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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-01-31T15:03:10-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN210660835EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHORE MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JAMES T FOLEY CPA MBA CHInCareOfName
Name ControlSHORNameControl
Phone6096533707Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE EAST NEW YORK AVENUEAddressLine1
CitySOMERS POINTCity
StateNJState
ZIP Code082442387ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES T FOLEYName
TitleCFOTitle
Date Signed2013-01-21DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SHORE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONALD W JOHNSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 EAST NEW YORK AVEAddressLine1
CitySOMERS POINTCity
StateNJState
ZIP Code08244ZIPCode
FieldValueIRS element (for citing)
Gross Receipts212445158GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHOREMEDICALCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees1719TotalNbrEmployees
Total Nbr Volunteers375TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4334975ContributionsGrantsPriorYear
Contributions Grants Current Year3442933ContributionsGrantsCurrentYear
Program Service Revenue Prior Year191111944ProgramServiceRevenuePriorYear
Program Service Revenue CY206356854ProgramServiceRevenueCY
Investment Income Prior Year3807540InvestmentIncomePriorYear
Investment Income Current Year1643932InvestmentIncomeCurrentYear
Other Revenue Prior Year966121OtherRevenuePriorYear
Other Revenue Current Year918032OtherRevenueCurrentYear
Total Revenue Prior Year200220580TotalRevenuePriorYear
Total Revenue Current Year212361751TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year111863007SalariesEtcPriorYear
Salaries Etc Current Year101359872SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year371538TotalFundrsngExpCurrentYear
Other Expense Prior Year85322041OtherExpensePriorYear
Other Expenses Current Year101665193OtherExpensesCurrentYear
Total Expenses Prior Year197185048TotalExpensesPriorYear
Total Expenses Current Year203025065TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3035532RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9336686RevenuesLessExpensesCY
Total Assets BOY276272946TotalAssetsBOY
Total Assets EOY294764916TotalAssetsEOY
Total Liabilities BOY217675343TotalLiabilitiesBOY
Total Liabilities EOY261487549TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY58597603NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33277367NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense73590472Expense
Grants0Grants
Revenue54584868Revenue
DescriptionEXPENSES 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

FieldValueIRS element (for citing)
Expense15078030Expense
Grants0Grants
Revenue10554905Revenue
DescriptionEXPENSES 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

FieldValueIRS element (for citing)
Expense14568784Expense
Grants0Grants
Revenue33261911Revenue
DescriptionEXPENSES 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
FieldValueIRS element (for citing)
Total Of Other Program Service Exp66973761TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev107955170TotalOfOtherProgramServiceRev
Total Program Service Expense170211047TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096709NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1719NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES T FOLEY CPA MBA CHNamePerson
Telephone Number6096533707TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 EAST NEW YORK AVEAddressLine1
CitySOMERS POINTCity
StateNJState
ZIP Code08244ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JAY A GILLIAN
CHAIRMAN - TRUSTEE1.0XX000
ROBERT J BRAY DDS MS
VICE CHAIRMAN - TRUSTEE1.0XX000
LOUIS P DESCIOLI
VICE CHAIRMAN - TRUSTEE1.0XX000
SANDY TZAFEROS PHARMD
SECRETARY/ASST TREAS - TRUSTEE1.0XX000
FERNANDO DELASOTTA MD
TREAS/ASST SECRETARY - TRUSTEE1.0XX000
ROBERT J BEACH MD
TRUSTEE1.0X000
DAVID BEYEL
TRUSTEE1.0X000
CHARLES BISCIEGLIA
TRUSTEE1.0X000
AGOSTINO CIPOLLINI
TRUSTEE1.0X000
GERALD J CORCORAN ESQ
TRUSTEE1.0X000
JOSEPH DIORIO
TRUSTEE1.0X000
ARTHUR T FORD III ESQ
TRUSTEE1.0X000
CAROL L GAFFNEY RN BSN
TRUSTEE1.0X000
R SCOTT HALLIDAY
TRUSTEE1.0X000
THOMAS H HEIST IV
TRUSTEE1.0X000
RONALD W JOHNSON
TRUSTEE - PRESIDENT/CEO50.0XX4019550170677
STEVEN P NACHTIGALL MD
TRUSTEE1.0X000
GARY G SCHAFFER
TRUSTEE1.0X000
SUSAN SCHNEIDER
TRUSTEE1.0X000
DAVID A SPITALNICK ESQ
TRUSTEE1.0X000
RONALD B STABLINI CPA MBA
TRUSTEE1.0X000
RICHARD L TRAA
TRUSTEE1.0X000
JAMES T FOLEY CPA MBA CHE
CFO50.0X3139050156307
PETER R JUNGBLUT MD
CMO50.0X295678094992
JOAN GAVIN
CNO50.0X237698073287
FREDERICK L BANNER
CIO50.0X165798049187
WILLIAM D ELLIOTT
EXECUTIVE DIRECTOR - FDN50.0X250130055355
KIMBERLY H SIMERS
VICE PRESIDENT MARKETING50.0X268605035590
ALAN L BEATTY
VICE PRESIDENT HUMAN RESOURCES50.0X184865054118
RICHARD A PITMAN
ED GOVERNMENT AFFAIRS50.09750900X
ROBERT L WOOD
DIRECTOR OF FINANCE50.0188943045550X
JENNIFER ADIGUN MD
PHYSICIAN50.0180238016718X
THEODORE SHEPPARD
PHARMACIST50.017997303177X
CHARLES ROCHE III MD
PHYSICIAN50.0174101023214X
MARY MCRAE
COO FOUNDATION50.016648406164X
HAROLD R DOWNS
DIRECTOR OF REVENUE CYCLE50.0162472067960X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3268354TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation852296TotalOtherCompensation
Number Individuals GT100 K88NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MASSETT BUILDING COMPANY
6815 DELILAH ROADEGG HARBOR TOWNSHIPNJ08234CONTRACTOR15153570
VANGUARD HEALTHCARE MANAGEMENT
301 ROUTE 17 NORTH SUITE 800RUTHERFORDNJ07070MANAGEMENT1261279
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117IT1140137
T N WARD
815 ATLANTIC AVENUE SUITE AATLANTIC CITYNJ08401CONTRACTOR1118597
S P BUILDERS LLC
2 EASTWICK DRIVEGIBBSBORONJ08026CONTRACTOR1034478
FieldValueIRS element (for citing)
Number Of Contractors GT100 K77NumberOfContractorsGT100K
Related Organizations2215000RelatedOrganizations
Government Grants917783GovernmentGrants
All Other Contributions310150AllOtherContributions
Total Contributions3442933TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE541900204842932204842932
OTHER HEALTHCARE RELATED REVENUE54190015139221513922
FieldValueIRS element (for citing)
Total Program Service Revenue206356854TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column432TotalRevenueColumn
Exclusion$432ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column715TotalRevenueColumn
Exclusion$715ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real236401Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real61904Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real174497Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column174497TotalRevenueColumn
Exclusion$174,497ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1664288Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other21503Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1664288Securities
Other-21503Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1642785TotalRevenueColumn
Exclusion$1,642,785ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA/VENDINGDescription
Business Code722210BusinessCode
Total Revenue Column743535TotalRevenueColumn
Exclusion$743,535ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue743535TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column212361751TotalRevenueColumn
Related Or Exempt Function Income206356854RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,561,964ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2905657Total
Program Services2615093ProgramServices
Management And General290564ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total74583601Total
Program Services62678559ProgramServices
Management And General11760958ManagementAndGeneral
Fundraising144084Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8525086Total
Program Services7165173ProgramServices
Management And General1343472ManagementAndGeneral
Fundraising16441Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7706534Total
Program Services6463556ProgramServices
Management And General1227673ManagementAndGeneral
Fundraising15305Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7638994Total
Program Services6432799ProgramServices
Management And General1191863ManagementAndGeneral
Fundraising14332Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total816380Total
Program Services524136ProgramServices
Management And General288943ManagementAndGeneral
Fundraising3301Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total195400Total
Program Services125452ProgramServices
Management And General69158ManagementAndGeneral
Fundraising790Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total56019Total
Management And General56019ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total129827Total
Program Services129827ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1330676Total
Program Services1330676ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31078900Total
Program Services19988618ProgramServices
Management And General10962629ManagementAndGeneral
Fundraising127653Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2845520Total
Program Services1826896ProgramServices
Management And General1007123ManagementAndGeneral
Fundraising11501Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total171040Total
Program Services114035ProgramServices
Management And General56618ManagementAndGeneral
Fundraising387Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total97838Total
Program Services64817ProgramServices
Management And General32537ManagementAndGeneral
Fundraising484Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1489Total
Program Services956ProgramServices
Management And General527ManagementAndGeneral
Fundraising6Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11027364Total
Program Services7546347ProgramServices
Management And General3451795ManagementAndGeneral
Fundraising29222Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1860227Total
Program Services1194312ProgramServices
Management And General658395ManagementAndGeneral
Fundraising7520Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES3181921831819218
PROVISION FOR BAD DEBTS1295407312954073
PHYSICIAN SALARIES AND FEES71563117156311
AMORTIZATION1249118019344206512

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total203025065Total
Program Services170211047ProgramServices
Management And General32442480ManagementAndGeneral
Fundraising371538Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY330147BOY
EOY1620748EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19059848BOY
EOY26521981EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY18299353BOY
EOY18178340EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2538588BOY
EOY2598716EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1556986BOY
EOY610160EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis359472052LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec169150195LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY156028908BOY
EOY190321857EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY72555226BOY
EOY46370549EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1877797BOY
EOY1981631EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4026093BOY
EOY6560934EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY276272946BOY
EOY294764916EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34110242BOY
EOY34655155EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY71197918BOY
EOY79336524EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY308323BOY
EOY6692026EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY112058860BOY
EOY140803844EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY217675343BOY
EOY261487549EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY51927423BOY
EOY27089946EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4131286BOY
EOY3764273EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2538894BOY
EOY2423148EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58597603BOY
EOY33277367EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY276272946BOY
EOY294764916EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9336686ReconcilationRevenueExpenses
Reconcilation Other Changes-34656922ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$30,000RalliesDemonstrationsAmount
Other ActivitiestrueOtherActivities
Other Activities$26,019OtherActivitiesAmount
Total Lobbying Expenditures IIB56019TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPOLITICAL CAMPAIGN AND LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; QUESTIONS 1G & 1HReturnReference
ExplanationSHORE 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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance6670180BeginningOfYearBalance
Investment Earnings Or Losses-115746InvestmentEarningsOrLosses
Other Expenditures367013OtherExpenditures
End Of Year Balance6187421EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5352003BeginningOfYearBalance
Contributions1103776Contributions
Investment Earnings Or Losses214401InvestmentEarningsOrLosses
End Of Year Balance6670180EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4995593BeginningOfYearBalance
Contributions327510Contributions
Investment Earnings Or Losses28900InvestmentEarningsOrLosses
End Of Year Balance5352003EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2772200BeginningOfYearBalance
Contributions2700000Contributions
Investment Earnings Or Losses-476607InvestmentEarningsOrLosses
End Of Year Balance4995593EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.39160PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.60840TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4753884OtherCostOrOtherBasis
Book Value4753884BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis134847149OtherCostOrOtherBasis
Depreciation49635332Depreciation
Book Value85211817BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis211822899OtherCostOrOtherBasis
Depreciation118508509Depreciation
Book Value93314390BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis8048120OtherCostOrOtherBasis
Depreciation1006354Depreciation
Book Value7041766BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings190321857TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
USE5578545F
SECURITIES; LIMITED USE495966F
LIMITED USE5493765F
LIMITED USE2907165F
LIMITED USE15690444F
LIMITED USE5588749F
LIMITED USE3776527F
LIMITED USE4671950F
LIMITED USE129121F
PERPETUAL TRUST1771477F
PHYSICIANS GROUP266840F
FieldValueIRS element (for citing)
Total Of Book Value Program Related46370549TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts140803844TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PART V; QUESTION 4ReturnReference
ExplanationThe 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served20114PersonsServed
Total Community Benefit Expense10204307TotalCommunityBenefitExpense
Direct Offsetting Revenue1250300DirectOffsettingRevenue
Net Community Benefit Expense8954007NetCommunityBenefitExpense
Percent Of Total Expense0.04710PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served14709PersonsServed
Total Community Benefit Expense15274922TotalCommunityBenefitExpense
Direct Offsetting Revenue12398781DirectOffsettingRevenue
Net Community Benefit Expense2876141NetCommunityBenefitExpense
Percent Of Total Expense0.01510PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served34823PersonsServed
Total Community Benefit Expense25479229TotalCommunityBenefitExpense
Direct Offsetting Revenue13649081DirectOffsettingRevenue
Net Community Benefit Expense11830148NetCommunityBenefitExpense
Percent Of Total Expense0.06220PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served384576PersonsServed
Total Community Benefit Expense336761TotalCommunityBenefitExpense
Direct Offsetting Revenue91559DirectOffsettingRevenue
Net Community Benefit Expense245202NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served103PersonsServed
Total Community Benefit Expense460TotalCommunityBenefitExpense
Net Community Benefit Expense460NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served384679PersonsServed
Total Community Benefit Expense337221TotalCommunityBenefitExpense
Direct Offsetting Revenue91559DirectOffsettingRevenue
Net Community Benefit Expense245662NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served419502PersonsServed
Total Community Benefit Expense25816450TotalCommunityBenefitExpense
Direct Offsetting Revenue13740640DirectOffsettingRevenue
Net Community Benefit Expense12075810NetCommunityBenefitExpense
Percent Of Total Expense0.06350PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense52590TotalCommunityBuildingExpense
Net Community Building Expense52590NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served583PersonsServed
Total Community Building Expense384TotalCommunityBuildingExpense
Net Community Building Expense384NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served583PersonsServed
Total Community Building Expense52974TotalCommunityBuildingExpense
Net Community Building Expense52974NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$12,954,073BadDebtExpenseAmount
Amount Reimbursed By Medicare54354597AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare83558029CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-29203432MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHORE MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE EAST NEW YORK AVENUEAddressLine1
CitySOMERS POINTCity
StateNJState
ZIP Code082442387ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SHORE MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SMH - REGIONAL DIALYSIS CENTER
2605 SHORE ROAD 1ST FLOORNORTHFIELDNJ08225DIALYSIS SERVICES
SMH - HEALTH & CONFERENCE CENTER
649 SHORE ROADSOMERS POINTNJ08244LAB AND RADIOLOGY SERVICES
OUTPATIENT TESTING CENTER
OCEAN HEIGHTS AVENUE AND ZION ROADEGG HARBOR TOWNSHIPNJ08234LAB AND RADIOLOGY SERVICES
OUTPATIENT TESTING CENTER
914 HAVEN AVENUEOCEAN CITYNJ08226LAB AND RADIOLOGY SERVICES
OUTPATIENT TESTING CENTER
5401 HARDING HIGHWAYMAYS LANDINGNJ08330LAB SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FINANCIAL ASSISTANCE ELIGIBILITYSCHEDULE H, PART I, LINE 3CTHE 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 REPORTSCHEDULE H, PART I, LINE 6ANOT APPLICABLE.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COSTSCHEDULE H, PART I, LINE 7THE 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 ACTIVITIESSCHEDULE H, PART IISHORE 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 EXPENSESCHEDULE H, PART III, LINE 4BAD 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 SHORTFALLSCHEDULE H, PART III, LINE 8MEDICARE 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 POLICYSCHEDULE H, PART III, LINE 9BACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. 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 INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7NOT APPLICABLE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B,QUESTIONS 9,10,11H,13G,15E,16E,17E,18D,20&21NOT APPLICABLE.
FACILITY INFORMATIONSCHEDULE H, PART V, SECTION B, QUESTION 19DNOT APPLICABLE.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 2AS 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 ASSISTANCESCHEDULE H, PART VI; QUESTION 3SHORE 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 INFORMATIONSCHEDULE H, PART VI; QUESTION 4SHORE 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 HEALTHSCHEDULE H, PART VI; QUESTION 5SHORE 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 SYSTEMSCHEDULE H, PART VI; QUESTION 6NOT 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 REPORTSCHEDULE H, PART VI; QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RONALD W JOHNSON
3484590472480624801401710305060572632000
JAMES T FOLEY CPA MBA CHE
21195407941302253801324870238200470212000
PETER R JUNGBLUT MD
228751065531013960656460293460390670000
JOAN GAVIN
208032023772058940470650262220310985000
FREDERICK L BANNER
1648870009110207220284650214985000
WILLIAM D ELLIOTT
218804025087062390412450141100305485000
KIMBERLY H SIMERS
2259070424710227030528050620304195000
ALAN L BEATTY
156917025150027980255380285800238983000
ROBERT L WOOD
161544000273990263890191610234493000
JENNIFER ADIGUN MD
179741000497054220112960196956000
THEODORE SHEPPARD
860090009396400031770183150000
CHARLES ROCHE III MD
173793000308044060188080197315000
MARY MCRAE
1663650001190580903550172648000
HAROLD R DOWNS
141441000210310453380226220230432000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART 1, QUESTION 1THE 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 INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE 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 INFORMATIONSCHEDULE J, PART I; QUESTION 7CERTAIN 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 EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
22148759064579FAA12003-07-0131205000CONST/RENO/EQUIP/DEBT SVC FUNDfalsefalsetrue
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
22148759064579FYS62009-09-1730000000BUILDINGS & STRUCTURESfalsefalsetrue
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
22198708464579FZH92010-01-2715000000BUILDINGS & STRUCTURESfalsefalsetrue
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
2219870842011-12-0113000000BUILDINGS & STRUCTURESfalsefalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00318364232498175006260210028712277002004falsefalsetruetrue
00300000000005983940029401606002011falsefalsetruetrue
00150000000003000000014700000002011falsefalsetruetrue
0013000000000151389000002011falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsEngage Bond Counsel ContractsEngageBondCounselContracts
falsetruefalsefalsetrue0.010400.000000.01040true
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalse0.000000.000000.00000true
falsefalsetruefalse0truetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
truefalsefalsefalse0falsefalse
BARCLAY'S BANK PLC
falsetruetruefalse0falsefalse30.
0
falsetruefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalsefalsetrue
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierTAX-EXEMPT BOND ISSUESIdentifier
Return ReferenceSCHEDULE K, PART IReturnReference
ExplanationTHE 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

FieldValueIRS element (for citing)
Name PersonCOASTAL CLINICAL PATHOLOGISTS PANamePerson
FieldValueIRS element (for citing)
RelationshipR. BEACH, M.D. - TRUSTEERelationship
Amount Of Transaction297481AmountOfTransaction
Description Of TransactionMEDICAL SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationROBERT 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DISCLOSURE INFORMATIONCORE FORM, SECTION CDURING 2011 THE ORGANIZATION REGISTERED FOR AND RECEIVED AN ALTERNATE NAME; SHORE MEDICAL CENTER.
COMMUNITY BENEFIT STATEMENTFORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSbackground ========== 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; CONTINUEDFORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSuncompensated 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; CONTINUEDFORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSemergency 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; CONTINUEDFORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTScommunity 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 SERVICESCORE FORM, PART III; QUESTION 4DEXPENSES 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 INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7SHORE 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11bTHE 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE 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 INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE 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 DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART 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 DISCLOSURECORE FORM, PART VII, SECTION A, COLUMN BTHE 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 ASSETSCORE FORM, PART XI; QUESTION 5OTHER 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 STATEMENTSCORE FORM, PART XII; QUESTION 2THE 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
SHORE HEALTH SERVICES CORPORATION
ONE EAST NEW YORK AVENUESOMERS POINTNJ08244222866335HEALTH SVCS.NJ501(c)(3)509(A)(3)SMHSfalse
SHORE MEMORIAL HEALTH SYSTEM
ONE EAST NEW YORK AVENUESOMERS POINTNJ08244222866326HEALTH SVCS.NJ501(c)(3)509(A)(1)falseN/A
SHORE MEMORIAL HEALTH FOUNDATION INC
ONE EAST NEW YORK AVENUESOMERS POINTNJ08244342027846SUPPORT SMHSNJ501(c)(3)509(A)(1)SMHSfalse
SHORE MEMORIAL PROPERTIES
ONE EAST NEW YORK AVENUESOMERS POINTNJ08244222866329REALTYNJ501(c)(2)N/ASMHSfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
SHORE HEALTH ENTERPRISES INC
ONE EAST NEW YORK AVENUESOMERS POINTNJ08244223501680RENTAL REAL EST.NJN/AC CORP.
SHORE MEMORIAL PHYSICIAN'S GROUP PC
1 EAST NEW YORK AVENUESOMERS POINTNJ082442387275440611HEALTHCARE SVCSNJC CORP.SMH3628337910531.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg