2021-11-12T07:32:24-06:00 2020-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2020-01-01 210660835 SHORE MEMORIAL HOSPITAL % DAVID R HUGHES SHOR 6096533545 100 MEDICAL CENTER WAY SOMERS POINT NJ 082442387 DAVID R HUGHES CFO 6096533545 2021-11-05 true DAVID R HUGHES 000000000 Scott J Mariani P00642486 9738989494 2021-11-05 2 2020 2022-09-23 18:48:47Z SHORE MEDICAL CENTER RONALD W JOHNSON 100 MEDICAL CENTER WAY SOMERS POINT NJ 082442387 197545300 false X WWW.SHOREMEDICALCENTER.ORG X 1942 NJ TO CARE FOR & RESPECT ALL PATIENTS, THEIR FAMILIES & EACH OTHER. 23 21 1250 36 0 0 2169008 15313422 192075620 177729977 4732566 2963590 1260510 1083788 200237704 197090777 178422 111999 0 0 80860809 75548982 0 0 1086375 100181756 98159634 181220987 173820615 19016717 23270162 276330185 304994274 180529829 195154513 95800356 109839761 X THE MISSION OF SHORE MEDICAL CENTER IS TO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. THE ORGANIZATION PROVIDES EMERGENCY AND MEDICAL NECESSARY HEALTHCARE SERVICES FOR ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. FOR ADDITIONAL INFORMATION, PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 67663903 111999 61283198 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT MEDICAL SERVICES (EXCLUDES SURGICAL CASES AND MATERNAL CHILD HEALTH), TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2020, THE ORGANIZATION HAD 5,892 DISCHARGES FOR A TOTAL OF 28,789 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 21621765 0 29540069 EXPENSES INCURRED IN PROVIDING MEDICAL NECESSARY SAME DAY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2020, THE ORGANIZATION TREATED 3,151 SAME DAY SURGERY CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 7220942 0 9829049 EXPENSES INCURRED IN PROVIDING MEDICAL NECESSARY MATERNAL AND PEDIATRIC INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2020, THE ORGANIZATION HAD 1,907 DISCHARGES FOR A TOTAL OF 4,641 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.. 42336321 0 77077661 138842931 true true false true false false false false false true true false true true true true false true false false false false false false true false true true true false true true false false false false false false false true true false false false false false true true true true false false true 265 0 true 1250 true false false false false false true true false false false false true false X 23 21 false false false false true true true true true false false true true true true true true true true false NJ X DAVID R HUGHES 6096533545 100 MEDICAL CENTER WAY SOMERS POINT NJ 082442387 X RONALD W JOHNSON TRUSTEE - PRESIDENT/CEO 55.0 0.0 X X 1590968 0 82749 DAVID R HUGHES CFO/CDO 55.0 0.0 X 564806 0 85940 JEANNE M ROWE MD CHIEF MEDICAL OFFICER 55.0 0.0 X 550549 0 82772 LINDA S KENWOOD COO/CNO 55.0 0.0 X 511084 0 67395 CHARLES A DENNIS MD PHYSICIAN ADVISOR 55.0 0.0 X 342736 0 47421 FREDERICK L BANNER CHIEF INFORMATION OFFICER 55.0 0.0 X 327053 0 40837 STEPHEN CAPECCI DO HOSPITALIST 55.0 0.0 X 331776 0 20017 ALAN L BEATTY VP HUMAN RESOURCES 55.0 0.0 X 300755 0 29428 LATOYA ROBERTS DO HOSPITALIST 55.0 0.0 X 266577 0 25877 ROBIN KEYACK VP AMB & SURG SVS(EFF 10/2020) 55.0 0.0 X 234345 0 25952 ROBERT L WOOD DIRECTOR OF FINANCE 55.0 0.0 X 227656 0 31862 DANIEL JACOBY MD HOSPITALIST 55.0 0.0 X 229225 0 19758 ROBERT J BRAY DDS MS CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 EDWARD KUEHNLE VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 R SCOTT HALLIDAY SECRETARY/ASST TREAS - TRUSTEE 1.0 0.0 X X 0 0 0 RONALD B STABLINI CPA MBA TREAS/ASST SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 ROBERT C ALLEN TRUSTEE 1.0 0.0 X 0 0 0 AUTUMN BAYLES TRUSTEE 1.0 0.0 X 0 0 0 DAVID BEYEL TRUSTEE 1.0 0.0 X 0 0 0 AUGGIE CIPOLLINI TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA Q CONNOLLY TRUSTEE 1.0 0.0 X 0 0 0 GERALD J CORCORAN ESQ TRUSTEE 1.0 0.0 X 0 0 0 JOHN DABEK TRUSTEE 1.0 0.0 X 0 0 0 FERNANDO DELASOTTA MD TRUSTEE 1.0 0.0 X 0 0 0 ARTHUR T FORD III ESQ TRUSTEE 1.0 0.0 X 0 0 0 JAY A GILLIAN TRUSTEE 1.0 0.0 X 0 0 0 KEN KOREYVA TRUSTEE 1.0 0.0 X 0 0 0 ROBERTA MAY DO TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 JUDITH L ROMAN TRUSTEE 1.0 0.0 X 0 0 0 MUKESH ROY MD TRUSTEE 1.0 0.0 X 0 0 0 GARY G SCHAFFER TRUSTEE 1.0 0.0 X 0 0 0 CARMINE J TAGLIALATELLA JWC TRUSTEE 1.0 0.0 X 0 0 0 RICHARD L TRAA TRUSTEE 1.0 0.0 X 0 0 0 SANDY TZAFEROS PHARMD TRUSTEE 1.0 0.0 X 0 0 0 5477530 0 560008 129 false true false UNIDINE CORPORATION 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 FOOD MANAGEMENT 3780278 XANITOS INC 3809 WEST CHESTER PIKE NEWTOWN SQUARE PA 19073 CLEANING 3484380 SHORE MEMORIAL PHYSICIANS GROUP 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 MEDICAL 1532073 ADVANTAGE WOMEN'S HEALTH LLC 22 NORTH FRANKLIN AVENUE PLEASANTVILLE NJ 08232 MEDICAL 1455412 TRUSTEES OF THE UNIVERSITY OF PA 3400 SPRUCE STREET PHILADELPHIA PA 19104 MEDICAL 1218310 62 121408 13506690 1685324 15313422 NET PATIENT SERVICE REVENUE 622110 177913402 177913402 NET LOSS IN RELATED HC PROG SVCS 621111 -423280 -423280 AUXILIARY INCOME 813410 239855 239855 177729977 0 0 0 0 951722 345738 605984 0 605984 605984 3046608 1636 84654 3046608 -83018 2963590 2963590 21092 121408 21092 12765 3039 9726 9726 0 0 0 CAFETERIA/VENDING 722310 468078 468078 468078 197090777 177729977 4047378 X 111999 111999 0 0 0 4494633 3544261 929057 21315 0 58956238 46490180 12186467 279591 1572947 1240354 325134 7459 5224987 4120184 1080024 24779 5300177 4179476 1095566 25135 164148 106052 55870 2226 356467 230304 121329 4834 305632 197461 104026 4145 64785 64785 0 9368 6052 3189 127 31063430 20069298 10572898 421234 524333 524333 0 0 1880608 1215013 640093 25502 3453658 2231321 1175504 46833 0 2967963 1917526 1010190 40247 26028 26028 0 0 0 54457 54457 0 0 977952 631831 332860 13261 0 10455748 6755194 3558769 141785 1613519 1042454 549185 21880 MEDICAL SUPPLIES 33041358 33041358 0 0 PHYSICIAN SERVICES 6153695 6153695 0 0 REPAIRS & MAINTENANCE 3474215 3474215 0 0 CONTRACTED SERVICES 1128192 1128192 0 0 444078 286908 151148 6022 173820615 138842931 33891309 1086375 1486084 400125 616295 520973 21822 130760 20085772 20273236 0 0 0 0 0 0 3165736 5059720 1827444 1923737 376485601 263963624 117340383 112521977 0 0 0 0 115611676 147701913 0 0 16174973 16461833 276330185 304994274 29947961 25468023 0 0 7195614 6669169 48436346 43955504 0 0 0 0 6989820 0 0 0 87960088 119061817 180529829 195154513 X 92633580 106272086 3166776 3567675 95800356 109839761 276330185 304994274 X 23270162 6066586 -15297343 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false true 64785 64785 false SCHEDULE C, PART II-B; QUESTION 1I SHORE MEDICAL CENTER ("MEDICAL CENTER") ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2020, THE MEDICAL CENTER PAID AN INDEPENDENT LOBBYING FIRM A TOTAL OF $60,000 FOR LOBBYING CONSULTING SERVICES. IN ADDITION, THE MEDICAL CENTER IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THIS ORGANIZATION IS ALLOCATED TOWARDS ITS LOBBYING EFFORTS. THIS ALLOCATION AMOUNTED TO $4,785 DURING 2020. 942234 134338 1076572 819362 122872 942234 871862 -52500 819362 786263 85599 871862 756953 29310 786263 1.00000 false false 5605070 5605070 142551772 57972558 84579214 226977308 204720507 22256801 1351451 1270559 80892 112521977 CASH & CASH EQUIVALENTS 79148046 F CERTIFICATES OF DEPOSIT 16642254 F EQUITY MUTUAL FUNDS 52090663 F FIXED INCOME MUTUAL FUNDS 748252 F U.S. EQUITY SECURITIES 1036233 F INSURANCE CONTRACTS 168488 F BEN INT IN PERPETUAL TRUST 2114916 F INVESTMENT IN AFFILIATES -4246939 F 147701913 DUE FROM AFFILIATES 12089496 DEPOSITS 197695 OTHER RECEIVABLES 3909070 OTHER ASSETS 265572 16461833 0 DUE TO THIRD PARTIES 28621705 ACCRUED RETIREMENT BENEFITS 86664976 RESERVE FOR INSURANCE CLAIMS 3478725 OTHER LIABILITIES 296411 119061817 X SCHEDULE D, PART V; QUESTION 4 THE MEDICAL CENTER HAS ADOPTED INVESTMENT POLICIES FOR ITS ENDOWMENT ASSETS THAT ARE CONSISTENT WITH THE POLICIES AND OBJECTIVES OF THEIR OVERALL INVESTMENTS; TO FURTHER THE ORGANIZATION'S CHARITABLE PURPOSES, PROGRAMS AND SERVICES. THE ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE A POSITIVE RATE OF RETURN WHILE ASSUMING A LOW LEVEL OF RISK. FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH THE DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR REQUIRES THE MEDICAL CENTER TO MAINTAIN IN PERPETUAL DURATION. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY. THE FOOTNOTE BELOW IS FROM THE SYSTEM'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. GOLF TOURNAMENT 142500 121408 21092 19972 1120 0 142500 121408 21092 19972 1120 21092 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 true true X true X true X 500. true true true false false 1262586 114409 1148177 0.00660 28914861 18663917 10250944 0.05900 30177447 18778326 11399121 0.06560 37950 37950 0.00020 886278 886278 0.00510 7497152 7497152 0.04310 139472 139472 0.00080 8560852 8560852 0.04920 38738299 18778326 19959973 0.11480 false 7547258 415099 49393974 60270531 -10876557 X true true 1 1 SHORE MEMORIAL HOSPITAL 100 MEDICAL CENTER WAY SOMERS POINT NJ 082442387 www.shoremedicalcenter.org 10103 X X X 1 SHORE MEMORIAL HOSPITAL 1 false false true X X X X X X X X 19 true false false true X www.shoremedicalcenter.org X true 19 true www.shoremedicalcenter.org false true X 200. 500. X X X X X true true X X X true X www.shoremedicalcenter.org X www.shoremedicalcenter.org X www.shoremedicalcenter.org X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 3I IN RESPONSE TO SHORE MEDICAL CENTER'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), THE ORGANIZATION DEVELOPED AND ADOPTED AN IMPLEMENTATION PLAN IN DECEMBER 2019, WHICH INCLUDES 2019, TO ADDRESS THE FOLLOWING HEALTH RISK FACTORS AND DISEASES IDENTIFIED AS HAVING THE GREATEST LEVEL OF PRIORITIZATION FOR THE COMMUNITY WE SERVE. THOSE AREAS ARE: - OBESITY; - HEART DISEASE; - CANCER; - DIABETES; AND - OPIOIDS. BELOW PLEASE FIND A DESCRIPTION OF THE ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE ORGANIZATION'S CHNA. ADDITIONALLY, DESCRIBED BELOW IS THE IMPACT OF ALL OF THOSE ACTIONS TAKEN. OBESITY & HEART DISEASE ----------------------- SCREENING & EDUCATION: SHORE PARTICIPATED IN SEVERAL MAJOR HEALTH SCREENING EVENTS DURING THE TIME FRAME, INCLUDING THE ANNUAL BAYFEST HEALTH FAIR AND THE JCC SENIOR EXPO, WHICH EACH RESULTED IN DIRECT EDUCATION AND SCREENING OF APPROXIMATELY 500 PEOPLE. SCREENINGS INCLUDE CARDIAC RISK ASSESSMENTS, STROKE RISK ASSESSMENTS, SLEEP DISORDER ASSESSMENTS, BALANCE DISORDER ASSESSMENTS, CANCER RISK FACTOR EDUCATION, EMERGENCY MEDICINE AND FIRST AID, GLUCOSE AND CHOLESTEROL TESTING, WITH EDUCATION FROM A NURSE TO HELP THOSE WHO EXHIBIT HIGH NUMBERS REDUCE THEIR RISK FACTORS THROUGH DIET AND EXERCISE AND RECOMMENDED FOLLOW UP WITH A PHYSICIAN. EXAMPLES OF OTHER COMMUNITY EFFORTS TO IMPACT THESE HEALTH RISKS INCLUDE: - GET YOUR SKINNY ON!: GET YOUR SKINNY ON! IS A WORKSHOP THAT WAS DEVELOPED TO TARGET YOUNG ADULTS AND FAMILIES AS AN OBESITY PREVENTION PROGRAM SPECIFICALLY TO REDUCE CANCER INCIDENCE. THE TOPICS INCLUDE NUTRITION, PHYSICAL ACTIVITY, EMOTIONAL COMPONENTS AND FOOD DEMONSTRATIONS. TWO PROGRAMS WERE HELD DURING 2019. - SENIOR SOCIALS: SENIOR SOCIALS ARE DESIGNED TO HELP SENIORS CONNECT WITH OTHERS WHILE LEARNING ABOUT A WIDE ARRAY OF HEALTH AND WELLNESS TOPICS. THE MONTHLY ONE-HOUR PROGRAMS OFTEN TOUCH ON CHRONIC DISEASE MANAGEMENT, HEALTH SCREENINGS, EXERCISE AND FITNESS, AND NUTRITION. - SPEAKERS BUREAU: SHORE HAS HAD A LONG HISTORY OF MAINTAINING AN ACTIVE SPEAKERS BUREAU, WITH EXPERTS AVAILABLE TO PRESENT AT LOCAL ORGANIZATIONS ON A WIDE ARRAY OF HEALTH AND WELLNESS TOPICS. WE RESPOND ENTHUSIASTICALLY TO ALL REQUESTS AND DO EVERYTHING POSSIBLE TO MEET THE NEEDS OF THE AUDIENCE. - SPLAC TOOL: THE SPLAC TOOL IS A SYSTEMATIC TOOL INTRODUCED IN 2014 AND DEVELOPED BY A HOSPITAL COMMITTEE TO LOWER READMISSION RATES IN THE HOSPITAL. THE PURPOSE IS TO RATE PATIENTS ON THEIR LIKELINESS ON BEING READMITTED. THE HIGHER THE TOTAL THE MORE LIKELY TO BE READMITTED. BY IDENTIFYING HIGH RISK PATIENTS THEN THIS IS COMMUNICATED IN A SIMPLE TO UNDERSTAND WAY TO THEIR PRIMARY CARE PHYSICIAN, REHAB FACILITY, ETC. THE GOAL IS TO PUT INTERVENTIONS IN PLACE TO KEEP THE PATIENT OUT OF THE HOSPITAL. THIS HAS DECREASED HOSPITAL READMISSION RATES, WHICH INDICATES THAT OUR EFFORTS ARE SUCCESSFUL. CANCER ------ SHORE MEDICAL CENTER HAS A DEDICATED CANCER CENTER. THE CANCER CENTER WORKS ON A VARIETY OF PROJECTS THAT FOCUS ON COMMUNITY OUTREACH. THIS IS DONE THROUGH OUR CANCER EDUCATION AND EARLY DETECTION ("CEED") PROGRAM, REGIONAL COALITION (CAPE ATLANTIC COALITION FOR HEALTH) AND COMMISSION ON CANCER PROGRAMS. WE OFFER A RANGE OF SPEAKERS ON SHORE MEDICAL CENTER'S SPEAKERS BUREAU. PARTICIPATION IN OVER 115 EVENTS HAVE OCCURRED REACHING OVER 3,800 PEOPLE ON VARIOUS CANCER AND HEALTH/WELLNESS TOPICS. THE CANCER CENTER PROVIDES GET YOUR SKINNY ON! EXAMPLES OF OTHER COMMUNITY EFFORTS TO IMPACT THESE HEALTH RISKS INCLUDE: - CEED PROGRAM: THE CEED PROGRAM PROVIDES FREE SCREENING FOR BREAST, CERVICAL, COLORECTAL, AND/OR PROSTATE CANCER IS AVAILABLE FOR UNINSURED and UNDERINSURED LOW INCOME PATIENTS. MORE THAN 1,200 SCREENINGS OCCURRED. - CHOOSE YOUR COVER FREE SKIN CANCER SCREENING EVENTS: 5 EVENTS OCCURRED SCREENING 174 PEOPLE. - BREAST EDUCATIONAL PROGRAMS: MULTIPLE WORKSHOPS FOCUSED ON BREAST HEALTH INFORMATION SUCH AS SELF EXAMS, SCREENING GUIDELINES, RISK FACTORS FOR BREAST CANCER, AND SIGNS AND SYMPTOMS OF BREAST CANCER. NINETEEN PROGRAMS WERE HELD. SCHEDULE H, PART V, SECTION B, QUESTION 5 IN THE CHNA THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY. SHORE MEDICAL CENTER COMPLETED AN ONLINE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY IN AN EFFORT TO GAIN INPUT FROM THE COMMUNITY ON HEALTH ISSUES OF CONCERN. THE SURVEY QUESTIONS WERE DEVELOPED IN A TEAM APPROACH BY BRAINSTORMING QUESTIONS AND EXAMINING SEVERAL SAMPLE SURVEYS. THE QUESTIONS WERE ADJUSTED BY STOCKTON UNIVERSITY TO PUT THE QUESTIONS IN PROPER FORMAT. THE SURVEY WAS DISPERSED THROUGH SHORE MEDICAL CENTER EMAIL BLASTS, LINKED TO THE SHORE MEDICAL CENTER'S WEBSITE AND AVAILABLE IN PHYSICIAN OFFICES. APPROXIMATELY 220 PEOPLE COMPLETED THE SURVEY. THIS GROUP WAS PREDOMINATELY CAUCASIAN (89.7%), FEMALE (77.1%) AND EMPLOYED FULL TIME OR RETIRED. FIFTY-TWO PERCENT HAD A COLLEGE EDUCATION AND ONLY 1% DID NOT HAVE HEALTH INSURANCE. INSURANCE COVERAGE WAS PREDOMINATELY COMMERCIAL COVERAGE (51.4%) AND MEDICARE (36.4%) AND A MAJORITY OF THE PEOPLE CONSIDERED THEMSELVES IN GOOD HEALTH OR BETTER. ADDITIONALLY, SHORE MEDICAL CENTER COMPLETED KEY REPRESENTATIVE INTERVIEWS. A REPRESENTATIVE FROM ATLANTIC COUNTY AND CAPE MAY COUNTY WERE IDENTIFIED, AS WELL AS A PUBLIC HEALTH REPRESENTATIVE FROM THE LOCAL UNIVERSITY. THE QUALITATIVE DATA WAS TALLIED AND PUT TOGETHER TO FORM A PICTURE OF THE COMMUNITY. SHORE MEDICAL CENTER ALSO FORMED A CHNA INTERNAL COMMITTEE CONSISTING OF THE FOLLOWING INDIVIDUALS/GROUPS IN ORDER TO ENSURE THAT THE HOSPITAL'S OUTREACH EFFORTS TRULY REFLECT THE CHANGING HEALTH NEEDS OF THE COMMUNITY THAT IT SERVES. - ALAN BEATTY, MBA, VICE PRESIDENT OF HUMAN RESOURCES - FREDERICK CANTZ, CHIEF COMPLIANCE OFFICER - JOSEPH JOHNSTON, MBA, CMPE, DIRECTOR OF ONCOLOGY SERVICES - BRIAN CAHILL, DIRECTOR OF MARKETING - ANGELA A. BAILEY, MSW, LSW, MANAGER OF CANCER COMMUNITY OUTREACH - SHORE MEDICAL CENTER, CANCER COMMITTEE SUBCOMMITTEE AND LEADERSHIP SCHEDULE H, PART V, SECTION B, QUESTION 7A THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/WELLYES/COMMUNITY_NEEDS_ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/WELLYES/COMMUNITY_NEEDS_ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 11 THE ORGANIZATION'S IMPLEMENTATION STRATEGY WAS ADOPTED AND POSTED ON THE HOSPITAL'S WEBSITE ON DECEMBER 2, 2019. THIS IMPLEMENTATION STRATEGY IDENTIFIES THE MEANS BY WHICH SHORE MEDICAL CENTER PLANS TO ADDRESS COMMUNITY HEALTH NEEDS DURING 2020 THROUGH 2022. BEYOND THE SERVICES AND PROGRAMS DETAILED IN ITS IMPLEMENTATION STRATEGY, SHORE HAS AND CONTINUES TO PROVIDE A FULL-RANGE OF SERVICES AND PROGRAMS TO OUR COMMUNITY. SHORE MEDICAL CENTER'S COMMITMENT TO ITS COMMUNITY, PATIENTS AND THEIR FAMILY MEMBERS RUNS PARALLEL TO ITS NOT-FOR-PROFIT MISSION. THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED AS PRIORITY HEALTH NEEDS: OBESITY, HEART DISEASE, CANCER, DIABETES AND OPIOID ISSUES. PROJECTS WERE DEVELOPED TO SPECIFICALLY ADDRESS EACH OF THE IDENTIFIED HEALTH NEEDS OVER THE COURSE OF THE IMPLEMENTATION PERIOD. THIS STRATEGY INCLUDES PROVIDING PRIORITY ATTENTION AND PLANS TO ADDRESS THESE KEY HEALTH ISSUES THROUGH BETTER EDUCATION AND IMPLEMENTATION OF PROGRAMS DESIGNED TO ADDRESS THE NEEDS OF OUR COMMUNITY. THROUGH THIS STRATEGY, SHORE HOPES TO IMPACT THE FOLLOWING: - CHRONIC DISEASE REDUCTION - DEATH RATE FROM HEART DISEASE DECREASE - DEATH RATE FROM CANCER DECREASE - DEATH RATE FROM DIABETES DECREASE - INCREASE ACCESS TO OPIOID ADDICTION TREATMENT BELOW IS A SUMMARY OF HOW THE ORGANIZATION PLANS TO ADDRESS THE IDENTIFIED HEALTH NEEDS: OBESITY ------- POOR HEALTH STATUS CAN RESULT WHEN MEMBERS OF THE COMMUNITY ARE IMPACTED BY MAJOR RISK FACTORS. ADDRESSING THESE MORE COMMON "ROOT" CAUSES OF POOR COMMUNITY HEALTH CAN SERVE TO IMPROVE THE COMMUNITY'S QUALITY OF LIFE, REDUCE MORTALITY AND MORBIDITY AND PREVENT FUTURE DEVELOPMENT OF DISEASE. OBESITY IS LINKED TO CHRONIC DISEASE. DUE TO THE HIGH LEVEL OF OBESITY AND CHRONIC DISEASE IN THE COMMUNITY, STRATEGIES TO REDUCE OBESITY ARE A FOCUS. STRATEGY 1: SUPPORT THE COMMUNITY FOODBANK OF NEW JERSEY (LOCAL CHAPTER) WITH A VARIETY OF ACTIVITIES WITHIN THE HOSPITAL SUCH AS FOOD DRIVES, AS WELL AS SUPPORTING THE LOCAL MOBILE FOODBANK THROUGH EDUCATION AND AID. STRATEGY 2: EDUCATE PHYSICIANS IN THE COMMUNITY ABOUT TOOLS FOR PRIMARY PREVENTION OF DISEASE SUCH AS UTILIZING THE ELECTRONIC HEALTH RECORD OR DEVELOPING SYSTEMATIC ADJUSTMENTS WITHIN THEIR PRACTICE TO PROMOTE HEALTH. CHRONIC DISEASE (HEART DISEASE, CANCER & DIABETES) ------------------------------------------------- COMMUNITY MEMBERS SUFFER FROM AND HAVE CONCERNS ABOUT HEART DISEASE, CANCER AND DIABETES. DEVELOPING AND WORKING ON THESE CHRONIC DISEASES SPECIFICALLY CAN IMPROVE HEALTH OUTCOMES FOR PEOPLE WITH DISEASE. THE FOLLOWING STRATEGIES TARGET THESE AREAS DIRECTLY. STRATEGY 3: EXPANSION OF CARDIOVASCULAR SERVICES BY PARTNERING WITH A TERTIARY ORGANIZATION WITH A STRONG CARDIOLOGY PROGRAM. STRATEGY 4: IMPROVE CLINICAL TRIAL ACCESS FOR COMMUNITY CANCER PATIENTS THROUGH NCI NATIONAL CLINICAL TRIALS NETWORK MEMBERSHIP. STRATEGY 5: PARTNER WITH A DIABETES PREVENTION PROGRAM FOR HIGH RISK COMMUNITY MEMBERS. IMPROVE THE CARE TRANSITION BETWEEN INPATIENT TO OUTPATIENT TO ENSURE PROPER DIABETES EDUCATION, SELF-MANAGEMENT, RESOURCES, AND TRAINING. WELL BEING ---------- SHORE MEDICAL CENTER HAS A STRONG TRADITION OF MEETING COMMUNITY HEALTH NEEDS THROUGH ITS ONGOING COMMUNITY BENEFIT PROGRAMS. SHORE WILL CONTINUE THIS COMMITMENT THROUGH THE STRATEGY BELOW. STRATEGY 6: PROVIDE PROGRAMS SUCH AS OUR MONTHLY "WELLNESS TO WELL BEINGOTHER EDUCATIONAL WORKSHOPS TO THE PUBLIC. THIS INCLUDES THE SHORE MEDICAL CENTER'S SPEAKER BUREAU WHICH HAS A VARIETY OF PROFESSIONALS AVAILABLE TO PRESENT MANY DIFFERENT HEALTH TOPICS WHERE COMMUNITY GROUPS COME TOGETHER. OPIOIDS ------- THE OPIOID EPIDEMIC HAS GAINED MOMENTUM BOTH LOCALLY AND NATIONALLY AND HAS BECOME A GROWING CONCERN. SHORE SUPPORTS HEALTHCARE PROVIDERS AND PATIENTS IN THE BATTLE AGAINST OPIOID ADDICTION. STRATEGY 7: INCREASE ACCESS TO OPIOID ADDICTION SUPPORT SERVICES THROUGH LOCAL PARTNERSHIP WITH AN ADDICTION/MENTAL HEALTH SERVICE AGENCY. STRATEGY 8: EDUCATE INTERNAL STAFF, INCLUDING PHYSICIANS BY PROVIDING ONSITE EDUCATIONAL OPPORTUNITIES ABOUT OPIOID ADDICTION AND TREATMENT. SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/PATIENTS_VISITORS/PATIENTS/INSURANCE/FINANC IAL_ASSISTANCE SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CHARITY CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ------------------------------------------------------------------------- CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME CRITERIA: PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% AND LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE. FREE CARE OR PARTIALLY COVERED CHARGES WILL BE DETERMINED BY USE OF THE NEW JERSEY DEPARTMENT OF HEALTH FEE SCHEDULE. IF PATIENTS ON THE 20% TO 80% SLIDING FEE SCALE ARE RESPONSIBLE FOR QUALIFIED OUT-OF-POCKET PAID MEDICAL EXPENSES IN EXCESS OF 30% OF THEIR GROSS ANNUAL INCOME (I.E. BILLS UNPAID BY OTHER PARTIES), THEN THE AMOUNT IN EXCESS OF 30% IS CONSIDERED HOSPITAL CARE PAYMENT ASSISTANCE. ASSET CRITERIA: CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. NEW JERSEY UNINSURED DISCOUNT PUBLIC LAW 2008, C. 60 ("UNINSURED DISCOUNT") ---------------------------------------------------------------- THE NEW JERSEY UNINSURED DISCOUNT (NJ LAW - BILL S-1797/A-2609) IS AVAILABLE TO UNINSURED PATIENTS WHOSE FAMILY GROSS INCOME IS LESS THAN 500% OF FPG. ELIGIBLE INDIVIDUALS MUST BE NEW JERSEY RESIDENTS. HOWEVER, SMC HAS ELECTED TO APPLY THIS DISCOUNT TO ALL UNINSURED PATIENTS IRRESPECTIVE OF INCOME LEVEL OR RESIDENCY. SMC OFFERS DISCOUNTED RATES TO ALL UNINSURED INDIVIDUALS. UNDER THIS PROGRAM, AN ELIGIBLE PATIENT WILL BE CHARGED AN AMOUNT NO GREATER THAN 115% OF THE MEDICARE FEE SCHEDULE. UNINSURED BILLING LIMITS ARE IN ACCORDANCE WITH NJ P.L.2008 C60. SCHEDULE H, PART I, LINE 6A NOT APPLICABLE. SCHEDULE H, PART I, LINE 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II SHORE MEMORIAL HOSPITAL D/B/A SHORE MEDICAL CENTER ("THE MEDICAL CENTER") IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE MODEL OF CARE IS A PATIENT-CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS. SCHEDULE H, PART III, LINES 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. SHORE MEMORIAL HEALTH SYSTEM PREPARES AND ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF SHORE MEMORIAL HEALTH SYSTEM & AFFILIATES. PATIENT ACCOUNTS RECEIVABLE --------------------------- PATIENT ACCOUNTS RECEIVABLE FOR WHICH THE SYSTEM RECEIVES PAYMENT UNDER COST REIMBURSEMENT, PROSPECTIVE PAYMENT FORMULAS, OR NEGOTIATED RATES, WHICH COVER THE MAJORITY OF PATIENT SERVICES, ARE STATED AT THE ESTIMATED NET AMOUNTS RECEIVABLE FROM PAYERS, WHICH ARE GENERALLY LESS THAN THE ESTABLISHED BILLING RATES OF THE SYSTEM. THE SYSTEM RECOGNIZES A RECEIVABLE WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE. PATIENT SERVICE REVENUE ----------------------- PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION TO WHICH THE SYSTEM IS EXPECTED TO BE ENTITLED TO IN EXCHANGE FOR PROVIDING PATIENT CARE FOR BOTH THE MEDICAL CENTER AND ANY EMPLOYED PHYSICIANS. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING MANAGED CARE ORGANIZATIONS AND GOVERNMENT PROGRAMS, I.E., MEDICARE AND MEDICAID) AND OTHERS AND THEY INCLUDED VARIABLE CONSIDERATION FOR RETROACTIVE ADJUSTMENTS DUE TO SETTLEMENT OF FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, PATIENTS AND THIRD-PARTY PAYORS ARE BILLED SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR SHORTLY AFTER DISCHARGE. PATIENT SERVICE REVENUE IS RECOGNIZED IN THE PERIOD IN WHICH THE PERFORMANCE OBLIGATIONS ARE SATISFIED UNDER CONTRACTS BY TRANSFERRING SERVICES TO PATIENTS. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE SYSTEM RECOGNIZES REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED CHARGES. THE SYSTEM BELIEVES THAT THIS METHOD PROVIDES AN APPROPRIATE DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF PERFORMANCE OBLIGATIONS BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATIONS. GENERALLY, PERFORMANCE OBLIGATIONS ARE SATISFIED OVER TIME RELATED TO PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES. THE SYSTEM MEASURES PERFORMANCE OBLIGATIONS FROM ADMISSION TO THE POINT WHEN THERE ARE NO FURTHER SERVICES REQUIRED FOR THE PATIENT, WHICH IS GENERALLY THE TIME OF DISCHARGE. THE SYSTEM RECOGNIZES REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, WHICH GENERALLY RELATE TO PATIENTS RECEIVING OUTPATIENT SERVICES, WHEN: (1) SERVICES ARE PROVIDED; AND (2) WHEN IT IS BELIEVED THE PATIENT DOES NOT REQUIRE ADDITIONAL SERVICES. THE SYSTEM HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE SYSTEM AT AMOUNTS DIFFERENT FROM ESTABLISHED CHARGES. INPATIENT ACUTE CARE SERVICES FOR MEDICARE AND MEDICAID BENEFICIARIES AND OUTPATIENT SERVICES FOR MEDICARE BENEFICIARIES ARE PAID PRIMARILY AT PROSPECTIVELY DETERMINED RATES. THESE RATES VARY ACCORDING TO PATIENT CLASSIFICATION SYSTEMS THAT ARE BASED ON CLINICAL, DIAGNOSTIC, AND OTHER FACTORS. CERTAIN OUTPATIENT SERVICES FOR MEDICAID BENEFICIARIES ARE PAID BASED ON A COST-REIMBURSEMENT METHODOLOGY, SUBJECT TO CERTAIN LIMITATIONS. THE SYSTEM IS REIMBURSED FOR COST REIMBURSABLE AND OTHER ITEMS AT A TENTATIVE RATE, WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE SYSTEM AND AUDITS THEREOF, BY THE PROGRAMS' FISCAL INTERMEDIARY. PROVISIONS FOR ESTIMATED ADJUSTMENTS RESULTING FROM AUDIT AND FINAL SETTLEMENTS HAVE BEEN RECORDED. DIFFERENCES BETWEEN THE ESTIMATED ADJUSTMENTS AND THE AMOUNTS SETTLED ARE RECORDED IN THE YEAR OF SETTLEMENT. THE SYSTEM'S COST REPORTS HAVE NOT BEEN SETTLED BY THE FISCAL INTERMEDIARIES FOR THE YEARS ENDED DECEMBER 31, 2017 THROUGH DECEMBER 31, 2020. IN THE OPINION OF MANAGEMENT, ADEQUATE PROVISION HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR ANY ADJUSTMENTS THAT MAY RESULT FROM THE FINAL SETTLEMENT OF THE SYSTEM'S COST REPORTS. FOR THE YEAR ENDED DECEMBER 31, 2020, NET PATIENT SERVICE REVENUE INCLUDES REVENUE OF APPROXIMATELY $557,000 RELATED TO FINAL SETTLEMENTS OF PRIOR YEAR COST REPORTS. REVENUES FROM THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FOR APPROXIMATELY 37% AND 7% AND 38% AND 8% OF THE SYSTEM'S PATIENT SERVICE REVENUE FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, RESPECTIVELY. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. THE SYSTEM BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS AND IS NOT AWARE OF ANY PENDING OR THREATENED INVESTIGATIONS INVOLVING ALLEGATIONS OF POTENTIAL WRONGDOING THAT WOULD HAVE A MATERIAL ADVERSE EFFECT ON THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. WHILE NO SUCH REGULATORY INQUIRIES HAVE BEEN MADE, COMPLIANCE WITH SUCH LAWS AND REGULATIONS CAN BE SUBJECT TO FUTURE GOVERNMENT REVIEW AND INTERPRETATIONS AS WELL AS SIGNIFICANT REGULATORY ACTION INCLUDING FINES, PENALTIES, AND EXCLUSION FROM THE MEDICARE AND MEDICAID PROGRAMS. THE SYSTEM HAS ALSO ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS AND HEALTH MAINTENANCE ORGANIZATIONS. THE BASIS FOR PAYMENT TO THE SYSTEM UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES PER DISCHARGE, DISCOUNTS FROM ESTABLISHED CHARGES, AND PROSPECTIVELY DETERMINED DAILY RATES. THESE AGREEMENTS HAVE RETROSPECTIVE AUDIT CLAUSES ALLOWING THE PAYOR TO REVIEW AND ADJUST CLAIMS SUBSEQUENT TO INITIAL PAYMENT. THE SYSTEM RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF THE CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR THE STATE CHARITY CARE ASSISTANCE PROGRAM, THE SYSTEM RECOGNIZES REVENUE ON THE BASIS OF DISCOUNTED RATES UNDER THE UNINSURED SELF PAY PATIENT DISCOUNT POLICY. UNDER THIS POLICY, UNINSURED PATIENTS THAT ARE INELIGIBLE FOR ANY GOVERNMENT ASSISTANCE PROGRAM ARE BILLED AT REDUCED CHARGES COMPARABLE TO THE COST OF PROVIDING CARE BASED UPON THE SYSTEM-SPECIFIC MEDICARE COST TO CHARGE RATIO. THE IMPACT OF THIS UNINSURED SELF PAY DISCOUNT POLICY ON THE CONSOLIDATED FINANCIAL STATEMENTS IS LOWER PATIENT SERVICE REVENUE, AS THE DISCOUNT IS CONSIDERED A PRICING CONSTRAINT. PATIENT SERVICE REVENUE FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, IS 95% AND 98% FROM THIRD-PARTY PAYORS AND 2% FROM SELF-PAY BASED ON PRIMARY INSURANCE DESIGNATION. DEDUCTIBLES AND COPAYMENTS UNDER THIRD-PARTY PAYMENT PROGRAMS WITHIN THE THIRD-PARTY PAYOR AMOUNTS ABOVE ARE THE PATIENTS' RESPONSIBILITY, AND THE SYSTEM CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE IMPLICIT PRICE CONCESSIONS BASED ON COLLECTION EXPERIENCE. SCHEDULE H, PART III, LINE 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, AS OF 2017, 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 AL SCHEDULE H, PART III, LINE 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. SHORE MEDICAL CENTER PROVIDES A FULL-RANGE OF HEALTHCARE SERVICES TO OUR COMMUNITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. WE RECOGNIZE THAT A CRITICAL PART OF PROVIDING HEALTHCARE SERVICES INCLUDES MITIGATING CONCERNS OUR PATIENTS MAY HAVE RELATED TO BILLING MATTERS. THIS BUSINESS PHILOSOPHY IS OUR COMMITMENT TO THE COMMUNITY, PATIENTS AND FAMILY MEMBERS WE SERVE. THIS COMMITMENT RUNS PARALLEL TO OUR NOT FOR PROFIT MISSION AND IS EVIDENCED BY THE FOLLOWING PROACTIVE MEASURES TAKEN BY SHORE MEDICAL CENTER TO PROVIDE FINANCIAL ASSISTANCE TO OUR PATIENTS. SHORE MEDICAL CENTER HAS A DISCOUNT PROGRAM TO ASSIST PATIENTS WHO ARE LEAST ABLE TO PAY. THE POLICY IS DESIGNED TO PROVIDE FINANCIAL RELIEF TO OUR SELF-PAY POPULATION BY REDUCING THE HOSPITAL'S STANDARD CHARGE FOR SERVICES RENDERED. AT THE TIME OF BILLING THE PATIENT, THE CHARGES ARE REDUCED TO AN ESTIMATED COST OF SERVICES. THE HOSPITAL ALSO ENSURES THAT ALL PATIENTS RECEIVE INFORMATION PERTAINING TO THE STATE CHARITY CARE PROGRAM FOR THE UNINSURED AND UNDER-INSURED. TO INQUIRE ABOUT SHORE'S SELF-PAY BILLING AND DISCOUNT POLICY, CHARITY CARE OR PAYMENT ARRANGEMENTS, PATIENTS MAY CONTACT THE PATIENT FINANCIAL SERVICES CREDIT AND COLLECTIONS OFFICE. SHORE MEDICAL CENTER ALSO OFFERS FINANCIAL COUNSELING AND SCREENING FOR PATIENTS TO ENSURE THAT ANY POTENTIAL THIRD PARTY COVERAGE UNDER OTHER GOVERNMENT PROGRAMS, SUCH AS MEDICAID, CAN BE IDENTIFIED. THIS SERVICE IS PROVIDED AT NO COST TO THE PATIENT. BILLING & COLLECTIONS --------------------- THE ORGANIZATION ABIDES BY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THESE PROVISIONS INCLUDE THE FOLLOWING: THE HOSPITAL APPROVES PAYMENT ARRANGEMENTS FOR OUR PATIENTS WHO CANNOT PAY THEIR BILLS IN FULL. THESE PAYMENT ARRANGEMENTS CAN BE TAILORED TO THE INDIVIDUAL NEEDS OF THE PATIENT. WE DO NOT CHARGE ADDITIONAL FEES IN THE FORM OF INTEREST FOR CARRYING THE BALANCES BEING PAID UNDER THESE ARRANGEMENTS. THE ACCOUNTS OF PATIENTS FOR WHICH THERE IS NO IDENTIFIED THIRD PARTY INSURANCE WILL FOLLOW A PREDEFINED SELF-PAY COLLECTION CYCLE. ANY REMAINING UNPAID ACCOUNTS THAT ARE NOT IN THE PROCESS OF MAKING PAYMENT ARRANGEMENTS AFTER A DEFINED SELF-PAY COLLECTION CYCLE OF 120 DAYS WILL BE TRANSFERRED TO A THIRD PARTY AGENCY FOR COLLECTION. THE ACCOUNT WILL REMAIN WITH THIS AGENCY FOR 180 DAYS. AFTER THIS TIME PERIOD, WITHOUT ANY AGREED UPON PAYMENT ARRANGEMENTS TO SATISFY THE UNPAID BALANCE, THE ACCOUNT WILL BE TRANSFERRED TO ANOTHER THIRDS PARTY COLLECTION AGENCY. AT THIS TIME, THE UNPAID BALANCE MAY BE REPORTED TO A CREDIT AGENCY, AND AS SUCH, APPEAR ON THE ACCOUNT GUARANTOR'S CREDIT REPORT. SHORE MEDICAL CENTER PURSUES COLLECTION OF BALANCES RIGHTFULLY OWED BY PATIENTS FOR SERVICES RENDERED AND CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES FOR THE PURPOSE OF COLLECTING DELINQUENT ACCOUNT BALANCES. THE COLLECTION AGENCIES OPERATE UNDER THE FEDERAL FAIR DEBT, CREDIT AND COLLECTION GUIDELINES. COLLECTION AGENCY ACTIVITY IS CLOSELY MONITORED BY THE HOSPITAL TO ENSURE THAT PATIENT COLLECTION EFFORTS ARE APPROPRIATE AND IN-LINE WITH OUR CUSTOMER SERVICE PHILOSOPHY. ALL PATIENT COMPLAINTS REGARDING DISSATISFACTION WITH SERVICES RENDERED OR BILLING ISSUES ARE HANDLED PROMPTLY AND IN A COURTEOUS MANNER TO ENSURE THAT CUSTOMER SERVICE REMAINS THE FOCUS OF ANY PATIENT CONCERN. ALL COMPLAINTS ARE CONSIDERED VALID AND PATIENT FEEDBACK IS WELCOME WITH RESPECT TO DISPUTED MATTERS. THE HOSPITAL ABSORBS A SIGNIFICANT AMOUNT OF BAD DEBT ANNUALLY (BALANCES DUE BY PATIENTS THAT ARE INTENTIONALLY NOT PAID), OR ARE INCURRED AS A RESULT OF MITIGATING CIRCUMSTANCES, BANKRUPTCY FILINGS AND OTHER COLLECTION MATTERS. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, AND QUESTIONS 1-12 AND SECTION C, THE ORGANIZATION TOOK THE FOLLOWING STEPS TO ENSURE THAT THE CHNA WAS MANAGED IN A LOGICAL AND EFFECTIVE MANNER INCLUDING THE FOLLOWING: - SELECT QUALITY DATA SOURCES FROM KEY ORGANIZATION SUCH AS U.S. CENSUS BUREAU, NEW JERSEY DEPARTMENT OF HEALTH, AMERICAN CANCER SOCIETY, ETC. - ENGAGE COMMUNITY REPRESENTATIVES, ESPECIALLY THOSE WITH PUBLIC HEALTH EXPERTISE - DEFINE THE COMMUNITY THAT WE SERVE THROUGH ZIP CODE ANALYSIS OF THE HOSPITAL CATCHMENT AREA - DEVELOPED AND ADMINISTERED A COMMUNITY SURVEY IN AN EFFORT TO GAIN THE COMMUNITY'S INPUT - PRIORITIZE THE HEALTH AND HEALTH-RELATED PROBLEMS BASED ON RELEVANT STATISTICS AND COMMUNITY'S CONCERN - IDENTIFIED DATA GAPS THROUGHOUT THE DATA COLLECTION EFFORTS THE GUIDES AND EXPERT ADVICE FOR THE CONDUCTING THE ASSESSMENT INCLUDED: - EDUCATIONAL WEBINARS BY THE NEW JERSEY HOSPITAL ASSOCIATION - GUIDE FOR PLANNING & REPORTING COMMUNITY BENEFIT BY CATHOLIC HEALTH ASSOCIATION - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) BY THE NATIONAL ASSOCIATION OF COUNTY & CITY OFFICIALS - SCHEDULE H (FORM 990) BY THE US DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE - GUIDANCE FROM PUBLIC HEALTH COMMUNITY LEADERS - DEVELOPED AN INTERNAL COMMITTEE FOR THE REVISION PROCESS IN ADDITION, THE ORGANIZATION REFERENCED KEY QUANTITATIVE SOURCES OF DATA IN ORDER TO ASSESS THE HEALTH NEEDS OF ITS COMMUNITY. INCLUDED BELOW ARE THE DATA SOURCES USED BY THE ORGANIZATION: - AMERICAN CANCER SOCIETY - AMERICAN DIABETES ASSOCIATION - AMERICAN HEART ASSOCIATION - ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH - CENTERS FOR DISEASE CONTROL AND PREVENTION - COUNTY HEALTH RANKINGS, UNIVERSITY OF WISCONSIN - NEW JERSEY CANCER REGISTRY - NEW JERSEY DEPARTMENT OF HEALTH - NEW JERSEY PRIMARY CARE ASSOCIATION - UNITED STATES CENSUS BUREAU - UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ORGANIZATION ALSO REFERENCED THE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH COMMUNITY HEALTH ASSESSMENT AND THE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH YOUTH RISK BEHAVIORAL SURVEY FOR ADDITIONAL INFORMATION REGARDING THE HEALTH NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI; QUESTION 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: (1) THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"), FINANCIAL ASSISTANCE APPLICATION ("APPLICATION") AND PLAIN LANGUAGE SUMMARY ("PLS") ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/PATIENTS_VISITORS/PATIENTS/INSURANCE/FINANC IAL_ASSISTANCE (2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE IN AT VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITY. (3) THE ORGANIZATION'S FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED. (4) SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. (5) THE ORGANIZATION ALSO MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SHORE MEDICAL CENTER HAS ENGAGED A THIRD PARTY TO PROVIDE EDUCATION AND ELIGIBILITY PROCESSING FOR FINANCIAL ASSISTANCE AND MEDICAID ELIGIBILITY. THIS THIRD PARTY MEETS WITH INPATIENTS, THEIR FAMILIES AND WALK IN PATIENTS TO PROVIDE ALL NECESSARY GUIDANCE FOR THE PATIENT FINANCIAL NEEDS. IN ADDITION THEY ALSO MAKE HOUSE CALLS FOR THOSE THAT NEED FURTHER ASSISTANCE AND HELP IN GETTING TO THE AGENCIES NECESSARY TO COMPLETE STATE APPLICATIONS. THE MEDICAL CENTER ALSO HAS AN ADDITIONAL 4 INDIVIDUALS THAT HELP PATIENTS COMPLETE THESE FORMS IN THE BUSINESS OFFICE, EMERGENCY DEPARTMENT AND THE ADMISSIONS OFFICE. SCHEDULE H, PART VI; QUESTION 4 SHORE MEDICAL CENTER IS LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. THE MEDICAL CENTER SERVES THE HEALTHCARE NEEDS OF BOTH THE YEAR ROUND AND SUMMER RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES AS WELL AS SEASONAL VISITORS FROM OTHER COMMUNITIES AND STATES. THE FOLLOWING DEMOGRAPHICS WERE CITED IN THE ORGANIZATION'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT: - ATLANTIC COUNTY'S POPULATION IN 2000 WAS 252,552. IT INCREASED TO 274,549 IN 2010 WHICH RESULTED IN AN 8.7% INCREASE TO THE TOTAL POPULATION. CAPE MAY COUNTY'S POPULATION WAS 102,326 IN 2000 AND DECREASED TO 97,265 IN 2010 WHICH RESULTED IN A 4.9% DECREASE TO THE TOTAL POPULATION. INDIVIDUAL MUNICIPALITIES FLUCTUATE BETWEEN INCREASES AND DECREASES OF POPULATION. BUENA, EGG HARBOR TOWNSHIP, GALLOWAY TOWNSHIP, HAMILTON TOWNSHIP AND WEYMOUTH TOWNSHIP HAD AN INCREASE OF 18% OR HIGHER WHILE BRIGANTINE, MARGATE, VENTNOR AND OCEAN CITY HAD A DECREASE OF 17% OR MORE. - THE MEDIAN AGE IN ATLANTIC COUNTY WAS 37.0 IN 2000 AND 39.9 IN 2010. CAPE MAY COUNTY MEDIAN AGE IS WAS 40.7 IN 2000 AND 47.1 IN 2010. THE POPULATION IS GROWING OLDER. ATLANTIC COUNTY'S TOTAL POPULATION IN 2010 CONSISTED OF 133,175 MEN AND 141,374 WOMEN REPRESENTING 48.5% AND 51.5% OF THE POPULATION RESPECTIVELY. AS THE POPULATION GROWS OLDER, THE COMPOSITION OF THE POPULATION CHANGES TO A HIGHER FEMALE BASED POPULATION. 51.3% OF THE POPULATION UNDER 19 IS MALE WITH 48.7% BEING FEMALE. IN THE AGE CATEGORY OF 80 AND OVER 35.7% OF THE POPULATION IS MALE AND 64.3% IS FEMALE. ADDITIONALLY, GENERATIONAL FLUCTUATIONS CAN BE IDENTIFIED AS THE 30-34 AND 35-39 AGE GROUPS ARE IN A DECREASE BETWEEN 2000 AND 2010 AND THE 55-59 AND 60-64 AGE GROUPS ARE IN AN INCREASE BETWEEN 2000 AND 2010. THE 85-89 AGE GROUP ALSO HAD A LARGE INCREASE. THESE POPULATION SHIFTS ILLUSTRATE THE POTENTIAL CHANGES NEEDED IN MEDICAL CARE SERVICES. IN 2010, ATLANTIC COUNTY HAD 38,902 CITIZENS 65 YEARS OLD OR OLDER WHICH IS 14.2% OF ITS POPULATION. 11 OUT OF 23 MUNICIPALITIES THAT HAVE A HIGHER PERCENTAGE OF SENIOR CITIZENS COMPARED TO THE COUNTY OVERALL AVERAGE. CAPE MAY COUNTY HAD 20,977 CITIZENS 65 YEARS OLD OR OLDER WHICH IS 21.6% OF THE POPULATION. LONGPORT, MARGATE, WEYMOUTH TOWNSHIP AND OCEAN CITY HAVE THE HIGHEST PERCENTAGE OF SENIOR POPULATION IN THE SHORE MEDICAL CENTER CATCHMENT AREA. - ACCORDING TO THE 2010 U.S. CENSUS, ATLANTIC COUNTY'S THREE HIGHEST POPULATIONS BY RACE ARE WHITE (65.4%), AFRICAN AMERICAN (16.1%) AND ASIAN (7.5%). THE CAPE MAY COUNTY MUNICIPALITIES POPULATION IS PREDOMINATELY WHITE (94.4%). AFRICAN AMERICANS REPRESENT 16.1% OF ATLANTIC COUNTY. FOUR MUNICIPALITIES HAVE A HIGHER PERCENTAGE OF AFRICAN AMERICANS THAN THE COUNTY PERCENTAGE. THESE MUNICIPALITIES ARE ATLANTIC CITY (38.3%), EGG HARBOR CITY (17.9%), HAMILTON TOWNSHIP (18.5%) AND PLEASANTVILLE (45.9%). TWO MUNICIPALITIES IN ATLANTIC COUNTY HAVE A HIGHER AFRICAN AMERICAN POPULATION THAN WHITE POPULATION. THESE TWO MUNICIPALITIES, ATLANTIC CITY AND PLEASANTVILLE, HAVE A RACIAL COMPOSITION AS FOLLOWS: ATLANTIC CITY'S 26.7% WHITE AND 38.3% AFRICAN AMERICAN; AND PLEASANTVILLE 24.3% WHITE AND 45.9% AFRICAN AMERICAN. ASIAN POPULATIONS HAVE INCREASED IN ATLANTIC COUNTY OVER THE PAST TEN YEARS. ACCORDING TO THE 2000 U.S. CENSUS THERE WERE 12,771 ASIANS IN ATLANTIC COUNTY CONSISTING OF 5.1% OF THE POPULATION. THE 2010 U.S. CENSUS REPORTS 20,595 ASIANS IN ATLANTIC COUNTY CONSISTING OF 7.5% OF THE POPULATION. THIS IS A 61.3% INCREASE IN POPULATION. FOUR MUNICIPALITIES IN ATLANTIC COUNTY HAVE A HIGHER PERCENTAGE OF ASIANS THAN THE COUNTY PERCENTAGE. THESE MUNICIPALITIES ARE ATLANTIC CITY (15.6%), EGG HARBOR TOWNSHIP (11.8%), GALLOWAY TOWNSHIP (10.0%) AND VENTNOR CITY (8.7%). LATINO POPULATIONS HAVE INCREASED IN ATLANTIC COUNTY OVER THE PAST TEN YEARS. ACCORDING TO THE 2000 U.S. CENSUS THERE WERE 30,729 LATINO/AS CONSISTING OF 12.2% OF THE POPULATION. THE 2010 U.S. CENSUS REPORTS 46,241 LATINO/AS IN ATLANTIC COUNTY CONSISTING OF 16.8% OF THE POPULATION. THIS IS A 50.5% INCREASE IN POPULATION. PUERTO RICANS MAKE UP 39.3% AND MEXICANS MAKE UP 23.5% OF THE LATINO/A COMMUNITY. ALTHOUGH THE PUERTO RICAN POPULATION IS LARGER MEXICAN POPULATIONS ARE GROWING MUCH QUICKER. OVER THE PAST TEN YEARS THE PUERTO RICAN POPULATION INCREASED 24.6% WHILE THE MEXICAN POPULATION DOUBLED AT AN INCREASE OF 118.8%. - THE 2010 CENSUS INFORMATION WAS NOT YET AVAILABLE FOR INCOME; THEREFORE THE AMERICAN COMMUNITY SURVEY CONDUCTED BY THE CENSUS BUREAU WAS USED TO ESTIMATE INCOME NUMBERS. THE ATLANTIC COUNTY 5 YEAR ESTIMATE WAS APPROXIMATELY 101,645 HOUSEHOLDS. HOUSEHOLDS ARE DEFINED AS EVERYONE LIVING IN A HOUSING UNIT AS THEIR USUAL RESIDENCE. THE ATLANTIC COUNTY MEDIAN INCOME WAS $54,766 AND THE MEAN INCOME WAS $71,086. CAPE MAY COUNTY HAD 45,420 HOUSEHOLDS WITH A MEDIAN INCOME OF $54,292 AND A MEAN INCOME OF $74,630. BOTH ATLANTIC COUNTY AND CAPE MAY COUNTY HOUSEHOLD INCOME MEASUREMENTS ARE LOWER THAN NEW JERSEY; MEDIAN $69,811 (MOE +/-309) AND MEAN $93,475 (MOE +/-360). - ATLANTIC COUNTY (11.8%) AND CAPE MAY COUNTY (12.7%) HAVE HIGHER PERCENTAGES OF THE POPULATION LIVING BELOW THE POVERTY LEVEL COMPARED TO NEW JERSEY (9.1%). ACCORDING TO THE AMERICAN COMMUNITY SURVEY APPROXIMATELY 30,757 PEOPLE LIVE BELOW THE POVERTY LEVEL IN ATLANTIC COUNTY. ATLANTIC CITY, EGG HARBOR CITY AND PLEASANTVILLE HAVE THE HIGHEST PERCENTAGES OF PEOPLE THAT LIVE BELOW THE POVERTY LEVEL. - EDUCATIONAL ATTAINMENT IS LOWER IN ATLANTIC COUNTY AND CAPE MAY COUNTY COMPARED TO NEW JERSEY. ACCORDING TO THE AMERICAN COMMUNITY SURVEY A HIGHER PERCENTAGE OF PEOPLE GRADUATE WITH BACHELOR AND GRADUATE DEGREES IN NEW JERSEY THAN IN ATLANTIC AND CAPE MAY COUNTY. IN NEW JERSEY, 21.6% RECEIVED BACHELOR DEGREES AND 13.0% RECEIVED GRADUATE DEGREES COMPARED TO 16.3% AND 7.2% FOR ATLANTIC COUNTY AND 17.4% AND 8.9% FOR CAPE MAY COUNTY RESPECTIVELY. 87.3% OF PEOPLE IN NEW JERSEY ARE A HIGH SCHOOL GRADUATE OR HIGHER AND 34.6% OF PEOPLE IN NEW JERSEY HAVE A BACHELOR'S DEGREE OR HIGHER. - APPROXIMATELY 76% OF THE ATLANTIC COUNTY'S POPULATION OVER 5 YEARS OLD SPEAKS ONLY ENGLISH. THIS IS SLIGHTLY HIGHER THAN NEW JERSEY IN WHICH 71.3% OF THE POPULATION OVER 5 YEARS OLD SPEAKS ONLY ENGLISH. CAPE MAY COUNTY HAS A MUCH HIGHER PERCENTAGE OF THE POPULATION THAT SPEAKS ONLY ENGLISH CONSISTING OF 90.9% OF THE POPULATION. THE HIGHEST SEGMENT OF THE POPULATION THAT SPEAKS ANOTHER LANGUAGE IS SPANISH OR SPANISH CREOLE. THIS IS ALSO THE CASE WITH NEW JERSEY AS A WHOLE (14.6%). - APPROXIMATELY 8.8% OF ATLANTIC COUNTY AND 13.4% OF CAPE MAY COUNTY ARE VETERANS. VIETNAM VETERANS MAKE UP THE LARGEST PERCENTAGE OF VETERANS AS SEEN IN TABLE 9-1. IN BOTH ATLANTIC AND CAPE MAY COUNTY MOST VETERANS ARE MEN (94.7% AND 95.0% RESPECTIVELY) AND WHITE (79.9% AND 93.7%) OR AFRICAN AMERICAN (14.1% AND 4.1%). AGE GROUPS VARY WITH MOST VETERANS 35 AND OVER. - AMERICANS WHO DO NOT HAVE HEALTH INSURANCE ARE LESS LIKELY TO RECEIVE ANNUAL PREVENTIVE CARE SUCH AS ROUTINE EXAMS AND SCREENINGS FOR CHRONIC DISEASE, ACCESS TO MEDICATION AND OFTEN RECEIVE DELAYED TREATMENT AND PREMATURE MORTALITY. APPROXIMATELY 35,000 PEOPLE IN ATLANTIC COUNTY AND 10,000 PEOPLE IN CAPE MAY COUNTY DO NOT HAVE HEALTH INSURANCE. THERE ARE MORE MEN WHO DO NOT HAVE HEALTH INSURANCE THAN WOMEN. - ATLANTIC AND CAPE MAY COUNTY HAVE SOME OF THE HIGHEST SMOKING PERCENTAGES IN NEW JERSEY. IT IS ESTIMATED THAT IN 2014, 20% OF ADULTS (18 AND OVER) IN ATLANTIC COUNTY AND 21% IN CAPE MAY COUNTY SMOKED CIGARETTES. - HEART DISEASE IS THE LEADING CAUSE OF DEATH IN ATLANTIC COUNTY, CAPE MAY COUNTY AND NEW JERSEY. WHILE BOTH COUNTIES HAVE A HIGHER HEART DISEASE RATE THAN NEW JERSEY, ATLANTIC COUNTY'S RATE IS 27.6% HIGHER THAN THE STATE'S RATE. CANCER IS THE SECOND LEADING CAUSE OF DEATH IN ALL THREE AREAS. ATLANTIC COUNTY'S CANCER MORTALITY RATE IS 9.6% HIGHER WHILE CAPE MAY COUNTY'S CANCER MORTALITY RATE IS 12.4% HIGHER THAN NEW JERSEY. HEART DISEASE AND CANCER ATTRIBUTE TO THE GREATEST NUMBER OF DEATHS. CDC CALCULATES THAT HEART DISEASE AND CANCER CONTRIBUTE TO NEARLY 48% OF ALL DEATHS. SCHEDULE H, PART VI; QUESTION 5 SHORE MEDICAL CENTER IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE NETWORK IS A PATIENT CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES THAT COMPRISE SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES. NOT FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITIES: SHORE MEMORIAL HOSPITAL D/B/A SHORE MEDICAL CENTER -------------------------------------------------- SHORE MEDICAL CENTER IS AN ACUTE-CARE TAX-EXEMPT HOSPITAL LOCATED IN SOMERS POINT, NEW JERSEY. THE MEDICAL CENTER PROVIDES GENERAL HEALTHCARE SERVICES TO RESIDENTS WITHIN ITS GEOGRAPHIC LOCATION FOR A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, GYNECOLOGICAL, PEDIATRIC, EMERGENCY AND AMBULATORY CARE. THE HOSPITAL IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE MEDICAL CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, THE MEDICAL CENTER OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) THE MEDICAL CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) THE MEDICAL CENTER OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS PER YEAR; 3) THE MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF THE MEDICAL CENTER RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. SHORE HEALTH SERVICES CORPORATION --------------------------------- SHORE HEALTH SERVICES CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS CURRENTLY INACTIVE. SHORE MEMORIAL HEALTH SYSTEM ---------------------------- SHORE MEMORIAL HEALTH SYSTEM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION FUNCTIONS AS THE PARENT CORPORATION OF AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES, INCLUDING SHORE MEDICAL CENTER, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SHORE MEMORIAL HEALTH FOUNDATION, INC. -------------------------------------- SHORE MEMORIAL HEALTH FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS AND RAISES FUNDS ON BEHALF OF THE SHORE MEMORIAL HEALTH SYSTEM, INCLUDING SHORE MEDICAL CENTER. THE ORGANIZATION IS CURRENTLY INACTIVE. BRIGHTON BAY, LLC ----------------- BRIGHTON BAY, LLC IS A LIMITED LIABILITY COMPANY WHOSE SOLE CORPORATE MEMBER IS SHORE MEDICAL CENTER. BRIGHTON BAY, LLC MAINTAINS AND OPERATES CERTAIN HEALTHCARE RELATED RENTAL REAL ESTATE. SHORE QUALITY PARTNERS, LLC --------------------------- SHORE QUALITY PARTNERS, LLC IS A LIMITED LIABILITY COMPANY WHOSE SOLE CORPORATE MEMBER IS SHORE MEDICAL CENTER. SHORE QUALITY PARTNERS, LLC OPERATES AN INTEGRATED PHYSICIAN NETWORK. SHORE QUALITY PARTNERS ACO, LLC ------------------------------- SHORE QUALITY PARTNERS ACO, LLC IS A LIMITED LIABILITY COMPANY WHOSE SOLE CORPORATE MEMBER IS SHORE MEDICAL CENTER. SHORE QUALITY PARTNERS ACO, LLC OPERATES AS AN ACCOUNTABLE CARE ORGANIZATION. FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITIES: SHORE HEALTH ENTERPRISES, INC. ------------------------------ SHORE HEALTH ENTERPRISES, INC. IS CORPORATION WHOSE SOLE SHAREHOLDER IS SHORE MEMORIAL HEALTH SYSTEM. THIS CORPORATION IS A MANAGEMENT SERVICE ORGANIZATION THAT PROVIDES SERVICES TO THE SYSTEM'S AFFILIATES. SHORE MEMORIAL PHYSICAN'S GROUP, P.C. ------------------------------------- SHORE MEMORIAL PHYSICIAN'S GROUP, P.C. IS A PHYSICIAN PRACTICE PROFESSIONAL CORPORATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION WAS INCORPORATED AS A FOR-PROFIT PROFESSIONAL CORPORATION FOR THE PURPOSE OF DEVELOPING AN EMPLOYED PHYSICIAN NETWORK. THE PHYSICIANS GROUP IS DESIGNED TO ACHIEVE A MORE INTEGRATED APPROACH TO THE DELIVERY OF MEDICAL CARE FOR THE COMMUNITY SERVED BY THE MEDICAL CENTER. BAYFRONT URGENT CARE PROFESSIONAL ASSOCIATION D/B/A SHORE URGENT CARE, P.A. --------------------------------------------------------------------- SHORE URGENT CARE, P.A. IS A CONTROLLED AFFILIATE OF SHORE MEMORIAL PHYSICIANS GROUP, P.C.; A PHYSICIAN PRACTICE PROFESSIONAL ASSOCIATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES URGENT CARE SERVICES. SHORE PATHOLOGY ASSOCIATES, P.C. -------------------------------- SHORE PATHOLOGY ASSOCIATES, P.C. IS A PHYSICIAN PRACTICE PROFESSIONAL CORPORATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES PATHOLOGY SERVICES. SHORE HOSPITALISTS ASSOCIATES, P.A. ----------------------------------- SHORE HOSPITALISTS ASSOCIATES, P.A IS A PHYSICIAN PRACTICE PROFESSIONAL ASSOCIATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES INPATIENT HEALTHCARE SERVICES. SHORE SPECIALTY CONSULTANTS, P.A. --------------------------------- SHORE SPECIALTY CONSULTANTS, P.A. IS A PHYSICIAN PRACTICE PROFESSIONAL ASSOCIATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. THIS ORGANIZATION PROVIDES SPECIALTY HEALTHCARE SERVICES. SCHEDULE H, PART VI; QUESTION 7 THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT. true SOUTH JERSEY JAZZ SOCIETY Inc PO Box 329 Somers Point NJ 08244 201268261 501(C)(3) 10000 PROGRAM SUPPORT ATLANTIC MEDICAL IMAGING LLC PO BOX 1564 INDIANAPOLIS IN 462061564 270525195 27850 SUB-GRANTEE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH 201 SHORE ROAD NORTHFIELD NJ 08225 216000049 16411 SUB-GRANTEE SHORE SPECIALTY CONSULTANTS PROFESSIONAL 100 MEDICAL CTR WAY SOMERS POINT NJ 08244 472248436 13047 SUB-GRANTEE ADVANCED SHORE IMAGING ASSOCIATES LLC PO BOX 6750 PORTSMOUTH NH 03802 471561390 9372 SUB-GRANTEE RELIANCE MEDICAL GROUP LLC 22 N FRANKLIN AVE PLEASANTVILLE NJ 08232 223687866 13945 SUB-GRANTEE 2 4 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X false true false false false false false true false RONALD W JOHNSON TRUSTEE - PRESIDENT/CEO 644536 0 244548 0 701884 0 56000 0 26749 0 1673717 0 0 0 DAVID R HUGHES CFO/CDO 432762 0 125658 0 6386 0 54369 0 31571 0 650746 0 0 0 JEANNE M ROWE MD CHIEF MEDICAL OFFICER 418873 0 121011 0 10665 0 51359 0 31413 0 633321 0 0 0 LINDA S KENWOOD COO/CNO 382024 0 111067 0 17993 0 47714 0 19681 0 578479 0 0 0 CHARLES A DENNIS MD PHYSICIAN ADVISOR 281562 0 57474 0 3700 0 8890 0 38531 0 390157 0 0 0 FREDERICK L BANNER CHIEF INFORMATION OFFICER 259703 0 63614 0 3736 0 12900 0 27937 0 367890 0 0 0 STEPHEN CAPECCI DO HOSPITALIST 310815 0 20625 0 336 0 3631 0 16386 0 351793 0 0 0 ALAN L BEATTY VP HUMAN RESOURCES 237957 0 57469 0 5329 0 11654 0 17774 0 330183 0 0 0 LATOYA ROBERTS DO HOSPITALIST 257898 0 8435 0 244 0 1683 0 24194 0 292454 0 0 0 ROBIN KEYACK VP AMB & SURG SVS(EFF 10/2020) 225854 0 5719 0 2772 0 9042 0 16910 0 260297 0 0 0 ROBERT L WOOD DIRECTOR OF FINANCE 206222 0 19673 0 1761 0 0 0 31862 0 259518 0 0 0 DANIEL JACOBY MD HOSPITALIST 209489 0 19542 0 194 0 3918 0 15840 0 248983 0 0 0 SCHEDULE J, PART 1, QUESTION 1 THE ORGANIZATION MAINTAINS A CLUB MEMBERSHIP FOR BUSINESS PURPOSES AND MEETINGS. THIS MEMBERSHIP ENTITLES CERTAIN SHORE MEDICAL CENTER SENIOR EXECUTIVES TO THE USE OF THE CLUB'S FACILITIES. THE AMOUNTS OUTLINED HEREIN RELATING TO THE PERSONAL USE OF THIS CORPORATE MEMBERSHIP ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2020 FORM W-2 AS TAXABLE WAGES: RONALD W. JOHNSON, $139; DAVID R. HUGHES, $69; JEANNE M. ROWE, M.D., $1,343; LINDA S. KENWOOD, $790 AND ALAN L. BEATTY, $188. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2020 FORM W-2 AS TAXABLE WAGES: RONALD W. JOHNSON, $671,724. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINE HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2 BOX 5, AS TAXABLE MEDICARE WAGES: DAVID R. HUGHES, $42,469; JEANNE M. ROWE, M.D., $40,898; LINDA S. KENWOOD, $37,538; FREDERICK L. BANNER, $12,900 AND ALAN L. BEATTY, $11,654. SCHEDULE J, PART I; QUESTION 7 THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2020 FORM W-2 AS TAXABLE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2019-12-01 49075000 PLEASE REFER TO PART VI false false false A 0 49642251 49075000 1005913 0 0 436027 0 0 0 2635 0 2019 true false true true A false true false false 0.01000 0.01000 true false false true A false true true false 0 false 0 false true A true SCHEDULE K SCHEDULE K, PART I, LINE A, COLUMN F PER THE ORGANIZATION'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, THE PROCEEDS OF THE 2019 BONDS WERE USED TO: (1) REFINANCE THE SERIES 2009, 2010, 2011, AND 2013 BONDS; AND (2) PAY CERTAIN COSTS INCIDENTAL TO THE ISSUANCE OF THE 2019 BONDS. SONYA M BANNER FAMILY MEMBER OF OFFICER 77277 EMPLOYEE false CERNER CORPORATION SUBSTANTIAL CONTRIBUTOR 3190210 INFORMATION TECHNOLOGY SVCS. false TRUSTEES OF THE UNIVERSITY OF PA SUBSTANTIAL CONTRIBUTOR 1218310 MEDICAL SERVICES false GLENN INSURANCE SUBSTANTIAL CONTRIBUTOR 1000258 INSURANCE false SOUTHERN ONCOLOGY HEMATOLOGY ASSOC SUBSTANTIAL CONTRIBUTOR 347533 MEDICAL SERVICES false SCHEDULE L, PART IV CERNER CORPORATION WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2020. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF CERNER CORPORATION. TOTAL FEES PAID TO CERNER CORPORATION DURING 2020 AMOUNTED TO $3,190,210. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2020. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA. TOTAL FEES PAID TO TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA DURING 2020 AMOUNTED TO $1,218,310. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GLENN INSURANCE WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2020. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF GLENN INSURANCE. TOTAL FEES PAID TO GLENN INSURANCE DURING 2020 AMOUNTED TO $1,000,258. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. SOUTHERN ONCOLOGY HEMATOLOGY ASSOCIATES, P.A. WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2020. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF SOUTHERN ONCOLOGY HEMATOLOGY ASSOCIATES, P.A. TOTAL FEES PAID TO SOUTHERN ONCOLOGY HEMATOLOGY ASSOCIATES,, P.A. DURING 2020 AMOUNTED TO $347,533. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== SHORE MEDICAL CENTER ("THE MEDICAL CENTER") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SHORE PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. MOREOVER, THE MEDICAL CENTER OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) THE MEDICAL CENTER PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) THE MEDICAL CENTER OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS PER YEAR; 3) THE MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF THE MEDICAL CENTER RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF THE MEDICAL CENTER, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE MEDICAL CENTER PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF SHORE IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. MISSION STATEMENT ----------------- WE CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. ORGANIZATION OVERVIEW --------------------- THE MEDICAL CENTER IS A NOT-FOR-PROFIT HEALTHCARE RESOURCE THAT HAS SERVED SOUTHERN NEW JERSEY FOR MORE THAN 80 YEARS. IN THAT TIME, THE MEDICAL CENTER HAS BECOME KNOWN FOR PROVIDING A COMPASSIONATE LEVEL OF SERVICE THAT GOES HAND IN HAND WITH ITS ADVANCED TECHNOLOGY AND MODERN MEDICAL FACILITIES. THE MEDICAL CENTER IS A NOT-FOR-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. THE MEDICAL CENTER IS LICENSED AND APPROVED BY THE STATE OF NEW JERSEY TO OPERATE AS A GENERAL ACUTE CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES TO THE COMMUNITY. FOUNDED IN 1928 AND CHARTERED IN 1940 AS A NOT-FOR-PROFIT CORPORATION, THE MEDICAL CENTER SERVES THE HEALTHCARE NEEDS OF BOTH THE YEAR-ROUND AND SUMMER RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES, AS WELL AS VISITORS FROM OTHER COMMUNITIES AND STATES. THE MEDICAL CENTER HAS UNDERGONE MORE THAN FOURTEEN MAJOR CONSTRUCTION AND RENOVATION PROJECTS SINCE 1940 TO PROVIDE NECESSARY FACILITIES AND SERVICES FOR ITS EXPANDING PATIENT POPULATION. IN 2013, THE MEDICAL CENTER UNVEILED A NEW STATE-OF-THE-ART MEDICAL ONCOLOGY SUITE ON THE THIRD FLOOR OF ITS FREESTANDING CANCER CENTER. THE 3,600 SQUARE FOOT EXPANSION FEATURES EIGHT SPACIOUS INFUSION THERAPY BAYS, THREE EXAM ROOMS, A FAMILY WAITING ROOM, NUTRITION CENTER AND A FULLY EQUIPPED AND STOCKED PHARMACY WITH A FULL-TIME ONCOLOGY PHARMACIST. THE MEDICAL CENTER ENGAGES THE TALENTS AND TEAMWORK OF THE BEST AND BRIGHTEST PEOPLE IN THE INDUSTRY. OUR TEAM OF PHYSICIANS, NURSES, TECHNOLOGISTS, MANAGERS, FINANCIAL EXPERTS, BOARD OF TRUSTEES AND OUR AFFILIATES ALL WORK TOGETHER TO ENSURE THAT THE COMMUNITY HAS ACCESS TO THE BEST HEALTHCARE RESOURCES WHEN NEEDED. THE MEDICAL CENTER CONTINUES TO BE ACCREDITED BY THE JOINT COMMISSION, THE NATION'S PREDOMINANT STANDARDS SETTING AND ACCREDITING BODY IN HEALTHCARE, AS A PRIMARY STROKE CENTER. SHORE ALSO IS ALSO CERTIFIED BY THE JOINT COMMISSION FOR ITS SPINE SURGERY AND HIP AND KNEE REPLACEMENT PROGRAMS IN RECOGNITION OF THE MEDICAL CENTER'S STRICT ADHERENCE TO QUALITY STANDARDS. IN 2020, THE MEDICAL CENTER RECEIVED THE FOLLOWING HONORS FOR ITS QUALITY AND SAFETY MEASURES: - LEAPFROG GROUP HOSPITAL SAFETY SCORE OF "A" FOR SPRING 2020, FOR A TOTAL OF 12 "A" RATINGS IN A ROW - NO HOSPITAL ACQUIRED CONDITION PROGRAM PAYMENT REDUCTION - ZERO EARLY ELECTIVE DELIVERIES - SUCCESSFUL JOINT COMMISSION SURVEYS FOR HIP AND KNEE REPLACEMENT, SPINE SURGERY, AND PRIMARY STROKE CERTIFICATION IN 2020, 7337 PATIENTS WERE ADMITTED TO THE MEDICAL CENTER AND 2,203 PLACED IN OBSERVATION. THERE WERE 33,529 PATIENTS TREATED IN SHORE'S EMERGENCY DEPARTMENT. IMPACT OF COVID-19 PANDEMIC --------------------------- IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A PANDEMIC, WHICH STARTED TO AND CONTINUES TO SPREAD THROUGHOUT THE UNITED STATES OF AMERICA. AS A RESULT OF THE COVID-19 PANDEMIC, THE SYSTEM EXPERIENCED A DECLINE IN PATIENT VISITS, ADMISSIONS, AND MEDICAL PROCEDURES PERFORMED. ELECTIVE MEDICAL PROCEDURES WERE SUSPENDED BY STATE AND LOCAL GOVERNMENTS AT VARYING TIME PERIODS BEGINNING IN MID-MARCH THROUGH LATE MAY 2020, CONTRIBUTING TO A SIGNIFICANT DECLINE IN PATIENT SERVICE REVENUE DUE TO COVID-19 WHEN COMPARED TO HISTORIC AND FORECASTED RESULTS FOR THAT PERIOD. ADDITIONALLY, IN RESPONSE TO THE PANDEMIC, THE SYSTEM INCURRED ADDITIONAL COSTS FOR TESTING, PERSONAL PROTECTIVE EQUIPMENT, THIRD-PARTY CONTRACT SERVICES AND OTHER OPERATING COSTS ASSOCIATED WITH ENSURING EMPLOYEE AND PATIENT SAFETY WHILE OPERATING DURING A PANDEMIC. SINCE LATE MAY, THE SYSTEM HAS BEGUN TO SEE INCREASES IN ITS PATIENT VISITS, ADMISSIONS, AND MEDICAL PROCEDURES, HOWEVER, VOLUMES HAVE NOT RETURNED TO PRE-PANDEMIC LEVELS. COMMUNITY BENEFIT ================= THE MEDICAL CENTER'S WELLNESS PROGRAM HAS BEEN AN INTEGRAL PART OF THE COMMUNITY, OFFERING HEALTH EDUCATION AND SCREENINGS FOR MORE THAN 20 YEARS. HOWEVER, LIKE MOST COMMUNITY HOSPITALS IN 2020 COVID GREATLY LIMITED SHORE'S ABILITY TO HAVE ANY IN-PERSON EVENTS OR PROVIDE SCREENINGS AT COMMUNITY EVENTS AND HEALTH FAIRS AFTER MARCH 1, 2020. WITH COVID AS THE PRIMARY FOCUS FOR MUCH OF 2020 AND CONCERNS ABOUT SPREADING THE VIRUS WITH IN-PERSON EVENTS, WE SHIFTED OUR COMMUNITY EDUCATION TO COVID-RELATED OUTREACH. PRIOR TO COVID, SHORE HOSTED THE FOLLOWING EDUCATION EVENTS IN 2020: - JANUARY 2020: WELLNESS TO WELL-BEING: INFECTION PREVENTION AND YOU - OUR MONTHLY IN-PERSON EDUCATION EVENT FEATURED OUR INFECTION PREVENTION MANAGER WHO SPOKE TO THE GROUP OF 20 ABOUT HOW TO PREVENT ILLNESS ESPECIALLY DURING THE WINTER MONTHS. - JANUARY & FEBRUARY 2020: FREE HEALING TOUCH SESSIONS, LED BY A HEALING TOUCH PRACTITIONER, 15 PEOPLE. - FEBRUARY 2020: HEART AND VASCULAR HEALTH EDUCATION EVENT WITH 80 GUESTS. - FEBRUARY 2020: WELLNESS TO WELL-BEING: CPR & AED AWARENESS, OUR MONTHLY IN-PERSON EVENT FEATURED DIRECTOR OF CARDIAC REHAB CHRIS KOZMOR WHO DEMONSTRATED HOW TO USE AN AED AND PERFORM CPR TO HELP RAISE AWARENESS AND HELP GUESTS FEEL MORE CONFIDENT IN HELPING IN A MEDICAL EMERGENCY. FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS COVID-RELATED COMMUNITY BENEFIT ------------------------------- THE MAJORITY OF COMMUNITY EDUCATION AND OUTREACH IN 2020 WAS RELATED TO COVID, ESPECIALLY IN THE EARLY PHASE OF THE PANDEMIC TO MEET THE PUBLIC'S NEED FOR THE MOST CURRENT INFORMATION ABOUT THE VIRUS AND HOW TO PROTECT THEM AGAINST COVID WHILE STILL GETTING THE MEDICAL CARE THEY NEED. SINCE INFORMATION ABOUT COVID WAS CONSTANTLY CHANGING, WE EMBEDDED THE CDC'S COVID GUIDELINES IN OUR WEBSITE TO ENSURE VISITORS TO OUR SITE RECEIVED THE MOST CURRENT INFORMATION. DURING THE FIRST FEW MONTHS OF THE COVID PANDEMIC, SHORE MEDICAL CENTER'S FACEBOOK AUDIENCE GREW BY MORE THAN 1,500 PEOPLE, AN INDICATION THE PUBLIC WAS LOOKING TO THEIR LOCAL HOSPITAL FOR GUIDANCE AND INFORMATION. WE UTILIZED FACEBOOK REGULARLY TO SHARE SAFE COVID PRACTICES; COMMUNICATE THE STATUS OF CANCELED ELECTIVE PROCEDURES AND VISITOR HOURS; SHARE INFORMATION FROM THE NJ DEPT. OF HEALTH AND PUBLICIZE THEIR COVID HOTLINE; AND TO CELEBRATE THE IMPORTANT WORK OF OUR FRONTLINE HEROES AND GIVE THE COMMUNITY CONFIDENCE IN GETTING CARE AT THEIR COMMUNITY HOSPITAL. LATER, WE RECORDED FOUR VIDEOS FEATURING OUR LEADING EMERGENCY MEDICAL PROVIDERS EXPLAINING THE SAFETY PROTOCOLS IN THE HOSPITAL AND URGING PEOPLE THAT IT IS SAFE TO COME TO THE MEDICAL CENTER FOR EMERGENCY CARE. SHORE MEDICAL CENTER COLLABORATED WITH OUR NEAREST HOSPITAL NEIGHBORS, ATLANTICARE AND CAPE REGIONAL MEDICAL CENTER, TO PRODUCE FIVE OP-ED PIECES IN OUR LOCAL NEWSPAPERS SIGNED BY EACH HOSPITAL'S CEO TO HELP INSPIRE CONFIDENCE IN THEIR LOCAL HEALTH SYSTEMS; TO URGE SAFE COVID BEHAVIOR TO REDUCE SERIOUS ILLNESS AND DEATH; HOW PEOPLE SHOULD NOT DELAY CARE AND THAT HOSPITALS ARE SAFE; HOW GETTING FLU SHOTS DURING COVID IS ESPECIALLY IMPORTANT; AND AN UPLIFTING ARTICLE DURING THE HOLIDAYS ABOUT HOPE WITH THE APPROVAL OF COVID VACCINES. THESE ARTICLES ARE LINKED BELOW: 1. PRESS OF AC, MARCH 22, 2020: LOCAL HOSPITALS COLLABORATING TO ENSURE THE PUBLIC'S SAFETY: HTTPS://PRESSOFATLANTICCITY.COM/OPINION/COMMENTARY/LOCAL-HOSPITALS- COLLABORATING-TO-ENSURE-THE-PUBLIC-S-SAFETY/ARTICLE_F5E3044C-5098-5DA6- ABAA-9C63D79647E5.HTML 2. PRESS OF AC, APRIL 19, 2020: AS CASES RISE LOCALLY, EVERYONE'S HELP NEEDED TO LIMIT COVID-19, SAY HOSPITAL CEOS: HTTPS://PRESSOFATLANTICCITY.COM/OPINION/COMMENTARY/AS-CASES-RISE-LOCALLY- EVERYONES-HELP-NEEDED-TO-LIMIT-COVID-19-SAY-HOSPITAL-CEOS/ARTICLE_AD4D98A8 -F9B8-51A7-BC44-F40BC908EE1D.HTML 3. PRESS OF AC, MAY 3, 2020: DON'T LET PANDEMIC KEEP YOU FROM GETTING THE CARE YOU NEED: HTTPS://PRESSOFATLANTICCITY.COM/OPINION/COMMENTARY/DONT-LET-PANDEMIC-KEEP- YOU-AWAY-FROM-GETTING-CARE-YOU-NEED/ARTICLE_F773BEEB-D1FD-575E-B0B1- 9A4FD3376678.HTML 4. PRESS OF AC, OCTOBER 4, 2020: GETTING FLU SHOTS ESPECIALLY IMPORTANT IN THIS YEAR OF COVID-19, SAY LOCAL HOSPITAL PRESIDENTS: HTTPS://PRESSOFATLANTICCITY.COM/OPINION/COLUMNISTS/GETTING-FLU-SHOTS- ESPECIALLY-IMPORTANT-IN-THIS-YEAR-OF-COVID-19-SAY-LOCAL-HOSPITAL- PRESIDENTS/ARTICLE_DFF39378-0C9F-5CC5-A10B-6C607BF9BD6E.HTML 5. PRESS OF AC, DEC. 13, 2020: PREPARATION, VIGILANCE REASONS FOR HOPE FOR THE HOLIDAYS: HTTPS://PRESSOFATLANTICCITY.COM/OPINION/COLUMNISTS/PREPARATION-VIGILANCE- REASONS-FOR-HOPE-FOR-THE-HOLIDAYS-BY-LOCAL-HOSPITAL-PRESIDENTS-LORI- HERNDON-JOANNE/ARTICLE_66E06123-6116-5D49-B4A0-7AEE5DC44589.HTML SHORE MEDICAL CENTER'S COMPANY INTRANET BECAME A HUB OF INFORMATION FOR STAFF ON COVID, WHERE STAFF COULD GO FOR REGULAR UPDATES ON SAFETY PROCEDURES, COMPANY-WIDE POLICIES, TRAINING ON SAFE COVID PRACTICES, PROPER DONNING AND DOFFING OF PPE, ETC. THE CDC'S WEBSITE WAS ALSO EMBEDDED IN SHORE'S INTRANET SO STAFF COULD GET THE MOST CURRENT INFORMATION ON KEEPING THEMSELVES AND THEIR PATIENTS SAFE. IN ADDITION SHORE'S INFECTION PREVENTION TEAM WORKED TIRELESSLY TO REMAIN ON TOP OF CDC GUIDELINES AND REGULARLY ROUNDED THE HOSPITAL TO TRAIN STAFF, ANSWER QUESTIONS AND ENSURE SAFE PRACTICES. THE HOSPITAL IMPLEMENTED NUMEROUS COVID-RELATED POLICIES AND PROCEDURES. EXAMPLES INCLUDE: - WORKED WITH LAB TO ESTABLISH A PROCESS FOR COLLECTING SPECIMENS BASED ON THE NJ DOH SURVEILLANCE CRITERIA AND TESTING FOR COVID. - UPDATED THE HOSPITAL'S POLICY ON "ISOLATION AND STANDARD PRECAUTIONS, HAND HYGIENE, RESPIRATORY HYGIENE, MANAGEMENT OF MULTI-DRUG RESISTANT ORGANISMS, AND MRSA SCREENING." - TIP SHEETS CREATED FOR HEAD COVERINGS, PATIENT ISOLATION MASKING, PPE USE AND HOW TO STORE N95S AND FACE SHIELDS, AND GUIDANCE FOR DONNING AND DOFFING YELLOW ISOLATION GOWNS. FINALLY, SHORE'S PHARMACY TEAM LED THE CHARGE TO GET SHORE EMPLOYEES VACCINATED AGAINST COVID-19, BEGINNING IN NOVEMBER 2020 WITH EXTENSIVE TRAINING ON THE NJ VACCINE REGISTRY AND TO OBTAIN THE MATERIAL NEEDED TO PROPERLY STORE AND MONITOR VACCINE CONDITIONS. ADDITIONAL MAN HOURS WERE NEEDED TO ORDER, STORE, DISTRIBUTE AND ADMINISTER THE VACCINE, AS WELL AS GET PEOPLE SCHEDULED AND THEN RE-SCHEDULED FOR THE BOOSTER. THEY ALSO NEEDED TO COLLECT, COLLATE AND UPLOAD DATA FROM EACH CLINIC AS WELL. THE PHARMACY TEAM ALSO EDUCATED THE PUBLIC ABOUT THE VACCINE, POTENTIAL IMMUNE RESPONSE, WHAT TO DO IF THEY HAD COVID, AND IF THEY WERE IMMUNOCOMPROMISED. CANCER OUTREACH --------------- SHORE IS THE LEAD AGENCY FOR THE NEW JERSEY CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAM IN ATLANTIC COUNTY. THE PROGRAM PROVIDES CANCER SCREENING SERVICES FOR THE UNDERSERVED POPULATIONS AT CONVENIENT LOCATIONS WITHIN THE COMMUNITY. SHORE COORDINATED 312 BREAST CANCER SCREENINGS INCLUDING 154 MAMMOGRAMS. IN ADDITION, 232 CERVICAL CANCER SCREENINGS AND 10 COLONOSCOPIES WERE COMPLETED. IN 2020, SHORE MEDICAL CENTER RECEIVED $284,816 IN CEED GRANT FUNDING FOR THESE SCREENINGS. SHORE IS ALSO LEAD AGENCY FOR THE COMPREHENSIVE CANCER CONTROL (CCC) COALITIONS TO PROVIDE POLICY, ENVIRONMENTAL AND SYSTEM CHANGES IN ATLANTIC AND CAPE MAY COUNTY IN AN EFFORT TO REDUCE CANCER. IN 2020, SHORE MEDICAL CENTER RECEIVED $81,894 FOR THESE INITIATIVES. IN 2020, 142 INDIVIDUALS WERE PART OF THE EDUCATION AND OUTREACH CONDUCTED THROUGH CEED AND CCC THROUGH AWARENESS EVENTS, WORKSHOPS OR LECTURES BEFORE COMMUNITY OUTREACH WAS DISCONTINUED DUE TO COVID IN MARCH OF 2020. OUTREACH PROJECTS WERE CHANGED TO MAILINGS, RADIO INTERVIEWS, ETC. APPROXIMATELY TWELVE THOUSAND LISTENERS WERE EDUCATED ABOUT SCREENING THROUGH RADIO OPPORTUNITIES. ADDITIONALLY, SCREENING EVENTS TOOK PLACE INSTEAD OF TRADITIONAL OUTREACH BECAUSE THESE EVENTS COULD BE MADE COVID SAFE. TEN MEN WERE SCREENED THROUGH A PROSTATE SCREENING EVENT AND THIRTY UNINSURED WOMEN WERE SCREENED THROUGH A BREAST EVENT. OTHER OUTREACH -------------- CHILDBIRTH EDUCATION, BREAST FEEDING SUPPORT AND OTHER PROGRAMS TO WELCOME A NEWBORN INTO THE FAMILY ARE OFFERED TO THE ENTIRE COMMUNITY THROUGH THE SHORE BEGINNINGS PRENATAL AND WELLNESS PROGRAM. THESE ACTIVITIES WERE LIMITED IN 2020 AS A RESULT OF COVID. THE MEDICAL CENTER'S WEBSITE PROVIDES INFORMATION ON MEDICAL CENTER PROGRAMS, SERVICES AND PHYSICIANS. IT ALSO OFFERS EDUCATIONAL VIDEOS, HEALTH-FOCUSED ARTICLES AND ASSESSMENTS. THE MEDICAL CENTER'S PHYSICIAN FINDER SERVICE IS FREE AND AVAILABLE ON THE INTERNET. THE SERVICE MATCHES A PERSON'S NEEDS SUCH AS SPECIALTY, LOCATION, INSURANCE AND OFFICE HOURS TO A SHORE MEDICAL STAFF PHYSICIAN. SUPPORT GROUPS -------------- SHORE'S VETERANS AFFAIRS NAVIGATOR PROGRAM, ALZHEIMER'S ASSOCIATION CAREGIVER SUPPORT GROUP AND THE FAMILY CAREGIVER SUPPORT GROUP CONTINUED INTO 2020, PROVIDING SUPPORT TO PATIENTS AND FAMILIES, HOWEVER DURING THE PEAK OF THE PANDEMIC THESE INITIATIVES WERE PAUSED. 1. VETERANS AFFAIRS NAVIGATOR PROGRAM: GUIDES VETERANS THROUGH THE PROCESS OF SEEKING VA MEDICAL CARE AND HELPS THEM OVERCOME BARRIERS THEY MAY ENCOUNTER, DEMYSTIFYING THE PROCESS AND HELPING THEM TAKE FULL ADVANTAGE OF THEIR HEALTHCARE OPPORTUNITIES. 2. ALZHEIMER'S ASSOCIATION'S CAREGIVER SUPPORT GROUP: DESIGNED TO PROVIDE EMOTIONAL, EDUCATIONAL AND SOCIAL SUPPORT FOR CAREGIVERS THROUGH REGULARLY SCHEDULED MEETINGS. THEY HELP PARTICIPANTS DEVELOP METHODS AND SKILLS TO SOLVE PROBLEMS. THE GROUPS ENCOURAGE CAREGIVERS TO MAINTAIN THEIR OWN PERSONAL, PHYSICAL AND EMOTIONAL HEALTH, AS WELL AS OPTIMALLY CARE FOR THE PERSON WITH DEMENTIA. THE SUPPORT GROUP AT SHORE IS HELD THE SECOND TUESDAY OF EVERY MONTH. 3. FAMILY CAREGIVER SUPPORT GROUP: THESE MONTHLY MEETINGS PROVIDE EMOTIONAL, EDUCATIONAL AND SOCIAL SUPPORT FOR FAMILY CAREGIVERS IN NEED OF ASSISTANCE AND SUPPORT AS THEY MANAGE THE OFTEN-DAUNTING ROLE OF FAMILY CAREGIVER FOR A LOVED ONE AT HOME AFTER THEY ARE DISCHARGED. IN ADDITION TO THESE SUPPORT GROUPS, SHORE HAS BEEN VERY PROACTIVE IN ASSISTING PATIENTS WITH ALZHEIMER'S DISEASE AND DEMENTIA, WORKING WITH THE ALZHEIMER'S ASSOCIATION OF AMERICA AND THE PURPLE ANGEL PROJECT ON EDUCATIONAL AND AWARENESS ISSUES. FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY PROGRAMS AND MEDICAL SCREENINGS ----------------------------------------- WHILE COVID GREATLY LIMITED OUR ABILITY TO PROVIDE IN-PERSON PROGRAMS AND SCREENINGS, WE WERE ABLE TO PROVIDE THE FOLLOWING: 1. SHORE SPEAKERS BUREAU - A FREE PROGRAM WHERE SHORE HEALTHCARE SPECIALISTS AND EDUCATORS PROVIDE SCREENINGS, GIVE PRESENTATIONS AND PROVIDE QUESTION AND ANSWER SESSIONS FOR COMMUNITY GROUPS WHO REQUEST THEM. 2. CANCER SCREENINGS FOR THE UNINSURED FUNDED BY THE NJ CEED/OCCP GRANT. - BREAST; - CERVICAL; - COLORECTAL; AND - PROSTATE; 3. MAMMOGRAMS - FREE MAMMOGRAM EVENT ON 10-24-20 4. PROSTATE SCREENING - FREE PROSTATE SCREENING EVENT ON 9-25-20 PLEASE NOTE THAT THE AFOREMENTIONED LIST OF MEDICAL SCREENING PROGRAMS IS NOT AN ALL-INCLUSIVE LIST. LECTURES AND SEMINARS --------------------- IN TYPICAL YEARS, THE MEDICAL CENTER PROVIDES NUMEROUS LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES, INCLUDING THE FOLLOWING: 1. BE WELL CONNECTED EVENTS. HEALTH EDUCATION BREAKFAST EVENTS FEATURE PHYSICIANS AND CLINICAL STAFF PRESENTING TO AUDIENCES RANGING FROM 50-125 PEOPLE. 2. SHORE BEGINNINGS: PRENATAL AND WELLNESS - LAMAZE-INSPIRED CHILDBIRTH CLASSES; - BREASTFEEDING YOUR BABY - MATERNAL CHILD HEALTH COMMUNITY OUTREACH 3. ADULT SUPPORT GROUPS: - FAMILY CAREGIVER SUPPORT GROUP - ALZHEIMER'S ASSOCIATION CAREGIVER SUPPORT GROUP 4. FREE SURGICAL EDUCATION PROGRAMS (NECK & SPINE SURGERY, JOINT REPLACEMENT EDUCATION) 5. WELLNESS TO WELLBEING EVENTS. SHORE MEDICAL CENTERS' PRIOR "SENIOR SOCIAL" PROGRAM EVOLVED INTO ITS CURRENT "WELLNESS TO WELLBEING" PROGRAM TO EXPAND ITS AUDIENCE. THE COMMUNITY IS INVITED ON THE THIRD WEDNESDAY OF EACH MONTH TO ATTEND FREE SOCIAL AND EDUCATIONAL EVENTS AT THE MEDICAL CENTER. THESE EVENTS FEATURE FREE BINGO FOR PRIZES, COMPLIMENTARY REFRESHMENTS, AND AN EDUCATIONAL SESSION HOSTED BY A HEALTH EXPERT FROM THE MEDICAL CENTER OR A COMMUNITY PARTNER. BECAUSE OF COVID, ONLY THREE WERE HELD IN 2020. GIVING BACK TO THE COMMUNITY ---------------------------- SHORE STAFF CONTINUED ITS ANNUAL TRADITION OF PROVIDING GIFTS AT THE HOLIDAYS TO RESIDENTS OF THE LINWOOD CARE CENTER. MORE THAN 100 RESIDENTS BENEFITED FROM THEIR GENEROSITY. WHILE THIS YEAR MOST OF THESE EFFORTS WERE PUT ON HOLD DUE TO COVID, WE TYPICALLY SUPPORT THE FOLLOWING EVENTS: - AMERICAN HEART ASSOCIATION HEART WALK; - WALK FOR THE WOUNDED; - THE SOMERS POINT MEMORIAL DAY PARADE; - ALZHEIMER'S ASSOCIATION OF AMERICA WALK TO END ALZHEIMERS - SOMERS POINT BAYFEST AND GOOD OLD DAYS FESTIVAL; - RESIDENTS OF LINWOOD CARE CENTER THROUGH AN ANNUAL HOLIDAY GIFT DRIVE - SOUTH JERSEY JAZZ SOCIETY, AND MUCH MORE. THE MEDICAL CENTER ALSO TYPICALLY PROVIDES HEALTH SCREENINGS AT THESE EVENTS AND OTHER COMMUNITY HEALTH FAIRS AT 55 AND OVER COMMUNITIES, FITNESS CENTERS AND SOME OF OUR AREA'S LARGER EMPLOYERS. ADDITIONALLY, THE MEDICAL CENTER EMPLOYEES GENEROUSLY CONTRIBUTED $ 4,598 TO THE UNITED WAY OF GREATER PHILADELPHIA AND SOUTHERN NEW JERSEY IN 2020. UNCOMPENSATED CARE ------------------ THE MEDICAL CENTER HAS LONG BEEN A REGIONAL LEADER IN MEETING ITS COMMITMENT TO THE MEDICALLY UNDERSERVED MEMBERS OF THE COMMUNITY. IN ADDITION TO ITS COMMUNITY OUTREACH PROGRAMS, THE MEDICAL CENTER PROVIDES SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO THOSE LEAST ABLE TO PAY FOR THESE SERVICES. IN KEEPING WITH ITS MISSION TO CARE FOR PATIENTS, THE MEDICAL CENTER SERVES ALL WITHOUT REGARD TO ABILITY TO PAY. IN 2020, THE MEDICAL CENTER SPENT APPROXIMATELY $1.2 MILLION AT COST FOR MEDICAL SERVICES DELIVERED TO THESE PATIENTS. THE MEDICAL CENTER ONLY RECEIVED A STATE SUBSIDY OF APPROXIMATELY $114,409 TO OFFSET THIS AMOUNT. THE MEDICAL CENTER RECOGNIZES THE FINANCIAL DIFFICULTY IMPOSED ON THE SELF-PAY PATIENT WHO IS LEAST ABLE TO AFFORD TO PAY FOR HEALTHCARE SERVICES WHEN BILLED AT THE MEDICAL CENTER'S STANDARD CHARGES. THEREFORE, THE MEDICAL CENTER ESTABLISHED AN INNOVATIVE POLICY TO ADDRESS THE DISPARITY BETWEEN HOSPITAL-BILLED CHARGES AND THE ACTUAL COST OF PROVIDING CARE TO THE SELF-PAY PATIENT OR UNDER-INSURED PATIENT. THE METHOD ADOPTED IS BASED UPON SOUND ACCOUNTING PRINCIPLES TO DETERMINE THE ACTUAL COST OF PROVIDING CARE TO PATIENTS USING A KNOWN STANDARD DEVELOPED FOR THE MEDICARE COST REPORT. THE POLICY IS TO APPLY THE MOST CURRENT HOSPITAL SPECIFIC MEDICARE COST TO CHARGE RATIO TO THE SELF-PAY PATIENT'S TOTAL CHARGE BALANCE AND ADJUST THE BILL TO COST. THIS ADJUSTMENT IS LIMITED ONLY TO THOSE PATIENTS NOT COVERED BY INSURANCE. THIS RATIO IS SUBJECT TO CHANGE AS DETERMINED BY THE MEDICARE FISCAL INTERMEDIARY. PATIENTS UNABLE TO PAY THE COST ADJUSTED BILL IN FULL ARE PERMITTED TO ENTER INTO A HOSPITAL-APPROVED PAYMENT ARRANGEMENT. PAYMENT ARRANGEMENTS ARE DETERMINED BASED UPON THE FINANCIAL CONDITION OF THE PATIENT AND PAID OVER TIME USING OUR EXISTING PAYMENT ARRANGEMENT METHODOLOGY. AS A NON-PROFIT HEALTHCARE PROVIDER, IT IS THE MEDICAL CENTER'S RESPONSIBILITY TO DELIVER HIGH-QUALITY HEALTHCARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE MEDICAL CENTER IS COMMITTED TO THE COMMUNITY THAT IT SERVES. THE CHALLENGE OF MEETING THE HIGH COSTS OF PROVIDING QUALITY HEALTH SERVICES IS MADE POSSIBLE THROUGH THE DEDICATION OF PHYSICIANS, STAFF AND VOLUNTEERS. SPIRIT OF SHORE =============== HOSPITALS ARE BUSY PLACES, BUT THE STAFF AT THE MEDICAL CENTER IS NEVER TOO BUSY TO PAY ATTENTION TO THE THOUGHTFUL GESTURES AND KIND ACTS THAT CAN MAKE A MEANINGFUL DIFFERENCE TO PATIENTS AND THEIR FAMILY MEMBERS. THIS PHILOSOPHY IS THE DRIVING FORCE BEHIND THE SPIRIT OF SHORE INITIATIVE AT THE MEDICAL CENTER. THE SPIRIT OF SHORE REFLECTS THE CULTURE OF CARING THAT IS UNIQUE TO SHORE. SINCE THE IMPLEMENTATION OF ITS SPIRIT OF SHORE PROGRAM IN 2008, THE MEDICAL CENTER HAS BEEN ON A JOURNEY TO CREATE AND NURTURE AN INSTITUTIONAL CULTURE OF PATIENT-CENTERED CLINICAL, EMOTIONAL AND SPIRITUAL CARE FOR ITS PATIENTS, THEIR FAMILIES AND STAFF. INITIATIVES TOUCH EVERY CORNER OF THE MEDICAL CENTER'S COMMUNITY, PROMOTING AN ENVIRONMENT WHERE EVERYONE IS A CAREGIVER, REGARDLESS OF THEIR POSITION WITHIN THE ORGANIZATION. OUR MANY PROGRAMS AND INITIATIVES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - SHARED MEDICAL RECORDS; - COMFORTABLE FAMILY LOUNGES; - PATIENT DIRECTED VISITATION; - HOURLY ROUNDS; - LEADERSHIP ROUNDS; - BEDSIDE REPORT; - E-ICU; - NO PASSING ZONE; - MOTORIZED SCOOTERS FOR PATIENTS; - COMMUNITY EDUCATION; AND - WEEKLY PRAYER CIRCLES. THE MEDICAL CENTER'S NO ONE DIES ALONE PROGRAM IS A VOLUNTEER PROGRAM THAT PROVIDES COMPANIONS FOR PATIENTS NEAR DEATH WHO DO NOT HAVE ANY FAMILY OR CLOSE FRIENDS TO BE WITH THEM IN THEIR FINAL HOURS. VOLUNTEERS SIT WITH PATIENTS AND OFFER SOLACE THROUGH MEDITATION, MUSIC, POEMS OR SIMPLY THROUGH TOUCH. THE MEDICAL CENTER'S PATIENT AND FAMILY ADVISORY COUNCIL IS MADE UP OF FORMER SHORE PATIENTS AND FAMILY MEMBERS, COMMUNITY MEMBERS AND VOLUNTEERS. GROUP MEMBERS SHARE STORIES, PROVIDE VALUABLE FEEDBACK ON THEIR HOSPITAL EXPERIENCES AND ASSIST LEADERSHIP IN DECISION MAKING BY INCORPORATING THEIR EXPERIENCES INTO SHORE'S PHILOSOPHY AND OPERATION. THE MEDICAL CENTER STAFF MEMBERS ALSO USE THESE MEETINGS TO EDUCATE THE COUNCIL ABOUT THE MEDICAL CENTER AND HEALTHCARE ISSUES IN GENERAL. MEDICAL SERVICES ================ CONSISTENT WITH REVENUE RULING 69-545, ALL QUALIFIED PHYSICIANS ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES. DURING 2020, THE MEDICAL CENTER HAD APPROXIMATELY 480 PHYSICIANS ON ITS MEDICAL STAFF COMPRISED OF THE FOLLOWING MEDICAL SPECIALTIES: ALCOHOL & DRUG DEPENDENCY; ALLERGY/IMMUNOLOGY; ANESTHESIOLOGY; CARDIOLOGY; CRITICAL CARE MEDICINE; DERMATOLOGY; EMERGENCY MEDICINE; ENDOCRINOLOGY; FAMILY PRACTICE; GASTROENTEROLOGY; GYNECOLOGY; HEMATOLOGY; HOSPITAL MEDICINE; INTERNAL MEDICINE; INFECTIOUS DISEASE; MATERNAL & FETAL MEDICINE; MEDICAL ONCOLOGY; NEONATOLOGY; NEPHROLOGY; NEUROLOGICAL SURGERY; NEUROLOGY; OBSTETRICS; OPHTHALMOLOGY; ORAL SURGERY; ORTHOPEDIC SURGERY; OTORHINOLARYNGOLOGY; PAIN MANAGEMENT; PALLIATIVE CARE MEDICINE; PATHOLOGY; PEDIATRICS; PHYSICAL MEDICINE & REHABILITATION; PLASTIC SURGERY; PODIATRY; PSYCHIATRY; PSYCHOLOGY; PULMONARY MEDICINE; RADIATION THERAPY; RADIOLOGY; RHEUMATOLOGY; GENERAL SURGERY; VASCULAR SURGERY; AND UROLOGY. FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CENTERS OF EXCELLENCE ===================== THE MEDICAL CENTER'S RECOGNIZED CENTERS OF EXCELLENCE INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: CANCER CENTER ------------- A CANCER DIAGNOSIS IS AN EXPERIENCE THAT IS UNIQUE TO EVERY INDIVIDUAL. AT SHORE CANCER CENTER, A MEMBER OF THE PENN CANCER NETWORK, WE RESPOND TO EACH PATIENT WITH OPTIMISM AND REAL SOLUTIONS: A COMPREHENSIVE, NATIONALLY RECOGNIZED PROGRAM COMBINING THE BEST AVAILABLE TECHNOLOGY, EXPERTS IN THE FIELD AND QUALITY SERVICES, INCLUDING OUR STATE-OF-THE-ART FACILITY. THE SHORE CANCER CENTER WAS DESIGNED WITH ONE GOAL IN MIND: FULFILLING OUR CONTINUING MISSION TO PROVIDE THE MOST ADVANCED HEALTHCARE SERVICES BY USING A MULTIDISCIPLINARY APPROACH FOR YOU AND YOUR FAMILY IN A WARM AND CARING ENVIRONMENT. A NATIONALLY RECOGNIZED CANCER CARE PROGRAM SINCE 1987, SHORE MEDICAL CENTER HAS RECEIVED APPROVAL FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER BY MEETING OR EXCEEDING THE ORGANIZATION'S STRINGENT STANDARDS FOR PATIENT CARE. APPROXIMATELY 1,500 CANCER PROGRAMS IN THE UNITED STATES AND PUERTO RICO QUALIFY FOR THIS LEVEL OF APPROVAL. THE SHORE CANCER CENTER SPECIALIZES IN PREVENTION, EARLY DETECTION, RADIATION ONCOLOGY, MEDICAL ONCOLOGY, NURSE NAVIGATION AND SUPPORT SERVICES, INCLUDING NUTRITIONAL SUPPORT, SOCIAL SERVICES, AND A CANCER SURVIVORSHIP SUPPORT. THE SHORE MEDICAL CENTER RADIATION ONCOLOGY DEPARTMENT IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). ACR ACCREDITATION ENSURES THAT SHORE'S PROGRAM MEETS THE MOST CURRENT AND STRINGENT STANDARDS IN STAFFING, EQUIPMENT, QUALITY CONTROL AND TECHNICAL CAPABILITY. CARDIOVASCULAR INSTITUTE (CVI) ------------------------------ THE MEDICAL CENTER'S CARDIOVASCULAR SERVICES BRING UNIVERSITY-SETTING CARDIAC AND VASCULAR SERVICES TO THE COMMUNITY. THE FACILITY HOUSES SOPHISTICATED TECHNOLOGY FOR THE DIAGNOSIS AND TREATMENT OF DISORDERS OF THE HEART AND CIRCULATORY SYSTEM. THE MEDICAL CENTER'S COMPREHENSIVE CARDIAC CARE PROGRAM INCLUDES ADVANCED DIAGNOSTIC CAPABILITIES AND TREATMENT OPTIONS, AS WELL AS PREVENTION, REHABILITATION AND EDUCATION FOR THOSE WITH CORONARY AND VASCULAR DISEASE. THE MEDICAL CENTER'S 138,000-SQUAREFOOT SURGICAL PAVILION INCLUDES A STATE-OF-THE-ART CARDIOVASCULAR SERVICES SUITE FOR INVASIVE PROCEDURES SUCH AS CARDIAC CATHETERIZATIONS. PATIENTS IN NEED OF LESS INVASIVE TESTING, INCLUDING EKGS AND ECHOCARDIOGRAMS, CAN ALSO HAVE THEIR TESTING DONE IN THE CARDIOVASCULAR SUITE. THE MEDICAL CENTER ALSO OFFERS A NON-INVASIVE HEART AND LUNG TESTING CENTER, FEATURING CARDIAC STRESS TESTING, HOLTER-MONITORING AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY. PENN HEART AND VASCULAR AT SHORE MEDICAL CENTER ----------------------------------------------- AS A MEMBER OF PENN HEART AND VASCULAR, THE MEDICAL CENTER PROVIDES RESIDENTS OF THE COMMUNITY WITH ACCESS TO A NUMBER OF HIGH-TECH DIAGNOSES, TREATMENTS AND SERVICES. OUR AFFILIATION WITH THIS NATIONAL LEADER IN HEART CARE ENHANCES THE LEVEL OF EXTRAORDINARY CARDIAC CARE AVAILABLE IN OUR CARDIOVASCULAR SUITE - AND PROVIDES QUICK, COORDINATED ACCESS TO A WIDE RANGE OF WORLD-CLASS CARDIAC SERVICES. THE MEDICAL CENTER ALSO PROVIDES 24-HOUR, SEVEN-DAY-A-WEEK EMERGENCY TRANSPORT TO PHILADELPHIA VIA AMBULANCE OR PENNSTAR HELICOPTER FOR CARDIAC PATIENTS IN NEED. EMERGENCY SERVICES ------------------ WHETHER IT'S A SPRAINED ANKLE FROM A RUN ON THE BOARDWALK OR A LIFE-THREATENING HEART ATTACK OR STROKE, THE EMERGENCY STAFF AT THE MEDICAL CENTER IS READY, WILLING AND ABLE TO HELP. BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS, WHO ARE SPECIALLY TRAINED IN CARDIOLOGY, NEUROSCIENCES, ORTHOPEDICS, OBSTETRICS, PEDIATRICS AND MORE, STAFF THE SHORE MEDICAL CENTER EMERGENCY DEPARTMENT. THE MEDICAL CENTER'S NEUROSCIENCES CENTER PROVIDES EXTRAORDINARY HIGH-TECH DIAGNOSIS AND TREATMENT SERVICES, WHICH ARE ENHANCED THROUGH THE ADVANCED TECHNOLOGY FOUND WITHIN THE SHORE SURGICAL PAVILION AND DELIVERED WITH THE CARING TOUCH YOU EXPECT FROM THE MEDICAL CENTER. ALONG WITH ITS PENN MEDICINE AFFILIATION, THE MEDICAL CENTER IS A MEMBER OF THE WORLD-RENOWNED JEFFERSON NEUROSCIENCE NETWORK, WHICH FURTHER ENSURES THE HIGHEST QUALITY CARE FOR AREA RESIDENTS. SPECIALISTS FROM THE SHORE NEUROSCIENCES CENTER, PENN MEDICINE AND THE JEFFERSON NEUROSCIENCE NETWORK COLLABORATE USING A MULTI-DISCIPLINARY APPROACH TO EVALUATION, DIAGNOSIS AND TREATMENT. THIS TEAM APPROACH PROVIDES UNMATCHED SERVICES AND MEDICAL SOPHISTICATION TO OUR COMMUNITY, A SEAMLESS DELIVERY OF CARE AND REHABILITATION DESIGNED TO PRODUCE THE BEST MEDICAL OUTCOMES POSSIBLE. MATERNITY CARE CENTER --------------------- THE MEDICAL CENTER HAS A FAMILY-CENTERED APPROACH WHEN IT COMES TO CHILDBIRTH AND THE HOSPITALIZATION OF A CHILD. THE MATERNITY CARE CENTER PROVIDES PATIENTS WITH A SPECIAL COMBINATION OF COMPASSION, EXPERTISE AND ADVANCED TECHNOLOGY. SPECIAL ATTENTION IS PAID TO HELPING PREGNANT MOTHERS AND NEW FAMILIES DEVELOP AND MAINTAIN THOSE EARLY BONDS. THE MEDICAL CENTER'S FAMILY CENTERED APPROACH TO CARE IS ALSO EVIDENT IN THE INPATIENT PEDIATRIC CARE CENTER. IN 2020, 910 BABIES WERE BORN AT THE MEDICAL CENTER. MATERNAL-FETAL MEDICINE PROGRAM ------------------------------- SOMETIMES A WOMAN NEEDS ADDITIONAL EXPERTISE IN THE FORM OF A MATERNAL-FETAL MEDICINE SPECIALIST - AN OBSTETRICIAN WHO IS TRAINED IN FETAL MEDICINE AND HIGH-RISK PREGNANCIES. THROUGH OUR AFFILIATION WITH PENN MEDICINE AND RENOWNED SPECIALIST DR. ROBERT DEBBS, D.O., THE PENN MATERNAL-FETAL MEDICINE PROGRAM AT THE MEDICAL CENTER PROVIDES THESE EXPECTANT MOTHERS WITH THE SPECIALIZED CARE THEY NEED. GROUNDBREAKING PEDIATRIC CARE CENTER ------------------------------------ THE MEDICAL CENTER'S CHILD-FRIENDLY PEDIATRIC CARE CENTER WAS THE FIRST OF ITS KIND IN NEW JERSEY, FEATURING A DEDICATED AND SEPARATE PEDIATRIC TREATMENT AREA FOR MINOR ILLNESSES AND INJURIES, AS WELL AS INPATIENT ROOMS. CHILDREN ARE SEEN BY EXPERT EMERGENCY DEPARTMENT PHYSICIANS IN CONSULTATION WITH THE PHYSICIANS OF ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN AND ONSITE NEONATAL PARTNERS. THE MEDICAL CENTER'S LABORIST PROGRAM ENSURES THAT A HIGHLY TRAINED OBSTETRICIAN-GYNECOLOGIST IS ON SITE AT SHORE 24 HOURS A DAY, SEVEN DAYS A WEEK TO ASSIST PATIENTS IN LABOR UNTIL THEIR OWN PHYSICIAN ARRIVES. THE LABORIST PROGRAM FEATURES SEVEN SKILLED LABORISTS WHO ROTATE TO ASSIST WITH GYNECOLOGICAL EMERGENCIES, INPATIENT CONSULTATIONS, EMERGENCY C-SECTIONS AND OTHER NEEDS. THANKS TO THE LABORIST PROGRAM, BIRTHS AT SHORE ARE ON THE RISE, AND WE'VE SEEN A SIGNIFICANT REDUCTION IN THE HOSPITAL'S C-SECTION RATES. IN FALL 2019, SHORE BEGAN WORKING WITH THE ATLANTIC COUNTY SPECIAL SERVICES SCHOOL DISTRICT TO DEVELOP A SENSORY FRIENDLY PEDIATRIC EMERGENCY CARE PROGRAM DESIGNED TO HELP CHILDREN WITH AUTISM HAVE A BETTER EXPERIENCE WHEN COMING TO THE HOSPITAL, FROM DOOR TO DISCHARGE. THE PROGRAM WAS EXPECTED TO LAUNCH IN APRIL 2020, BUT WAS DELAYED TO 2021 DUE TO COVID. HOWEVER, IN 2020 MUCH PROGRESS WAS MADE. SPECIAL SERVICES SCHOOL'S PROFESSIONAL STAFF PROVIDED EXTENSIVE TRAINING TO SHORE'S ER STAFF THROUGH IN-PERSON TRAINING AND VIDEO-RECORDED MODULES, AND PLANS FOR THE NEW ROOM WERE FINALIZED. ADVANCED SPINE & ORTHOPEDIC INSTITUTE ------------------------------------- THE MEDICAL CENTER ADVANCED SPINE & ORTHOPEDIC INSTITUTE (ASOI) OFFERS A COMPREHENSIVE CONTINUUM OF CARE WITHIN A HIGHLY INTEGRATED HEALTHCARE DELIVERY NETWORK THAT TAKES OUR PATIENTS FROM DIAGNOSIS THROUGH TREATMENT AND REHABILITATION. WE HELP PATIENTS DEAL WITH EVERYTHING FROM EVERYDAY ACHES AND STRAINS TO SPORTS INJURIES, SERIOUS SPINE AND ORTHOPEDIC INJURIES AND DISEASE, AS WELL AS JOINT REPLACEMENT AND RECONSTRUCTION. OUR GOAL IS TO RETURN OUR PATIENTS TO NORMAL FUNCTION AS QUICKLY AND SAFELY AS POSSIBLE. THE MEDICAL CENTER'S SPINE SURGERY AND HIP AND KNEE REPLACEMENT PROGRAMS HAVE RECEIVED THE GOLD SEAL OF APPROVAL FOR HEALTHCARE QUALITY BY THE JOINT COMMISSION. ADVANCED CARE FROM THE REGION'S TOP PHYSICIANS ---------------------------------------------- THE EXCEPTIONAL SPINE SURGEONS AT THE MEDICAL CENTER HAVE ACCESS TO SOME OF THE MOST ADVANCED TECHNOLOGY AVAILABLE IN THEIR FIELDS. WHEN A PATIENT'S PROBLEM EXCEEDS OUR ADVANCED CAPABILITIES, THE MEDICAL CENTER'S AFFILIATION WITH PENN MEDICINE AND OUR MEMBERSHIP IN THE JEFFERSON NEUROSCIENCE NETWORK ALLOW FOR A SEAMLESS TRANSFER OF CARE TO SPECIALISTS AT THESE TWO LEADING PHILADELPHIA HEALTHCARE PROVIDERS, IN ADDITION TO THE AREA'S MOST EXCEPTIONAL AND PASSIONATE PHYSICIANS. JOINT REPLACEMENT & SPINE EDUCATION ----------------------------------- JOINT AND SPINE EDUCATION CLASSES ARE OFFERED REGULARLY FOR PATIENTS ABOUT TO UNDERGO JOINT REPLACEMENT OR SPINE SURGERY, AS WELL AS FOR THE COMMUNITY AT LARGE THROUGH THE MEDICAL CENTER'S ADVANCED SPINE & ORTHOPEDIC INSTITUTE. FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AFFILIATIONS ============ IN DECEMBER 2019, SHORE CANCER CENTER OFFICIALLY BECAME A MEMBER OF THE PENN CANCER NETWORK. AS PART OF THIS NETWORK, CLINICIANS AT THE SHORE CANCER CENTER HAVE EXPANDED ACCESS TO ADVANCED EXPERTISE AND A VARIETY OF RESOURCES. THE MEDICAL CENTER IS ALSO A PROUD MEMBER OF THE JEFFERSON NEUROSCIENCE NETWORK. THE SHORE NEUROSCIENCE CENTER'S EXTRAORDINARY HIGH-TECH DIAGNOSIS AND TREATMENT OPTIONS, WHICH ARE ENHANCED THROUGH THE ADVANCED TECHNOLOGY FOUND WITHIN THE SHORE SURGICAL PAVILION, ARE DELIVERED WITH THE CARING TOUCH EXPECTED FROM THE MEDICAL CENTER. AS A MEMBER OF THE JEFFERSON NEUROSCIENCE NETWORK, THE MEDICAL CENTER CAN ENSURE THE HIGHEST QUALITY CARE FOR AREA RESIDENTS. SPECIALISTS FROM THE SHORE NEUROSCIENCES CENTER AND THE JEFFERSON NEUROSCIENCE NETWORK COLLABORATE USING A MULTI-DISCIPLINARY APPROACH TO EVALUATION, DIAGNOSIS AND TREATMENT. HIGHLY COMPLEX CASES CAN BE REFERRED WITH ACCURACY AND SPEED, AIDED BY A SEAMLESS EXCHANGE OF INFORMATION. SHORE CONTINUES TO UTILIZE MAYO MEDICAL LABORATORIES AS ITS PRIMARY REFERENCE LABORATORY, A RELATIONSHIP ESTABLISHED IN 2014 THAT GIVES THE MEDICAL CENTER ACCESS TO MAYO CLINIC'S EXTENSIVE MENU OF LABORATORY TESTS AND CLINICAL EXPERTISE, WHILE ENHANCING THE EFFICIENCY AND AFFORDABILITY OF ADVANCED LABORATORY TESTING. THROUGH THIS PARTNERSHIP, SHORE HAS ACCESS TO MORE ADVANCED DIAGNOSTIC AND NEWLY DEVELOPED TESTS, ESPECIALLY IN THE AREAS OF GENETIC AND MOLECULAR TESTING. IN ADDITION, MAYO CLINIC PHYSICIANS AND SCIENTISTS IN EVERY SPECIALTY LABORATORY WILL BE AVAILABLE FOR CONSULTATION REGARDING TEST SELECTION, UTILIZATION AND METHODOLOGIES AND RESULT INTERPRETATION THE MEDICAL CENTER IS PLEASED TO PARTNER WITH ADVANCED RADIOLOGY SOLUTIONS ("ARS") TO PROVIDE SUPERIOR DIAGNOSTIC IMAGING SERVICES. THE ARS TEAM HAS BEEN ACCREDITED BY THE JOINT COMMISSION FOR ITS TELERADIOLOGY SERVICES. ARS IS THE ONLY ONE WITHIN 100 MILES OF THE MEDICAL CENTER TO EARN THIS RECOGNITION FOR ITS HIGH-QUALITY SERVICES. THE ARS TEAM INCLUDES FELLOWSHIP-TRAINED AND BOARD-CERTIFIED RADIOLOGISTS WHO COVER THE BROAD SPECTRUM OF RADIOLOGY, INCLUDING INTERVENTIONAL RADIOLOGY, BREAST IMAGING, MUSCULOSKELETAL RADIOLOGY AND NEURORADIOLOGY. ARS, UNDER THE LEADERSHIP OF PRESIDENT AND MEDICAL DIRECTOR THOMAS YU, M.D., HAS A RICH HISTORY OF TEAM BUILDING AND PROVIDING PATIENTS WITH A SEAMLESS CONTINUUM OF CARE. THROUGH ITS INTERVENTIONAL RADIOLOGY PROGRAM, ARS HAS DEVELOPED JOINT VENTURES IN THE FIELDS OF NEPHROLOGY AND VASCULAR SURGERY, LEADING TO SUCCESSFUL ACCESS AND ENDOVASCULAR ANEURYSM REPAIR PROGRAMS. ARS' RADIOLOGISTS ARE ALSO TRAINED IN CORONARY CTA, CT COLONOGRAPHY AND BREAST MRI INTERPRETATIONS, MAKING ARS ONE OF THE REGION'S LEADING DESTINATIONS FOR RADIOLOGY SERVICES. THE MEDICAL CENTER IS PLEASED TO BE AFFILIATED WITH ONSITE NEONATAL PARTNERS. WITH A UNIQUE MODEL THAT PLACES NEONATOLOGISTS IN HOSPITALS 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, THIS NATIONALLY RENOWNED GROUP OF NEARLY 40 NEONATOLOGISTS IS ABLE TO IMPROVE THE QUALITY OF CARE AND REDUCE RISKS FOR MORE THAN 100,000 PREMATURE OR OTHERWISE FRAGILE FULL-TERM INFANTS. ONSITE PHYSICIANS ALSO PROVIDE STAFFING FOR SHORE'S PEDIATRIC CARE CENTER. THE MEDICAL CENTER'S LONG-STANDING AFFILIATION WITH PENN MEDICINE CONTINUES TO BE A VALUABLE PARTNERSHIP, PROVIDING PATIENTS WITH ACCESS TO ADVANCED TREATMENT IN MULTIPLE DISCIPLINES, INCLUDING MATERNAL-FETAL MEDICINE, CARDIAC CARE, PULMONOLOGY, AND MOST RECENTLY ONCOLOGY. HEART DISEASE PATIENTS CAN TURN TO THE MEDICAL CENTER AND PENN HEART & VASCULAR. LOCATED IN THE MEDICAL CENTER'S SURGICAL PAVILION, A 400-SQUARE-FOOT, STATE-OF-THE-ART CARDIAC CATHETERIZATION SUITE IS STAFFED BY PENN PHYSICIANS TRAINED IN PERFORMING SERIOUS CARDIAC PROCEDURES. WHEN NEEDED, THE PENN HEART RESCUE HELICOPTER IS AVAILABLE 24 HOURS PER DAY, SEVEN DAYS PER WEEK TO PROVIDE RAPID TRANSPORT TO PHILADELPHIA. THE PENN MATERNAL-FETAL MEDICINE PROGRAM AT SHORE PROVIDES EXTRA CARE TO MOTHERS-TO-BE AND THEIR CHILDREN. WOMEN FACING HIGH-RISK PREGNANCIES CAN BE TREATED FOR A VARIETY OF CONDITIONS, INCLUDING HEART DISEASE, PLACENTAL PROBLEMS, DIABETES, MULTIPLE GESTATION PREGNANCY AND LATER-AGE PREGNANCY. DR. ROBERT DEBBS, D.O., A RENOWNED SPECIALIST WITH PENN MEDICINE AND THE MEDICAL CENTER, LEADS THE MATERNAL-FETAL MEDICINE PROGRAM. THE MEDICAL CENTER HAS PHYSICIANS ON STAFF FROM THE ROTHMAN INSTITUTE, WHICH IS INTERNATIONALLY RECOGNIZED FOR EXCELLENCE IN ORTHOPEDIC SCIENCE AND TECHNOLOGY. THESE PHYSICIANS ARE EXPERTS IN THEIR SPECIALTY AREAS AND LEADERS IN CLINICAL RESEARCH AND TECHNOLOGY. CORE FORM, PART III, QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WITH THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990. AT THIS MEETING, THE CPA FIRM GAVE A FORM 990 PRESENTATION TO THE COMMITTEE. THEREAFTER, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND ITS CHIEF COMPLIANCE OFFICER FOR REVIEW. THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. THEREAFTER, ANY SIGNIFICANT DISCLOSURES OF A MATERIAL NATURE INVOLVING THE ORGANIZATION'S GOVERNING BODY OR SENIOR LEADERSHIP IS REPORTED TO THE SYSTEM'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. SHORE MEMORIAL HEALTH SYSTEM'S BOARD OF TRUSTEES HAS A LEADERSHIP DEVELOPMENT AND COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT PERSONNEL INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER/CHIEF DEVELOPMENT OFFICER, CHIEF OPERATING OFFICER/CHIEF NURSING OFFICER, CHIEF MEDICAL OFFICER, CHIEF INFORMATION OFFICER AND VICE PRESIDENT OF HUMAN RESOURCES ("SENIOR LEADERSHIP"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE ORGANIZATION'S SENIOR LEADERSHIP. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO THE ORGANIZATION'S SENIOR LEADERSHIP. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J RONALD JOHNSON IS AN OFFICER AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION. MR. JOHNSON IS EMPLOYED BY THIS ORGANIZATION AND RECEIVES FORM W-2. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH SHORE MEMORIAL HOSPITAL (EIN: 21-0660835). SHORE MEMORIAL HOSPITAL FILED A 2020 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. JOHNSON'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF SHORE MEMORIAL HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - OTHER ACCRUED RETIREMENT COST - $702,252; - OTHER CHANGES IN PENSION & POSTRETIREMENT BENEFITS - ($16,400,494); - DONOR RESTRICTED NET INVESTMENT RETURN - $134,339; - CHANGE IN DONOR RESTRICTED BENEFICIAL INTEREST IN PERPETUAL TRUST - $175,851; AND - CHANGES IN DONOR RESTRICTED NET ASSETS - $90,709. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SHORE MEMORIAL HEALTH SYSTEM AND ITS AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR EACH YEAR. THE ORGANIZATION'S AUDIT AND FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3A THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT CPA FIRM TO PREPARE AND ISSUE AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:16030837 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:9576126 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION EXPENSE TOTAL FEES:1227152 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:749541 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:29 FORM 990 PART IX LINE 11G DESCRIPTION:CARE MANAGEMENT FEES TOTAL FEES:2172795 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:1306950 BRIGHTON BAY LLC 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 454335590 HOLDING/MGMT NJ 613762 3033723 SMH SHORE QUALITY PARTNERS LLC 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 464384840 HEALTH SVCS. NJ 1638105 -2229863 SMH SHORE QUALITY PARTNERS ACO LLC 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 842099293 HEALTH SVCS. NJ 0 0 SMH SHORE HEALTH SERVICES CORPORATION 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 222866335 holding co. NJ 501(C)(3) 509(A)(3) SMHS false SHORE MEMORIAL HEALTH SYSTEM 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 222866326 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) N/A false SHORE MEMORIAL HEALTH FOUNDATION INC 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 342027846 inactive NJ 501(C)(3) 509(A)(1) SMH true SHORE HEALTH ENTERPRISES INC 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 223501680 RENTAL REAL EST. NJ N/A C CORP. false SHORE MEMORIAL PHYSICIAN'S GROUP PC 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 275440611 HEALTHCARE SVCS. NJ SMH C CORP. 11283264 4975294 1.00000 true BAYFRONT URGENT CARE PA 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 274211365 HEALTHCARE SVCS. NJ SMH C CORP. 1242834 237307 1.00000 true SHORE HOSPITALISTS ASSOCIATES PA 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 472173802 HEALTHCARE SVCS. NJ SMH C CORP. 2754912 597673 1.00000 true SHORE PATHOLOGY ASSOCIATES PC 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 464221478 HEALTHCARE SVCS. NJ SMH C CORP. 487686 48145 1.00000 true SHORE SPECIALTY CONSULTANTS PA 100 MEDICAL CENTER WAY SOMERS POINT NJ 08244 472248436 HEALTHCARE SVCS. NJ SMH C CORP. 9021034 1092535 1.00000 true false false false false false false false false false false false false false true true false false true false SHORE MEMORIAL HEALTH SYSTEM O 60285 COST SCHEDULE R, PART V THE ORGANIZATION IS A MEMBER OF SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.