITH THE RECENT COMPLETION OF THE EDUCATION CENTER REMODEL, THE EDUCATION DEPARTMENT IS EXCITED TO OFFER EMERGENCY CARDIOVASCULAR CARE COURSES TO THE COMMUNITY. SMC WAS NAMED AN AMERICAN HEART ASSOCIATION (AHA) TRAINING SITE IN MAY 2021 AND BEGAN OFFERING BASIC LIFE SUPPORT (BLS), CARDIOPULMONARY RESUSCITATION (CPR)AND OTHER COURSES TO EMPLOYEES. THE FIRST BLS CLASS OPEN TO THE COMMUNITY BEGAN ON SEPTEMBER 16, 2021.THE CLASSES ARE EXPECTED TO BE ABLE TO EDUCATE MANY PEOPLE IN THE COMMUNITY. COURSES AVAILABLE INCLUDE: (1) BASIC LIFE SUPPORT; AND (2) ADVANCED CARDIO LIFE SUPPORT COURSES ARE INTENDED FOR HEALTHCARE PROVIDERS WHO REQUIRE A COMPLETION CARD. PEOPLE WITH LITTLE OR NO MEDICAL TRAINING WHO REQUIRE THE COURSE COMPLETION CARD FOR THE JOB, REGULATORY (OSHA), OR OTHER REQUIREMENTS, OR MEMBERS OF THE COMMUNITY WHO WANT TO LEARN POTENTIALLY LIFE-SAVING SKILLS. CIRCLE OF FRIENDS IS BACK ------------------------- THE SALEM CIRCLE OF FRIENDS IS A SOCIAL GROUP SPONSORED BY SMC AND SALEM COMMUNITY COLLEGE THAT BRINGS SENIORS TOGETHER TO ENJOY LUNCHEONS, HEAR FEATURED SPEAKERS, AND ATTEND SPECIAL EVENTS ALL FOCUSED ON LIVING AN ACTIVE, HEALTHY LIFE. TO KICK OFF THE GROUP'S RETURN IN 2021, A CHRISTMAS LUNCHEON WAS HELD ON DECEMBER 10TH IN THE DAVIDOW HALL LOBBY AT SALEM COMMUNITY COLLEGE. THE EVENT FEATURED BARIATRIC SURGEON HARISH KAKKILAYA, MD, AS A GUEST SPEAKER, AS WELL AS SCC PRESIDENT MICHAEL GORMAN AND CHARLES HASSLER. CLINICAL SERVICES ================= SMC IS LICENSED FOR 126 BEDS, INCLUSIVE OF MEDICAL-SURGICAL, INTENSIVE CARE AND BEHAVIORAL HEALTH. SMC PROVIDES CRITICAL ACCESS TO THE COMMUNITY THROUGH ITS EMERGENCY DEPARTMENT (NEARLY 20,000 PATIENTS ANNUALLY), SURGERY (OUTPATIENT/INPATIENT, ABOUT 2,500 CASES ANNUALLY) AND INPATIENT ACUTE CARE (ABOUT 2,500 ADMISSIONS ANNUALLY) AND MANY OTHER PROGRAMS THAT SUPPORT BOTH HEALTH AND BEHAVIORAL HEALTH CARE ACCESS AND PROMOTE QUALITY OF LIFE. SALEM MEDICAL CENTER OFFERS MANY ELECTIVE - NON-EMERGENCY - SURGERIES AND INVASIVE PROCEDURES INCLUDING HIP AND KNEE REPLACEMENTS, PROCEDURES TO RELIEVE PAIN AND DISCOMFORT, AND DIAGNOSTIC PROCEDURES SUCH AS COLONOSCOPIES AND MAMMOGRAMS. THE FULL LIST OF SERVICES OFFERED BY SALEM MEDICAL CENTER CAN BE GROUPED INTO THE FOLLOWING: - BARIATRIC SURGERY - BEHAVIORAL HEALTH SERVICES - COLONOSCOPY - CRITICAL CARE MEDICINE - DIAGNOSTIC IMAGING - EMERGENCY SERVICES - HEARTBURN - HEART CARE - LABORATORY SERVICES - NEUROSURGERY - PERIPHERAL ARTERY DISEASE - REHABILITATION SERVICES - RETAIL PHARMACY - SLEEP DISORDER CENTER - STROKE CARE - SURGICAL SERVICES - WOUND CARE ADULT PSYCHIATRIC UNIT ---------------------- IN MARCH 2021, SALEM MEDICAL CENTER ANNOUNCED THE NEW JERSEY DEPARTMENT OF HEALTH HAS APPROVED THE OPENING OF THE MEDICAL CENTER'S 26-BED ADULT PSYCHIATRIC INPATIENT UNIT. THE 26-BED VOLUNTARY UNIT PROVIDES: . PATIENT-CENTERED BEHAVIORAL HEALTH SERVICES . COMPREHENSIVE PSYCHIATRIC ASSESSMENT AND TREATMENT . ONE-ON-ONE INTERVENTION . PSYCHIATRIC MANAGEMENT |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | THE EXPANSION OF SERVICES IS PART OF SMC'S COMMITMENT TO MEET COMMUNITY NEEDS AND THERE IS NO MORE IMPORTANT NEED TODAY THAN ADDITIONAL BEHAVIORAL HEALTH RESOURCES IN THE AREA. THE SERVICE IS CRUCIAL FOR THE REGION AND WILL MAKE A DIFFERENCE FOR THE COMMUNITY OF SALEM AND SOUTH JERSEY. THE OPENING OF THE UNIT MAKES AN IMMEDIATE IMPACT ON AN IMPORTANT NEED FOR THE COMMUNITY. THROUGH THIS NEW SERVICE WE WELCOME NEW PATIENTS AND THEIR FAMILIES TO OUR MEDICAL CENTER. THE 21,000-SQUARE-FOOT, 26-BED VOLUNTARY ADULT UNIT PROVIDES TREATMENT SERVICES FOR INDIVIDUALS WITH MENTAL HEALTH CONDITIONS. IT PROVIDES A SAFE, SECURE PLACE WHERE INDIVIDUALS WITH BEHAVIORAL HEALTH ISSUES CAN RECEIVE TREATMENT TO MOVE BEYOND THE IMMEDIATE CRISIS. SMC IS COMMITTED TO HELPING PATIENTS WITH BEHAVIORAL ISSUES SEEK TREATMENT AND RECOVER, SAFELY INTEGRATING BACK INTO SOCIETY. THE SETTING PROVIDES A SAFE, SECURE PLACE WHERE INDIVIDUALS WITH BEHAVIORAL HEALTH ISSUES CAN RECEIVE COMPASSIONATE TREATMENT TO MOVE BEYOND THEIR IMMEDIATE CRISIS. THE UNIT FEATURES OPEN AND COMMUNAL SPACE TO PROMOTE INTERACTION AND REDUCE ISOLATION AND OFFERS AREAS FOR GROUP MEETINGS. PATIENT-CENTERED BEHAVIORAL HEALTH SERVICES WILL PROVIDE COMPREHENSIVE PSYCHIATRIC ASSESSMENT AND TREATMENT, ONE-ON-ONE INTERVENTION AND PSYCHIATRIC STABILIZATION AND MEDICATION MANAGEMENT. THE OPENING OF THE UNIT WAS HIGHLY ANTICIPATED BY COMMUNITY LEADERS SUCH AS LAW ENFORCEMENT, HEALTH ENFORCEMENT, LOCAL GOVERNMENT OFFICIALS, AND HEALTH/BEHAVIORAL HEALTH PROFESSIONALS. INPATIENT PSYCHIATRIC UNIT MEDICAL DIRECTOR BRADFORD BOBRIN, DM, FASAM, AND SAIDA S. ABDUL-AZIZ, DHA.C, MSN, MBA-HCM, RN, FCN LEAD A FULLY SUPPORTED STAFF INCLUDING REPRESENTATION FROM PSYCHIATRY, NURSING, MENTAL HEALTH THERAPISTS, REHABILITATION DIAGNOSE REHABILITATION THERAPISTS, SOCIAL WORK AND CASE MANAGEMENT WILL WORK TO DIAGNOSE AND TREAT A WIDE VARIETY OF MENTAL HEALTH CONDITIONS. THESE CONDITIONS INCLUDE DEPRESSION, ACUTE MOOD AND ANXIETY DISORDERS, POST-TRAUMATIC STRESS DISORDER, AND CO-OCCURRING PSYCHIATRIC/SUBSTANCE USE DISORDERS. SMC IS ALSO PARTNERING WITH LEGACY TREATMENT SERVICES TO PROVIDE OUTPATIENT BEHAVIORAL HEALTH SERVICES. LEGACY OPERATES OUTPATIENT CARE TO ENSURE CONTINUITY OF CARE FOR INDIVIDUALS BEING DISCHARGED FROM THE INPATIENT ADULT PSYCHIATRIC UNIT, AS WELL AS AN OUTPATIENT RESOURCE TO MEET THE NEEDS OF THE COMMUNITY. RESTRUCTURING FOR TELEMETRY/MEDSURG UNIT ---------------------------------------- WHAT ORIGINALLY BEGAN AS A PROJECT TO CONTEND WITH THE COVID-19 PANDEMIC LED TO A MAJOR RESTRUCTURING FOR SMC'S TELEMETRY/MEDSURG UNIT. THE PROJECT REQUIRED AN UPGRADE TO OUR TELEMETRY SYSTEM. THE DEPARTMENTS PREVIOUSLY KNOWN AS 2 NORTH AND 3 NORTH WERE MERGED INTO ONE UNIT, NOW KNOWN AS TELE/MEDSURG. THE ENTIRE UNIT WAS EQUIPPED FOR TELEMETRY. EACH PATIENT WHO NEEDS TELEMETRY MONITORING THE PROCESS OF CONTINUOUSLY MONITORING A PERSON'S VITAL SIGNS AND CARDIAC RHYTHMS REMOTELY WEARS A TELEPAK. THE TELEPAK ALLOWS NURSES TO READ THE PATIENT'S VITALS IMMEDIATELY. THE NURSES CAN SEE REAL-TIME HEART RHYTHMS ON THE PATIENT'S TELEPAK, CAN ADMIT AND DISCHARGE PATIENTS, AND ADJUST ALARM LEVELS RIGHT ON THE DEVICE. SINCE THE TELEPAK IS PORTABLE, THE PATIENT IS ABLE TO MOVE ABOUT FREELY AND DON'T HAVE TO CALL A NURSE OR WAIT TO BE UNHOOKED IF THEY NEED TO GET UP. THE DEVICE ALSO ALLOWS A PATIENT TO BE MONITORED CONTINUOUSLY EVEN IF THEY NEED TO TRAVEL OFF THE UNIT FOR DIAGNOSTIC TESTS. THE NEW EQUIPMENT IS ANOTHER STEP FORWARD IN SMC'S COMMITMENT TO PROVIDING SAFE, QUALITY CARE TO PATIENTS. LAUNCH OF MEDICATION ASSISTED TREATMENT PROGRAMS ------------------------------------------------ IN JULY 2021 SALEM MEDICAL CENTER LAUNCHED THE EMERGENCY DEPARTMENT ADDICTION PATHWAYS PROGRAM - A MEDICATION-ASSISTED TREATMENT PROGRAM FOR OPIOID USE DISORDERS. THESE PATIENTS ARE RARELY ADMITTED UNLESS THERE IS A SEPARATE UNDERLYING MEDICAL REASON. BY IMPLEMENTING THIS PROGRAM, SMC HOPES TO REDUCE OPIOID USE AND OPIOID-RELATED DEATHS IN THE COMMUNITY. SALEM MEDICAL CENTER WANTS TO BE A PLACE WHERE PATIENTS CAN TURN WHEN THEY NEED HELP. BARON PARTNERED WITH NEWLY APPOINTED ADDICTION MEDICINE MEDICAL DIRECTOR RACHEL HAROZ, MD, TO EXECUTE THE PROGRAM. DR. HAROZ IS BOARD CERTIFIED IN EMERGENCY MEDICINE, TOXICOLOGY AND ADDICTION MEDICINE. SHE WILL BE ON SITE TO OVERSEE THIS NEW PROGRAM. RESPONSE TO COVID-19 ==================== IN RESPONSE TO THE ESTIMATED POTENTIAL IMPACT OF CORONAVIRUS DISEASE (COVID-19), SALEM MEDICAL CENTER WORKED CLOSELY WITH THE NJ DEPARTMENT OF HEALTH TO PREPARE FOR AN INFLUX OF CRITICALLY ILL PATIENTS. THE PROTOCOLS -- DEVELOPED IN PARTNERSHIP WITH AN INFECTIOUS DISEASE CONSULTANT -- FOCUSED ON CLINICAL DECISIONS REGARDING INTUBATION, THE USE OF HIGH-FLOW OXYGEN, AND CARDIAC ARREST. SMC RETROFITTED 58 MED-SURG BEDS FOR NEGATIVE PRESSURE & TELEMETRY AND PROCURED PROPER PPE FOR ALL STAFF THROUGH DILIGENT EFFORTS OF MATERIALS MANAGEMENT. SUPPORT WAS PROVIDED FOR BOTH CLINICAL AND NONCLINICAL STAFF AFFECTED BY THE PROFOUND IMPACT OF COVID-19. THE TEAM AT SMC PUT THESE PROCESSES AND PROCEDURES IN PLACE DURING A 1-MONTH PERIOD WHILE SURGE PLANNING WAS ONGOING AND THE NEED FOR ICU CAPACITY ROSE EXPONENTIALLY. IN JANUARY 2021 SALEM MEDICAL CENTER BEGAN SERVING AS A COVID-19 VACCINATION ADMINISTRATION SITE. SMC IS ALSO SERVING AS A COVID-19 TESTING SITE. SMC BEGAN ADMINISTERING ITS FIRST DOSES THE MODERNA COVID-19 VACCINE IN DECEMBER 2021 TO HELP STOP THE SPREAD OF THE VIRUS. IN DECEMBER 2021, THE CDC RECOMMENDED THE INITIAL PHASE OF COVID-19 VACCINES SHOULD BE OFFERED TO BOTH HEALTHCARE PERSONNEL AND RESIDENTS OF LONG-TERM CARE FACILITIES. THEY RECOMMENDED THAT PEOPLE AGE 75 AND OLDER BE NEXT IN LINE TO RECEIVE THE VACCINE, IN ADDITION TO EMERGENCY RESPONDERS, TEACHERS, AND GROCERY STORE EMPLOYEES. THE FUTURE ========== WE WILL BE EXPANDING PRIMARY CARE AND SPECIALTY MEDICAL SERVICES THROUGH GROWTH IN MEDICAL STAFF AND STRATEGIC CLINICAL PARTNERSHIPS. NEW AND IMPROVED MEDICAL EQUIPMENT WILL BE IN USE IMMEDIATELY, AND MAJOR RENOVATIONS, STARTING WITH THE REVITALIZATION OF THE AMBULATORY SURGERY CENTER, WILL HELP TRANSFORM SALEM MEDICAL CENTER INTO A 21ST CENTURY HEALTH CENTER. SMC IS DEDICATED TO GROWING NEW SERVICES AND RECRUITING PHYSICIANS RELEVANT TO OUR COMMUNITY AND ARE FOCUSED ON MAKING SMC A DESTINATION OF CHOICE FOR SALEM COUNTY AND THE SURROUNDING AREA. OUR NEW NAME - SALEM MEDICAL CENTER - REFLECTS OUR DUAL MISSION OF PROVIDING HOSPITAL SERVICES WHILE ALSO PROVIDING AN ARRAY OF OUTPATIENT PROGRAMS THAT MEET THE NEEDS OF OUR COMMUNITY. WE ARE PROUD TO BE PART OF SALEM COUNTY AND LOOK FORWARD TO BUILDING ON THE HOSPITAL'S NEARLY 100-YEAR HISTORY OF PROVIDING HEALTHCARE TO RESIDENTS IN THE COMMUNITIES WE SERVE. SMC TO JOIN INSPIRA HEALTH NETWORK ---------------------------------- IN DECEMBER 2021 WE ANNOUNCED THE NEWS OF SALEM MEDICAL CENTER (SMC) AND INSPIRA SIGNING A DEFINITIVE AGREEMENT FOR SMC TO JOIN INSPIRA HEALTH NETWORK. THE TRANSACTION IS EXPECTED TO BE COMPLETED FOLLOWING REVIEW AND APPROVAL BY THE NEW JERSEY ATTORNEY GENERAL. PARTNERING WITH THIS LARGER HEALTH CARE SYSTEM IS BENEFICIAL IN MANY WAYS, BUT OUR SUSTAINABILITY IS BENEFIT NUMBER ONE. FOR THE PAST 100 YEARS, SALEM MEDICAL CENTER HAS BEEN THE COUNTY'S MAJOR RESOURCE FOR HEALTH EXPERTISE. NOW, IN JOINING WITH INSPIRA, OUR HOPE TO CONTINUE PROVIDING EXCELLENT CARE FOR MANY YEARS HAS COME TO FRUITION. SALEM MEDICAL CENTER IS FOCUSED ON MAKING THE SERVICES THAT WE PROVIDE, BOTH HOSPITAL-BASED AND OUTPATIENT PROGRAMS, REFLECTIVE OF THE EVOLVING NEEDS OF THE POPULATION WE SERVE. JOINING A LARGER HEALTH CARE WILL ENABLE US TO EXPAND OUR SERVICES TO SALEM COUNTY TO INCLUDE WOMEN'S SERVICES, COMPREHENSIVE ONCOLOGY SUCH AS RADIATION TREATMENTS, CARDIOLOGY SERVICES SUCH AS CATHETERIZATION AND OTHER HEART-RELATED PROCEDURES AND SURGERIES, URGENT CARE, ADDITIONAL PRIMARY CARE PRACTICES AND PHYSICIAN SPECIALISTS, AND ACCESS TO AFFILIATIONS WITH LARGER UNIVERSITY HOSPITALS. THE COMMUNITY RELIES ON MANY SMC SERVICES, INCLUDING A NEW 26-BED INPATIENT PSYCHIATRIC UNIT AND RELATED BEHAVIORAL HEALTH SERVICES. SMC MADE A MAJOR COMMITMENT TO WOUND CARE BY RENOVATING AND RELOCATING THE WOUND CARE CENTER TO THE FRONT OF THE BUILDING, ENSURING EASY ACCESS FOR PATIENTS, WITH PLANS TO BRING IN HYPERBARIC CHAMBERS. SMC'S FULLY DIGITAL IMAGING SUITE OFFERS AN ARRAY OF RADIOLOGY SERVICES, INCLUDING 3D MAMMOGRAPHY, MRI, CT, PET AND DEXA SCANS, NUCLEAR MEDICINE, ULTRASOUND AND X-RAYS. IN ADDITION TO INHOUSE LABORATORY SERVICES, SMC PROVIDES BARIATRIC SURGERY, NEUROSURGERY, GENERAL SURGERY, INTERVENTIONAL RADIOLOGY, 24-7 EMERGENCY SERVICES, PLUS ICU AND MEDICAL-SURGICAL BEDS. CARDIAC REHAB AS WELL AS ONCOLOGY, CARDIAC AND PULMONARY SERVICES ARE ALSO READILY AVAILABLE. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | WILLIAM J. COLGAN, STEVEN ROSEFSKY, JD & MANNY GUANTEZ - BUSINESS RELATIONSHIP. |
| CORE FORM, PART VI, SECTION A; QUESTION 3 | THE ORGANIZATION ENTERED INTO A HOSPITAL MANAGEMENT SERVICES AGREEMENT WITH SALEM HOSPITAL MANAGEMENT, LLC ("MANAGER"), A NEW JERSEY LIMITED LIABILITY COMPANY, WITH EXPERIENCE IN PROVIDING MANAGEMENT AND CONSULTING SERVICES TO ACUTE CARE HOSPITALS. THE MANAGER WAS ENGAGED TO PERFORM THE FOLLOWING SERVICES FOR SALEM MEDICAL CENTER: MANAGEMENT SUPPORT, MANAGED CARE CONTRACTING, VENDOR CONTRACTING, HUMAN RESOURCES CONTRACTING, GROUP PURCHASING, FACILITIES AND PLANT MANAGEMENT, BUSINESS OFFICE STAFF ORIENTATION/TRAINING/SUPPORT, CONTINUING EDUCATION FOR STAFF, PHYSICIAN RELATIONS, CORPORATE COMPLIANCE AND ACCREDITATION COMPLIANCE, REGULATORY COMPLIANCE AND AUDITING, RISK MANAGEMENT, CREDENTIALING, UTILIZATION REVIEW, CORPORATION PERFORMANCE IMPROVEMENT AND QUALITY CONTROL, CASH MANAGEMENT, REVENUE CYCLE MANAGEMENT, PREPARATION OF HOSPITAL OPERATING REPORTS AND FINANCIAL STATEMENTS, MAINTENANCE OF GENERAL LEDGER, INFORMATION TECHNOLOGY SERVICES, AND COORDINATION OF LEGAL MATTERS. IN ADDITION, THE MANAGER WAS CONTRACTED TO PROVIDE THE HOSPITAL WITH FULL-TIME SERVICES OF A CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE FOLLOWING INDIVIDUALS WERE COMPENSATED BY THE MANAGER DURING 2021. ADDITIONALLY, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, INCLUDED BELOW ARE THE INDIVIDUALS' REPORTABLE COMPENSATION AND OTHER COMPENSATION (DEFERRED COMPENSATION & NON-TAXABLE BENEFITS) RECEIVED FROM THE MANAGEMENT COMPANY FOR SERVICES PROVIDED TO SALEM MEDICAL CENTER FOR THE YEAR ENDED DECEMBER 31, 2021. TAMMY TORRES (CHIEF EXECUTIVE OFFICER) -------------------------------------- REPORTABLE COMPENSATION - $329,304 OTHER COMPENSATION (NON-TAXABLE BENEFITS) - $993 TOTAL COMPENSATION - $330,297 VINCENT RICCITELLI (CHIEF FINANCIAL OFFICER) -------------------------------------------- REPORTABLE COMPENSATION - $227,479 OTHER COMPENSATION (NON-TAXABLE BENEFITS) - $10,662 TOTAL COMPENSATION - $238,141 |
| CORE FORM, PART VI; QUESTION 4 | DURING THE YEAR ENDED DECEMBER 31, 2021, THE ORGANIZATION UPDATED ITS GOVERNING DOCUMENTS WITH RESPECT TO SINGLE-MEMBER SUBSTITUTION; DISTRIBUTION OF ASSETS UPON DISSOLUTION; AND TRANSFERABILITY OF MEMBERSHIP. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S GOVERNING BODY HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM 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 SYSTEM'S FINANCE PERSONNEL AND OTHER 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 INTERNAL WORKING GROUP FOR THEIR REVIEW. THE 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 INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | SALEM MEDICAL CENTER'S ("SMC") CONFLICT OF INTEREST POLICY REQUIRES OFFICERS AND TRUSTEES TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. IN 2021, SMC'S OFFICERS AND TRUSTEES COMPLETED A CONFLICT OF INTEREST DISCLOSURE FORM, AND, IN COMPLIANCE WITH THE POLICY, DISCUSSED POTENTIAL CONFLICTS AS THEY AROSE AND EXCLUDED TRUSTEE(S) WHO HAD A CONFLICT OF INTEREST FROM DISCUSSION AND VOTING ON THE MATTERS WITH WHICH SUCH TRUSTEE(S) HAD A CONFLICT. WHEN A TRUSTEE RECUSED HIMSELF OR HERSELF FROM A VOTE DUE TO A CONFLICT OF INTEREST, THE TRUSTEE'S RECUSAL WAS NOTED IN THE BOARD MINUTES. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | SALEM MEDICAL CENTER'S ("SMC") SENIOR EXECUTIVE MANAGEMENT (I.E., THE CEO AND CFO) IS PROVIDED THROUGH A MANAGEMENT SERVICES AGREEMENT WITH SALEM HOSPITAL MANAGEMENT, LLC (THE "MANAGER"). SMC'S BOARD OF TRUSTEES INDIRECTLY APPROVES THE COMPENSATION OF THE CEO AND CFO BY APPROVING THE FEE PAID TO THE MANAGER, WHICH IT DID, AND WHICH APPROVAL IS DOCUMENTED IN THE MINUTES OF THE RESPECTIVE SMC BOARD OF TRUSTEES MEETING. IN ORDER TO DETERMINE A REASONABLE FAIR MARKET LEVEL OF COMPENSATION FOR THE CEO AND CFO, THE MANAGER REVIEWED (I) HISTORICAL COMPENSATION OF SMC SENIOR LEADERSHIP UNDER PREVIOUS OWNERSHIP, (II) COMPENSATION DATA FROM SIMILAR HEALTHCARE ORGANIZATIONS FROM IRS FORM 990S, AND (III) A COMPREHENSIVE COMPENSATION SURVEY CONTAINING DATA FROM COMPARABLE HOSPITALS TO SMC IN THE REGION. THE COMPENSATION SURVEY UTILIZED BY THE MANAGER WAS PERFORMED BY AN INDEPENDENT THIRD PARTY. NO ONE FROM EITHER THE MANAGER OR SMC HAD ANY INVOLVEMENT IN THE COMPLETION OF THE COMPENSATION SURVEY. |
| CORE FORM, PART VI, SECTION C; QUESTION 18 | PURSUANT TO STATE OF NEW JERSEY P.L. 2019, CHAPTER 513, (WHICH WAS EFFECTIVE ON JULY 21, 2020), AND AMENDED P.L. 2008, CHAPTER 58 (C.26: 2H-5.1B), THIS ORGANIZATION HAS POSTED ON ITS INTERNET WEBSITE A COPY OF THIS INTERNAL REVENUE SERVICE (IRS) FORM 990 AND ALL SCHEDULES AND SUPPORTING DOCUMENTATION REQUIRED TO BE SUBMITTED TO THE IRS IN CONJUNCTION WITH THE FORM 990 WITH THE EXCEPTION OF THOSE SCHEDULES NOT OPEN FOR PUBLIC INSPECTION. SAID FORM 990 WAS POSTED BY THE ORGANIZATION AFTER FILING ITS FORM 990 WITH THE IRS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J | CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THE ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS INCLUDED 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, REPRESENTS 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, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X | THE BEGINNING BALANCE SHEET HAS BEEN RESTATED TO CONFORM WITH THE ORGANIZATION'S AMENDED 2020 FEDERAL FORM 990 AND ITS AUDITED FINANCIAL STATEMENTS. |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2021, AND DECEMBER 31, 2020; 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. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS HAVE BEEN PREPARED ASSUMING THAT SALEM COUNTY HOSPITAL CORP. (D/B/A SALEM MEDICAL CENTER) AND ITS AFFILIATE WILL CONTINUE AS A GOING CONCERN. AS DISCUSSED IN NOTE 1 TO THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, THE MEDICAL CENTER HAS A DEFICIENCY OF REVENUE OVER EXPENSES FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, A WORKING CAPITAL DEFICIENCY AT DECEMBER 31, 2021 AND 2020, AND MANAGEMENT HAS STATED THAT SUBSTANTIAL DOUBT EXISTS ABOUT THE MEDICAL CENTER'S ABILITY TO CONTINUE AS A GOING CONCERN. MANAGEMENT'S EVALUATION OF THE EVENTS AND CONDITIONS AND MANAGEMENT'S PLANS REGARDING THESE MATTERS ARE ALSO DESCRIBED IN NOTE 1. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE ANY ADJUSTMENTS THAT MIGHT RESULT FROM THE OUTCOME OF THIS UNCERTAINTY. THE AUDITOR'S OPINION IS NOT MODIFIED WITH RESPECT TO THIS MATTER. THE ORGANIZATION'S BOARD OF TRUSTEES 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 3 | THE ORGANIZATION IS IN THE PROCESS OF ACCUMULATING AND PROVIDING THE NECESSARY DOCUMENTS TO ITS INDEPENDENT ACCOUNTING FIRM IN ORDER TO PREPARE AND ISSUE AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE AUDIT IS CURRENTLY UNDERWAY AND THE ORGANIZATION ANTICIPATES COMPLETION OF THE A-133 AUDIT WITHIN A REASONABLE PERIOD OF TIME. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:6249366 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REVENUE CYCLE SERVICES TOTAL FEES:3379440 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2987386 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:1171266 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:872251 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE LAB SERVICES TOTAL FEES:107624 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:438674 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM PHYSICIAN PRACTICES PC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 WOODSTOWN ROAD | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08079 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 831552401 | EIN |
| Primary Activities | HEALTH SVCS. | PrimaryActivitiesTxt |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 509(A)(3) | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| 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 | false | 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 | Yes (true) | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALEM PHYSICIAN PRACTICES PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | E | TransactionTypeTxt |
| Involved | $4,563,681 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES. | ExplanationTxt |