SHORE MEMORIAL HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SHORE MEMORIAL HOSPITAL (EIN 21-0660835)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-01-31
- IRS object ID
- 201310319349301126
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-31T15:03:10-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 210660835 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHORE MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JAMES T FOLEY CPA MBA CH | InCareOfName |
| Name Control | SHOR | NameControl |
| Phone | 6096533707 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE EAST NEW YORK AVENUE | AddressLine1 |
| City | SOMERS POINT | City |
| State | NJ | State |
| ZIP Code | 082442387 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES T FOLEY | Name |
| Title | CFO | Title |
| Date Signed | 2013-01-21 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9738989494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHORE MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RONALD W JOHNSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 EAST NEW YORK AVE | AddressLine1 |
| City | SOMERS POINT | City |
| State | NJ | State |
| ZIP Code | 08244 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 212445158 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SHOREMEDICALCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1942 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | TO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1719 | TotalNbrEmployees |
| Total Nbr Volunteers | 375 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4334975 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3442933 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 191111944 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 206356854 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3807540 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1643932 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 966121 | OtherRevenuePriorYear |
| Other Revenue Current Year | 918032 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 200220580 | TotalRevenuePriorYear |
| Total Revenue Current Year | 212361751 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 111863007 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 101359872 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 371538 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 85322041 | OtherExpensePriorYear |
| Other Expenses Current Year | 101665193 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 197185048 | TotalExpensesPriorYear |
| Total Expenses Current Year | 203025065 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3035532 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9336686 | RevenuesLessExpensesCY |
| Total Assets BOY | 276272946 | TotalAssetsBOY |
| Total Assets EOY | 294764916 | TotalAssetsEOY |
| Total Liabilities BOY | 217675343 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 261487549 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 58597603 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 33277367 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SEVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABIILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 73590472 | Expense |
| Grants | 0 | Grants |
| Revenue | 54584868 | Revenue |
| Description | 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 2011 THE ORGANIZATION HAD 6,221 ADMISSIONS FOR A TOTAL OF 28,916 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15078030 | Expense |
| Grants | 0 | Grants |
| Revenue | 10554905 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY Maternal AND pediatric inpatient services to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2011 THE ORGANIZATION HAD 1,677 ADMISSIONS FOR A TOTAL OF 4,172 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 14568784 | Expense |
| Grants | 0 | Grants |
| Revenue | 33261911 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY Emergency medical services to all individuals in a non-discriminatory MANNER regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR abilITY TO pay. DURING 2011 THE ORGANIZATION TREATED 36,774 EMERGENCY CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 66973761 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 107955170 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 170211047 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 709 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1719 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMES T FOLEY CPA MBA CH | NamePerson |
| Telephone Number | 6096533707 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 EAST NEW YORK AVE | AddressLine1 |
| City | SOMERS POINT | City |
| State | NJ | State |
| ZIP Code | 08244 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JAY A GILLIAN | ||||||||
| CHAIRMAN - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | ||
| ROBERT J BRAY DDS MS | ||||||||
| VICE CHAIRMAN - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | ||
| LOUIS P DESCIOLI | ||||||||
| VICE CHAIRMAN - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | ||
| SANDY TZAFEROS PHARMD | ||||||||
| SECRETARY/ASST TREAS - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | ||
| FERNANDO DELASOTTA MD | ||||||||
| TREAS/ASST SECRETARY - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | ||
| ROBERT J BEACH MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| DAVID BEYEL | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| CHARLES BISCIEGLIA | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| AGOSTINO CIPOLLINI | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| GERALD J CORCORAN ESQ | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| JOSEPH DIORIO | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ARTHUR T FORD III ESQ | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| CAROL L GAFFNEY RN BSN | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| R SCOTT HALLIDAY | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| THOMAS H HEIST IV | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| RONALD W JOHNSON | ||||||||
| TRUSTEE - PRESIDENT/CEO | 50.0 | X | X | 401955 | 0 | 170677 | ||
| STEVEN P NACHTIGALL MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| GARY G SCHAFFER | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| SUSAN SCHNEIDER | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| DAVID A SPITALNICK ESQ | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| RONALD B STABLINI CPA MBA | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| RICHARD L TRAA | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| JAMES T FOLEY CPA MBA CHE | ||||||||
| CFO | 50.0 | X | 313905 | 0 | 156307 | |||
| PETER R JUNGBLUT MD | ||||||||
| CMO | 50.0 | X | 295678 | 0 | 94992 | |||
| JOAN GAVIN | ||||||||
| CNO | 50.0 | X | 237698 | 0 | 73287 | |||
| FREDERICK L BANNER | ||||||||
| CIO | 50.0 | X | 165798 | 0 | 49187 | |||
| WILLIAM D ELLIOTT | ||||||||
| EXECUTIVE DIRECTOR - FDN | 50.0 | X | 250130 | 0 | 55355 | |||
| KIMBERLY H SIMERS | ||||||||
| VICE PRESIDENT MARKETING | 50.0 | X | 268605 | 0 | 35590 | |||
| ALAN L BEATTY | ||||||||
| VICE PRESIDENT HUMAN RESOURCES | 50.0 | X | 184865 | 0 | 54118 | |||
| RICHARD A PITMAN | ||||||||
| ED GOVERNMENT AFFAIRS | 50.0 | 97509 | 0 | 0 | X | |||
| ROBERT L WOOD | ||||||||
| DIRECTOR OF FINANCE | 50.0 | 188943 | 0 | 45550 | X | |||
| JENNIFER ADIGUN MD | ||||||||
| PHYSICIAN | 50.0 | 180238 | 0 | 16718 | X | |||
| THEODORE SHEPPARD | ||||||||
| PHARMACIST | 50.0 | 179973 | 0 | 3177 | X | |||
| CHARLES ROCHE III MD | ||||||||
| PHYSICIAN | 50.0 | 174101 | 0 | 23214 | X | |||
| MARY MCRAE | ||||||||
| COO FOUNDATION | 50.0 | 166484 | 0 | 6164 | X | |||
| HAROLD R DOWNS | ||||||||
| DIRECTOR OF REVENUE CYCLE | 50.0 | 162472 | 0 | 67960 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3268354 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 852296 | TotalOtherCompensation |
| Number Individuals GT100 K | 88 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MASSETT BUILDING COMPANY | |||||
| 6815 DELILAH ROAD | EGG HARBOR TOWNSHIP | NJ | 08234 | CONTRACTOR | 15153570 |
| VANGUARD HEALTHCARE MANAGEMENT | |||||
| 301 ROUTE 17 NORTH SUITE 800 | RUTHERFORD | NJ | 07070 | MANAGEMENT | 1261279 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | KANSAS CITY | MO | 64117 | IT | 1140137 |
| T N WARD | |||||
| 815 ATLANTIC AVENUE SUITE A | ATLANTIC CITY | NJ | 08401 | CONTRACTOR | 1118597 |
| S P BUILDERS LLC | |||||
| 2 EASTWICK DRIVE | GIBBSBORO | NJ | 08026 | CONTRACTOR | 1034478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 77 | NumberOfContractorsGT100K |
| Related Organizations | 2215000 | RelatedOrganizations |
| Government Grants | 917783 | GovernmentGrants |
| All Other Contributions | 310150 | AllOtherContributions |
| Total Contributions | 3442933 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | 204842932 | 204842932 |
| OTHER HEALTHCARE RELATED REVENUE | 541900 | 1513922 | 1513922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 206356854 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 432 | TotalRevenueColumn |
| Exclusion | $432 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 715 | TotalRevenueColumn |
| Exclusion | $715 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 236401 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 61904 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 174497 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 174497 | TotalRevenueColumn |
| Exclusion | $174,497 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1664288 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 21503 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1664288 | Securities |
| Other | -21503 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1642785 | TotalRevenueColumn |
| Exclusion | $1,642,785 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA/VENDING | Description |
| Business Code | 722210 | BusinessCode |
| Total Revenue Column | 743535 | TotalRevenueColumn |
| Exclusion | $743,535 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 743535 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 212361751 | TotalRevenueColumn |
| Related Or Exempt Function Income | 206356854 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,561,964 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2905657 | Total |
| Program Services | 2615093 | ProgramServices |
| Management And General | 290564 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74583601 | Total |
| Program Services | 62678559 | ProgramServices |
| Management And General | 11760958 | ManagementAndGeneral |
| Fundraising | 144084 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8525086 | Total |
| Program Services | 7165173 | ProgramServices |
| Management And General | 1343472 | ManagementAndGeneral |
| Fundraising | 16441 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7706534 | Total |
| Program Services | 6463556 | ProgramServices |
| Management And General | 1227673 | ManagementAndGeneral |
| Fundraising | 15305 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7638994 | Total |
| Program Services | 6432799 | ProgramServices |
| Management And General | 1191863 | ManagementAndGeneral |
| Fundraising | 14332 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 816380 | Total |
| Program Services | 524136 | ProgramServices |
| Management And General | 288943 | ManagementAndGeneral |
| Fundraising | 3301 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195400 | Total |
| Program Services | 125452 | ProgramServices |
| Management And General | 69158 | ManagementAndGeneral |
| Fundraising | 790 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56019 | Total |
| Management And General | 56019 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129827 | Total |
| Program Services | 129827 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1330676 | Total |
| Program Services | 1330676 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31078900 | Total |
| Program Services | 19988618 | ProgramServices |
| Management And General | 10962629 | ManagementAndGeneral |
| Fundraising | 127653 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2845520 | Total |
| Program Services | 1826896 | ProgramServices |
| Management And General | 1007123 | ManagementAndGeneral |
| Fundraising | 11501 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171040 | Total |
| Program Services | 114035 | ProgramServices |
| Management And General | 56618 | ManagementAndGeneral |
| Fundraising | 387 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97838 | Total |
| Program Services | 64817 | ProgramServices |
| Management And General | 32537 | ManagementAndGeneral |
| Fundraising | 484 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1489 | Total |
| Program Services | 956 | ProgramServices |
| Management And General | 527 | ManagementAndGeneral |
| Fundraising | 6 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11027364 | Total |
| Program Services | 7546347 | ProgramServices |
| Management And General | 3451795 | ManagementAndGeneral |
| Fundraising | 29222 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1860227 | Total |
| Program Services | 1194312 | ProgramServices |
| Management And General | 658395 | ManagementAndGeneral |
| Fundraising | 7520 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 31819218 | 31819218 | ||
| PROVISION FOR BAD DEBTS | 12954073 | 12954073 | ||
| PHYSICIAN SALARIES AND FEES | 7156311 | 7156311 | ||
| AMORTIZATION | 124911 | 80193 | 44206 | 512 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203025065 | Total |
| Program Services | 170211047 | ProgramServices |
| Management And General | 32442480 | ManagementAndGeneral |
| Fundraising | 371538 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 330147 | BOY |
| EOY | 1620748 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19059848 | BOY |
| EOY | 26521981 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18299353 | BOY |
| EOY | 18178340 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2538588 | BOY |
| EOY | 2598716 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1556986 | BOY |
| EOY | 610160 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 359472052 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 169150195 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156028908 | BOY |
| EOY | 190321857 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72555226 | BOY |
| EOY | 46370549 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1877797 | BOY |
| EOY | 1981631 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4026093 | BOY |
| EOY | 6560934 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 276272946 | BOY |
| EOY | 294764916 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34110242 | BOY |
| EOY | 34655155 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71197918 | BOY |
| EOY | 79336524 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 308323 | BOY |
| EOY | 6692026 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112058860 | BOY |
| EOY | 140803844 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217675343 | BOY |
| EOY | 261487549 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51927423 | BOY |
| EOY | 27089946 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4131286 | BOY |
| EOY | 3764273 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2538894 | BOY |
| EOY | 2423148 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58597603 | BOY |
| EOY | 33277367 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 276272946 | BOY |
| EOY | 294764916 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 9336686 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -34656922 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $30,000 | RalliesDemonstrationsAmount |
| Other Activities | true | OtherActivities |
| Other Activities | $26,019 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 56019 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B; QUESTIONS 1G & 1H | ReturnReference |
| Explanation | SHORE MEMORIAL HOSPITAL ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2011, THE TAXPAYER PAID TWO INDEPENDENT FIRMS A TOTAL OF $30,000 FOR LOBBYING CONSULTING SERVICES. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS EXECUTIVE DIRECTOR OF GOVERNMENT AFFAIRS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTH CARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $4,875. IN ADDITION, SHORE MEMORIAL HOSPITAL IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, BOTH OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THESE ORGANIZATIONS ARE ALLOCATED TOWARDS THESE LOBBYING EFFORTS. THIS ALLOCATION AMOUNTED TO $21,144 IN 2011. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6670180 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -115746 | InvestmentEarningsOrLosses |
| Other Expenditures | 367013 | OtherExpenditures |
| End Of Year Balance | 6187421 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5352003 | BeginningOfYearBalance |
| Contributions | 1103776 | Contributions |
| Investment Earnings Or Losses | 214401 | InvestmentEarningsOrLosses |
| End Of Year Balance | 6670180 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4995593 | BeginningOfYearBalance |
| Contributions | 327510 | Contributions |
| Investment Earnings Or Losses | 28900 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5352003 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2772200 | BeginningOfYearBalance |
| Contributions | 2700000 | Contributions |
| Investment Earnings Or Losses | -476607 | InvestmentEarningsOrLosses |
| End Of Year Balance | 4995593 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.39160 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.60840 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4753884 | OtherCostOrOtherBasis |
| Book Value | 4753884 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 134847149 | OtherCostOrOtherBasis |
| Depreciation | 49635332 | Depreciation |
| Book Value | 85211817 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 211822899 | OtherCostOrOtherBasis |
| Depreciation | 118508509 | Depreciation |
| Book Value | 93314390 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 8048120 | OtherCostOrOtherBasis |
| Depreciation | 1006354 | Depreciation |
| Book Value | 7041766 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 190321857 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (11 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| USE | 5578545 | F |
| SECURITIES; LIMITED USE | 495966 | F |
| LIMITED USE | 5493765 | F |
| LIMITED USE | 2907165 | F |
| LIMITED USE | 15690444 | F |
| LIMITED USE | 5588749 | F |
| LIMITED USE | 3776527 | F |
| LIMITED USE | 4671950 | F |
| LIMITED USE | 129121 | F |
| PERPETUAL TRUST | 1771477 | F |
| PHYSICIANS GROUP | 266840 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 46370549 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD PARTY PAYORS; CURRENT | $5,897,392 |
| NON-CURRENT | $3,920,443 |
| RESERVE FOR INSURANCE CLAIMS | $2,856,387 |
| OTHER LIABILITIES | $3,439,199 |
| ACCRUED INTEREST PAYABLE | $686,849 |
| RETAINAGE PAYABLE | $0 |
| ACCRUED RETIREMENT BENEFITS; NET | $124,003,574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 140803844 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ENDOWMENT FUNDS | Identifier |
| Return Reference | SCHEDULE D, PART V; QUESTION 4 | ReturnReference |
| Explanation | The Medical Center has adopted investment policies for its endowment assets that are consistent with the policies and objectives of their overall investments. 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 20114 | PersonsServed |
| Total Community Benefit Expense | 10204307 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1250300 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8954007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04710 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14709 | PersonsServed |
| Total Community Benefit Expense | 15274922 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12398781 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2876141 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01510 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 34823 | PersonsServed |
| Total Community Benefit Expense | 25479229 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13649081 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11830148 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06220 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 32 | NumberOfActivitiesOrPrograms |
| Persons Served | 384576 | PersonsServed |
| Total Community Benefit Expense | 336761 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 91559 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 245202 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 103 | PersonsServed |
| Total Community Benefit Expense | 460 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 460 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 33 | NumberOfActivitiesOrPrograms |
| Persons Served | 384679 | PersonsServed |
| Total Community Benefit Expense | 337221 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 91559 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 245662 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 33 | NumberOfActivitiesOrPrograms |
| Persons Served | 419502 | PersonsServed |
| Total Community Benefit Expense | 25816450 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13740640 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12075810 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06350 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 52590 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 52590 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 583 | PersonsServed |
| Total Community Building Expense | 384 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 384 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 583 | PersonsServed |
| Total Community Building Expense | 52974 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 52974 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $12,954,073 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 54354597 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 83558029 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -29203432 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHORE MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE EAST NEW YORK AVENUE | AddressLine1 |
| City | SOMERS POINT | City |
| State | NJ | State |
| ZIP Code | 082442387 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHORE MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SMH - REGIONAL DIALYSIS CENTER | ||||
| 2605 SHORE ROAD 1ST FLOOR | NORTHFIELD | NJ | 08225 | DIALYSIS SERVICES |
| SMH - HEALTH & CONFERENCE CENTER | ||||
| 649 SHORE ROAD | SOMERS POINT | NJ | 08244 | LAB AND RADIOLOGY SERVICES |
| OUTPATIENT TESTING CENTER | ||||
| OCEAN HEIGHTS AVENUE AND ZION ROAD | EGG HARBOR TOWNSHIP | NJ | 08234 | LAB AND RADIOLOGY SERVICES |
| OUTPATIENT TESTING CENTER | ||||
| 914 HAVEN AVENUE | OCEAN CITY | NJ | 08226 | LAB AND RADIOLOGY SERVICES |
| OUTPATIENT TESTING CENTER | ||||
| 5401 HARDING HIGHWAY | MAYS LANDING | NJ | 08330 | LAB SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FINANCIAL ASSISTANCE ELIGIBILITY | SCHEDULE H, PART I, LINE 3C | THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2011 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. |
| COMMUNITY BENEFIT REPORT | SCHEDULE H, PART I, LINE 6A | NOT APPLICABLE. |
| FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST | SCHEDULE H, PART I, LINE 7 | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $12,954,073. NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. |
| COMMUNITY BUILDING ACTIVITIES | SCHEDULE H, PART II | SHORE MEMORIAL HOSPITAL IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. THE PERSONAL EFFORTS OF OUR GENEROUS HOSPITAL STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY SHORE MEMORIAL'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 AND OTHER AVENUES LIKE OUR TV SHOW, "HEALTH TODAY". MORE RECENTLY, SHORE MEMORIAL BECAME PART OF THE PLANETREE NETWORK. 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. |
| BAD DEBT EXPENSE | SCHEDULE H, PART III, LINE 4 | BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. SHORE MEMORIAL HEALTH SYSTEM PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF SHORE MEMORIAL HOSPITAL. PATIENT ACCOUNTS RECEIVABLE/ALLOWANCE FOR DOUBTFUL ACCOUNTS PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. THE HOSPITAL 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 HOSPITAL CEASES COLLECTION EFFORTS. CHARITY CARE THE MEDICAL CENTER PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA ESTABLISHED BY THE STATE OF NEW JERSEY. THE COST OF SERVICES PROVIDED AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY IS ESTIMATED USING INTERNAL DATA AND IS CALCULATED BASED ON THE MEDICAL CENTER'S COST TO CHARGE RATIO. tHE TOTAL DIRECT AND INDIRECT AMOUNT OF CHARITY CARE PROVIDED, DETERMINE ON THE BASIS OF COST, APPROXIMATED $5,658,000 AND $9,397,000 IN 2011 AND 2010, RESPECTIVELY. THE NEW JERSETY HEALTH CARE REFORM ACT OF 1992, CHAPTER 160, ESTABLISHED THE HEALTH CARE SUBSIDY FUND (HCSF) TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE CERTAIN HOSPITALS FOR CHARITY CARE. FOR 2011 AND 2010, THE MEDICAL CENTER RECOGNIZED $1,041,462 AND $720,536, RESPECTIVELY, AS SUBSIDIES FOR CHARITY CARE, WHICH IS INCLUDED IN NET PATIENT SERVICE REVENUE. |
| MEDICARE SHORTFALL | SCHEDULE H, PART III, LINE 8 | MEDICARE COSTS WERE DERIVED FROM THE 2011 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS 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, RELIGION 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 "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND 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 HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. 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 "REMOVE[D]" 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 TREAS. 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. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. 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 POSITION. AS OUTLINED IN THE AHA 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. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 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 "DUAL ELIGIBLES." 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 FINANCIAL ASSISTANCE PROGRAMS. 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 BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; T |
| DEBT COLLECTION POLICY | 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. IT IS THE POLICY OF THE SHORE MEMORIAL HEALTH SYSTEM AND ALL ITS HOSPITAL AFFILIATES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $500 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B,QUESTIONS 9,10,11H,13G,15E,16E,17E,18D,20&21 | NOT APPLICABLE. |
| FACILITY INFORMATION | SCHEDULE H, PART V, SECTION B, QUESTION 19D | NOT APPLICABLE. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI; QUESTION 2 | AS A COMMUNITY HOSPITAL, IT IS SHORE MEMORIAL'S RESPONSIBILITY TO ADDRESS THE UNIQUE NEEDS OF OUR COMMUNITY, NO MATTER WHAT AGE, RACE OR GENDER THEY MAY BE. SHORE MEMORIAL IDENTIFIES THE NEEDS OF OUR COMMUNITY VIA SEVERAL AVENUES. THESE INCLUDE AN ANNUAL COMMUNITY NEEDS ASSESSMENT SURVEY WHERE WE RECEIVE CLOSE TO 1,000 RESPONDENTS, THE HOSPITAL'S PARTNERSHIP WITH THE UNITED WAY OF ATLANTIC COUNTY, WHICH IDENTIFIES AND SUPPORTS AREA ORGANIZATIONS IN NEED, AND BY MAINTAINING A VISIBLE PRESENCE OUR COMMUNITY THROUGH THE HUNDREDS OF COMMUNITY WELLNESS EVENTS EACH YEAR, RANGING FROM WALKS AND COMPETITIONS TO CHURCH CELEBRATIONS AND COMMUNITY FAIRS. IT WAS THROUGH THESE ASSESSMENTS, FOR EXAMPLE, THAT SHORE MEMORIAL RECENTLY LEARNED OF A NEED FOR DIABETES EDUCATION IN THE COMMUNITY. AS A RESULT, IN 2010 SHORE MEMORIAL LAUNCHED A DIABETES EDUCATION CLASS OFFERED AT NO COST TO THE PUBLIC AT THE HOSPITAL'S OUTPATIENT TESTING CENTER IN EGG HARBOR TOWNSHIP. ADDITIONALLY, THE HOSPITAL IS LAUNCHING HEALTH RISK ASSESSMENTS ONLINE TO PROVIDE GREATER ACCESS FOR MEMBERS OF OUR COMMUNITY TO PROACTIVELY STAY HEALTHY. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCHEDULE H, PART VI; QUESTION 3 | SHORE MEMORIAL HOSPITAL HAS ENGAGED A THIRD PARTY NCO, TO PROVIDE EDUCATION AND ELIGIBILITY PROCESSING FOR CHARITY CARE AND MEDICAID ELIGIBILITY. THIS 3RD 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. SHORE MEMORIAL HOSPITAL ALSO HAS AN ADDITIONAL 4 INDIVIDUALS THAT HELP PATIENTS COMPLETE THESE FORMS IN THE BUSINESS OFFICE, EMERGENCY DEPARTMENT AND THE ADMISSIONS OFFICE. SHORE MEMORIAL HOSPITAL ALSO MAINTAINS SIGNAGE (MULTI LINGUAL) TO DIRECT PATIENTS TO THE HELP THEY MAY NEED. |
| COMMUNITY INFORMATION | SCHEDULE H, PART VI; QUESTION 4 | SHORE MEMORIAL HOSPITAL IS LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. SHORE MEMORIAL HOSPITAL 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 PERCENT ARE OF AFRICAN AMERICAN DESCENT AND 15.3 PERCENT ARE OF HISPANIC DESCENT. NEARLY 50,000 RESIDENTS SUFFER FROM DISABILITIES AND MORE THAN 10 PERCENT OF THE POPULATION IS BELOW THE POVERTY LEVEL. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI; QUESTION 5 | SHORE MEMORIAL HOSPITAL IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. THE PERSONAL EFFORTS OF OUR GENEROUS HOSPITAL STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY SHORE MEMORIAL'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 AND OTHER AVENUES LIKE OUR TV SHOW. "HEALTH TODAY". MORE RECENTLY, SHORE MEMORIAL BECAME PART OF THE PLANETREE NETWORK. 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. |
| AFFILIATED HEALTHCARE SYSTEM | SCHEDULE H, PART VI; QUESTION 6 | NOT FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITIES: 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, provided medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. 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) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). 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 Memorial Hospital, which provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. SHORE MEMORIAL HEALTH FOUNDATION, INC. Shore Memorial Health Foundation, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). The organization supports and raises funds on behalf of the Shore Memorial Health System, including Shore Memorial Hospital, which provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. SHORE MEMORIAL PROPERTIES Shore Memorial Properties is an INACTIVE organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(2). FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITY: SHORE HEALTH ENTERPRISES, INC. A for-profit entity whose sole shareholder is Shore Memorial Health System ("SMHS"). The entity provides real estate services for SMHS. SHORE MEMORIAL PHYSICAN'S GROUP, P.C. A for-profit entity whose sole shareholder is Shore Memorial HOSPITAL'S CHIEF MEDICAL OFFICER. The entity provides MEDICAL SERVICES TO INDIVIDUALS. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD W JOHNSON | |||||||||||||
| 348459 | 0 | 47248 | 0 | 6248 | 0 | 140171 | 0 | 30506 | 0 | 572632 | 0 | 0 | 0 |
| JAMES T FOLEY CPA MBA CHE | |||||||||||||
| 211954 | 0 | 79413 | 0 | 22538 | 0 | 132487 | 0 | 23820 | 0 | 470212 | 0 | 0 | 0 |
| PETER R JUNGBLUT MD | |||||||||||||
| 228751 | 0 | 65531 | 0 | 1396 | 0 | 65646 | 0 | 29346 | 0 | 390670 | 0 | 0 | 0 |
| JOAN GAVIN | |||||||||||||
| 208032 | 0 | 23772 | 0 | 5894 | 0 | 47065 | 0 | 26222 | 0 | 310985 | 0 | 0 | 0 |
| FREDERICK L BANNER | |||||||||||||
| 164887 | 0 | 0 | 0 | 911 | 0 | 20722 | 0 | 28465 | 0 | 214985 | 0 | 0 | 0 |
| WILLIAM D ELLIOTT | |||||||||||||
| 218804 | 0 | 25087 | 0 | 6239 | 0 | 41245 | 0 | 14110 | 0 | 305485 | 0 | 0 | 0 |
| KIMBERLY H SIMERS | |||||||||||||
| 225907 | 0 | 42471 | 0 | 227 | 0 | 30528 | 0 | 5062 | 0 | 304195 | 0 | 0 | 0 |
| ALAN L BEATTY | |||||||||||||
| 156917 | 0 | 25150 | 0 | 2798 | 0 | 25538 | 0 | 28580 | 0 | 238983 | 0 | 0 | 0 |
| ROBERT L WOOD | |||||||||||||
| 161544 | 0 | 0 | 0 | 27399 | 0 | 26389 | 0 | 19161 | 0 | 234493 | 0 | 0 | 0 |
| JENNIFER ADIGUN MD | |||||||||||||
| 179741 | 0 | 0 | 0 | 497 | 0 | 5422 | 0 | 11296 | 0 | 196956 | 0 | 0 | 0 |
| THEODORE SHEPPARD | |||||||||||||
| 86009 | 0 | 0 | 0 | 93964 | 0 | 0 | 0 | 3177 | 0 | 183150 | 0 | 0 | 0 |
| CHARLES ROCHE III MD | |||||||||||||
| 173793 | 0 | 0 | 0 | 308 | 0 | 4406 | 0 | 18808 | 0 | 197315 | 0 | 0 | 0 |
| MARY MCRAE | |||||||||||||
| 166365 | 0 | 0 | 0 | 119 | 0 | 5809 | 0 | 355 | 0 | 172648 | 0 | 0 | 0 |
| HAROLD R DOWNS | |||||||||||||
| 141441 | 0 | 0 | 0 | 21031 | 0 | 45338 | 0 | 22622 | 0 | 230432 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION | SCHEDULE J, PART 1, QUESTION 1 | THE ORGANIZATION MAINTAINS A CLUB MEMBERSHIP FOR BUSINESS PURPOSES AND MEETINGS. THIS MEMBERSHIP ENTITLES CERTAIN SHORE MEMORIAL HOSPITAL 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 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RONALD W. JOHNSON, $2,936; JAMES T. FOLEY, $1,468; WILLIAM D. ELLIOTT, $1,468; ALAN L. BEATTY, $1,468 and RICHARD A PITMAN, $1,468. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 4B | THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RONALD W. JOHNSON, $36,445; JAMES T. FOLEY, $28,751 AND PETER R. JUNGBLUT, M.D., $20,861. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221487590 | 64579FAA1 | 2003-07-01 | 31205000 | CONST/RENO/EQUIP/DEBT SVC FUND | false | false | true |
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221487590 | 64579FYS6 | 2009-09-17 | 30000000 | BUILDINGS & STRUCTURES | false | false | true |
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221987084 | 64579FZH9 | 2010-01-27 | 15000000 | BUILDINGS & STRUCTURES | false | false | true |
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221987084 | 2011-12-01 | 13000000 | BUILDINGS & STRUCTURES | false | false | true | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 31836423 | 2498175 | 0 | 0 | 626021 | 0 | 0 | 28712277 | 0 | 0 | 2004 | false | false | true | true |
| 0 | 0 | 30000000 | 0 | 0 | 0 | 598394 | 0 | 0 | 29401606 | 0 | 0 | 2011 | false | false | true | true |
| 0 | 0 | 15000000 | 0 | 0 | 0 | 300000 | 0 | 0 | 14700000 | 0 | 0 | 2011 | false | false | true | true |
| 0 | 0 | 13000000 | 0 | 0 | 0 | 151389 | 0 | 0 | 0 | 0 | 0 | 2011 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Engage Bond Counsel ContractsEngageBondCounselContracts |
|---|---|---|---|---|---|---|---|---|---|
| false | true | false | false | true | 0.01040 | 0.00000 | 0.01040 | true | |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true | |
| false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true | ||
| false | false | true | false | 0 | true | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||
| true | false | false | false | 0 | false | false | |||
| BARCLAY'S BANK PLC | |||||||||
| false | true | true | false | 0 | false | false | 30. | ||
| 0 | |||||||||
| false | true | false | false | 0 | false | false | |||
| 0 | |||||||||
| false | false | false | false | 0 | false | false | false | true | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TAX-EXEMPT BOND ISSUES | Identifier |
| Return Reference | SCHEDULE K, PART I | ReturnReference |
| Explanation | THE JULY 1, 2003 TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES CUSIP NUMBERS IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I, COLUMN (C). THESE ARE THE FOLLOWING: 64579FAB9; 64579FAC7; 64579FAD5; 64579FAE3; 64579FAF3; 64579FAG8; 64579FAH6; 64579FAJ2; 64579FAK9 & 64579FAL7. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | COASTAL CLINICAL PATHOLOGISTS PA | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | R. BEACH, M.D. - TRUSTEE | Relationship |
| Amount Of Transaction | 297481 | AmountOfTransaction |
| Description Of Transaction | MEDICAL SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | ROBERT J. BEACH, M.D., IS A TRUSTEE OF THE ORGANIZATION. DR. BEACH IS THE MEDICAL DIRECTOR OF COASTAL CLINICAL PATHOLOGISTS, P.A. THE ORGANIZATION UTILIZED THE SERVICES OF COASTAL CLINCICAL PATHOLOGISTS, P.A. DURING 2011. TOTAL FEES PAID TO COASTAL CLINICAL PATHOLOGISTS, P.A. WERE $297,481. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DISCLOSURE INFORMATION | CORE FORM, SECTION C | DURING 2011 THE ORGANIZATION REGISTERED FOR AND RECEIVED AN ALTERNATE NAME; SHORE MEDICAL CENTER. |
| COMMUNITY BENEFIT STATEMENT | FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | background ========== shore medical center (shore) is a general medical and surgical hospital recognized by the irs as an internal revenue code section 501(c)(3) tax-exempt organization. pursuant to its charitable purposes, shore provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. moreover, shore memorial operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1) shore provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2) shore operates an active emergency room for all persons; which is open 24 hours a day, seven days a week, 365 days per year; 3) shore maintains an open medical staff, with privileges available to all qualified physicians; 4) control of shore rests with its board of trustees; which is comprised of independent civic leaders and other prominent members of the community; and 5) surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. the operations of shore, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the medical center provides substantial community benefit and that the use and control of shore is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. mission statement ================= we care for and respect all patients, their families and each other. organization overview ===================== shore medical center (formerly shore memorial hospital) is a not-for-profit health care resource that has served southern new jersey for more than 70 years. in that time, shore has become known for providing a compassionate level of service that goes hand in hand with its advanced technology and modern medical facilities. shore is a 296 bed, not-for-profit acute care medical center located in somers point, atlantic county, new jersey, approximately 10 miles south of atlantic city, new jersey. shore is licensed and approved by the state of new jersey to operate as a general acute care hospital providing both inpatient and outpatient services to the community. founded in 1928 and chartered in 1940 as a not-for-profit corporation, shore serves the healthcare needs of both the year-round and summer residents of atlantic and cape may counties, as well as visitors from other communities and states. in september of 2011 shore officially unveiled its new name, shore medical center. this name change was chosen to better reflect the evolving nature of healthcare at shore, defining the continuum of quality care, advanced medical technology and exceptional service shore provides to the residents of the south jersey region. shore has undergone more than fourteen major construction and renovation projects since 1940 to provide necessary facilities and services for its expanding patient population. in 2011 shore completed and opened a four-story 135,000 square foot surgical and outpatient services pavilion to meet the growing needs of the community. the board of trustees and staff of the medical center took great pride in pursuing this endeavor during the worst economic climate seen since the great depression, as it resulted in competitive rates for labor and materials and financing. the pavilion - which includes state-of-the-art operating suites, cardiovascular imaging services, endoscopy services and infusion therapy suites - positions shore as the region's leading surgical provider and benefits the residents of atlantic and cape may counties. shore engages the talents and teamwork of the best and brightest people in the industry. our team of physicians, nurses, technologists, managers, financial experts, board of trustees and our affiliates in philadelphia all work together to ensure that the community has access to the best healthcare resources when needed. and the community has responded positively to our approach to healthcare delivery. independent market research by the melior group confirms that shore is the preferred medical center among atlantic and cape may county residents. the community has voiced their vote of confidence in shore and the medical center will continue to earn the community's trust as the leading healthcare provider in the region. the professional community has also taken notice of shore. shore has been accredited by the joint commission-the nation's predominant standards-setting and accrediting body in health care- as a primary stroke center. shore was also certified by the joint commission for its lumbar and cervical spine surgery programs in recognition of the medical center's strict adherence to quality standards. shore was also named one of the top performing hospitals in the country by the joint commission in four key quality measures - heart attack, heart failure pneumonia and surgical care. in 2011 shore also opened its new pediatric care center, the first its kind in the state of new jersey. the facility features advanced pediatric emergency and inpatient care in a facility designed to be kid friendly and family centric. shore also has physicians and neonatologists from the children's hospital of philaedelphia (chop) on staff 24/7, 365 days a year to support our young patients. in 2011 shore was recognized by horizon blue cross blue shield of new jersey for its commitment to quality improvement initiatives and providing the best patient care as part of horizon's leapfrog hospital recognition program. in 2011, more than 10,700 patients were admitted to the medical center, and more than 44,000 were treated in shore's emergency department. the medical center's obstetrical clinic provided treatment for 3,953 expectant mothers who are underinsured or uninsured. community focused education ============================ since april of 1992 the medical center has produced its own television show. health today from shore medical center is a community-focused 30 minute health information television show. it is produced in cooperation with the local nbc affiliate nbc 40 and brings healthcare issues as discussed by shore physicians, nurses and other experts into the homes of viewers each week. the shows also feature a wellness segment and special reports on technology and have touched every part of the hospital from sterile processing to the emergency room, physical therapy, diagnostic imaging, laboratory services and more. in over 300 shows, more than 1,000 topics have been discussed and viewers have been taken inside the operating room to watch actual surgeries including a craniotomy, spine surgery, c-section and joint replacement. shore's wellness program has been an integral part of the community, offering health education and screenings for more than 20 years. in 2011 thousands of local residents participated in clinical encounters, including more than 500 blood pressures and more than 1,000 additional health screenings such as vascular and glucose screenings. shore is the lead agency for the nj cancer education and early detection (ceed) program for atlantic county, providing cancer screening services at convenient locations within the communities we serve. shore coordinated 380 breast cancer screenings, 908 cervical cancer screenings, 50 colorectal screenings and 66 prostate screenings for the underserved population. in 2011, shore memorial received $463,874 in ceed grant funding for these screenings. shore is also lead agency for the atlantic county healthy living coalition to provide outreach and education in which shore received $12,454 for these outreach activities, in 2011. 2,512 individuals attended educational workshops or lectures and 862 individuals attended special community events. additionally, the shore cancer center offered 15 community outreach events in 2011, during which more than 1,568 people in the community were provided with education about cancer prevention and early detection. childbirth education, breast feeding, sibling preparation and other programs to welcome a newborn into the family are offered to the entire community. shore's website provides information on medical center programs, services, and physicians. it also offers educational videos, health-focused articles and assessments. shore's physician finder service is free and available on the internet and through a call center. the service matches a caller's needs such as specialty, location, insurance and office hours to a shore physician. |
| COMMUNITY BENEFIT STATEMENT; CONTINUED | FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | uncompensated care ================== shore has long been a regional leader in meeting its commitment to the medically underserved members of the community. in addition to its community outreach programs and obstetrical clinic, the medical center provides substantial amounts of uncompensated care to those least able to pay for these services. in keeping with its mission to care for patients, the medical center serves all without regard to ability to pay. in 2011 shore spent approximately $10.6 million at cost for medical services delivered to these patients. the hospital only received a state subsidy of approximately $1,041,052 to offset this amount. shore recognizes the financial difficulty imposed on the self-pay patient who is least able to afford to pay for healthcare services when billed at the medical center's standard charges. therefore the medical center established an innovative policy to address the disparity between hospital-billed charges and the actual cost of providing care to the self-pay patient or under-insured patient. the method adopted is based upon sound accounting principles to determine the actual cost of providing care to patients using a known standard developed for the medicare cost report. the policy is to apply the most current hospital specific medicare cost to charge ratio to the self-pay patient's total charge balance and adjust the bill to cost. this adjustment is limited only to those patients not covered by insurance. this ratio is subject to change as determined by the medicare fiscal intermediary. patients unable to pay the cost adjusted bill in full are permitted to enter into a hospital-approved payment arrangement. payment arrangements are determined based upon the financial condition of the patient and paid over time using our existing payment arrangement methodology. as a non-profit healthcare provider, it is shore's responsibility to deliver high-quality healthcare regardless of the patient's ability to pay. in 2011, the medical center provided more than $15 million in uncompensated care, which includes $5.1 million in bad debt. shore is committed to the community that it serves. the challenge of meeting the high costs of providing quality health services is made possible through the dedication of physicians, staff and volunteers. affiliations ============ shore continues to be the only hospital in the region to offer patients a clinical affiliation with both the world-renowned university of pennsylvania health system (uphs)-also known as penn medicine - and the children's hospital of philadelphia (chop) care network. this gives shore physicians and their patients the benefit of clinical research, educational resources, and the latest in medical technology delivered in a community medical center setting through a seamless connection with both philadelphia health systems. through shore 's affiliation with penn medicine, cardiologists from the penn heart & vascular network provide low-risk cardiac catheterization services on-site in the shore cardiovascular institute (cvi). through this arrangement, shore physicians and the cardiovascular team collaborate with penn cardiologists to provide comprehensive care of the heart and circulatory system for patients in the southern new jersey area. additionally, the affiliation provides emergency services for heart attack patients. the penn heart rescue program supplies emergency airlift for patients in need of heart surgery or emergency angioplasty. penn medicine and shore also collaborate through a clinical affiliation that expands neurological and neurosurgical services and programs for the residents of the southern new jersey shore communities. as part of the agreement, penn's neurological institute is an extension of shore's neuroscience center in the delivery of neurological care - including interdisciplinary evaluation services, advanced diagnostic testing, advanced surgical technology, specialized neurological critical-care treatment, and access to the latest clinical research trials. in addition, shore has direct access to penn's extensive range of innovative preventative, diagnostic, and treatment services - such as skull-base surgery and interventional radiology - for a wide array of diseases and disorders, including epilepsy, head injury, memory disorders, multiple sclerosis, parkinson's disease, spine disorders, and stroke. the medical center proudly holds the joint commission's gold seal of approval as a primary stroke center and its gold seal of approval for shore 's lumbar and cervical spine surgery programs. shore's cancer center is also part of the penn cancer network. as a member, shore patients have access to the latest in cancer research, education, treatment and clinical trials. through shore's relationship with the children's hospital of philadelphia care network, chop pediatricians and neonatologists are available seven days a week, 24 hours a day to pediatric inpatients and emergency patients, and to assist shore physicians with high-risk births. this service provides shore physicians with additional expertise and around-the-clock physician attention to their hospitalized patients. shore's maternity and pediatric care centers offer a family-friendly environment, specialized nursing and a pediatric surgical program. additionally, shore offers a maternal-fetal medicine program with penn medicine to care for mothers experiencing high-risk pregnancies. in 2011 shore was proud to become a part of the jefferson neuroscience network and to bring physicians on staff from the rothman institute, enhancing the services already being provided to patients in the areas of orthopedics and neurology. spirit of shore =============== hospitals are busy places, but the staff at shore is never too busy to pay attention to the thoughtful gestures and kind acts that can make a meaningful difference to patients and their family members. this philosophy is the driving force behind the spirit of shore initiative at shore. the spirit of shore reflects the culture of caring that is unique to shore. this culture is further evident in the medical center's affiliation with planetree, a global non-profit organization that promotes patient-centered care in healing environments. centers of excellence ===================== shore's recognized centers of excellence include but are not limited to the following: cancer center shore's cancer program was designed with one goal in mind: fulfilling the medical center's continuing mission to provide the most advanced healthcare services to individuals and their families. the cancer center at shore was conceived, designed and built specifically to support the special needs of cancer patients and their families. it represents the new look of 21st century cancer care - a comprehensive approach combining clinical excellence with patient comfort and convenience. a blend of leading-edge technology and beautiful design, the cancer center supports the technical needs of physicians, radiation therapists, nurses and other specialists while providing a convenient, safe, caring and attractive atmosphere of healing, privacy and dignity. shore's cancer program is supported by the most advanced laboratory, diagnostic imaging and other cancer detection systems - nationally accredited to ensure accuracy and speed when every minute counts. cardiovascular institute (cvi) at the shore cardiovascular institute, a team of highly trained and experienced doctors, nurses and support staff provides comprehensive cardiovascular health services with a special emphasis on advanced diagnosis, education and prevention. the cvi has brought university-setting cardiac services to the community medical center environment. the cvi concentrates a full range of multidisciplinary services in one facility and offers the highest level of care in its low-risk diagnostic cardiac catheterization laboratory. the cvi also includes an mri angiography suite, vascular lab, digital ultrasound, non-invasive cardiac testing services and cardiopulmonary rehabilitation. the integration of advanced tools and skilled specialists has also made the shore cvi the region's most comprehensive program for stroke prevention, limb preservation, detection and treatment of aneurysms, and circulation improvement for inpatients and outpatients. the medical center's vascular diagnostic and therapeutic capabilities include advanced ultrasound computer enhanced imaging in shore's non-invasive vascular lab; and the special procedures suite for procedures such as angioplasty and diagnostic angiography. |
| COMMUNITY BENEFIT STATEMENT; CONTINUED | FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | emergency services whether it's a sprained ankle from a run on the boardwalk or a life-threatening heart attack, it's comforting to know the emergency staff at shore is ready, willing and able to help. shore emergency department physicians are board-certified in emergency medicine, with training in everything from obstetrics and pediatrics to orthopedics and cardiology. in addition, each one of the medical center's specially trained nurses is certified in the latest life-saving techniques and emergency care. further, shore's affiliation with the children's hospital of philadelphia provides emergency service coverage for specialized pediatric care 24 hours a day, seven days a week, 365 days a year. about one-quarter of shore's emergency patients are children who require a special kind of emergency care that is different from adults. the medical center's skilled emergency staff is well prepared with knowledge and equipment to care for our youngest patients. our new state-of-the-art pediatric care center provides a kid-friendly environment and pediatric emergency specialists to provide the best care for our young patients when they need it most in both emergency and inpatient settings. to assist in triage and enable staff to provide care more efficiently, shore has set up quick care centers in its emergency room and at several locations throughout the community to provide treatment for minor illnesses and injuries. shore also is part of the penn heart rescue program to provide heart attack patients with emergency airlift to penn presbyterian for life saving emergency angioplasty or cardiac surgery. neuroscience center just as your brain is the command central for your entire body, shore's neuroscience center is the region's command center for addressing disorders of the brain, peripheral nerves and muscles. using today's advanced technology - including leading-edge computer-assisted image guidance and microsurgical instrumentation - the medical center's board certified neurosurgeons, neurologists, specially trained nurses and technical staff are able to diagnose and treat neurological injuries and disorders with amazing precision. and, as always, this extraordinary high-tech care is delivered with the caring touch you expect from shore. shore's affiliation with the university of pennsylvania hospital and its world-renowned penn neurological institute further enhances the level of care to area residents - including access to clinical trials. shore is also proud to be a member of the jefferson neuroscience network - which allows specialists from shore and jefferson to collaborate in a multi-disciplinary approch to evaluation, diagnosis and treatment. board-certified physicians and specially trained nurses work collaboratively and seamlessly with psychologists, physical and occupational therapists, social workers and other affiliated healthcare professionals to deliver exceptional neurological care. awarded the joint commission gold seal of approval as a primary stroke center, the staff of the neuroscience center is also setting new standards of stroke care excellence. this prestigious certification by the joint commission recognizes shore's strict adherence to national standards and guidelines that help diagnose and treat stroke patients faster and with better outcomes. as a designated primary stroke center, shore staff members follow protocols issued through the american stroke association/american heart association and uses joint commission standard treatment orders and clinical paths. shore's emergency department staff and physicians are specially trained in the care and treatment of stroke patients and are skilled in administering t-pa, the clot busting medication that can improve patient outcomes. maternity care center shore is a high quality provider of community maternal/child health services. the shore maternal child health department (maternal, newborn and pediatric services) provides the community with comprehensive services, from conception to follow up care for mother, baby and family. more than 1,129 babies were born at shore in 2011, of which approximately one third were served by the medical center's prenatal clinic. maternity care services at shore currently include: prenatal outpatient care and referrals; inpatient ldrp (labor, delivery, recovery, postpartum suites) which are beautifully rendered, spacious suites that convey an atmosphere of comfort and relaxation, while at the same time are equipped with everything necessary to assure the safest and best patient care possible; highly skilled obstetricians and anesthesiologists; experienced, technically excellent and wonderfully nurturing nurses; lactation specialists; an obstetrical clinical educator and an array of support services. in addition, for more than a decade shore has been affiliated with the children's hospital of philadelphia in a comprehensive relationship which allows shore to have highly trained and expert neonatologists and pediatricians at the bedside of its infants and children 24 hours a day, seven days a week. shore offers care for mothers experiencing high-risk pregnancies through a maternal fetal medicine program with penn medicine. advanced spine & orthopedic institute the shore advanced spine & orthopedic institute offers a continuum of care within a highly integrated healthcare delivery network that takes patients from diagnosis and treatment through surgery and rehabilitation. skilled physicians and clinicians assist patients suffering from everyday aches and strains to sports injuries, serious spine and orthopedic injuries and disease, and joint replacement and reconstruction. shore's lumber and cervical spine surgery programs have received the gold seal of approval by the joint commmission. shore is also proud to have physicians on staff from the renowned rothman institute in philadelphia on staff collaborating with the region's finest physicians to provide the best care for patients. free joint and spine education classes are offered regularly at shore for community members who want more information about undergoing a joint replacement or spine surgery - including what to expect during their hospital stay, scheduling rehabilitation and properly preparing their home to assist in their recovery. medical services ================ consistent with revenue ruling 69-545, all qualified physicians are eligible for medical staff privileges. during 2011, shore had 385 physicians on its medical staff comprised of the following medical specialties: allergy/immunology anesthesiology cardiology dermatology emergency medicine endocrinology family practice gastroenterology gynecology hematology internal medicine infectious disease medical oncology nephrology neurological surgery neurology obstetrics ophthalmology orthopaedic surgery otorhinolaryngology pain management pathology pediatrics physical medicine/rehabilitation plastic surgery podiatry psychiatry psychology pulmonary medicine radiation therapy radiology rheumatology surgery - general surgery - trauma surgery - thoracic surgery - vascular urology alcohol & drug dependency maternal & fetal medicine |
| COMMUNITY BENEFIT STATEMENT; CONTINUED | FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | community programs and medical screenings ========================================= shore provides numerous medical screening programs to the community in furtherance of its tax exempt purposes including the following: 1. cholesterol 2. cancer screenings for the uninsured funded by the nj cancer education and early detection grant. - breast - cervical - colon - prostate 3. mammograms 4. bayfest health fair - cholesterol - body fat - glucose - blood pressure screening - stroke assessment - cardiac assessment 5. heart day - blood glucose - blood pressure - body fat - carbon monoxide - cardiac risk - stroke risk - pulse ox - cholesterol please note that the aforementioned list of medical screening programs is not an all inclusive list. more than 10,240 individuals participated in medical screenings, educational programs and other wellness programs provided by shore during 2011. lectures and seminars ====================== shore provides numerous lectures, seminars and other educational programs to the community in furtherance of its tax exempt purposes including the following: 1. family life services - preparation for childbirth and early parenting - nursing your baby - sibling preparation classes - mom-to-mom (post-partum support group) - maternal child health community outreach 2. cancer recovery and supportive care services 3. adult support group - living at the shore with lymphedema - look good...feel better 4. smoking cessation 5. free surgical education programs 6. workshops - family life services - health workshops - lifestyle workshops - medical lectures - nutrition Please note that the aforementioned list of community education programs is not an all inclusive list. community involvement ====================== the shore medical center is proud to make a difference in the communities we call home. in 2011, the hospital sponsored or participated in more than 150 events in the community. the personal efforts of our generous hospital staff raised tens of thousands of dollars for other worthy non-profit causes. here are just a few examples of shore 's commitment to our community: american cancer society the shore cancer center served as a sponsor for several american cancer society programs in 2011, including the making strides against breast cancer event and the relay for life walk in ocean city. american red cross shore medical center staff, physicians and volunteers donated more than 200 units of blood during the 2011 blood drives. cancer survivors' day in june of 2011 the shore cancer center hosted national cancer survivors day, an event celebrated across the country in order to provide hope to adults and children currently living with cancer. gilda's club of south jersey a longtime advocate of the linwood-based gilda's club of south jersey, shore once again served as a sponsor for the organization in 2011, shore supported the club's special events - such as the annual movers and shakers luncheon. heart walk shore's heart walk team of walkers raised more than $15,800 for the american heart association's heart walk. ms walk shore's walking team raised more than $2,900 for the national multiple sclerosis society. the medical center received the walk's partner appreciation award, and shore's team captain kris liwoch was honored with the walk's gold club award. united way shore employees generously contributed more than $21,000 to the united way of atlantic county. the united way supports more than 60 programs at 39 local health and human services agencies. |
| OTHER PROGRAM SERVICES | CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 11b | THE ORGANIZATION IS AN AFFILIATE IN THE SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS provided TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE SHORE MEMORIAL HOSPITAL AUDIT AND COMPLIANCE COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING THE CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCE AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS provided TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS AN AFFILIATE IN THE SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY department of the treasury. |
| COMPENSATION INFORMATION DISCLOSURE | CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| RELATED HOURS DISCLOSURE | CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS AN AFFILIATE IN THE SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF SHORE MEMORIAL HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| OTHER CHANGES IN NET ASSETS | CORE FORM, PART XI; QUESTION 5 | OTHER CHANGES IN FUND BALANCE INCLUDE: - NET UNREALIZED LOSSES ON INVESTMENTS - ($493,144) - OTHER CHANGES IN PENSION AND OTHER POSTRETIREMENT BENEFIT LIABILITIES - ($31,529,549) - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - ($2,151,470) - TEMPORARILY RESTRICTED CHANGE IN INTEREST IN NET ASSETS OF SHORE MEMORIAL HEALTH FOUNDATION - ($367,013) - PERMANENTLY RESTRICTED CHANGE IN NET UNREALIZED LOSSES ON INVESTMENTS - ($23,855) - PERMANENTLY RESTRICTED CHANGE IN BENEFICIAL INTEREST IN PERTUAL TRUST - ($91,891) |
| AUDITED FINANCIAL STATEMENTS | CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN THE SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHING THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR BOTH YEARS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SHORE HEALTH SERVICES CORPORATION | |||||||||||
| ONE EAST NEW YORK AVENUE | SOMERS POINT | NJ | 08244 | 222866335 | HEALTH SVCS. | NJ | 501(c)(3) | 509(A)(3) | SMHS | false | |
| SHORE MEMORIAL HEALTH SYSTEM | |||||||||||
| ONE EAST NEW YORK AVENUE | SOMERS POINT | NJ | 08244 | 222866326 | HEALTH SVCS. | NJ | 501(c)(3) | 509(A)(1) | false | N/A | |
| SHORE MEMORIAL HEALTH FOUNDATION INC | |||||||||||
| ONE EAST NEW YORK AVENUE | SOMERS POINT | NJ | 08244 | 342027846 | SUPPORT SMHS | NJ | 501(c)(3) | 509(A)(1) | SMHS | false | |
| SHORE MEMORIAL PROPERTIES | |||||||||||
| ONE EAST NEW YORK AVENUE | SOMERS POINT | NJ | 08244 | 222866329 | REALTY | NJ | 501(c)(2) | N/A | SMHS | false | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHORE HEALTH ENTERPRISES INC | ||||||||||||
| ONE EAST NEW YORK AVENUE | SOMERS POINT | NJ | 08244 | 223501680 | RENTAL REAL EST. | NJ | N/A | C CORP. | ||||
| SHORE MEMORIAL PHYSICIAN'S GROUP PC | ||||||||||||
| 1 EAST NEW YORK AVENUE | SOMERS POINT | NJ | 082442387 | 275440611 | HEALTHCARE SVCS | NJ | C CORP. | SMH | 362833 | 791053 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |