STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SHORE MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SHORE MEMORIAL HOSPITAL (EIN 21-0660835)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201923199349301857
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-15T07:34:08-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 Jefferson Park Suite 400AddressLine1Txt
CityWhippanyCityNm
State AbbreviationNJStateAbbreviationCd
ZIP079811070ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN210660835EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHORE MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID R HUGHESInCareOfNm
Business Name ControlSHORBusinessNameControlTxt
Phone6096533545PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MEDICAL CENTER WAYAddressLine1Txt
CitySOMERS POINTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP082442387ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID R HUGHESPersonNm
Person TitleCFOPersonTitleTxt
Phone6096533545PhoneNum
Signature2019-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone9738989494PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.124.179.67IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id22006220193195000014FederalOriginalSubmissionId
Federal Original Submission Id2019-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0E7AA6D09474FC827FC900BEE833A570B2ABBB6BAtSubmissionCreationDeviceId
At Submission Filing Device Id5A0BD2DD5A2D970DE880B7F69397A09FB042BB79AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRONALD W JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MEDICAL CENTER WAYAddressLine1Txt
CitySOMERS POINTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP082442387ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$192,477,561GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SHOREMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO CARE FOR & RESPECT ALL PATIENTS, THEIR FAMILIES & EACH OTHER.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee1700TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,771,545PYContributionsGrantsAmt
CY Contributions Grants$2,161,969CYContributionsGrantsAmt
PY Program Service Revenue$183,002,350PYProgramServiceRevenueAmt
CY Program Service Revenue$186,134,231CYProgramServiceRevenueAmt
PY Investment Income$2,606,644PYInvestmentIncomeAmt
CY Investment Income$2,494,134CYInvestmentIncomeAmt
PY Other Revenue$819,616PYOtherRevenueAmt
CY Other Revenue$891,435CYOtherRevenueAmt
PY Total Revenue$189,200,155PYTotalRevenueAmt
CY Total Revenue$191,681,769CYTotalRevenueAmt
PY Grants And Similar Paid$232,946PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$183,894CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$80,191,893PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$79,791,841CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$902,048CYTotalFundraisingExpenseAmt
PY Other Expenses$95,215,101PYOtherExpensesAmt
CY Other Expenses$96,155,915CYOtherExpensesAmt
PY Total Expenses$175,639,940PYTotalExpensesAmt
CY Total Expenses$176,131,650CYTotalExpensesAmt
PY Revenues Less Expenses$13,560,215PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,550,119CYRevenuesLessExpensesAmt
Total Assets BOY$268,014,801TotalAssetsBOYAmt
Total Assets EOY$270,432,411TotalAssetsEOYAmt
Total Liabilities BOY$197,021,131TotalLiabilitiesBOYAmt
Total Liabilities EOY$184,843,261TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$70,993,670NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$85,589,150NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF SHORE MEDICAL CENTER IS TO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. THROUGH INNOVATIVE THINKING AND STRONG PHYSICIAN PARTNERSHIPS, WE WILL STRIVE TO DELIVER BEST IN CLASS COST PERFORMANCE, THE HIGHEST LEVEL OF CLINICAL QUALITY, AND EXCEPTIONAL CUSTOMER SERVICE. OUR VALUES INCLUDE THE FOLLOWING: PUT PATIENTS FIRST - WE GO TO EXTRAORDINARY LENGTHS TO PROVIDE THE HIGHEST QUALITY OF CARE FOR OUR PATIENTS AND THEIR FAMILIES IN A SAFE AND COMPASSIONATE ENVIRONMENT. THEY ARE THE REASON WE ARE HERE AND THE CENTER OF ALL WE DO. RESPECT OTHERS - WE FOSTER AN ENVIRONMENT OF MUTUAL RESPECT AND TEAMWORK BY LISTENING TO OTHERS AND VALUING DIFFERENT POINTS OF VIEW, KNOWING THAT TOGETHER WE ARE STRONGER. PURSUE EXCELLENCE - WE RELENTLESSLY STRIVE FOR EXCELLENCE IN EVERY ACTION WE TAKE. WE EXPLORE INNOVATIONS, EXCEED EXPECTATIONS AND PROMOTE CONTINUOUS LEARNING AND EMPOWERMENT AT ALL LEVELS. DO THE RIGHT THING - ALWAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$63,424,263ExpenseAmt
Grant$183,894GrantAmt
Revenue$57,848,523RevenueAmt
DescEXPENSES 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 2018, THE ORGANIZATION HAD 6,456 ADMISSIONS FOR A TOTAL OF 26,432 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATIONS COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,272,308ExpenseAmt
Grant$0GrantAmt
Revenue$25,134,428RevenueAmt
DescEXPENSES 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 2018, THE ORGANIZATION TREATED 3,257 SAME DAY SURGERY CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATIONS COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,857,590ExpenseAmt
Grant$0GrantAmt
Revenue$11,204,116RevenueAmt
DescEXPENSES 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 2018, THE ORGANIZATION HAD 2,262 ADMISSIONS FOR A TOTAL OF 6,232 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATIONS COMMUNITY BENEFIT STATEMENT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$52,883,359TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$92,615,808TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$142,437,520TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document436IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1700EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID R HUGHESPersonNm
Phone6096533545PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MEDICAL CENTER WAYAddressLine1Txt
CitySOMERS POINTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP082442387ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT J BRAY DDS MS
CHAIRMAN - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
EDWARD KUEHNLE
VICE CHAIRMAN - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
R SCOTT HALLIDAY
SECRETARY/ASST TREAS - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
RONALD B STABLINI CPA MBA
TREAS/ASST SECRETARY - TRUSTEE1.00.0Yes (X)Yes (X)$0$0$0
AUTUMN BAYLES
TRUSTEE1.00.0Yes (X)$0$0$0
DAVID BEYEL
TRUSTEE1.00.0Yes (X)$0$0$0
AUGGIE CIPOLLINI
TRUSTEE1.00.0Yes (X)$0$0$0
PATRICIA Q CONNOLLY
TRUSTEE1.00.0Yes (X)$0$0$0
GERALD J CORCORAN ESQ
TRUSTEE1.00.0Yes (X)$0$0$0
JOHN DABEK
TRUSTEE1.00.0Yes (X)$0$0$0
FERNANDO DELASOTTA MD
TRUSTEE1.00.0Yes (X)$0$0$0
ARTHUR T FORD III ESQ
TRUSTEE1.00.0Yes (X)$0$0$0
LEONARD T GALLER MD
TRUSTEE1.00.0Yes (X)$1,928$0$0
JAY A GILLIAN
TRUSTEE1.00.0Yes (X)$0$0$0
JAMES HERRINGTON MD
TRUSTEE; MED STAFF PRESIDENT1.00.0Yes (X)$0$0$0
RONALD W JOHNSON
TRUSTEE - PRESIDENT/CEO50.00.0Yes (X)Yes (X)$1,333,607$0$80,263
MUKESH ROY MD
TRUSTEE1.00.0Yes (X)$0$0$0
GARY G SCHAFFER
TRUSTEE1.00.0Yes (X)$0$0$0
CARMINE J TAGLIALATELLA JWC
TRUSTEE1.00.0Yes (X)$0$0$0
RICHARD L TRAA
TRUSTEE1.00.0Yes (X)$0$0$0
SANDY TZAFEROS PHARMD
TRUSTEE1.00.0Yes (X)$0$0$0
DAVID R HUGHES
CFO/CDO50.00.0Yes (X)$511,026$0$41,275
LINDA S KENWOOD
COO/CNO50.00.0Yes (X)$420,210$0$30,610
JEANNE M ROWE MD
CHIEF MEDICAL OFFICER50.00.0Yes (X)$470,608$0$42,540
FREDERICK L BANNER
CHIEF INFORMATION OFFICER50.00.0$290,420$0$37,546Yes (X)
ALAN L BEATTY
VICE PRESIDENT HUMAN RESOURCES50.00.0$265,054$0$27,773Yes (X)
CHARLES A DENNIS MD
PHYSICIAN ADVISOR50.00.0$320,750$0$47,616Yes (X)
ROBERT L WOOD
FINANCE DIRECTOR50.00.0$202,166$0$29,312Yes (X)
ROBIN KEYACK
AVP SURGICAL SERVICES50.00.0$196,938$0$24,164Yes (X)
MICHAEL J SMITH
ADM DIR OF PATIENT FIN SVCS50.00.0$180,016$0$45,503Yes (X)
ROBERT F ROBERTSON
ADM DIRECTOR OF LOGISTICS50.00.0$174,952$0$23,378Yes (X)
RICHARD A PITMAN
FORMER OFFICER0.00.0$141,239$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,508,914TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$429,980TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K98IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNDINE COMPANY
1000 WASHINGTON STREET SUITE 510BOSTONMA02118FOOD/MANAGEMENT$3,706,860
XANITOS INC
3809 WEST CHESTER PIKENEWTOWN SQUAREPA19073CLEANING$3,237,231
CERNER CORPORATION
2800 ROCKCREEK PARKWAYNORTH KANSAS CITYMO64117IT$2,229,971
ADVANTAGE WOMEN'S HEALTH LLC
22 NORTH FRANKLIN AVENUEPLEASANTVILLENJ08232MEDICAL$1,463,333
SHORE MEMORIAL PHYSICIANS GROUP
100 MEDICAL CENTER WAYSOMERS POINTNJ08244MEDICAL$955,387
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
Fundraising$399,388FundraisingAmt
Government Grants$467,303GovernmentGrantsAmt
All Other Contributions$1,295,278AllOtherContributionsAmt
Total Contributions$2,161,969TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE541900$189,267,026$189,267,026
NET LOSS IN RELATED HEALTHCARE
PROGRAM SERVICES541900-$6,929,945-$6,929,945
AUXILLARY INCOME541900$463,264$463,264
OTHER HEALTHCARE RELATED REVENUE541900$3,333,886$3,333,886
FieldValueIRS element (for citing)
Total Program Service Revenue$186,134,231TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,175TotalRevenueColumnAmt
Exclusion$15,175ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$848,416RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$637,424RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$210,992RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,992TotalRevenueColumnAmt
Exclusion$210,992ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,482,539SecuritiesAmt
Other$82,183OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$85,763OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,482,539SecuritiesAmt
Other-$3,580OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,478,959TotalRevenueColumnAmt
Exclusion$2,478,959ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$68,247FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$399,388ContriRptFundraisingEventAmt
Fundraising Direct Expenses$68,247FundraisingDirectExpensesAmt
Gaming Gross Income$16,157GamingGrossIncomeAmt
Gaming Direct Expenses$4,358GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,799TotalRevenueColumnAmt
Exclusion$11,799ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA/VENDINGDesc
Business722410BusinessCd
Total Revenue Column$668,644TotalRevenueColumnAmt
Related Or Exempt Func Income$668,644RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$668,644OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$191,681,769TotalRevenueColumnAmt
Related Or Exempt Func Income$186,802,875RelatedOrExemptFuncIncomeAmt
Exclusion$2,716,925ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$183,894TotalAmt
Program Services$183,894ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,552,860TotalAmt
Program Services$2,865,163ProgramServicesAmt
Management And General$679,628ManagementAndGeneralAmt
Fundraising$8,069FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$61,922,267TotalAmt
Program Services$49,936,505ProgramServicesAmt
Management And General$11,845,131ManagementAndGeneralAmt
Fundraising$140,631FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,148,724TotalAmt
Program Services$926,375ProgramServicesAmt
Management And General$219,740ManagementAndGeneralAmt
Fundraising$2,609FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,028,546TotalAmt
Program Services$6,474,529ProgramServicesAmt
Management And General$1,535,783ManagementAndGeneralAmt
Fundraising$18,234FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,139,444TotalAmt
Program Services$4,144,646ProgramServicesAmt
Management And General$983,126ManagementAndGeneralAmt
Fundraising$11,672FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$162,499TotalAmt
Program Services$106,711ProgramServicesAmt
Management And General$53,584ManagementAndGeneralAmt
Fundraising$2,204FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$725,851TotalAmt
Program Services$476,656ProgramServicesAmt
Management And General$239,352ManagementAndGeneralAmt
Fundraising$9,843FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$199,260TotalAmt
Program Services$130,851ProgramServicesAmt
Management And General$65,707ManagementAndGeneralAmt
Fundraising$2,702FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$58,325TotalAmt
Program Services$58,325ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$9,388TotalAmt
Program Services$6,165ProgramServicesAmt
Management And General$3,096ManagementAndGeneralAmt
Fundraising$127FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,433,246TotalAmt
Program Services$18,671,718ProgramServicesAmt
Management And General$9,375,960ManagementAndGeneralAmt
Fundraising$385,568FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$502,792TotalAmt
Program Services$502,792ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,583,953TotalAmt
Program Services$1,040,160ProgramServicesAmt
Management And General$522,314ManagementAndGeneralAmt
Fundraising$21,479FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,382,376TotalAmt
Program Services$2,221,160ProgramServicesAmt
Management And General$1,115,349ManagementAndGeneralAmt
Fundraising$45,867FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,977,911TotalAmt
Program Services$1,955,553ProgramServicesAmt
Management And General$981,976ManagementAndGeneralAmt
Fundraising$40,382FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,990TotalAmt
Program Services$58,990ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$73,874TotalAmt
Program Services$73,874ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,537,915TotalAmt
Program Services$1,666,614ProgramServicesAmt
Management And General$836,886ManagementAndGeneralAmt
Fundraising$34,415FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,366,037TotalAmt
Program Services$7,463,919ProgramServicesAmt
Management And General$3,747,989ManagementAndGeneralAmt
Fundraising$154,129FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,778,485TotalAmt
Program Services$1,167,907ProgramServicesAmt
Management And General$586,461ManagementAndGeneralAmt
Fundraising$24,117FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$33,142,561$33,142,561
PHYSICIAN SUBSIDY SUPPORT$4,037,167$4,037,167
REPAIRS & MAINTENANCE$3,547,485$3,547,485
CONTRACTED SERVICES$1,164,293$1,164,293

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$413,507TotalAmt
Program Services$413,507ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$176,131,650TotalAmt
Program Services$142,437,520ProgramServicesAmt
Management And General$32,792,082ManagementAndGeneralAmt
Fundraising$902,048FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,551,896BOYAmt
EOY$2,207,635EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$842,302BOYAmt
EOY$928,325EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$220,553BOYAmt
EOY$94,238EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,432,712BOYAmt
EOY$20,789,208EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,700,052BOYAmt
EOY$2,984,949EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,228,655BOYAmt
EOY$1,873,507EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$375,426,245LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$251,800,085LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$131,697,507BOYAmt
EOY$123,626,160EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$95,646,062BOYAmt
EOY$103,826,648EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,695,062BOYAmt
EOY$14,101,741EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$268,014,801BOYAmt
EOY$270,432,411EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,468,459BOYAmt
EOY$27,250,217EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,086,685BOYAmt
EOY$7,574,776EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,891,326BOYAmt
EOY$52,990,148EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,436,636BOYAmt
EOY$13,132,608EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,138,025BOYAmt
EOY$83,895,512EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$197,021,131BOYAmt
EOY$184,843,261EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$67,759,487BOYAmt
EOY$82,755,280EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,234,183BOYAmt
EOY$2,833,870EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,993,670BOYAmt
EOY$85,589,150EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$268,014,801BOYAmt
EOY$270,432,411EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,550,119ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,586,015NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,631,376OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$50,000RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$8,325OtherActivitiesAmt
Total Lobbying Expenditures$58,325TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B; QUESTIONS 1H & 1IFormAndLineReferenceDesc
ExplanationSHORE MEDICAL CENTER ("MEDICAL CENTER") ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2018, THE MEDICAL CENTER PAID AN INDEPENDENT LOBBYING FIRM A TOTAL OF $50,000 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 $8,325 DURING 2018.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,234,183BeginningYearBalanceAmt
Investment Earnings Or Losses-$400,313InvestmentEarningsOrLossesAmt
End Year Balance$2,833,870EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,968,427BeginningYearBalanceAmt
Contributions$44,595ContributionsAmt
Investment Earnings Or Losses$221,161InvestmentEarningsOrLossesAmt
End Year Balance$3,234,183EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,098,225BeginningYearBalanceAmt
Contributions$19,738ContributionsAmt
Investment Earnings Or Losses$42,494InvestmentEarningsOrLossesAmt
Other Expenditures$192,030OtherExpendituresAmt
End Year Balance$2,968,427EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,863,802BeginningYearBalanceAmt
Investment Earnings Or Losses-$765,577InvestmentEarningsOrLossesAmt
End Year Balance$3,098,225EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,458,540BeginningYearBalanceAmt
Investment Earnings Or Losses-$10,751InvestmentEarningsOrLossesAmt
Other Expenditures-$416,013OtherExpendituresAmt
End Year Balance$3,863,802EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,605,070OtherCostOrOtherBasisAmt
Book Value$5,605,070BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,295,788OtherCostOrOtherBasisAmt
Depreciation$50,875,036DepreciationAmt
Book Value$91,420,752BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$226,196,503OtherCostOrOtherBasisAmt
Depreciation$199,715,594DepreciationAmt
Book Value$26,480,909BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,328,884OtherCostOrOtherBasisAmt
Depreciation$1,209,455DepreciationAmt
Book Value$119,429BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$123,626,160TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (11 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED AS TO USE$983,706F
LIMITED USE$41,442,840F
LIMITED USE$17,794,419F
LIMITED USE$39,931,138F
LIMITED USE$737,098F
LIMITED USE$691,312F
LIMITED USE$158,790F
DONOR; LIMITED USE$819,362F
LIMITED USE$2,432,260F
PERPETUAL TRUST$1,709,758F
INVESTMENT IN AFFILIATES-$2,874,035F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$103,826,648TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$9,171,414
DEPOSITS$279,377
OTHER RECEIVABLES$24,576
OTHER ASSETS$4,626,374
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,101,741TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACCRUED INTEREST PAYABLE$166,649
THIRD PARTY PAYORS$6,153,687
ACCRUED RETIREMENT BENEFITS$72,088,987
RESERVE FOR INSURANCE CLAIMS$4,660,368
OTHER LIABILITIES$825,821
FieldValueIRS element (for citing)
Total Liability$83,895,512TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V; QUESTION 4THE 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. DEFICIENCIES OF THIS NATURE ARE REPORTED IN UNRESTRICTED NET ASSETS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.
SCHEDULE D, PART XTHE 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, 2018 AND DECEMBER 31, 2017; 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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GalaEvent1Nm
Gross Receipts Event1$467,635GrossReceiptsEvent1Amt
Charitable Contri Event1$399,388CharitableContriEvent1Amt
Gross Revenue Event1$68,247GrossRevenueEvent1Amt
Rent Facility Costs Event1$50,060RentFacilityCostsEvent1Amt
Entertainment Event1$12,700EntertainmentEvent1Amt
Other Direct Expenses Event1$5,487OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$467,635GrossReceiptsTotalAmt
Charitable Contributions Tot$399,388CharitableContributionsTotAmt
Gross Revenue Total Events$68,247GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$50,060RentFcltyCostsTotalEventsAmt
Entertainment Total Events$12,700EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,487OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$68,247DirectExpenseSummaryEventsAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Bingo$6,157GrossRevenueBingoAmt
Non Cash Prizes Bingo$1,700NonCashPrizesBingoAmt
Rent Facility Costs Bingo$400RentFacilityCostsBingoAmt
Other Direct Expenses Bingo$2,258OtherDirectExpensesBingoAmt
Volunteer Labor BingoYes (true)VolunteerLaborBingoInd
Volunteer Labor Bingo1.00000VolunteerLaborBingoPct
Gross Revenue Other Gaming$10,000GrossRevenueOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$16,157GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$1,700NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$400RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$2,258OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$4,358DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$11,799NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNJStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0.80000GamingOwnFacilityPct
Gaming Other Facility0.20000GamingOtherFacilityPct
Individual With BooksSMC FINANCE PERSONNELIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1100 MEDICAL CENTER WAYAddressLine1Txt
CitySOMERS POINTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08244ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonSMC FINANCE PERSONNELGamingManagerPersonNm
Gaming Manager Services ProvHANDLE DAY TO DAY OPERATIONSGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,298,701TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$140,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,158,343NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,810,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,854,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,955,553NetCommunityBenefitExpnsAmt
Total Expense0.05650TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,108,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,994,958DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,113,896NetCommunityBenefitExpnsAmt
Total Expense0.06310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$237,161TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$625DirectOffsettingRevenueAmt
Net Community Benefit Expns$236,536NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,207,199TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,207,199NetCommunityBenefitExpnsAmt
Total Expense0.02960TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,459,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$625DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,458,735NetCommunityBenefitExpnsAmt
Total Expense0.03100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,568,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,995,583DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,572,631NetCommunityBenefitExpnsAmt
Total Expense0.09410TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,499TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,499NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,499TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,499NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$7,534,909BadDebtExpenseAmt
Bad Debt Expense Attributable$753,410BadDebtExpenseAttributableAmt
Reimbursed By Medicare$58,494,908ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$70,702,053CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,207,145MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHORE MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MEDICAL CENTER WAYAddressLine1Txt
CitySOMERS POINTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP082442387ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.shoremedicalcenter.orgWebsiteAddressTxt
State License10103StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SHORE MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.shoremedicalcenter.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.shoremedicalcenter.orgStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.shoremedicalcenter.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.shoremedicalcenter.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.shoremedicalcenter.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 3IIN RESPONSE TO SHORE MEDICAL CENTERS 2015 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), THE ORGANIZATION DEVELOPED AND ADOPTED AN IMPLEMENTATION PLAN IN DECEMBER 2016, WHICH INCLUDES 2018, 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; AND - DIABETES. BELOW PLEASE FIND A DESCRIPTION OF THE ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE ORGANIZATIONS PRIOR 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 EACH YEAR 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. FOUR PROGRAMS WERE HELD DURING 2018. - 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. FROM 55+ COMMUNITIES TO MAJOR EMPLOYERS, OUR HEALTH EXPERTS. - 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 CENTERS SPEAKERS BUREAU. OVER THE YEARS OF 2017 AND 2018, PARTICIPATION IN OVER 135 EVENTS HAVE OCCURRED REACHING OVER 4,100 PEOPLE ON VARIES CANCER AND HEALTH/WELLNESS TOPICS. THE CANCER CENTER PARTICIPATES IN GET YOUR SKINNY ON! AND IS A PARTNER WITH CHOOSE YOUR COVER FREE SKIN CANCER SCREENING EVENTS. OVER THE TWO YEARS 9 EVENTS OCCURRED SCREENING 398 PEOPLE. THROUGH THE CEED PROGRAM FREE SCREENING FOR BREAST, CERVICAL, COLORECTAL, AND/OR PROSTATE CANCER IS AVAILABLE FOR UNINSURED and UNDERINSURED LOW INCOME PATIENTS. TOBACCO / LOWER RESPIRATORY --------------------------- SHORE MEDICAL CENTER HAS A DEDICATED TOBACCO CESSATION AND TREATMENT PROGRAM. IT IS LOCATED IN THE CANCER CENTER. THE SMOKING CESSATION COUNSELOR IS LISTED ON THE SHORE MEDICAL CENTERS SPEAKERS BUREAU. IN ADDITION THE COUNSELOR IS LISTED ON ALL DISCHARGE SUMMARY DOCUMENTS TO LET PATIENTS KNOW THAT THE SERVICES ARE AVAILABLE. OVER THE LAST TWO AND A HALF YEARS THE PROGRAM HAS BEEN TAKING INSURANCE AND WILL ALSO ACCEPT CHARITY CARE, ETC. MULTIPLE OUTREACH EVENTS HAVE OCCURRED AND ARE INCLUDED IN THE CANCER CENTER NUMBERS. IN ADDITION WORK THROUGH THE COALITION HAS INCLUDED ON POLICY WORK FOR SMOKE FREE OUTDOOR AIR ORDINANCES. THIS IS PART OF A STATEWIDE INITIATIVE AND IS CONTINUING. THE GOAL IS TO KEEP THE FUTURE GENERATIONS FROM SMOKING THUS DECREASING THE CANCER RATES AND LOWER RESPIRATORY DISEASES. THIS PROGRAM ENDED DURING 2018.
SCHEDULE H, PART V, SECTION B, QUESTION 5IN THE CHNA THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY. IN ORDER TO ACHIEVE THE INTENDED OBJECTIVES AND TO GAIN INPUT FROM THE COMMUNITY ON HEALTH ISSUES OF CONCERN, THE ORGANIZATION DISTRIBUTED BOTH AN ONLINE AND HARD COPY OF ITS CHNA SURVEY. THE SURVEY WAS COMPLETED BY APPROXIMATELY 220 INDIVIDUALS. 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 CENTERS WEBSITE AND AVAILABLE IN PHYSICIAN OFFICES. THE SURVEY QUESTIONS CAN BE FOUND IN APPENDIX C OF THE ORGANIZATIONS CHNA. ADDITIONALLY, PUBLIC HEALTH LEADERS AND PROFESSIONALS FROM LOCAL AND COUNTY GOVERNMENT AND A LOCAL UNIVERSITY WERE INTERVIEWED AND ASSISTED US TO FORM A BETTER PICTURE OF THE COMMUNITY. PUBLIC HEALTH REPRESENTATIVES WERE INTERVIEWED ON KEY PUBLIC HEALTH ISSUES IN THE COUNTY. FOR ITS MOST RECENTLY CONDUCTED CHNA THE FOLLOWING REPRESENTATIVES WERE INTERVIEWED: - BENJAMIN H. MOUNT III, MPA, MPH, COORDINATOR OF COMMUNITY HEALTH SERVICES CAPE MAY COUNTY HEALTH DEPARTMENT; - KEVIN THOMAS, PUBLIC HEALTH COORDINATOR STOCKTON UNIVERSITY; - ARIANE NEWMAN, MS, INTERIM ASSISTANT DEAN OF SCHOOL OF HEALTH SCIENCES; AND - TARA L. CROWELL, PHD., ASSOCIATE PROFESSOR STOCKTON UNIVERSITY. THESE LEADERS IDENTIFIED THE MOST IMPORTANT BARRIERS TO MAKING INFORMED HEALTH CHOICES WHICH INCLUDED ACCESS TO HEALTHIER FOOD AND RECREATIONAL ACTIVITIES, LACK OF TRANSPORTATION AND LACK OF EDUCATIONAL PROGRAMS DESIGNED TO BETTER INFORM THE COMMUNITY OF THEIR HEALTH-RELATED OPTIONS. IN THE MOST RECENTLY CONDUCTED CHNA THE ORGANIZATION UTILIZED THE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH COMMUNITY HEALTH ASSESSMENT COMPLETED 2013-2014 BY RANDOM SURVEY METHODS OF THE ATLANTIC COUNTY POPULATION. THE SURVEY OF THE PUBLIC IDENTIFIED BARRIERS TO HEALTHCARE INCLUDING ACCESS TO HEALTHCARE; COST OF MAINTAINING A HEALTHY LIFESTYLE; LACK OF KNOWLEDGE; LIMITED ACCESS TO HEALTHY FOODS AND MORE.
SCHEDULE H, PART V, SECTION B, QUESTION 7ATHE 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 10THE 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 11THE ORGANIZATION'S CHNA AND IMPLEMENTATION PLAN WERE ADOPTED AND POSTED ON THE HOSPITAL'S WEBSITE DURING 2016. THE ORGANIZATIONS IMPLEMENTATION STRATEGY IS FOR 2017 - 2019 AND CONSISTS OF THE GOALS AND OBJECTIVES THE ORGANIZATION IS PURSUING IN AN EFFORT TO ADDRESS THE NEEDS IDENTIFIED DURING THE ORGANIZATIONS MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING HEALTH ISSUES WERE IDENTIFIED AS A PRIORITY HEALTH NEEDS: OBESITY, HEART DISEASE, CANCER AND DIABETES. EACH OF THE IDENTIFIED HEALTH NEEDS IS BEING ADDRESSED BY THE ORGANIZATION OVER THE COURSE OF THE IMPLEMENTATION PERIOD. PROJECTS WERE DEVELOPED TO SPECIFICALLY ADDRESS OBESITY, HEART DISEASE, CANCER AND DIABETES. THE FOCUS OF THE PROJECTS ARE TO AID COMMUNITY MEMBERS TO MAKE HEALTHIER CHOICES, IMPROVE ACCESS TO HEALTHY FOODS, REDUCE FOOD SCARCITY AND TO PROVIDE SUPPORT TO CAREGIVERS. IN ADDITION, THROUGH THESE STRATEGIES THE HOPE IS TO IMPACT CHRONIC DISEASE RATES BY PREVENTING AND REDUCING MORTALITY NUMBERS FROM HEART DISEASE, CANCER AND DIABETES. BELOW IS A SUMMARY OF HOW THE ORGANIZATION PLANS TO ADDRESS THE IDENTIFIED HEALTH NEEDS: OBESITY ------- OVER 24% OF THE ADULT POPULATION IS CONSIDERED OBESE IN ATLANTIC AND CAPE MAY COUNTY. OBESITY IS CONNECTED TO MANY CHRONIC DISEASES. HIGH OBESITY RATES CONTRIBUTE TO A VARIETY OF CHRONIC DISEASES. A PRIORITY HAS BEEN PUT IN PLACE TO FOCUS ON HEALTHY EATING AND ACCESS TO HEALTHY FOODS. FOR THIS REASON OBESITY WAS IDENTIFIED AS A TARGET. MULTIPLE STRATEGIES HAVE BEEN ADDED TO THE IMPLEMENTATION PLAN WHICH INCLUDE THE FOLLOWING: STRATEGY 1: HOST THE SOMERS POINT COMMUNITY FARMERS MARKET ON THE GROUNDS OF SHORE MEDICIAL CENTER DURING THE MONTHS OF MAY THROUGH SEPTEMBER IN ORDER TO PROVIDE HEALTH FOOD OPTIONS TO THE LOCAL COMMUNITY. STRATEGY 2: ACQUIRE THE TECHNOLOGY TO ACCEPT NJ SNAP EBT CARDS AT THE SOMERS POING COMMUNITY FARMERS MARKET IN ORDER TO PROVIDE FRUITS AND VEGETABLES FOR RESIDENTS ON GOVERNMENT ASSISTANCE WITHIN THEIR COMMUNITY. STRATEGY 3: 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 4: PARTICIPATE IN THE U.S. DEPARTMENT OF AGRICULTURES SUMMER FOOD SERVICE PROGRAM BY PROVIDING A MEAL PROGRAM FOR CHILDREN DURING THE SUMMER WHEN SCHOOL IS OUT TO REDUCE FOOD SCARCITY ISSUES FOR LOW INCOME CHILDREN. STRATEGY 5: DEVELOP A PARTNERSHIP WITH THE UNIVERSITY OF PENNSYLVANIA TO PROVIDE BARIATRIC SERVICES TO THE LOCAL COMMUNITY. CHRONIC DISEASE (HEART DISEASE AND DIABETES) ------------------------------------------- ATLANTIC COUNTY'S HEART DISEASE RATE IS 13.7% HIGHER THAN THE STATE. HEART DISEASE AND STROKE IS IN THE LEADING CAUSES OF DEATH FOR BOTH ATLANTIC AND CAPE MAY COUNTY AND DIABETES ACCOUNTS FOR MANY HEALTH COMPLICATIONS INCLUDING HEART DISEASE AND STROKE. THE CHNA STATISTICAL RESEARCH HIGHLIGHTS THE IMPORTANCE OF PREVENTING CHRONIC DISEASE, SPECIFICALLY HEART DISEASE AND DIABETES. IN ADDITION THE COMMINITY SURVEYS ALL SUGGESTED THAT THESE ISSUES ARE IMPORTANT TO COMMUNITY MEMBERS. THEREFORE, A PRIORITY HAS BEEN PUT IN PLACE TO FOCUS ON REDUCING CHRONIC DISEASE. THE ORGANIZATION CONTINUES TO BE COMMITTED TO RAISE AWARENESS THROUGH MULTIPLE FREE SCREENING OPPORTUNITIES FOR EARLY DETECTION OF THESE TYPES OF CHRONIC DISEASES. IN ADDITION MULITPLE STRATEGIES HAVE BEEN ADDED TO THE IMPLEMENTATION PLAN TO TARGET CHRONIC DISEASE AND HEALTHY LIFESTYLE IMPROVEMENTS. THESE STRATEGIES INCLUDE THE FOLLOWING: STRATEGY 6: 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 AND/OR SCREENING FOR EARLY DETECTION. STRATEGY 7: IMPROVE PATIENT ACCESS TO CARDIAC REHABILIATATION SERVICES BY MOVING THE FACILITY INTO AN OUTPATIENT LOCATION. STRATEGY 8: OFFER OUTPATIENT NUTRITION COUNSELING THROUGH THE NEWLY MOVED CARDIAC REHABILIATATION CENTER. STRATEGY 9: EXPANSION OF FOLLOW UP DIABETES EDUCATION SERVICES COMPLETED BY A REGISTERED NURSE TO INCLUDE PATIENTS DISCHARGED FROM THE MEDICAL CENTER. THIS IS SIMILAR TO THE OUTPATIENT PARTNERSHIP DIABETES EDUCATION NOW AVAILABLE FOR PATIENTS WORKING WITH AREA PHYSICIANS. ADDITIONAL PARTNERSHIP OPPORTUNITIES ARE POTENTIALLY AVAILABLE WITH LOCAL DIETICIANS. CHRONIC DISEASE (CANCER) ----------------------- ATLANTIC AND CAPE MAY COUNTY HAVE SOME OF THE HIGHEST SMOKING RATES AND LUNG CANCER RATES IN THE STATE. SMC CONTINUED SUPPORT TO MAINTAIN THE TOBACCO PREVENTION AND TREATMENT PROGRAM THROUGH MID - 2018. ADDITIONALLY EDUCATIONAL INFORMATION IS PROVIDED AS NEEDED TO COALITION ACTIVITIES FOR "OUTDOOR SMOKE FREE SPACES". THESE TYPES OF INTERVENTIONS CREATE AN ENVIRONMENT THAT DISCOURAGES SMOKING AND CREATES A NONSMOKING SOCIAL NORM. CAPE MAY COUNTY HAS THE HIGHEST MELANOMA SKIN CANCER RATE IN THE STATE. AWARENESS ACTIVITIES ON HOW TO PROTECT OUR SKIN AND FREE SKIN CANCER SCREENINGS ARE PERFORMED EACH SUMMER ON BOTH THE ATLANTIC AND CAPE MAY COUNTY BEACHES WITH COMMUNITY PARTNERS. IN 2017/2018, NINE SCREENINGS OCCURRED IN WHICH PARTICIPANTS WERE EDUCATED ON SUN SAFETY AND HOW TO PUT ON SUN SCREEN CORRECTLY, SCREENED FOR SKIN CANCERS AND REFERRED IF ANYTHING WAS SUSPICIOUS. THE FOLLOWING STRATEGY IS ALSO INCLUDED WITHIN THE ORGANIZATIONS IMPLEMENTATION PLAN TO ADDRESS CANCER: STRATEGY 10: PARTICIPATE IN THE AMERICAN CANCER SOCIETY "80% BY 2018" COLORECTAL CANCER SCREENING PLEDGE. THIS PROJECT FOCUSES ON INCREASING COLORECTAL CANCER SCREENING IN AGE APPROPRIATE POPULATIONS TO REACH THE 80% MARK BY 2018 THUS PREVENTING COLORECTAL CANCER DEATHS. LIVING WITH CHRONIC DISEASE --------------------------- LIVING WITH CHRONIC DISEASE CAN BE DIFFICULT FOR PATIENTS AND FAMILIES AND OFTEN PEOPLE DO NOT KNOW HOW TO ACCESS HELP. FOR THIS REASON STRATEGY ELEVEN WAS DEVELOPED. STRATEGY 11: DEVELOPMENT OF THE CAREGIVER CENTER AT SHORE MEDICAL CENTER. THIS CENTER WILL OFFER PATIENTS AND FAMILIES A PLACE TO LEARN ABOUT RESOURCES, SERVICES IN THE COMMUNITY, AS WELL AS A PLACE OF RESPITE AND SUPPORT FOR FAMILIES CARING FOR A LOVED ONE. ADDITIONAL STRATEGIES --------------------- 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 FOLLOWING STRATEGY. STRATEGY 12: PROVIDE PROGRAMS SUCH AS OUR MONTHLY "SENIOR SOCIALSOTHER EDUCATIONAL WORKSHOPS TO THE PUBLIC. THIS INCLUDED THE SHORE MEDICAL CENTERS SPEAKER BUREAU WHICH HAS A VARIETY OF PROFESSIONALS AVAILABLE TO PRESENT MANY DIFFERENT HEALTH TOPICS WHERE COMMUNITY GROUPS COME TOGETHER.
SCHEDULE H, PART V, SECTION B, QUESTION 16THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/PATIENTS_VISITORS/PATIENTS/INSURANCE/FINANC IAL_ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CIN 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 6ANOT APPLICABLE.
SCHEDULE H, PART I, LINE 7WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART IISHORE 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 & 4BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE AUDITIED CONSOLIDATED FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION BELIEVES THAT SELF-PAY ACCOUNTS WRITTEN OFF WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE HAD THOSE INDIVIDUALS APPLIED. THEREFORE, THE ORGANIZATIONS ESTIMATES ITS BAD DEBT ATTRIBUTABLE TO INDIVIDUALS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY TO BE THE PERCENTAGE OF SELF-PAY ACCOUNTS WRITTEN OFF DURING THE YEAR OVER THE TOTAL BAD DEBT EXPENSE. 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/ALLOWANCE FOR DOUBTFUL ACCOUNTS ----------------------------------------------------------- PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE SYSTEM. THE SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE SYSTEM CEASES COLLECTION EFFORTS. NET PATIENT SERVICE REVENUE --------------------------- ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, LINE 8MEDICARE COSTS WERE DERIVED FROM THE 2018 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 ALL
SCHEDULE H, PART III, LINE 9BACCOUNTS 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 PATIENTS 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 HOSPITALS 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 SHORES 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 2IN 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 IN 2016 TO ENSURE THAT THE CHNA WAS MANAGED IN A LOGICAL AND EFFECTIVE MANNER INCLUDING THE FOLLOWING: (1) DEVELOPED A SHORE MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (INTERNAL COMMITTEE); (2) ENGAGED COMMUNITY REPRESENTATIVES, ESPECIALLY THOSE WITH PUBLIC HEALTH EXPERTISE FOR INTERVIEWS; (3) COMPLETED A COMMUNITY SURVEY; (4) UPDATED DATA SOURCES; (5) ADDED NEW SECTIONS WITH CURRENT DATA; AND (6) PRIORITIZED THE HEALTH AND HEALTH-RELATED PROBLEMS. 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; AND - GUIDANCE FROM PUBLIC HEALTH COMMUNITY LEADERS. 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 3IN 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 ORGANIZATIONS 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 ORGANIZATIONS 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 4SHORE 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. ACCORDING TO THE MOST RECENT CENSUS DATA, ATLANTIC COUNTY IS ONE OF THE MOST DIVERSE OF NEW JERSEY'S 21 COUNTIES. OF THE 270,000 PEOPLE RESIDING IN ATLANTIC COUNTY 17.5% ARE OF AFRICAN AMERICAN DESCENT AND 15.3% ARE OF HISPANIC DESCENT. NEARLY 50,000 RESIDENTS SUFFER FROM DISABILITIES AND MORE THAN 10 PERCENT OF THE POPULATION IS BELOW THE POVERTY LEVEL. IN ADDITION, THE FOLLOWING DEMOGRAPHICS WERE CITED IN THE ORGANIZATIONS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT: - ACCORDING TO THE 2010 U.S. CENSUS, APPROXIMATELY 36.3% OF THE POPULATION CURRENTLY BELONGS TO A RACIAL OR ETHNIC MINORITY GROUP. THESE RACIAL AND ETHNIC MINORITY GROUPS HOLD THE MOST HEALTH DISPARITIES. IN ADDITION LOW ECONOMIC LEVELS AND LIVING IN POVERTY OFTEN RESULT IN HEALTH DISPARITIES. - ATLANTIC COUNTY AND CAPE MAY COUNTY MEDIAN AND MEAN INCOMES ARE LOWER THAN NEW JERSEY (ATLANTIC COUNTY: MEDIAN $54,766; MEAN $71,086; CAPE MAY COUNTY: MEDIAN $54,292; MEAN $74,630 AND NEW JERSEY: MEDIAN $69,811; MEAN $93,475). - 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. - CERTAIN POPULATION GROUPS EXPERIENCE MORE POVERTY THAN OTHERS. IN ATLANTIC COUNTY CHILDREN UNDER 18 (16.9%), AFRICAN AMERICANS (32.0%) AND LATINO/AS (20.1%) ARE MORE LIKELY TO BE LIVING BELOW THE POVERTY LEVEL. POPULATIONS THAT DID NOT RECEIVE A HIGH SCHOOL DIPLOMA (20.7%) OR WERE UNEMPLOYED (23.9%) WERE ALSO MORE LIKELY TO BE LIVING BELOW THE POVERTY LEVEL. - ATLANTIC AND CAPE MAY COUNTY HAVE LOWER EDUCATIONAL ATTAINMENT LEVELS. ATLANTIC COUNTY: BACHELOR DEGREES 16.3%; GRADUATE DEGREES 7.2% CAPE MAY COUNTY: BACHELOR DEGREES 17.4%; GRADUATE DEGREES 8.9% NEW JERSEY: BACHELOR DEGREES 21.6%; GRADUATE DEGREE 13.0% - 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. GROUPS AT HIGHER RISK ARE AFRICAN AMERICAN AND HISPANIC POPULATIONS, AS WELL AS PEOPLE WITH LESS EDUCATION AND LOWER ECONOMIC LEVELS. - ACCORDING TO THE CENTER FOR HEALTH CARE STRATEGIES, A DISPROPORTIONATE NUMBER OR MINORITIES AND IMMIGRANTS ARE ESTIMATED TO HAVE LITERACY PROBLEMS: 50% OF HISPANICS, 40% OF AFRICAN AMERICANS, AND 22% OF ASIANS. - PATIENTS WITH LOW LITERACY SKILLS WERE OBSERVED TO HAVE A 50% INCREASED RISK OF HOSPITALIZATION, COMPARED WITH PATIENTS WHO HAD ADEQUATE LITERACY SKILLS. - APPROXIMATELY 28.0% OF ATLANTIC COUNTY AND 24.9% OF CAPE MAY COUNTY ADULTS 20 AND OLDER WERE OBESE (BMI 30.0 OR MORE) IN 2009.
SCHEDULE H, PART VI; QUESTION 5SHORE 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 6NOT FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITIES: SHORE MEMORIAL HOSPITAL D/B/A SHORE MEDICAL CENTER -------------------------------------------------- SHORE MEDICAL CENTER IS A 296-BED NOT-FOR-PROFIT, 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, NOW INACTIVE, IS A NOT-FOR-PROFIT, TAX-EXEMPT CONTROLLED AFFILIATE OF THE MEDICAL CENTER AND WAS INCORPORATED TO HOLD CERTAIN PROPERTY FOR FUTURE DEVELOPMENT. 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. THE ORGANZATION ALSO PROVIDES LEADERSHIP AND COORINDATION ACTIVITIES FOR ITS AFFILIATES. 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. ON DECEMBER 31, 2015, THE FOUNDATION TRANSFERRED ALL OF ITS ASSETS AND LIABILITIES TO THE 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 THAT DOES NOT EMPLOY PHYSICIANS. FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITY: SHORE HEALTH ENTERPRISES, INC. ------------------------------ SHORE HEALTH ENTERPRISES, INC. IS A FOR-PROFIT CORPORATION WHOSE SOLE SHAREHOLDER IS SHORE MEMORIAL HEALTH SYSTEM. THIS CORPORATION IS A MANAGEMENT SERVICE ORGANIZATION THAT PROVIDES SERVICES TO SHORE MEMORIAL PHYSICIAN'S GROUP, P.C. SHORE MEMORIAL PHYSICAN'S GROUP, P.C. ------------------------------------- SHORE MEMORIAL PHYSICIAN'S GROUP, P.C. IS A FOR-PROFIT 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 FOR-PROFIT 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 WAS INCORPORATED AS A FOR-PROFIT PROFESSIONAL ASSOCIATION FOR THE PURPOSE OF OPERATING URGENT CARE CENTERS IN THE COMMUNMITY SERVED BY THE MEDICAL CENTER. SHORE PATHOLOGY ASSOCIATES, P.C. -------------------------------- SHORE PATHOLOGY ASSOCIATES, P.C. IS A FOR-PROFIT 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 EMPLOYING PATHOLOGISTS THAT WORK AT THE MEDICAL CENTER. SHORE HOSPITALISTS ASSOCIATES, P.A. ----------------------------------- SHORE HOSPITALISTS ASSOCIATES, P.A IS A FOR-PROFIT 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 WAS INCORPORATED AS A FOR-PROFIT PROFESSIONAL ASSOCIATION FOR THE PURPOSE OF ENGAGING IN THE PRACTICE OF MEDICINE AND SURGERY IN THE COMMUNITY SERVED BY THE MEDICAL CENTER. SHORE SPECIALTY CONSULTANTS, P.A. --------------------------------- SHORE SPECIALTY CONSULTANTS, P.A. IS A FOR-PROFIT 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 WAS INCORPORATED AS A FOR-PROFIT PROFESSIONAL ASSOCIATION FOR THE PURPOSE OF ENGAGING IN THE PRACTICE OF MEDICINE AND SURGERY IN THE COMMUNITY SERVED BY THE MEDICAL CENTER.
SCHEDULE H, PART VI; QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COMMUNITY PARTNERSHIP FOR EGG HARBOR TWNSHP SCHOOL
2499 SPRUCE AVENUEEGG HARBOR TWPNJ08234061756036501(c)(3)$6,000PROGRAM SUPPORT
STOCKTON UNIVERSITY
101 VERA KING FARRIS DRGALLOWAYNJ08205222832788501(C)(3)$6,000PROGRAM SUPPORT
OCEAN CITY CHAMBER OF COMMERCE
PO Box 1706Ocean CityNJ08226222810508501(C)(3)$8,535PROGRAM SUPPORT
SOUTH JERSEY JAZZ SOCIETY Inc
PO Box 329Somers PointNJ08244201268261501(C)(3)$20,000PROGRAM SUPPORT
ATLANTIC MEDICAL IMAGING LLC
PO BOX 1564INDIANAPOLISIN462061564270525195$56,845SUB-GRANTEE
ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH
201 SHORE ROADNORTHFIELDNJ08225216000049$33,804SUB-GRANTEE & PROGRAM SUPPORT
SHORE SPECIALTY CONSULTANTS PA
100 MEDICAL CTR WAYSOMERS POINTNJ08244472248436$7,621SUB-GRANTEE
NEW JERSEY HEALTHCARE SPECIALISTS PC
PO BOX 452197SUNRISEFL33323221948732$9,130SUB-GRANTEE
ADVANCED SHORE IMAGING ASSOCIATES LLC
PO BOX 6750PORTSMOUTHNH03802471561390$6,949SUB-GRANTEE
GFH SURGICAL ASSOCIATES
718 SHORE ROADSOMERS POINTNJ08244222696987$18,052SUB-GRANTEE
REGIONAL WOMEN'S HEALTH GROUP LLC
227 LAUREL ROADVOORHEESNJ08043223693606$6,482SUB-GRANTEE
RELIANCE MEDICAL GROUP LLC
22 N FRANKLIN AVEPLEASANTVILLENJ08232223687866$7,810SUB-GRANTEE
ATLANTIC COUNTY SHERIFFS FOUNDATION INC
132 BONITA DREGG HBR TWPNJ08234825432194501(C)(3)$5,700PROGRAM SUPPORT
ATLANTIC CITY BALLET
2301 BOARDWALKATLANTIC CITYNJ08401222411345501(C)(3)$12,500PROGRAM SUPPORT
ATLANTIC CITY CHAMBER OF COMMERCE
12 VIRGINIA AVENUEATLANTIC CITYNJ08401210398240501(C)(6)$5,080PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org8TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, QUESTION 2FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RONALD W JOHNSON
TRUSTEE - PRESIDENT/CEO$587,824$0$212,243$0$533,540$0$55,000$0$25,263$0$1,413,870$0$0$0
DAVID R HUGHES
CFO/CDO$395,617$0$109,059$0$6,350$0$12,250$0$29,025$0$552,301$0$0$0
LINDA S KENWOOD
COO/CNO$329,313$0$75,218$0$15,679$0$12,250$0$18,360$0$450,820$0$0$0
JEANNE M ROWE MD
CHIEF MEDICAL OFFICER$377,510$0$86,680$0$6,418$0$12,250$0$30,290$0$513,148$0$0$0
FREDERICK L BANNER
CHIEF INFORMATION OFFICER$233,316$0$55,211$0$1,893$0$0$0$37,546$0$327,966$0$0$0
ALAN L BEATTY
VICE PRESIDENT HUMAN RESOURCES$211,739$0$49,398$0$3,917$0$0$0$27,773$0$292,827$0$0$0
CHARLES A DENNIS MD
PHYSICIAN ADVISOR$267,629$0$49,616$0$3,505$0$9,550$0$38,066$0$368,366$0$0$0
ROBERT L WOOD
FINANCE DIRECTOR$195,078$0$6,126$0$962$0$0$0$29,312$0$231,478$0$0$0
ROBIN KEYACK
AVP SURGICAL SERVICES$188,464$0$5,841$0$2,633$0$8,555$0$15,609$0$221,102$0$0$0
MICHAEL J SMITH
ADM DIR OF PATIENT FIN SVCS$172,681$0$5,684$0$1,651$0$8,291$0$37,212$0$225,519$0$0$0
ROBERT F ROBERTSON
ADM DIRECTOR OF LOGISTICS$168,147$0$5,288$0$1,517$0$0$0$23,378$0$198,330$0$0$0
RICHARD A PITMAN
FORMER OFFICER$0$0$0$0$141,239$0$0$0$0$0$141,239$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART 1, QUESTION 1THE 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 2018 FORM W-2 AS TAXABLE WAGES: RONALD W. JOHNSON, $714; DAVID R. HUGHES, $357; LINDA S. KENWOOD, $1,160; JEANNE M. ROWE, M.D., $714 AND ALAN L. BEATTY, $357.
SCHEDULE J, PART I; QUESTION 4BTHE 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 2018 FORM W-2 AS TAXABLE WAGES: RONALD W. JOHNSON, $504,988. THE AMOUNT INCLUDED IN COLUMN B(III) FOR RICHARD A. PITMAN, A FORMER OFFICER OF THE ORGANIZATION, INCLUDES PARTICIPATION IN THE MEDICAL CENTER'S DEFERRED INVESTMENT PLAN. THE DEFERRED INVESTMENT PLAN WAS IMPLEMENTED IN 1997 TO ATTRACT AND RETAIN THE HIGHEST QUALITY EMPLOYEES FOR POSITIONS OF SUBSTANTIAL RESPONSIBILITY. A SELECT GROUP OF MANAGEMENT PERSONNEL WERE PROVIDED OPTIONS TO PURCHASE SHARES OF SPECIFIED MUTUAL FUNDS AT A PRICE THAT WAS EQUAL TO A SPECIFIED PERCENTAGE OF THE FAIR MARKET VALUE OF THE SHARES ON THE DATE OF EXERCISE. IN ACCORDANCE WITH THE OPTION IT PLAN, GRANTED OPTIONS WERE NOT DEEMED TAXABLE UNTIL THE EMPLOYEE EXERCISED THEIR OPTIONS. AT THAT TIME, THE AMOUNT INCLUDABLE AS TAXABLE INCOME WOULD BE EQUAL TO THE SPREAD BETWEEN THE EXERCISE PRICE OF THE OPTION AND THE FAIR MARKET VALUE OF THE UNDERLYING SHARES ON THE DATE OF EXERCISE. DURING 2018, RICHARD A. PITMAN, EXERCISED OPTIONS IN THE AMOUNT OF $112,500 WHICH WERE INCLUDED IN COLUMN B(III) HEREIN AND IN HIS 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2 AS TAXABLE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
A22148759064579FYS62009-09-17$30,000,000SEE SCHEDULE K, PART VIfalsefalsefalse
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
B22198708464579FZH92010-01-27$15,000,000SEE SCHEDULE K, PART VIfalsefalsefalse
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
C2219870842011-12-01$13,000,000SEE SCHEDULE K, PART VIfalsefalsefalse
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
D2219870842013-09-01$16,890,000SEE SCHEDULE K, PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$30,000,000$0$0$0$598,394$0$0$29,401,606$0$02011falsefalseYes (true)Yes (true)
B$0$0$15,000,000$0$0$0$300,000$0$0$14,700,000$0$02011falsefalseYes (true)Yes (true)
C$0$0$13,000,000$0$0$0$218,370$0$0$12,781,630$0$02011falsefalseYes (true)Yes (true)
D$0$0$16,890,000$0$0$0$104,620$0$0$16,785,380$0$02013falseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsInd
AfalseYes (true)falsefalse0.001880.00188Yes (true)falsefalseYes (true)
Bfalsefalsefalsefalse0Yes (true)falsefalseYes (true)
CfalsefalseYes (true)false0.030000.03000Yes (true)falsefalseYes (true)Yes (true)
Dfalsefalsefalsefalse0Yes (true)falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BARCLAY'S BANK PLC
AfalseYes (true)Yes (true)Yes (true)30.falsefalse0falseYes (true)
0
BfalseYes (true)Yes (true)falsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalse0falseYes (true)
0
DfalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE KFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I, LINE A, COLUMN F PER THE ORGANIZATIONS CONSOLIDATED AUDITED FINANCIAL STATEMENTS, THE PURPOSES OF THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2009 BONDS WERE TO: (1) FINANCE A PORTION OF THE COST OF CONSTRUCTING AND EQUIPPING A NEW SURGICAL PAVILION FOR THE MEDICAL CENTER; AND (2) PAY CERTAIN COSTS INCIDENTAL TO THE ISSUANCE AND SALE OF THE 2009 BONDS. SCHEDULE K, PART I, LINE B, COLUMN F PER THE ORGANIZATIONS CONSOLIDATED AUDITED FINANCIAL STATEMENTS, THE PURPOSES OF THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2010 BONDS WERE TO: (1) FINANCE A PORTION OF THE COST OF CONSTRUCTING AND EQUIPPING A NEW SURGICAL PAVILION FOR THE MEDICAL CENTER; AND (2) PAY CERTAIN COSTS INCIDENTAL TO THE ISSUANCE AND SALE OF THE 2010 BONDS. SCHEDULE K, PART I, LINE C, COLUMN F PER THE ORGANIZATIONS CONSOLIDATED AUDITED FINANCIAL STATEMENTS, THE PURPOSES OF THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2011 BONDS WERE TO: (1) FINANCE CONSTRUCTION COSTS RELATED TO THE PARKING GARAGE; AND (2) PAY CERTAIN COSTS INCIDENTAL TO THE ISSUANCE AND SALE OF THE 2011 BONDS. SCHEDULE K, PART I, LINE D, COLUMN F PER THE ORGANIZATIONS CONSOLIDATED AUDITED FINANCIAL STATEMENTS, THE PURPOSES OF THE NEW JERSEY HEALTHCARE FACILITIES AUTHORITY SERIES 2013 BONDS WERE TO: (1) REPAY THE 2003 BONDS; AND (2) PAY CERTAIN COSTS INCIDENTAL TO THE ISSUANCE AND SALE OF THE 2013 BONDS. SCHEDULE K, PART IV, LINE C THE REBATE COMPUTATION FOR THE 2009 NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY TAX-EXEMPT BOND ISSUANCE WAS PERFORMED ON DECEMBER 30, 2014. THE REBATE COMPUTATION FOR THE 2010 NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY TAX-EXEMPT BOND ISSUANCE WAS PERFORMED ON JANUARY 16, 2015. THE REBATE COMPUTATION FOR THE 2011 NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY TAX-EXEMPT BOND ISSUANCE WAS PERFORMED ON DECEMBER 31, 2016. THE REBATE COMPUTATION FOR THE 2013 NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY TAX-EXEMPT BOND ISSUANCE WAS PERFORMED ON SEPTEMBER 25, 2018.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SONYA M BANNER
FAMILY MEMBER OF OFFICER$76,985EMPLOYEEfalse
XANITOS INC
SUBSTANTIAL CONTRIBUTOR$3,237,231CLEANING SERVICESfalse
CERNER CORPORATION
SUBSTANTIAL CONTRIBUTOR$2,229,971INFORMATION TECHNOLOGY SVCS.false
BAYFRONT EMERGENCY PHYSICIANS PA
SUBSTANTIAL CONTRIBUTOR$275,000MEDICAL SERVICESfalse
GRANT THORNTON LLP
SUBSTANTIAL CONTRIBUTOR$262,602AUDIT SERVICESfalse
MCCARTER ENGLISH LLP
SUBSTANTIAL CONTRIBUTOR$251,668LEGAL SERVICESfalse
TRICARE MEDICAL TRANSPORTATION
SUBSTANTIAL CONTRIBUTOR$262,745TRANSPORTATION SERVICESfalse
ARCADIA RECOVERY BUREAU
SUBSTANTIAL CONTRIBUTOR$148,460COLLECTION & RECOVERY SERVICESfalse
OTIS ELEVATOR COMPANY
SUBSTANTIAL CONTRIBUTOR$209,759MAINTENANCE SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationXANITOS, INC. WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF XANITOS, INC. TOTAL FEES PAID TO XANITOS, INC. DURING 2018 AMOUNTED TO $3,237,231. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. CERNER CORPORATION WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF CERNER CORPORATION. TOTAL FEES PAID TO CERNER CORPORATION DURING 2018 AMOUNTED TO $2,229,971. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. BAYFRONT EMERGENCY PHYSICIANS, P.A. WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF BAYFRONT EMERGENCY PHYSICIANS, P.A. TOTAL FEES PAID TO BAYFRONT EMERGENCY PHYSICIANS, P.A. DURING 2018 AMOUNTED TO $275,000. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. GRANT THORNTON, LLP WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF GRANT THORNTON, LLP. TOTAL FEES PAID TO GRANT THORNTON, LLP DURING 2018 AMOUNTED TO $262,602. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. MCCARTER & ENGLISH, LLP WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF MCCARTER & ENGLISH, LLP. TOTAL FEES PAID TO MCCARTER & ENGLISH, LLP DURING 2018 AMOUNTED TO $251,668. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. TRICARE MEDICAL TRANSPORTATION WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF TRICARE MEDICAL TRANSPORTATION. TOTAL FEES PAID TO TRICARE MEDICAL TRANSPORTATION DURING 2018 AMOUNTED TO $262,745. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. ARCADIA RECOVERY BUREAU WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF ARCADIA RECOVERY BUREAU. TOTAL FEES PAID TO ARCADIA RECOVERY BUREAU DURING 2018 AMOUNTED TO $148,460. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. OTIS ELEVATOR COMAPNY WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. SHORE MEDICAL CENTER UTILIZED THE SERVICES OF OTIS ELEVATOR COMPANY. TOTAL FEES PAID TO OTIS ELEVATOR COMPANY DURING 2018 AMOUNTED TO $209,759. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:15195361
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:9188855
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION EXPENSE TOTAL FEES:1156469
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1217665
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:488
FORM 990 PART IX LINE 11GDESCRIPTION:CARE MANAGEMENT FEES TOTAL FEES:707031
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:967377

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BRIGHTON BAY LLC
100 MEDICAL CENTER WAYSOMERS POINTNJ08244454335590HOLDING/MGMTNJ$621,079$8,265,504SMH
SHORE QUALITY PARTNERS LLC
100 MEDICAL CENTER WAYSOMERS POINTNJ08244464384840HEALTH SVCS.NJ$1,270,590-$2,466,795SMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SHORE HEALTH SERVICES CORPORATION
100 MEDICAL CENTER WAYSOMERS POINTNJ08244222866335holding co.NJ501(C)(3)509(A)(3)SMHSfalse
SHORE MEMORIAL HEALTH SYSTEM
100 MEDICAL CENTER WAYSOMERS POINTNJ08244222866326HEALTH SVCS.NJ501(C)(3)509(A)(3)falseN/A
SHORE MEMORIAL HEALTH FOUNDATION INC
100 MEDICAL CENTER WAYSOMERS POINTNJ08244342027846inactiveNJ501(C)(3)509(A)(1)SMHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
SHORE HEALTH ENTERPRISES INC
100 MEDICAL CENTER WAYSOMERS POINTNJ08244223501680RENTAL REAL EST.NJN/AC CORP.false
SHORE MEMORIAL PHYSICIAN'S GROUP PC
100 MEDICAL CENTER WAYSOMERS POINTNJ08244275440611HEALTHCARE SVCS.NJC CORP.Yes (true)SMH$24,701,746$829,2881.00000
BAYFRONT URGENT CARE PA
100 MEDICAL CENTER WAYSOMERS POINTNJ08244274211365HEALTHCARE SVCS.NJC CORP.Yes (true)SMH$1,392,494$121,9281.00000
SHORE HOSPITALISTS ASSOCIATES PA
100 MEDICAL CENTER WAYSOMERS POINTNJ08244472173802HEALTHCARE SVCS.NJC CORP.Yes (true)SMH$2,828,873$338,4951.00000
SHORE PATHOLOGY ASSOCIATES PC
100 MEDICAL CENTER WAYSOMERS POINTNJ08244464221478HEALTHCARE SVCS.NJC CORP.Yes (true)SMH$746,416$66,4121.00000
SHORE SPECIALTY CONSULTANTS PA
100 MEDICAL CENTER WAYSOMERS POINTNJ08244472248436HEALTHCARE SVCS.NJC CORP.Yes (true)SMH$7,440,852$587,0691.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SHORE MEMORIAL PHYSICIAN'S GROUP PC
D$269,024COST
SHORE PATHOLOGY ASSOCIATES PC
E$251,500COST
SHORE HOSPITALISTS ASSOCIATES PA
D$682,611COST
SHORE SPECIALTY CONSULTANTS PA
E$150,785COST
SHORE MEMORIAL HEALTH SYSTEM
O$59,054COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHE 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 HOSPITAL ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.ExplanationTxt