SALEM COUNTY HOSPITAL CORP: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SALEM COUNTY HOSPITAL CORP (EIN 82-4971362)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202103199349322770
Schema version: 2020v4.1
Note: A later return for the same period supersedes this one.
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	2021-11-15T15:28:24-06:00	ReturnTs
Tax Period End	2020-12-31	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	2020-01-01	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	2021-11-15	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	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	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	$62,430,580	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	590	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,600,980	PYContributionsGrantsAmt
CY Contributions Grants	$19,335,679	CYContributionsGrantsAmt
PY Program Service Revenue	$33,844,340	PYProgramServiceRevenueAmt
CY Program Service Revenue	$42,980,480	CYProgramServiceRevenueAmt
PY Investment Income	$605,000	PYInvestmentIncomeAmt
CY Investment Income	-$1,300	CYInvestmentIncomeAmt
PY Other Revenue	$116,191	PYOtherRevenueAmt
CY Other Revenue	$114,421	CYOtherRevenueAmt
PY Total Revenue	$53,166,511	PYTotalRevenueAmt
CY Total Revenue	$62,429,280	CYTotalRevenueAmt
PY Grants And Similar Paid	$396	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$578	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$20,230,078	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$23,498,540	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$33,897,953	PYOtherExpensesAmt
CY Other Expenses	$40,351,847	CYOtherExpensesAmt
PY Total Expenses	$54,128,427	PYTotalExpensesAmt
CY Total Expenses	$63,850,965	CYTotalExpensesAmt
PY Revenues Less Expenses	-$961,916	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,421,685	CYRevenuesLessExpensesAmt
Total Assets BOY	$26,071,730	TotalAssetsBOYAmt
Total Assets EOY	$48,186,758	TotalAssetsEOYAmt
Total Liabilities BOY	$27,283,646	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$50,820,359	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$1,211,916	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$2,633,601	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	$52,574,462	ExpenseAmt
Grant	$578	GrantAmt
Revenue	$42,980,480	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	$52,574,462	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	590	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	false	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
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 (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd
DANIEL S TIMMERMAN DO MPH
TRUSTEE	55.0	0.0	Yes (X)	$0	$530,861	$20,280
DAVID G MARINI
PHARMACIST	55.0	0.0		$136,597	$0	$38,696	Yes (X)
JUSTINE C MURPHY BSHA RN
DIRECTOR, PERIOPERATIVE SVCS	55.0	0.0		$140,065	$0	$26,682	Yes (X)
BRIAN P MCCARTHY
DIRECTOR, INFORMATION SYSTEMS	55.0	0.0		$128,272	$0	$26,504	Yes (X)
ROSIA RIVERA RN
NURSING MANAGER	55.0	0.0		$127,526	$0	$12,257	Yes (X)
JAMES PIPER
AVP, SUPPORT SERVICES	55.0	0.0		$132,834	$0	$0	Yes (X)
EKENE EJIMOFOR DNP RN
CNO (EFF 05/2020)	55.0	0.0		$124,387	$0	$3,741		Yes (X)
WAMIQ S SULTAN MD
TRUSTEE	55.0	0.0	Yes (X)	$103,750	$0	$0
DONNA M CARSON MSN RN
CNO (TERMED 03/2020)	55.0	0.0		$51,382	$0	$0		Yes (X)
TAMMY TORRES DNP MSN RN
CHIEF EXECUTIVE OFFICER	55.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
WILLIAM J COLGAN
CHAIRMAN - TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
STEVEN ROSEFSKY JD
VICE PRESIDENT - TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
MANNY GUANTEZ
SECRETARY - TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
DONALD ASAY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
BRENDA GOINS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL R GORMAN EDD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
BRUCE W HERDMAN PHD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
AWOOD A JONES
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
RAQUEL MAZON JEFFERS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
CHARLES MCFEATERS PE
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
CEIL SMITH
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
RALPH THOMAS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
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	$944,813	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$530,861	TotReportableCompRltdOrgAmt
Total Other Compensation	$128,160	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	25	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
SIERRA HEALTH GROUP LLC
440 FRANKLIN STREET SUITE 300	BLOOMFIELD	NJ	07003	REV CYCLE/BILLING	$3,406,517
METRO REAL ESTATE DEVELOPMENT
2 BROAD STREET SUITE 400	BLOOMFIELD	NJ	07003	CONSTRUCTION	$1,595,347
N AMERICAN PARTNERS IN ANESTHESIA
68 SOUTH SERVICE ROAD SUITE 350	MELLVILLE	NY	11747	MEDICAL	$1,525,767
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD/DIETARY	$1,333,798
FOX REHABILITATION SERVICES
PO BOX 780409	PHILADELPHIA	PA	19178	MEDICAL	$1,211,825

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Government Grants	$14,824,939	GovernmentGrantsAmt
All Other Contributions	$4,510,740	AllOtherContributionsAmt
Total Contributions	$19,335,679	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$42,875,599	$42,875,599
OTHER HEALTHCARE RELATED REVENUE	622110	$104,881	$104,881

Field	Value	IRS element (for citing)
Total Program Service Revenue	$42,980,480	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	$114,421	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$114,421	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$114,421	TotalRevenueColumnAmt
Exclusion	$114,421	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,300	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$1,300	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,300	TotalRevenueColumnAmt
Exclusion	-$1,300	ExclusionAmt

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
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,429,280	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,980,480	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$113,121	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	$578	TotalAmt
Program Services	$578	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	$179,510	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$179,510	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,642,726	TotalAmt
Program Services	$18,079,949	ProgramServicesAmt
Management And General	$562,777	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	$2,817,436	TotalAmt
Program Services	$2,509,225	ProgramServicesAmt
Management And General	$308,211	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,858,868	TotalAmt
Program Services	$1,653,324	ProgramServicesAmt
Management And General	$205,544	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$709,760	TotalAmt
Program Services	$505,277	ProgramServicesAmt
Management And General	$204,483	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$345,638	TotalAmt
Program Services	$246,059	ProgramServicesAmt
Management And General	$99,579	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$157,110	TotalAmt
Program Services	$111,846	ProgramServicesAmt
Management And General	$45,264	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,498	TotalAmt
Program Services	$7,498	ProgramServicesAmt
Management And General	$0	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	$16,459,982	TotalAmt
Program Services	$13,486,038	ProgramServicesAmt
Management And General	$2,973,944	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$312,555	TotalAmt
Program Services	$222,507	ProgramServicesAmt
Management And General	$90,048	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$753,349	TotalAmt
Program Services	$536,307	ProgramServicesAmt
Management And General	$217,042	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,613,702	TotalAmt
Program Services	$1,148,791	ProgramServicesAmt
Management And General	$464,911	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,272,643	TotalAmt
Program Services	$3,753,582	ProgramServicesAmt
Management And General	$1,519,061	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,849	TotalAmt
Program Services	$3,452	ProgramServicesAmt
Management And General	$1,397	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	$25,939	TotalAmt
Program Services	$18,466	ProgramServicesAmt
Management And General	$7,473	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$841,900	TotalAmt
Program Services	$5,996	ProgramServicesAmt
Management And General	$835,904	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,531,977	TotalAmt
Program Services	$2,232,642	ProgramServicesAmt
Management And General	$299,335	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$424,792	TotalAmt
Program Services	$302,409	ProgramServicesAmt
Management And General	$122,383	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$7,465,539	$5,314,700	$2,150,839
REPAIRS & MAINTENANCE	$1,654,808	$1,178,054	$476,754
DIETARY/CAFETERIA	$980,755	$698,197	$282,558
DUES & SUBSCRIPTIONS	$179,801	$128,000	$51,801

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$609,250	TotalAmt
Program Services	$431,565	ProgramServicesAmt
Management And General	$177,685	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$63,850,965	TotalAmt
Program Services	$52,574,462	ProgramServicesAmt
Management And General	$11,276,503	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$468,087	BOYAmt
EOY	$484,577	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	$4,500,000	BOYAmt
EOY	$4,500,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,553,917	BOYAmt
EOY	$8,596,235	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	$1,804,459	BOYAmt
EOY	$2,001,300	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$651,589	BOYAmt
EOY	$964,856	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$18,132,303	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,759,559	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$8,520,581	BOYAmt
EOY	$14,372,744	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	$836,932	BOYAmt
EOY	$744,159	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,736,165	BOYAmt
EOY	$16,522,887	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,071,730	BOYAmt
EOY	$48,186,758	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,268,519	BOYAmt
EOY	$11,099,970	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	$18,765,127	BOYAmt
EOY	$32,207,071	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	$250,000	BOYAmt
EOY	$7,513,318	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,283,646	BOYAmt
EOY	$50,820,359	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	-$1,211,916	BOYAmt
EOY	-$2,633,601	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	-$1,211,916	BOYAmt
EOY	-$2,633,601	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$26,071,730	BOYAmt
EOY	$48,186,758	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,421,685	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	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$7,498	OtherActivitiesAmt
Total Lobbying Expenditures	$7,498	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 $7,498 DURING 2020.	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	$5,771,155	OtherCostOrOtherBasisAmt
Depreciation	$257,791	DepreciationAmt
Book Value	$5,513,364	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,122,330	OtherCostOrOtherBasisAmt
Depreciation	$2,229,923	DepreciationAmt
Book Value	$5,892,407	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,238,818	OtherCostOrOtherBasisAmt
Depreciation	$1,271,845	DepreciationAmt
Book Value	$2,966,973	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$14,372,744	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED ENTITY	$7,675,090
OTHER ASSETS	$8,847,797

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,522,887	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	EST SETTLEMENTS TO THIRD-PARTY	Desc
Amt	$7,513,318	Amt

Field	Value	IRS element (for citing)
Total Liability	$7,513,318	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, 2020 AND DECEMBER 31, 2019. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2020 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
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	$403,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,133	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$382,681	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,964,162	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,243,054	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,367,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,264,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$382,681	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,864,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,864,627	NetCommunityBenefitExpnsAmt
Total Expense	0.04490	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,864,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,864,627	NetCommunityBenefitExpnsAmt
Total Expense	0.04490	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,232,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,264,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,247,308	NetCommunityBenefitExpnsAmt
Total Expense	0.05090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,862,232	BadDebtExpenseAmt
Bad Debt Expense Attributable	$147,791	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$15,594,766	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,226,544	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,631,778	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
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
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.SMC.HEALTH/PATIENT-TOOLS	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
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
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
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B - IRC 501R COMPLIANCE	INTERNAL REVENUE CODE SECTION 501(R)(3) --------------------------------------- HOSPITAL PERSONNEL WERE UNDER A GOOD FAITH BELIEF THAT THE HOSPITAL COMPLIED WITH IRC 501(R)(3) REGARDING ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. WHEN PREPARING THIS FORM 990, TAX PROFESSIONALS INQUIRED AND RECEIVED THESE DOCUMENTS. THE TAX PROFESSIONALS ADVISED HOSPITAL PERSONNEL THAT THE HOSPITAL WAS NOT IN FULL COMPLIANCE WITH IRC 501(R)(3). HOSPITAL PERSONNEL ARE CURRENTLY IN THE PROCESS OF CORRECTING VARIOUS DEFICIENCIES, INCLUDING BUT NOT LIMITED TO: CHNA REQUIREMENTS AND A SEPARATE IMPLEMENTATION PLAN; FORMAL COMMITTEE APPROVAL; AND MAKING THE REQUIRED DOCUMENTS PUBLICLY AVAILABLE. THIS FORM 990 WILL BE AMENDED AS SOON AS THESE DEFICIENCIES ARE RESOLVED. INTERNAL REVENUE CODE SECTION 501(R)(4),(5)&(6) ----------------------------------------------- HOSPITAL PERSONNEL WERE UNDER A GOOD FAITH BELIEF THAT THE HOSPITAL COMPLIED WITH IRC 501R4,5 & 6 REGARDING ITS FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, FINANCIAL ASSISTANCE APPLICATION AND BILLING AND COLLECTION POLICY. WHEN PREPARING THIS FORM 990, TAX PROFESSIONALS INQUIRED AND RECEIVED THESE DOCUMENTS. THE TAX PROFESSIONALS ADVISED HOSPITAL PERSONNEL THAT THE HOSPITAL WAS NOT IN FULL COMPLIANCE WITH IRC 501(R)(4),(5)&(6). HOSPITAL PERSONNEL ARE CURRENTLY IN THE PROCESS OF CORRECTING VARIOUS DEFICIENCIES, INCLUDING BUT NOT LIMITED TO: APPLICATION PERIOD; AGB METHODOLOGY; PROVIDER LISTING; AND COLLECTION PROCEEDINGS. THIS FORM 990 WILL BE AMENDED AS SOON AS THESE DEFICIENCIES ARE RESOLVED. REV PROC 2015-21 ---------------- HOSPITAL PERSONNEL WILL ALSO BE ACTING IN ACCORDANCE REV PROC 2015-21 REGARDING CORRECTION AND DISCLOSURE PROCEDURES SO THAT ITS FAILURES TO MEET THE REQUIREMENTS OF IRC 501(R) WILL BE EXCUSED FOR PURPOSES 501(R)(1) AND 501(R)(2)(B).
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. OUR FOCUS ON COMMUNITY VOICE MEANS THAT OUR 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.
SCHEDULE H, PART V, SECTION B, QUESTIONS 8 & 10	THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS INCLUDED WITHIN ITS COMMUNITY HEALTH NEEDS ASSESSMENT.
SCHEDULE H, PART V, SECTION B, QUESTION 11	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-LOST 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. 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. 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.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SMC HEALTH PHYSICIANS BARIATRIC SURGERY
66 EAST AVENUE	WOODSTOWN	NJ	08098	BARIATRIC SURGERY
SMC HEALTH PHYSICIANS - GASTROENTEROLOGY
95 WOODSTOWN ROAD	SWEDESBORO	NJ	08085	GASTROENTEROLOGY
SMC HEALTH PHYSICIANS - GENERAL SURGERY
8 BYPASS ROAD	SALEM	NJ	08079	GENERAL SURGERY
SMC HEALTH PHYS - INFECTIOUS DISEASE
8 BYPASS ROAD	SALEM	NJ	08079	INFECTIOUS DISEASE
SMC HEALTH PHYS - ORTHOPEDIC SURGERY
499 BECKETT ROAD	LOGAN TOWNSHIP	NJ	08085	ORTHOPEDIC SURGERY
SMC HEALTH PHYS - PENNSVILLE FAMILY MED
181 NORTH BROADWAY	PENNSVILLE	NJ	08070	FAMILY MEDICINE
SMC HEALTH PHYSICIANS - PEDIATRICS
4 BYPASS ROAD SUITE 101	SALEM	NJ	08079	PEDIATRICS
SMC HEALTH PHYS - SWEDESBORO FAMILY MED
95 WOODSTOWN ROAD	SWEDESBORO	NJ	08085	FAMILY MEDICINE
SMC HEALTH PHYS - WOODSTOWN PRIMARY CARE
66 EAST AVENUE	WOODSTOWN	NJ	08098	PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (13 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. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND ARE INCLUDED IN SUPPLIES AND OTHER EXPENSES ON THE STATEMENTS OF OPERATIONS. NET PATIENT SERVICE REVENUE --------------------------- NET PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE CENTER EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS AND INCLUDES VARIABLE CONSIDERATION (REDUCTIONS TO REVENUE) IN DETERMINING A TRANSACTION PRICE. THE 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 CONSISTS OF MAJOR PAYOR CLASSES FOR INPATIENT REVENUE AND MAJOR PAYER CLASSES AND TYPES OF SERVICES PROVIDED FOR OUTPATIENT REVENUE. BASED ON HISTORICAL COLLECTION TRENDS AND OTHER ANALYSES, THE 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 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 CENTER'S STANDARD CHARGES. THE 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. THE ESTIMATES FOR CONTRACTUAL ADJUSTMENTS AND DISCOUNTS ARE BASED ON CONTRACTUAL AGREEMENTS, THE CENTER'S DISCOUNT POLICIES AND HISTORICAL EXPERIENCE. FOR UNINSURED AND UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE CENTER DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH THE SERVICES RENDERED ON THE BASIS OF CHARGES REDUCED BY AN IMPLICIT PRICE CONCESSION OF 45%. GENERALLY, THE 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 CENTER. NET PATIENT SERVICE REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL CHARGES. THE 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 CENTER'S PERFORMANCE OBLIGATIONS ARE SATISFIED OVER TIME. THE CENTER MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE 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 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 WHEN APPLICABLE) 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 WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE. THE CENTER HAS DETERMINED THAT THE NATURE, AMOUNT, TIMING AND UNCERTAINTY OF REVENUE AND CASH FLOWS ARE AFFECTED BY THE FOLLOWING FACTORS: PAYORS, LINES OF BUSINESS AND TIMING OF WHEN REVENUE IS RECOGNIZED. 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 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 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 2020 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. SMC MAY REQUIRE A DEPOSIT BEFORE PROVIDING NON-EMERGENT, MEDICALLY NECESSARY CARE, AND THE DEPOSIT WILL BE INCLUDED AS PART OF ANY FINANCIAL ASSISTANCE CONSIDERATION. SMC WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS BEFORE IT HAS MADE REASONABLE EFFORTS TO NOTIFY THE INDIVIDUAL OF THE FINANCIAL ASSISTANCE POLICY AND TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE POLICY. SUCH REASONABLE EFFORTS SHALL INCLUDE: (1) NOTIFYING THE INDIVIDUAL ABOUT THE POLICY; (2) IN THE CASE OF AN INDIVIDUAL WHO SUBMITS AN INCOMPLETE FINANCIAL AID APPLICATION, PROVIDING THE INDIVIDUAL WITH INFORMATION RELEVANT TO COMPLETING THE FINANCIAL AID APPLICATION; AND (3) IN THE CASE OF AN INDIVIDUAL WHO SUBMITS A COMPLETE FINANCIAL AID APPLICATION, MAKING AND DOCUMENTING A DETERMINATION AS TO WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE POLICY. SMC'S PATIENT FINANCIAL SERVICES DEPARTMENT HAS THE FINAL AUTHORITY TO DETERMINE WHETHER REASONABLE EFFORTS HAVE BEEN MADE TO ASSESS WHETHER AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THE POLICY AND WHETHER SMC MAY THEREFORE ENGAGE IN COLLECTIONS AGAINST THE INDIVIDUAL.
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: ALL PATIENTS ARE INFORMED OF THE AVAILABILITY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AT TIME OF REGISTRATION. THE PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WILL ENSURE THAT PATIENTS ARE GIVEN THE APPLICATION. APPLICATIONS AND PLAIN LANGUAGE SUMMARY WILL BE AVAILABLE IN LANGUAGES COMMONLY SPOKEN IN THE HOSPITAL'S SERVICE AREA INCLUDING BUT NOT LIMITED TO ENGLISH AND SPANISH. 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. SMC TAKES REASONABLE AND APPROPRIATE MEASURES TO PUBLICIZE THIS POLICY TO ITS PATIENTS AND TO THE COMMUNITY THAT IT SERVES. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS CONSPICUOUSLY DISPLAYED AT PUBLIC LOCATIONS WITHIN THE HOSPITAL WITH SIGNAGE. SMC PROVIDES PAPER COPIES OF THE POLICY AND THE FINANCIAL AID APPLICATION FOR FREE UPON REQUEST. SMC HAS A 24 HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE-APPROPRIATE INFORMATION.
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 9 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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
DANIEL S TIMMERMAN DO MPH
TRUSTEE	$0	$295,480	$0	$75,000	$0	$160,381	$0	$0	$0	$20,280	$0	$551,141	$0	$0
DAVID G MARINI
PHARMACIST	$134,810	$0	$0	$0	$1,787	$0	$0	$0	$38,696	$0	$175,293	$0	$0	$0
JUSTINE C MURPHY BSHA RN
DIRECTOR, PERIOPERATIVE SVCS	$136,101	$0	$0	$0	$3,964	$0	$0	$0	$26,682	$0	$166,747	$0	$0	$0
BRIAN P MCCARTHY
DIRECTOR, INFORMATION SYSTEMS	$127,096	$0	$0	$0	$1,176	$0	$0	$0	$26,504	$0	$154,776	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I; QUESTION 7	FormAndLineReferenceDesc
Explanation	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN THE INDIVIDUAL'S 2019 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SALEM HOSPITAL MGMT LLC
COLGAN, ROSEFSKY & GUANTEZ - TRUSTEE	$709,760	MANAGEMENT SERVICES	false
310 WOODSTOWN URBAN RENEWAL LLC
COLGAN, ROSEFSKY & GUANTEZ - TRUSTEE	$3,143,481	RENT	false
499 BECKETT ROAD ASSOCIATES
COLGAN, ROSEFSKY & GUANTEZ - TRUSTEE	$124,185	RENT	false
HEALTHCARE PREFERRED PARTNERS
RICCETELLI - OFFICER	$159,667	PROFESSIONAL SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	WILLIAM J. COLGAN AND STEVEN ROSEFSKY AND MANNY GUANTEZ ARE TRUSTEES OF THE ORGANIZATION. SALEM MEDICAL CENTER UTILIZED THE SERVICES OF SALEM HOSPITAL MANAGEMENT, LLC. TOTAL FEES PAID TO SALEM HOSPITAL MANAGEMENT, LLC DURING 2020 AMOUNTED TO $709,760. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. WILLIAM J. COLGAN AND STEVEN ROSEFSKY AND MANNY GUANTEZ ARE TRUSTEES OF THE ORGANIZATION. SALEM MEDICAL CENTER PAID RENT TO 310 WOODSTOWN URBAN RENEWAL, LLC DURING THE YEAR ENDED DECEMBER 31, 2020. TOTAL RENT PAID TO 310 WOODSTOWN URBAN RENEWAL, LLC AMOUNTED TO $3,143,481. RENT CHARGED WAS AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. WILLIAM J. COLGAN AND STEVEN ROSEFSKY AND MANNY GUANTEZ ARE TRUSTEES OF THE ORGANIZATION. SALEM MEDICAL CENTER PAID RENT TO 499 BECKETT RD ASSOCIATES DURING THE YEAR ENDED DECEMBER 31, 2020. TOTAL RENT PAID TO 499 BECKETT RD ASSOCIATES AMOUNTED TO $124,185. RENT CHARGED WAS AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. VINCENT RICCITELLI IS AN OFFICER OF THE ORGANIZATION. SALEM MEDICAL CENTER UTILIZED THE SERVICES OF HEALTHCARE PREFERRED PARTNERS. TOTAL FEES PAID TO HEALTHCARE PREFERRED PARTNERS DURING 2020 AMOUNTED TO $159,667. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 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. SALEM MEDICAL CENTER IS AGAIN LOOKING TO MODERNIZE ITS FACILITY, WITH SEVERAL PROJECTS UNDERWAY, INCLUDING: - RENOVATIONS TO THE VISITOR LOBBY; - RENOVATIONS TO THE AMBULATORY SURGERY CENTER, INCLUDING THREE OPERATING SUITES, ONE ENDOSCOPY ROOM, SEVEN PRE-OP, SEVEN POST-OP, AND FOUR STEPDOWN CHAIRS; - CONSTRUCTION OF A MEDICAL SURGICAL UNIT THAT WILL SERVICE PATIENTS WITH A SECONDARY DIAGNOSIS OF SUBSTANCE ABUSE; AND - A FULLY DIGITAL IMAGING SUITE, OFFERING 3-D MAMMOGRAPHY, MRI, DEXA SCANS, NUCLEAR MEDICINE, PET SCANS, CT SCANS, AND ULTRASOUND TESTING. 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 CONTINUES TO GROW WITH THE ADDITION OF A MUCH NEEDED 26-BED INPATIENT PSYCHIATRIC UNIT AND A MEDICAL-SURGICAL UNIT THAT WILL SERVICE PATIENTS WITH A SECONDARY DIAGNOSIS OF SUBSTANCE ABUSE. SMC'S WOUND CARE MOVED TO THE FRONT OF THE FACILITY WITH ITS OWN OUTSIDE ENTRANCE MAKING ENTRY MUCH EASIER FOR PATIENTS. THE FULLY DIGITAL IMAGING SUITE OFFERS 3D MAMMOGRAPHY, MRI, DEXA SCANS, NUCLEAR MEDICINE, ULTRASOUND AND PET OR CT SCANS ONCE A MONTH. THE RETURN OF BARIATRIC SURGERY PERFORMED BY DR. HARISH KAKKILAYA IS AN EXCITING ADDITION FOR THE HOSPITAL, AND INTERVENTIONAL RADIOLOGY IS A SPECIAL SERVICE OFFERED TO TREAT PERIPHERAL ARTERY DISEASE. 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 - SLEEP DISORDER CENTER - STROKE CARE - SURGICAL SERVICES - WOUND CARE 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. 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.
CORE FORM, PART IV; QUESTION 20B	AS OF THE DATE OF FILING THIS FORM 990 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS HAVE NOT BEEN ISSUED; THEREFORE, THE ORGANIZATION'S INTERNAL FINANCIAL STATEMENTS HAVE BEEN ATTACHED TO THIS FORM 990 FOR FILING PURPOSES.
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 2020. 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, 2020. TAMMY TORRES (CHIEF EXECUTIVE OFFICER) -------------------------------------- REPORTABLE COMPENSATION - $321,884 OTHER COMPENSATION (NON-TAXABLE BENEFITS) - $1,075 TOTAL COMPENSATION - $322,959 VINCENT RICCITELI (CHIEF FINANCIAL OFFICER) -------------------------------------- REPORTABLE COMPENSATION - $86,736 OTHER COMPENSATION (NON-TAXABLE BENEFITS) - $4,282 TOTAL COMPENSATION - $91,018 VINCENT RICCITELLI BECAME AN EMPLOYEE OF THE MANAGEMENT COMPANY EFFECTIVE AUGUST 2020. PRIOR TO BECOMING AN EMPLOYEE OF THE MANAGEMENT COMPANY, HEALTHCARE PREFERRED PARTNERS WAS CONTRACTED TO PROVIDE A CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER WAS RESPONSIBLE FOR THE MANAGEMENT OF THE FINANCIAL FUNCTIONS OF THE HOSPITAL AND RELATED ORGANIZATIONS. IN ADDITION, THE CHIEF FINANCIAL OFFICER WAS RESPONSIBLE FOR MANAGING THE HOSPITAL'S OUTSOURCED FINANCIAL FUNCTIONS, PAYER RELATIONS/CONTRACTING, PHYSICIAN CONTRACTING, PREPARATION OF MONTHLY FINANCIAL STATEMENTS AND MANAGING THE PERFORMANCE OF THE AUDIT OF THE FINANCIAL STATEMENTS. VINCENT RICCITELLI SERVED AS THE CONTRACTED CHIEF FINANCIAL OFFICER THROUGH JULY 2020. FEES PAID TO HEALTHCARE PREFERRED PARTNERS BY SALEM HOSPITAL MANAGEMENT, LLC FOR THE CHIEF FINANCIAL OFFICER SERVICES PROVIDED TO THE SYSTEM AMOUNTED TO $119,000. TOTAL FEES PAID BY THIS ORGANIZATION TO HEALTHCARE PREFERRED PARTNERS FOR ALL CONSULTING SERVICES PROVIDED IS FURTHER DISCLOSED IN SCHEDULE L OF THIS FEDERAL FORM 990.
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"). 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 FILED WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. IN ACCORDANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ALL DIRECTORS, OFFICERS AND KEY PERSONS WILL, AT LEAST ANNUALLY, FILE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE FINANCE COMMITTEE CHAIR, OR ITS DESIGNEE, WHO WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE FINANCE COMMITTEE. FOR DIRECTORS, THE CONFLICT OF INTEREST DISCLOSURE STATEMENT WILL SPECIFICALLY INCLUDE, AMONG OTHER DISCLOSABLE INTERESTS, A STATEMENT IDENTIFYING, TO THE BEST OF THE DIRECTOR'S KNOWLEDGE, ANY ENTITY OF WHICH HE OR SHE IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS A SOLE PROPRIETOR OR A PARTNER), OR EMPLOYEE AND WITH WHICH THE CORPORATION HAS A RELATIONSHIP, AND ANY TRANSACTION IN WHICH THE CORPORATION IS A PARTICIPANT AND IN WHICH THE DIRECTOR MIGHT HAVE A DISCLOSABLE INTEREST. EVERY DIRECTOR, OFFICER AND KEY PERSON HAS AN AFFIRMATIVE OBLIGATION TO UPDATE HIS OR HER ANNUAL WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WHENEVER THERE ARE NEW OR CHANGED FACTS OR CIRCUMSTANCES THAT CREATE A DISCLOSABLE INTEREST. ALL SUCH STATEMENTS ARE TO BE FILED WITH THE FINANCE COMMITTEE CHAIR, OR ITS DESIGNEE, WHO WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE FINANCE COMMITTEE. IF DURING THE COURSE OF A BOARD MEETING, DISCUSSION, OR DELIBERATION ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST BECOMES APPARENT TO A BOARD MEMBER, THE BOARD MEMBER MUST DISCLOSE SUCH ACTUAL OR POTENTIAL CONFLICT TO THE BOARD OF DIRECTORS. IF ANOTHER BOARD MEMBER BECOMES AWARE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, HE OR SHE SHALL DISCLOSE SUCH CONFLICT IF THE CONFLICTED BOARD MEMBER IS ABSENT OR DOES NOT DISCLOSE IT. IN BOTH CASES, SUCH DISCLOSURE SHALL BE MADE A MATTER OF RECORD. THE FINANCE COMMITTEE CHAIR, ON BEHALF OF THE SECRETARY OF THE CORPORATION, WILL ENSURE THAT ALL PERSONNEL FILE DISCLOSURE STATEMENTS, OR FOLLOW-UP TO MAKE SURE THEY DO, IN ACCORDANCE WITH THIS POLICY. IF PERSONNEL FAIL TO COMPLY WITH THE POLICY'S DISCLOSURE REQUIREMENTS, THE FINANCE COMMITTEE CHAIR WILL REPORT SUCH FAILURE TO THE FINANCE COMMITTEE, WHICH SHALL RECOMMEND APPROPRIATE CORRECTIVE ACTION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN SALEM MEDICAL CENTER AND ITS AFFILIATE; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S BOARD OF TRUSTEES IS RESPONSIBLE FOR HIRING AND ESTABLISHING THE COMPENSATION (SALARY AND BENEFITS) OF THE KEY EXECUTIVES/CEO BY IDENTIFYING COMPENSATION THAT IS "REASONABLE AND NOT EXCESSIVE," BUT THAT ALSO IS ATTRACTIVE ENOUGH TO RETAIN THE BEST POSSIBLE TALENT TO LEAD THE ORGANIZATION. THE PROCESS FOR DETERMINING THE APPROPRIATE COMPENSATION INVOLVES CONDUCTING A REVIEW OF WHAT SIMILARLY SIZED PEER ORGANIZATIONS, IN THE SAME GEOGRAPHIC LOCATION, OFFER THEIR SENIOR LEADERS. THE "INDEPENDENT BODY" (THE PERSON RECEIVING THE COMPENSATION WILL NOT BE PART OF THE REVIEW PROCESS) CONDUCTS A "COMPARABILITY REVIEW." THE INDEPENDENT BODY TAKES A LOOK AT "COMPARABLE" SALARY AND BENEFITS DATA, SUCH AS DATA AVAILABLE FROM SALARY AND BENEFIT SURVEYS, TO LEARN WHAT NONPROFIT EMPLOYERS WITH SIMILAR MISSIONS, AND OF A SIMILAR BUDGET SIZE, THAT ARE LOCATED IN THE SAME, OR A SIMILAR GEOGRAPHIC REGION, PAY THEIR SENIOR LEADERS. THE BOARD/INDEPENDENT BODY CONDUCTS THE REVIEW OF WHO SHOULD BE INVOLVED, (AND THEIR "INDEPENDENCE" I.E., THAT THEY DO NOT RECEIVE COMPENSATION FROM THE NONPROFIT) AND THE PROCESS USED TO CONDUCT THE REVIEW, AS WELL AS THE DISPOSITION OF THE FULL BOARD'S DECISION TO APPROVE THE EXECUTIVE LEADERSHIP'S COMPENSATION. THE MINUTES OF A MEETING ARE RECORDED. COMPENSATION INCLUDES SALARY AND BENEFITS, SUCH AS INSURANCE, A CAR, HOUSING ALLOWANCE, OR OTHER FRINGE BENEFITS AND NON-TAXABLE BENEFITS, THAT ARE INCLUDED IN THE CALCULATION OF TOTAL ANNUAL COMPENSATION. COMPARABLE DATA IS COMPENSATION DATA FROM "SIMILARLY QUALIFIED," "FUNCTIONALLY COMPARABLE,SIMILARLY SITUATED NONPROFITS (IN THE SAME OR A NEARBY GEOGRAPHIC AREA, OF SIMILAR BUDGET SIZE, AND IN A SIMILAR OR THE SAME SUB-SECTOR).
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 PRIOR YEAR BALANCE SHEET HAS BEEN RESTATED TO CONFORM WITH THE ORGANIZATION'S 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"). THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE IN PROGRESS BY AN INDEPENDENT CPA FIRM AND NOT ISSUED AS OF THE DATE OF FILING THIS FORM 990. THE ORGANIZATION'S FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:757016
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:3227971
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:110201
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:3553114
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4814079
FORM 990 PART IX LINE 11G	DESCRIPTION:REVENUE CYCLE SERVICES TOTAL FEES:3232630
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:764971

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	$4,413,356	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