2019-11-15T07:34:08-06:00 2018-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2018-01-01 210660835 SHORE MEMORIAL HOSPITAL % DAVID R HUGHES SHOR 6096533545 100 MEDICAL CENTER WAY SOMERS POINT NJ 082442387 DAVID R HUGHES CFO 6096533545 2019-11-11 true Scott J Mariani P00642486 9738989494 65.124.179.67 22006220193195000014 2019-11-15 P 0E7AA6D09474FC827FC900BEE833A570B2ABBB6B 5A0BD2DD5A2D970DE880B7F69397A09FB042BB79 2018 2020-04-17 16:48:07Z RONALD W JOHNSON 100 MEDICAL CENTER WAY SOMERS POINT NJ 082442387 192477561 false X WWW.SHOREMEDICALCENTER.ORG X 1942 NJ TO CARE FOR & RESPECT ALL PATIENTS, THEIR FAMILIES & EACH OTHER. 21 20 1700 350 0 0 2771545 2161969 183002350 186134231 2606644 2494134 819616 891435 189200155 191681769 232946 183894 0 0 80191893 79791841 0 0 902048 95215101 96155915 175639940 176131650 13560215 15550119 268014801 270432411 197021131 184843261 70993670 85589150 X THE 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 COMMUNIT false false 63424263 183894 57848523 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT MEDICAL SERVICES (EXCLUDES SURGICAL CASES AND MATERNAL CHILD HEALTH), TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 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. 17272308 0 25134428 EXPENSES INCURRED IN PROVIDING MEDICAL NECESSARY SAME DAY SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018, THE ORGANIZATION TREATED 3,257 SAME DAY SURGERY CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATIONS COMMUNITY BENEFIT STATEMENT. 8857590 0 11204116 EXPENSES INCURRED IN PROVIDING MEDICAL NECESSARY MATERNAL AND PEDIATRIC INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DURING 2018, THE ORGANIZATION HAD 2,262 ADMISSIONS FOR A TOTAL OF 6,232 PATIENT DAYS. 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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. 3234183 -400313 2833870 2968427 44595 221161 3234183 3098225 19738 42494 192030 2968427 3863802 -765577 3098225 3458540 -10751 -416013 3863802 1.00000 false false 5605070 5605070 142295788 50875036 91420752 226196503 199715594 26480909 1328884 1209455 119429 123626160 LIMITED AS TO USE 983706 F LIMITED USE 41442840 F LIMITED USE 17794419 F LIMITED USE 39931138 F LIMITED USE 737098 F LIMITED USE 691312 F LIMITED USE 158790 F DONOR; LIMITED USE 819362 F LIMITED USE 2432260 F PERPETUAL TRUST 1709758 F INVESTMENT IN AFFILIATES -2874035 F 103826648 DUE FROM AFFILIATES 9171414 DEPOSITS 279377 OTHER RECEIVABLES 24576 OTHER ASSETS 4626374 14101741 0 ACCRUED INTEREST PAYABLE 166649 THIRD PARTY PAYORS 6153687 ACCRUED RETIREMENT BENEFITS 72088987 RESERVE FOR INSURANCE CLAIMS 4660368 OTHER LIABILITIES 825821 83895512 X SCHEDULE D, PART V; QUESTION 4 THE MEDICAL CENTER HAS ADOPTED INVESTMENT POLICIES FOR ITS ENDOWMENT ASSETS THAT ARE CONSISTENT WITH THE POLICIES AND OBJECTIVES OF THEIR OVERALL INVESTMENTS; TO FURTHER THE ORGANIZATION'S CHARITABLE PURPOSES, PROGRAMS AND SERVICES. THE ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE A POSITIVE RATE OF RETURN WHILE ASSUMING A LOW LEVEL OF RISK. FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH THE DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR REQUIRES THE MEDICAL CENTER TO MAINTAIN IN PERPETUAL DURATION. DEFICIENCIES OF THIS NATURE ARE REPORTED IN UNRESTRICTED NET ASSETS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 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. 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X X X X X true true X X X true X www.shoremedicalcenter.org X www.shoremedicalcenter.org X www.shoremedicalcenter.org X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 3I IN RESPONSE TO SHORE MEDICAL 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 5 IN THE CHNA THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY. 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 7A THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/WELLYES/COMMUNITY_NEEDS_ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/WELLYES/COMMUNITY_NEEDS_ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 11 THE ORGANIZATION'S 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 16 THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://SHOREMEDICALCENTER.ORG/PATIENTS_VISITORS/PATIENTS/INSURANCE/FINANC IAL_ASSISTANCE SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CHARITY CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ------------------------------------------------------------------------- CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME CRITERIA: PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% AND LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE. FREE CARE OR PARTIALLY COVERED CHARGES WILL BE DETERMINED BY USE OF THE NEW JERSEY DEPARTMENT OF HEALTH FEE SCHEDULE. IF PATIENTS ON THE 20% TO 80% SLIDING FEE SCALE ARE RESPONSIBLE FOR QUALIFIED OUT-OF-POCKET PAID MEDICAL EXPENSES IN EXCESS OF 30% OF THEIR GROSS ANNUAL INCOME (I.E. BILLS UNPAID BY OTHER PARTIES), THEN THE AMOUNT IN EXCESS OF 30% IS CONSIDERED HOSPITAL CARE PAYMENT ASSISTANCE. ASSET CRITERIA: CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. NEW JERSEY UNINSURED DISCOUNT PUBLIC LAW 2008, C. 60 ("UNINSURED DISCOUNT") ---------------------------------------------------------------- THE NEW JERSEY UNINSURED DISCOUNT (NJ LAW - BILL S-1797/A-2609) IS AVAILABLE TO UNINSURED PATIENTS WHOSE FAMILY GROSS INCOME IS LESS THAN 500% OF FPG. ELIGIBLE INDIVIDUALS MUST BE NEW JERSEY RESIDENTS. HOWEVER, SMC HAS ELECTED TO APPLY THIS DISCOUNT TO ALL UNINSURED PATIENTS IRRESPECTIVE OF INCOME LEVEL OR RESIDENCY. SMC OFFERS DISCOUNTED RATES TO ALL UNINSURED INDIVIDUALS. UNDER THIS PROGRAM, AN ELIGIBLE PATIENT WILL BE CHARGED AN AMOUNT NO GREATER THAN 115% OF THE MEDICARE FEE SCHEDULE. UNINSURED BILLING LIMITS ARE IN ACCORDANCE WITH NJ P.L.2008 C60. SCHEDULE H, PART I, LINE 6A NOT APPLICABLE. SCHEDULE H, PART I, LINE 7 WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. SCHEDULE H, PART II SHORE MEMORIAL HOSPITAL D/B/A SHORE MEDICAL CENTER ("THE MEDICAL CENTER") IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE MODEL OF CARE IS A PATIENT-CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS. SCHEDULE H, PART III, LINES 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE 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 8 MEDICARE 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 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. SHORE MEDICAL CENTER PROVIDES A FULL-RANGE OF HEALTHCARE SERVICES TO OUR COMMUNITY REGARDLESS OF THE 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 2 IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, AND QUESTIONS 1-12 AND SECTION C, THE ORGANIZATION TOOK THE FOLLOWING STEPS 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 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: (1) THE 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 4 SHORE MEDICAL CENTER IS LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. THE MEDICAL CENTER SERVES THE HEALTHCARE NEEDS OF BOTH THE YEAR ROUND AND SUMMER RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES AS WELL AS SEASONAL VISITORS FROM OTHER COMMUNITIES AND STATES. 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 5 SHORE MEDICAL CENTER IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE NETWORK IS A PATIENT CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS. SCHEDULE H, PART VI; QUESTION 6 NOT 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 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. true COMMUNITY PARTNERSHIP FOR EGG HARBOR TWNSHP SCHOOL 2499 SPRUCE AVENUE EGG HARBOR TWP NJ 08234 061756036 501(c)(3) 6000 PROGRAM SUPPORT STOCKTON UNIVERSITY 101 VERA KING FARRIS DR GALLOWAY NJ 08205 222832788 501(C)(3) 6000 PROGRAM SUPPORT OCEAN CITY CHAMBER OF COMMERCE PO Box 1706 Ocean City NJ 08226 222810508 501(C)(3) 8535 PROGRAM SUPPORT SOUTH JERSEY JAZZ SOCIETY Inc PO Box 329 Somers Point NJ 08244 201268261 501(C)(3) 20000 PROGRAM SUPPORT ATLANTIC MEDICAL IMAGING LLC PO BOX 1564 INDIANAPOLIS IN 462061564 270525195 56845 SUB-GRANTEE ATLANTIC COUNTY DIVISION OF PUBLIC HEALTH 201 SHORE ROAD NORTHFIELD NJ 08225 216000049 33804 SUB-GRANTEE & PROGRAM SUPPORT SHORE SPECIALTY CONSULTANTS PA 100 MEDICAL CTR WAY SOMERS POINT NJ 08244 472248436 7621 SUB-GRANTEE NEW JERSEY HEALTHCARE SPECIALISTS PC PO BOX 452197 SUNRISE FL 33323 221948732 9130 SUB-GRANTEE ADVANCED SHORE IMAGING ASSOCIATES LLC PO BOX 6750 PORTSMOUTH NH 03802 471561390 6949 SUB-GRANTEE GFH SURGICAL ASSOCIATES 718 SHORE ROAD SOMERS POINT NJ 08244 222696987 18052 SUB-GRANTEE REGIONAL WOMEN'S HEALTH GROUP LLC 227 LAUREL ROAD VOORHEES NJ 08043 223693606 6482 SUB-GRANTEE RELIANCE MEDICAL GROUP LLC 22 N FRANKLIN AVE PLEASANTVILLE NJ 08232 223687866 7810 SUB-GRANTEE ATLANTIC COUNTY SHERIFFS FOUNDATION INC 132 BONITA DR EGG HBR TWP NJ 08234 825432194 501(C)(3) 5700 PROGRAM SUPPORT ATLANTIC CITY BALLET 2301 BOARDWALK ATLANTIC CITY NJ 08401 222411345 501(C)(3) 12500 PROGRAM SUPPORT ATLANTIC CITY CHAMBER OF COMMERCE 12 VIRGINIA AVENUE ATLANTIC CITY NJ 08401 210398240 501(C)(6) 5080 PROGRAM SUPPORT 7 8 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X false true false false false false false true false RONALD W JOHNSON TRUSTEE - PRESIDENT/CEO 587824 0 212243 0 533540 0 55000 0 25263 0 1413870 0 0 0 DAVID R HUGHES CFO/CDO 395617 0 109059 0 6350 0 12250 0 29025 0 552301 0 0 0 LINDA S KENWOOD COO/CNO 329313 0 75218 0 15679 0 12250 0 18360 0 450820 0 0 0 JEANNE M ROWE MD CHIEF MEDICAL OFFICER 377510 0 86680 0 6418 0 12250 0 30290 0 513148 0 0 0 FREDERICK L BANNER CHIEF INFORMATION OFFICER 233316 0 55211 0 1893 0 0 0 37546 0 327966 0 0 0 ALAN L BEATTY VICE PRESIDENT HUMAN RESOURCES 211739 0 49398 0 3917 0 0 0 27773 0 292827 0 0 0 CHARLES A DENNIS MD PHYSICIAN ADVISOR 267629 0 49616 0 3505 0 9550 0 38066 0 368366 0 0 0 ROBERT L WOOD FINANCE DIRECTOR 195078 0 6126 0 962 0 0 0 29312 0 231478 0 0 0 ROBIN KEYACK AVP SURGICAL SERVICES 188464 0 5841 0 2633 0 8555 0 15609 0 221102 0 0 0 MICHAEL J SMITH ADM DIR OF PATIENT FIN SVCS 172681 0 5684 0 1651 0 8291 0 37212 0 225519 0 0 0 ROBERT F ROBERTSON ADM DIRECTOR OF LOGISTICS 168147 0 5288 0 1517 0 0 0 23378 0 198330 0 0 0 RICHARD A PITMAN FORMER OFFICER 0 0 0 0 141239 0 0 0 0 0 141239 0 0 0 SCHEDULE J, PART 1, QUESTION 1 THE ORGANIZATION MAINTAINS A CLUB MEMBERSHIP FOR BUSINESS PURPOSES AND MEETINGS. THIS MEMBERSHIP ENTITLES CERTAIN SHORE MEDICAL CENTER SENIOR EXECUTIVES TO THE USE OF THE CLUB'S FACILITIES. THE AMOUNTS OUTLINED HEREIN RELATING TO THE PERSONAL USE OF THIS CORPORATE MEMBERSHIP ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 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 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 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 7 CERTAIN 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. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221487590 64579FYS6 2009-09-17 30000000 SEE SCHEDULE K, PART VI false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579FZH9 2010-01-27 15000000 SEE SCHEDULE K, PART VI false false false C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2011-12-01 13000000 SEE SCHEDULE K, PART VI false false false D NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2013-09-01 16890000 SEE SCHEDULE K, PART VI false false false A 0 0 30000000 0 0 0 598394 0 0 29401606 0 0 2011 false false true true B 0 0 15000000 0 0 0 300000 0 0 14700000 0 0 2011 false false true true C 0 0 13000000 0 0 0 218370 0 0 12781630 0 0 2011 false false true true D 0 0 16890000 0 0 0 104620 0 0 16785380 0 0 2013 false true true true A false true false false 0.00188 0.00188 true false false true B false false false false 0 true false false true C false false true true false 0.03000 0.03000 true false false true D false false false false 0 true false false true A false true true true BARCLAY'S BANK PLC 30. false false 0 false true B false true true false 0 false 0 false true C false true false false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true SCHEDULE K SCHEDULE 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. SONYA M BANNER FAMILY MEMBER OF OFFICER 76985 EMPLOYEE false XANITOS INC SUBSTANTIAL CONTRIBUTOR 3237231 CLEANING SERVICES false CERNER CORPORATION SUBSTANTIAL CONTRIBUTOR 2229971 INFORMATION TECHNOLOGY SVCS. false BAYFRONT EMERGENCY PHYSICIANS PA SUBSTANTIAL CONTRIBUTOR 275000 MEDICAL SERVICES false GRANT THORNTON LLP SUBSTANTIAL CONTRIBUTOR 262602 AUDIT SERVICES false MCCARTER ENGLISH LLP SUBSTANTIAL CONTRIBUTOR 251668 LEGAL SERVICES false TRICARE MEDICAL TRANSPORTATION SUBSTANTIAL CONTRIBUTOR 262745 TRANSPORTATION SERVICES false ARCADIA RECOVERY BUREAU SUBSTANTIAL CONTRIBUTOR 148460 COLLECTION & RECOVERY SERVICES false OTIS ELEVATOR COMPANY SUBSTANTIAL CONTRIBUTOR 209759 MAINTENANCE SERVICES false SCHEDULE L, PART IV XANITOS, 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. 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NJ SMH C CORP. 7440852 587069 1.00000 true false false false true true false false false false false false false false true true false false true false SHORE MEMORIAL PHYSICIAN'S GROUP PC D 269024 COST SHORE PATHOLOGY ASSOCIATES PC E 251500 COST SHORE HOSPITALISTS ASSOCIATES PA D 682611 COST SHORE SPECIALTY CONSULTANTS PA E 150785 COST SHORE MEMORIAL HEALTH SYSTEM O 59054 COST SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN SHORE MEMORIAL HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. SHORE MEMORIAL 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.