2013-11-14T08:25:00-06:00 2012-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2012-01-01 210662542 CAPE REGIONAL MEDICAL CENTER INC % MARK R GILL CAPE 6094632471 2 STONE HARBOR BOULEVARD Suite CAPE MAY COURT HOUSE NJ 08210 MARK GILL 9738989494 2013-11-12 true Anthony J Panico 9738989494 2012 2016-02-25 16:41:14Z JOANNE CARROCINO FACHE 2 STONE HARBOR BLVD CAPE MAY COURT HOUSE NJ 08210 134508773 false X WWW.CAPEREGIONAL.COM X 1941 NJ TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO OUR COMMUNITY. 14 13 1294 425 0 0 908558 1268446 116118227 113212133 2826159 3971820 1067153 997060 120920097 119449459 23162 22891 0 0 66281277 68631044 0 0 0 51821953 44382147 118126392 113036082 2793705 6413377 142368057 149243345 74579227 74377821 67788830 74865524 X THE MISSION OF CAPE REGIONAL MEDICAL CENTER, INC. ("CRMC") IS TO SERVE ITS COMMUNITY BY PROVIDING THE HIGHEST QUALITY AND MOST COST EFFECTIVE HEALTHCARE TO ALL. CRMC IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES, WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS PRIMARILY IN SOUTHERN NEW JERSEY. CRMC ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. CRMC WILL BE A LEADER IN DEFINING THE COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE PROGRAMS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 55204565 22891 62232344 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT 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 SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 35211034 0 35913037 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT 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 SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 11319671 0 15066752 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT 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 SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 0 0 0 101735270 true true false true false false false false false true true false true true true true true true false false false false false false true false true true false true true false false false false false false false false false false false false false true false false false true 121 0 true 1294 true false false false false false true true false false false false X 14 13 false false false false true true true true true false false false true true true true true true true false NJ X MARK R GILL 6094632471 2 STONE HARBOR BOULEVARD CAPE MAY COURT HOUSE NJ 08210 X HENRY S BRZYSKI 1.0 X X 0 0 0 ELLEN KRAVET BURKE 1.0 X X 0 0 0 GARRY GILBERT 1.0 X X 0 0 0 RALPH AUTUORE 1.0 X 0 0 0 GENE BRAGA MD 1.0 X 0 0 0 WILLIAM R BRADWAY DO 1.0 X 4000 0 0 JOANNE CARROCINO FACHE 50.0 X X 500836 0 66025 ARTHUR L CHILDS DO 1.0 X 10000 0 0 THOMAS DIERKES DO 1.0 X 0 0 0 ROBERT A FINEBERG ESQ 1.0 X 0 0 0 RAYMOND HANER CPA 1.0 X 0 0 0 HERBERT L HORNSBY JR 1.0 X 0 0 0 ART JOBLIN 1.0 X 0 0 0 ARLENE MACDONALD 1.0 X 0 0 0 RICHARD A MICHNER MD 50.0 X X 2500 0 0 THOMAS J PIRATZKY 50.0 X 223698 0 60395 MARK R GILL 50.0 X 299598 0 100065 RICHARD W WHEATLEY 50.0 X 191466 0 24799 RICHARD P FALIVENA DO 50.0 X 333959 0 34829 DEBORAH BAEHSER 50.0 X 209778 0 20529 DIANA STOVER RN MSN 50.0 X 190457 0 83315 BYRON K HUNTER 50.0 X 188225 0 57006 SUSAN JOHNSON 50.0 X 181117 0 62158 RICHARD ARTYMOWICZ 50.0 X 158534 0 53328 JOANNE VAUL 50.0 X 154227 0 6250 FRANK VAUL 50.0 X 146491 0 37554 MATT SHABER 50.0 X 145591 0 5406 2940477 0 611659 57 false true false LF DRISCOLL CO LLC 9 PRESIDENTIAL BLVD BALA CYNWYD PA 19004 CONSTRUCTION 2707029 CROTHALL HEALTHCARE INC 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 ENVIRONMENTAL 1980727 SIEMENS MEDICAL SOLUTIONS USA INC 51 VALLEY STREAM PARKWAY MALVERN PA 19355 IT 1361011 ZANETT COMMERCIAL SOLUTIONS INC 3899 SOLUTIONS CENTER CHICAGO IL 606773080 IT CONSULTING 557423 NIGHTINGALE NURSES LLC 6401 SOUTH CONGRESS AVENUE SUITE 2 BOCA RATON FL 33487 STAFFING 543367 17 X 100305 8154 1159987 1268446 NET PATIENT SERVICE REVENUE 541900 108972014 108972014 OTHER HEALTHCARE RELATED REVENUE 541900 4240119 4240119 113212133 2111699 2111699 0 0 152544 121253 31291 0 31291 31291 16739143 17050 14805566 90506 1933577 -73456 1860121 1860121 41989 100305 41989 0 0 0 CHILD CARE 624410 654170 654170 CAFETERIA REVENUE 900099 282649 282649 TELEPHONE 517000 28950 28950 965769 119449459 113212133 0 4968880 0 22891 22891 0 0 2601478 2341331 260147 0 47165784 42449206 4716578 0 4895166 4405649 489517 9986450 8987804 998646 3982166 3583949 398217 133106 119795 13311 221908 199717 22191 307377 276639 30738 29513 26562 2951 0 262500 236250 26250 2270238 2043214 227024 200751 180676 20075 2435546 2191991 243555 1006430 905787 100643 0 36000 32400 3600 138988 125089 13899 0 0 918360 826524 91836 0 7572056 6814850 757206 1075902 968312 107590 MEDICAL SUPPLIES 15003594 13503235 1500359 PHYSICIAN FEES 3316568 2984911 331657 MAINTENANCE 2234701 2011231 223470 UTILITIES 2013938 1812544 201394 5204671 4684713 519958 113036082 101735270 11300812 0 X 1580 1580 8658546 2916477 0 0 11464337 10691443 0 0 0 0 250541 181838 1651106 1730073 2905105 2743684 161355391 109631185 46958231 51724206 0 0 0 0 62987374 68088340 210023 0 7281214 11165704 142368057 149243345 11884004 10326967 0 0 0 0 22265567 0 0 0 0 0 843594 22872808 0 0 39586062 41178046 74579227 74377821 X 66559704 74154616 1171126 652908 58000 58000 67788830 74865524 142368057 149243345 X 6413377 4605456 -3942139 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 12507 false true 17006 29513 false SCHEDULE C; POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINES 1G & 1I THIS AMOUNT, $17,006, REPRESENTS A PERCENTAGE OF THE CHIEF EXECUTIVE OFFICER'S TOTAL COMPENSATION ALLOCATED TO LOBBYING EFFORTS PERFORMED BY THIS INDIVIDUAL ON BEHALF OF THE ORGANIZATION DURING 2012. SCHEDULE C, PART II-B; LINE 1g CAPE REGIONAL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), THE NEW JERSEY HOSPITAL ASSOCIATION ("NJHA") AND THE COALITION TO PROTECT AMERICA'S HEALTH CARE WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THIS AMOUNT, $12,507, REPRESENTS THE PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO AHA, NJHA AND THE COALITION TO PROTECT AMERICA'S HEALTH CARE IN 2012 WHICH ARE ALLOCATED TOWARDS THESE LOBBYING EFFORTS. THE ORGANIZATION IS A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $10,000 IN 2012. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS. false false 1229126 1014547 -3326 1529439 710908 1005881 660064 2132 438951 1229126 1190288 1255239 -707 1438939 1005881 866571 896055 1358 573696 1190288 858989 1595081 11543 1599042 866571 0.08160 0.91840 false false 475499 475499 61053385 32652518 28400867 573831 573831 0 96188882 74510580 21678302 3063794 1894256 1169538 51724206 EQUITY SECURITIES; LIMITED USE 28153237 F LIMITED USE 11619881 F USE 10521136 F LIMITED USE 173332 F LIMITED USE 1732636 F MUTUAL FUNDS; LIMITED USE 15888118 F 68088340 DUE FROM AFFILIATES 6483712 OTHER ASSETS 1182084 OTHER RECEIVABLES 3499908 11165704 0 ACCRUED RETIREMENT BENEFITS 32147381 IBNR MALPRACTICE COSTS 1231318 IBNR WORKERS COMPENSATION LIABILITY 238000 THIRD-PARTY PAYORS, NET 7174254 OTHER LIABILITIES 387093 41178046 X 122839069 4605456 57875 4663331 118175738 262500 1011221 1273721 119449459 112831457 58125 58125 112773332 262500 250 262750 113036082 ENDOWMENT FUNDS SCHEDULE D, PART V; QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF CAPE REGIONAL MEDICAL CENTER, INC. FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. IN ADDITION THE ORGANIZATION WAS ALSO INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES. THE FOOTNOTE BELOW IS FROM THE MEDICAL CENTER'S 2012 AUDITED FINANCIAL STATEMENTS AND REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: THE MEDICAL CENTER FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE MEDICAL CENTER DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. REC. OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH REVENUE PER RETURN SCHEDULE D, PART XI; LINE 2D OTHER AMOUNTS INCLUDED IN LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: - OTHER NON-OPERATING INCOME TAX EXPENSE - ($250) - ADDITIONAL RENTAL EXPENSES NOT ALREADY INCLUDED IN REVENUE - $58,125. REC. OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH REVENUE PER RETURN SCHEDULE D, PART XI; LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990, PART VII, LINE 12 BUT NOT ON LINE 1: - CONTRIBUTIONS (TEMPORARILY RESTRICTED) - $1,014,547 AND - INVESTMENT RETURN (TEMPORARILY RESTRICTED) - ($3,326). REC. OF EXPENSE PER AUDITED FINANCIAL STATEMENT WITH EXPENSES PER RETURN SCHEDULE D, PART XII; LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: - OTHER NON-OPERATING INCOME TAX EXPENSE - $250 AND - ADDITIONAL RENTAL EXPENSES NOT ALREADY INCLUDED IN REVENUE - $58,125. 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WWW.CAPEREGIONAL.COM X X X 1 CAPE REGIONAL MEDICAL CENTER INC 1 true true 200. true 500. true X X X X X X X true true X X X X true false X X X X true X false false FINANCIAL ASSISTANCE ELIGIBILITY SCHEDULE H, PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2012 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A NOT APPLICABLE. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. UNCOMPENSATED CARE THE MEDICAL CENTER PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA ESTABLISHED BY THE STATE OF NEW JERSEY. THE DIRECT AND INDIRECT COST OF SERVICES AND SUPPLIES FURNISHED TO PATIENTS ELIGIBLE FOR SUCH CHARITY CARE, USING A RATIO OF COST TO GROSS CHARGES, APPROXIMATED $6,179,000 AND $5,626,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. GROSS CHARGES FORGONE RELATED TO CHARITY CARE SERVICES AMOUNTED TO APPROXIMATELY $25,534,000 AND $22,056,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THE MEDICAL CENTER'S PATIENT ACCEPTANCE POLICY IS BASED ON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS POLICY RESULTS IN THE ASSUMPTION OF HIGHER-THAN-NORMAL PATIENT ACCOUNTS RECEIVABLE CREDIT RISKS. TO THE EXTENT THE MEDICAL CENTER REALIZES ADDITIONAL LOSSES RESULTING FROM SUCH HIGHER CREDIT RISK FOR PATIENTS THAT ARE NOT IDENTIFIED OR DO NOT MEET THE PREVIOUSLY DESCRIBED CHARITY DEFINITION, SUCH ADDITIONAL LOSSES ARE INCLUDED IN THE PROVISION FOR BAD DEBTS. ADDITIONALLY, THE MEDICAL CENTER SPONSORS CERTAIN OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY AND ELDERLY POPULATIONS THAT REQUIRE SPECIAL SUPPORT, AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. THE HEALTH CARE REFORM ACT OF 1992, CHAPTER 160, ESTABLISHED THE HEALTH CARE SUBSIDY FUND TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE HOSPITALS FOR CHARITY CARE. THE MEDICAL CENTER RECEIVED APPROXIMATELY $1,346,000 AND $1,057,000 FOR CHARITY CARE, WHICH IS INCLUDED IN NET PATIENT SERVICE REVENUE FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THE HEALTH CARE SUBSIDY FUND AMOUNTS ARE SUBJECT TO CHANGE FROM YEAR TO YEAR BASED ON AVAILABLE STATE BUDGET AMOUNTS AND ALLOCATION METHODOLOGIES. MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8 MEDICARE COSTS WERE DERIVED FROM THE 2012 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 BELIEVES 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 INTERNAL REVENUE SERVICE ("IRS"). THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN 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 "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY 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 DEPARTMENT 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: IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE HOSPITAL FACILITIES AND ADVANCE MEDICAL CARE, TRAINING, EDUCATION, RESEARCH, PROGRAMS AND ACTIVITIES. 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") BELIEVES 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 BELIEVE 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 ME DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE CAPE REGIONAL HEALTH SYSTEM BUSINESS OFFICE, AND ALL ITS MEDICAL CENTER 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: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $2,500.00 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 NEEDED 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 AS 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 SUPPLEMENTAL SECURITY INCOME; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE CHARITY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. 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 CHARITY CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. FACILITY INFORMATION SCHEDULE H, PART V; SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 9, 10, 11 & 12 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 14G IN ADDITION TO THOSE METHODS INDICATED IN SCHEDULE H, PART V, SECTION B, LINE 14, THE ORGANIZATION ALSO SENDS A FOLLOW-UP LETTER TO PATIENTS WITH A COPY OF THE FINANCIAL ASSISTANCE POLICY ATTACHED. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 16E,17E,18E,19C,19D,20D,21&22 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 20C THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST OF NEW JERSEY, KID'S COUNT, NEW JERSEY HEALTH & SENIOR SERVICES DEPARTMENT, ETC.). THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM LOW INCOME COMMUNITIES TO MORE AFFLUENT SUBURBAN AREAS, WHICH INCLUDE RESORT COMMUNITIES AT THE NEW JERSEY SHORE. THIS ORGANIZATION IS LOCATED IN CAPE MAY COURT HOUSE, IN CAPE MAY COUNTY. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES THE LOCAL POPULATION AS WELL AS THE NEEDS OF SUMMER VACATIONERS AND AN INFLUX OF LOW INCOME SUMMER WORKERS SERVING THOSE VACATIONERS. APPROXIMATELY 20% OF ITS PATIENTS CONSIST OF THE UNDERINSURED AND UNINSURED PAYER CATEGORIES. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 THIS ORGANIZATION HOLDS A PUBLIC MEETING ATTENDED BY VARIOUS SENIOR MANAGEMENT AND BOARD MEMBERS OF CAPE REGIONAL MEDICAL CENTER. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHOM RESIDE IN THE COMMUNITY. MEDICAL CENTER STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE CAPE REGIONAL HEALTH SYSTEM. NOT FOR-PROFIT CAPE REGIONAL HEALTH SYSTEM ENTITIES: CAPE REGIONAL HEALTH SYSTEM, INC. CAPE REGIONAL HEALTH SYSTEM, INC. ("CRHS") IS THE TAX-EXEMPT PARENT OF CAPE REGIONAL MEDICAL CENTER, INC. ("CRMC"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER CRMC OR CRHS. CAPE REGIONAL HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). CAPE REGIONAL HEALTH SYSTEM, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE A HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. CAPE REGIONAL HEALTH SYSTEM, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. CAPE REGIONAL HEALTH SYSTEM INCLUDES: CAPE REGIONAL MEDICAL CENTER, INC. THIS HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. CRMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. CRMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. CRMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF CRMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF CAPE REGIONAL HEALTH SYSTEM. BOTH BOARDS ARE 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. CAPE REGIONAL MEDICAL CENTER, INC. CRMC IS A 242-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN CAPE MAY COURT HOUSE, NEW JERSEY. CRMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CRMC 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. FOR-PROFIT CAPE REGIONAL HEALTH SYSTEM ENTITIES: CAPE REGIONAL HEALTH ENTERPRISES, INC. AND SUBSIDIARIES A CONSOLIDATED GROUP OF FOR-PROFIT ENTITIES, INCLUDING CAPE CARDIOLOGY ASSOCIATES, INC., CAPE IMAGING SERVICES, INC. AND CRPT MANAGEMENT SERVICES, LLC, WHOSE PARENT IS CAPE REGIONAL HEALTH ENTERPRISES, INC. ("CRHE"). THE SOLE SHAREHOLDER OF CRHE IS CRHS. THESE ENTITIES ARE LOCATED IN CAPE MAY COURT HOUSE, NEW JERSEY. CAPE PHYSICIAN ASSOCIATES, P.A. A FOR-PROFIT PHYSICIAN PRACTICE PROFESSIONAL CORPORATION CONTROLLED BY CAPE REGIONAL MEDICAL CENTER, INC. THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. BURDETTE TOMLIN MRI, P.A. AN INACTIVE FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CRHS. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY. FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 NOT APPLICABLE. THE HOSPITAL HAS ONLY ONE HOSPITAL FACILITY REFLECTED IN PART V, SECTION A. true Ancillary Healthcare Scholarship 2 22891 GRANT FUND MONITORING SCHEDULE I, PART I; QUESTION 2 AncillAry Healthcare ScholarshipS ARE AWARDED TO INDIVIDUALS BASED ON A REVIEW AND APPROVAL PROCESS FOR VARIOUS APPLICANTS IN ACCORDANCE WITH THE ORGANIZATION'S CHARITABLE PURPOSES, PROGRAMS AND SERVICES. GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X false true false false false false false true false JOANNE CARROCINO FACHE 413267 0 49733 0 37836 0 52315 0 13710 0 566861 0 0 0 THOMAS J PIRATZKY 185120 0 18399 0 20179 0 28713 0 31682 0 284093 0 0 0 MARK R GILL 261149 0 22539 0 15910 0 66606 0 33459 0 399663 0 0 0 RICHARD W WHEATLEY 172921 0 18206 0 339 0 6021 0 18778 0 216265 0 0 0 RICHARD P FALIVENA DO 281358 0 33963 0 18638 0 10802 0 24027 0 368788 0 0 0 DEBORAH BAEHSER 189518 0 19546 0 714 0 6639 0 13890 0 230307 0 0 0 DIANA STOVER RN MSN 169702 0 16464 0 4291 0 59284 0 24031 0 273772 0 0 0 BYRON K HUNTER 174819 0 13060 0 346 0 22712 0 34294 0 245231 0 0 0 SUSAN JOHNSON 159724 0 0 0 21393 0 32025 0 30133 0 243275 0 0 0 RICHARD ARTYMOWICZ 143874 0 10088 0 4572 0 20502 0 32826 0 211862 0 0 0 JOANNE VAUL 149227 0 5000 0 0 0 5203 0 1047 0 160477 0 0 0 FRANK VAUL 134024 0 12168 0 299 0 2719 0 34835 0 184045 0 0 0 MATT SHABER 142702 0 0 0 2889 0 2820 0 2586 0 150997 0 0 0 COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOANNE CARROCINO, FACHE, $28,030; MARK R. GILL, $17,270 and BYRON K. HUNTER, $12,374. COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 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. COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== CAPE REGIONAL MEDICAL CENTER, INC. ("CRMC") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. CRMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CRMC 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, CRMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) CRMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) CRMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) CRMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF CRMC RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, OTHER PROMINENT MEMBERS OF THE COMMUNITY, MEDICAL STAFF MEMBERS AND THE CHIEF EXECUTIVE OFFICER; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CRMC IS THE 242-BED ACUTE-CARE MEDICAL CENTER OF THE SOUTH JERSEY CAPE. LOCATED IN THE COUNTY SEAT OF CAPE MAY COURT HOUSE, CRMC IS THE SOUTHERN-MOST GATEWAY TO ADVANCED CARE IN THE STATE OF NEW JERSEY. CRMC SERVES AN EXPANDING LOCAL POPULATION AND MORE THAN ONE MILLION SEASONAL VISITORS WITH A VARIETY OF INPATIENT AND OUTPATIENT SERVICES. CRMC IS FULLY ACCREDITED BY THE JOINT COMMISSION. OUTLINED BELOW ARE THE 2012 PATIENT STATISTICS OF CRMC: - ADMISSIONS - 9,804 - PATIENT DAYS (INCLUDING NEWBORNS) - 36,015 - NEWBORN DELIVERIES - 533 - SURGICAL PROCEDURES - 6,556 - OUTPATIENT VISITS (INCLUDING ER) - 151,846 - EMERGENCY DEPARTMENT VISITS - 47,206 CRMC IS GUIDED BY ITS DEDICATION TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES. THAT LEVEL OF DETERMINATION AND COMMITMENT IS THE VERY SOUL OF CRMC. CRMC ALSO PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, AS DEFINED BY THE NEW JERSEY STATE ATTORNEY GENERAL, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. CRMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. MISSION STATEMENT ================= THE MISSION OF CRMC IS TO SERVE ITS COMMUNITY BY PROVIDING THE HIGHEST QUALITY AND MOST COST EFFECTIVE HEALTHCARE TO ALL. CRMC IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES, WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS PRIMARILY IN SOUTHERN NEW JERSEY. CRMC ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. CRMC WILL BE A LEADER IN DEFINING THE COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE PROGRAMS. CRMC STATEMENT FOR COMMUNITY HEALTH IMPROVEMENT & BENEFITS ========================================================== TO PROMOTE WELLNESS, PREVENT ILLNESS, AND REMOVE BARRIERS THAT HINDER ACCESS TO HEALTHCARE BY WORKING HAND-IN-HAND WITH THE COMMUNITIES THAT CRMC SERVES. CRMC PRINCIPLES =============== CRMC IS GUIDED BY THE FOLLOWING PRINCIPLES IN PERFORMING ITS CHARITABLE TAX-EXEMPT PURPOSES: 1. CRMC BELIEVES THAT COMMUNITY HEALTH IMPROVEMENT IS ESSENTIAL TO THE CRMC MISSION. 2. CRMC BELIEVES COMMUNITY-BASED COALITIONS ARE UNIQUELY QUALIFIED TO ACHIEVE COMMUNITY HEALTH GOALS, AND CRMC VALUES PARTNERSHIPS WITH THEM. 3. CRMC VALUES EVIDENCE-BASED PRACTICES AND SEEKS TO MODEL EXCELLENCE IN COMMUNITY HEALTH PRACTICE BASED ON EVIDENCE. 4. CRMC BELIEVES IN APPLYING CONTINUOUS QUALITY IMPROVEMENT TO COMMUNITY HEALTH: MEASURING NEED, MATCHING RESOURCES TO NEED, MEASURING OUTCOMES, AND MAKING ADJUSTMENTS IN PROCESSES. CRMC OPERATIONAL VALUES ======================= QUALITY: CRMC STRIVES TO PROVIDE THE HIGHEST QUALITY OF CARE AND CONTINUALLY LOOKS FOR WAYS TO IMPROVE THE SERVICES IT PROVIDES. SERVICE: CRMC IS COMMITTED TO EXCEEDING THE EXPECTATIONS OF ITS PATIENTS, THEIR FAMILIES, ITS PHYSICIANS AND STAFF. EFFICIENCY: CRMC WILL UTILIZE ITS RESOURCES WISELY AND EFFICIENTLY TO ACHIEVE ITS GOALS. INTEGRITY: CRMC PERFORMS ITS JOBS IN AN ETHICAL MANNER, WITH HONESTY, SINCERITY AND RESPECT FOR OTHERS. SAFETY: CRMC PROMOTES A SAFE AND HEALTHY ENVIRONMENT FOR ITS PATIENTS, THEIR FAMILIES, ITS STAFF, PHYSICIANS, VOLUNTEERS, AND VISITORS. PROFESSIONALISM: CRMC IS DEDICATED TO ENHANCING ITS PROFESSIONAL AND PERSONAL KNOWLEDGE AND SKILLS THROUGH ONGOING PROFESSIONAL DEVELOPMENT EFFORTS. TEAMWORK: CRMC WILL WORK TOGETHER AS A TEAM TO ACHIEVE THE BEST POSSIBLE RESULTS. COMPASSION: CRMC SEEKS TO OFFER A COMPASSIONATE AND CARING ENVIRONMENT TO PROMOTE THE HEALING AND WELL-BEING OF ITS PATIENTS AND THEIR FAMILIES. VISION ====== CRMC WILL BE THE PREMIER COMMUNITY-BASED HEALTHCARE PROVIDER IN NEW JERSEY. CRMC WILL CONSTANTLY STRIVE TO BE THE HEALTHCARE LEADER AND PROVIDER OF CHOICE BY DEVELOPING A COMPREHENSIVE, INDEPENDENT AND HIGH QUALITY HEALTHCARE SYSTEM. RECOGNITION AND AWARDS ====================== - JOINT COMMISSION'S GOLD SEAL OF APPROVAL - AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER THREE YEAR ACCREDITATION - THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES (ICA) GRANTED A THREE YEAR ACCREDITATION TO OUR ECHOCARDIOGRAPHY LABORATORY. AFFILIATIONS ============ - UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM - UNIVERSITY OF PENNSYLVANIA CANCER NETWORK (PROVIDES INDIVIDUALS WITH ACCESS TO OVER 200 CLINICAL TRIALS) - PENN CARDIAC CARE CENTERS OF EXCELLENCE ===================== CANCER CARE ----------- COMPREHENSIVE, STATE-OF-THE-ART CANCER CARE CLOSE TO HOME IS WHAT CRMC PROVIDES THE PATIENTS AND FAMILIES IN CAPE MAY COUNTY. CRMC'S CANCER CARE CENTER IS A MEMBER OF THE UNIVERSITY OF PENNSYLVANIA CANCER NETWORK. THIS JOINT AFFILIATION STRENGTHENS CRMC'S MISSION TO PROVIDE THE HIGHEST QUALITY HEALTHCARE IN ITS COMMUNITY BY OFFERING AN INTEGRATED SYSTEM OF CARE THROUGH THE UNIVERSITY OF PENNSYLVANIA. PENN'S CANCER NETWORK HOSPITALS, INCLUDING CRMC, WERE CHOSEN FOR THEIR COMMITMENT TO EXCELLENCE IN PATIENT CARE AND IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. IN ADDITION, CRMC'S CANCER CARE PROGRAM HAS RECEIVED THE RECOGNITION OF THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS BY BEING AWARDED ACCREDITATION. ONCOLOGY PROGRAMS EARNING RECOGNITION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS OFFER HIGH-QUALITY CANCER CARE. ONLY ONE IN FOUR HOSPITALS THAT TREAT CANCER RECEIVES THIS SPECIAL APPROVAL. IT RECOGNIZES THE QUALITY OF COMPREHENSIVE CANCER CARE AVAILABLE AT A FACILITY AND OFFERS A COMMITMENT THAT PATIENTS WILL HAVE ACCESS TO ALL OF THE VARIOUS MEDICAL SPECIALISTS WHO ARE INVOLVED IN THE DIAGNOSIS AND TREATMENT OF CANCER. COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS IMAGING SERVICES ---------------- CAPE RADIOLOGY, A DIVISION OF CAPE REGIONAL HEALTH ENTERPRISES, PREVIOUSLY RAN THE HEALTH SYSTEM'S MAGNETIC RESONANCE IMAGING (OR MRI) SITE AT 11 VILLAGE DRIVE IN CAPE MAY COURT HOUSE. IN 2008 THIS LOCATION WAS CLOSED AND A NEW CONVENIENT FACILITY WAS OPENED ON THE MEDICAL CENTER CAMPUS, THIS NEW SITE INCLUDES A NEW STATE OF THE ART MRI SYSTEM. THE NEW SYSTEM DELIVERS HIGH RESOLUTION IMAGES ACROSS THE ENTIRE BODY WITH FASTER IMAGING TIMES AND ALLOWS CLINICIANS TO PERFORM MULTIPLE EXAMS WITHOUT REPOSITIONING THE PATIENT. THE SYSTEM IS ABLE TO PROVIDE HIGH RESOLUTION IMAGES WITH LESS CONTRAST THAN PREVIOUS SYTEMS AND IS 75% QUIETER. ALL OF THESE FEATURES PROVIDE THE PATIENT A MORE COMFORTABLE EXPERIENCE WHILE PROVIDING THE MOST ADVANCED MRI APPLICATIONS IN THE INDUSTRY. THE MRI STAFF INCLUDES BOARD-CERTIFIED RADIOLOGISTS AND NATIONALLY CERTIFIED RADIOLOGIC TECHNOLOGISTS WHO DELIVER HUNDREDS OF SAFE AND ACCURATE TESTS EVERY YEAR. CRMC'S MRI UNIT IS AMONG THE FASTEST AND MOST ADVANCED AVAILABLE, PROVIDING IMAGES OF THE ENTIRE BODY IN UNPRECEDENTED DETAIL AND WITHOUT THE USE OF X-RAYS. MRI WORKS USING A COMBINATION OF MAGNETIC ENERGY AND RADIO WAVES TO CREATE PICTURES OF THE INSIDE OF THE BODY. IN DECEMBER OF 2011 CAPE RADIOLOGY INSTALLED A NEW ADVANCED CT SCANNER THAT CAN REDUCE RADIATION UP TO 50 PERCENT WITHOUT COMPROMISING IMAGE QUALITY. THIS NEW CT SCANNER IS A PREMIUM 16-SLICE SYSTEM THAT ENABLES THE USE OF LESS RADIATION WHILE MAINTAINING HIGH QUALITY IMAGES CAPE REGIONAL HEALTH ENTERPRISES' OUTPATIENT FACILITY IS LOCATED AT 4011 ROUTE 9 SOUTH IN RIO GRANDE, NEW JERSEY. THIS CONVENIENT LOCATION BRINGS A VARIETY OF ADVANCED DIAGNOSTIC IMAGING SERVICES TO SOUTHERN CAPE MAY COUNTY. CRMC UTILIZES THE PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS) FOR RADIOLOGY IMAGES TAKEN SINCE 2006. THIS SYSTEM ALLOWS PHYSICIANS AND RADIOLOGISTS TO ACCESS THESE IMAGES 24 HOURS A DAY, 7 DAYS A WEEK IN A SECURE COMPUTER NETWORK WITHOUT WAITING FOR FILMS TO BE DELIVERED. PATIENTS REQUESTING COPIES OF THOSE IMAGES ARE PROVIDED ON A COMPACT COMPUTER DISK. CARDIAC CARE ------------ CRMC IS A CHEST PAIN CENTER ACCREDITED BY THE SOCIETY OF CHEST PAIN CENTERS. CRMC OFFERS THE FIRST AND ONLY CARDIAC CATHETERIZATION LABORATORY IN CAPE MAY COUNTY. ALL CARDIAC SERVICES ARE AFFILIATED WITH THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM AND ARE STAFFED WITH BOARD CERTIFIED CARDIOLOGISTS AND INTERVENTIONAL CARDIOLOGISTS. THE CARDIAC CATHETERIZATION LABORATORY'S MEDICAL DIRECTOR IS GENE CHANG, M.D. DR. CHANG IS AN ASSOCIATE PROFESSOR OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE. DR. CHANG IS A GRADUATE OF TUFTS UNIVERSITY SCHOOL OF MEDICINE AND IS BOARD CERTIFIED IN CARDIOVASCULAR DISEASE, INTERNAL MEDICINE AND INTERVENTIONAL CARDIOLOGY. CRMC HAS PARTNERED WITH PENN PRESBYTERIAN MEDICAL CENTER IN PHILADELPHIA IN THE PENN HEART RESCUE PROGRAM. WHEN A PATIENT COMES TO THE EMERGENCY DEPARTMENT AT CRMC SEEKING EMERGENCY MEDICAL SERVICES FOR CHEST PAIN, THEY ARE EVALUATED TO DETERMINE IF THEY ARE HAVING A HEART ATTACK. IF THEY ARE DETERMINED TO HAVE AN ST ELEVATION MYOCARDIAL INFARCTION, THEY ARE TRANSPORTED ABOARD THE PENN STAR HELICOPTER TO PENN PRESBYTERIAN'S CARDIAC CATHETERIZATION LABORATORY. THE PATIENT IS MET BY A TEAM OF SKILLED HEALTHCARE PROFESSIONALS WAITING TO EVALUATE AND TREAT THEM. THE PENN PRESBYTERIAN EXPERT CARDIAC CARE TEAM IS ON HAND 24 HOURS A DAY, SEVEN DAYS A WEEK. CRMC OFFERS A VARIETY OF SUPPORT PROGRAMS TO OPTIMIZE YOUR CARDIOPULMONARY HEALTH. THESE SERVICES INCLUDE: - CARDIAC REHABILITATION - CENTER FOR LIFESTYLE MANAGEMENT - EECP PROGRAM FOR REFRACTORY ANGINA PATIENTS - OUTPATIENT NUTRITIONAL COUNSELING - SLEEPCARE AT CRMC (SLEEP DISORDERS LABORATORY) MATERNAL AND NEWBORN CARE ------------------------- WHEN PLANNING A FAMILY, REMEMBER THAT CRMC IS HOME TO COMPREHENSIVE MATERNITY AND PEDIATRIC SERVICES, ALL CONVENIENTLY LOCATED IN CAPE MAY COUNTY. CRMC'S STATE-OF-THE-ART LDRP SUITES ALLOW LABOR, DELIVERY, RECOVERY AND POSTPARTUM CARE TO OCCUR IN ONE COMFORTABLE, HOME-LIKE SETTING. CRMC'S HIGHLY EXPERIENCED MATERNITY STAFF INCLUDES PHYSICIANS, MIDWIVES, RNS, SURGEONS AND TEACHERS. TOGETHER THEY OFFER A FULL ARRAY OF EDUCATIONAL AND PREVENTATIVE SERVICES LIKE GENETIC COUNSELING, PRENATAL CARE, BREAST-FEEDING GUIDANCE AND ULTRASOUND. CRMC'S SERVICE ALSO PROVIDES HIGH-RISK NEONATAL CARE, A SPECIALIZED CARDIAC CLINIC AND PERINATOLOGY SERVICES THROUGH ITS AFFILIATIONS WITH THE COOPER AND OUR LADY OF LOURDES HEALTH SYSTEMS. SLEEPCARE --------- THE SLEEPCARE CENTER AT CRMC IS STAFFED BY HIGHLY SPECIALIZED SLEEP EXPERTS. THE SERVICE HELPS PATIENTS AND THEIR LOVED ONES GET A SOUND, RESTFUL SLEEP. THE SPECIALISTS IDENTIFY AND DIAGNOSE SLEEP DISORDERS, LIKE SNORING AND SLEEP APNEA, SO THAT PATIENTS CAN RECEIVE RELIEF FROM THE SYMPTOMS. LABORATORY MEDICINE ------------------- CRMC'S DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS AND THE AMERICAN ASSOCIATION OF BLOOD BANKS, BRINGS TOGETHER BOARD CERTIFIED PATHOLOGISTS AND NATIONALLY CERTIFIED TECHNOLOGISTS TO OFFER A WIDE ARRAY OF LABORATORY TESTING AND TEST INTERPRETATION 24 HOURS A DAY, 7 DAYS A WEEK. IN ADDITION TO HISTOPATHOLOGY AND CYTOPATHOLOGY, THE LABORATORY SPECIALISTS PROVIDE CONSULTATION IN COAGULATION, HEMATOLOGY, IMMUNOLOGY, URINALYSIS, MICROBIOLOGY AND CLINICAL CHEMISTRY, INCLUDING TOXICOLOGY AND ENDOCRINOLOGY. CRMC UTILIZES STATE-OF-THE-ART TECHNOLOGY, INCLUDING A TUBE TRANSPORT SYSTEM, AUTOMATED ANALYTICAL SYSTEMS, DNA-PROBES, LASER AND ROBOTIC TECHNOLOGY, COUPLED WITH SPECIALIZED INFORMATION MANAGEMENT, PROVIDING ACCURATE AND RAPID SERVICES TO CRMC PATIENTS. - ADVANCED COMPUTER NETWORK TO SEND TEST RESULTS DIRECTLY TO A PATIENT'S PHYSICIAN'S OFFICE IN ADDITION TO CRMC'S NURSES' STATIONS. THE SYSTEM CAN AUTOMATICALLY FAX TEST RESULTS ANYWHERE IN THE COUNTRY. - FOR A PATIENT'S CONVENIENCE, CRMC OFFERS BLOOD-DRAWING SERVICES IN ITS OUTPATIENT DEPARTMENT FROM 7A.M. - 8P.M. - SEVEN DAYS A WEEK AS WELL AS IN A PATIENT'S PHYSICIAN'S OFFICE, AT HOME AND CRMC'S SATELLITE BLOOD-DRAW STATION IN NEARBY RIO GRANDE. - CRMC OFFERS PHYSICIANS A HUGE ARRAY OF TESTS INCLUDING CHEMISTRY, THERAPEUTIC DRUG MONITORING, HEMATOLOGY, URINALYSIS, MICROBIOLOGY, TUBERCULOSIS, HISTOPATHOLOGY AND CYTOPATHOLOGY. - CRMC'S IMMUNOCYTOCHEMISTRY PROCEDURES AID IN THE EARLY DIAGNOSIS OF CERTAIN DISEASES INCLUDING CANCERS. - CRMC OFFERS A DIRECT-DONOR PROGRAM TO ALLOW A PATIENT OR A FAMILY MEMBER TO GIVE BLOOD TO YOURSELF OR A RELATIVE. SAME DAY CARE CENTER -------------------- THE SAME DAY CARE CENTER IS THE OUTPATIENT SURGERY CENTER AT CRMC. THE COMPLETE SAME-DAY SURGERY EXPERIENCE AT CRMC HAS BEEN DESIGNED AS A CENTER OF EXCELLENCE, WITH PATIENTS AND THEIR FAMILIES IN MIND. THIS TRANSLATES INTO CONVENIENT PARKING, STREAMLINED ADMISSIONS PROCEDURES AND FOLLOW-UP PHONE CALLS MADE TO A PATIENT'S HOME A DAY AFTER THE PROCEDURE. THE STAFF COMMUNICATES CLOSELY WITH A PATIENT'S PRIMARY CARE PHYSICIAN, SO THAT HE OR SHE CAN STAY APPRISED OF A PATIENT'S CONDITION. UNLIKE MANY STAND-ALONE SURGERY CENTERS, CRMC IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE NEW JERSEY HOSPITAL ASSOCIATION AND IS LICENSED BY THE NEW JERSEY STATE DEPARTMENT OF HEALTH AND SENIOR SERVICES. CRMC IS ALSO ACCREDITED BY THE JOINT COMMISSION, AND THE COLLEGE OF AMERICAN PATHOLOGISTS. NEW DIAGNOSTIC & TREATMENT TECHNIQUES FOR FASTER, LESS PAINFUL RECOVERIES: TODAY, REMARKABLE ADVANCES IN SURGERY HAVE TRANSFORMED THE FIELD, MAKING MINIMALLY INVASIVE ALTERNATIVES TO TRADITIONAL "OPEN" SURGERY MORE READILY AVAILABLE. WHO WOULD HAVE THOUGHT 25 YEARS AGO THAT SURGERY WOULD BE DONE WITHOUT LENGTHY MEDICAL CENTER STAYS, SEVERE PAIN OR NOTICEABLE SCARRING? MANY PROCEDURES CAN NOW BE PERFORMED ON AN OUTPATIENT BASIS, GETTING PATIENTS OR THEIR FAMILY MEMBERS HOME THE SAME DAY. AN EXAMPLE OF THIS IS THE NEW LITHOTRIPSY PROCEDURE WHICH ALLOWS A LESS INVASIVE PROCEDURE FOR THE REMOVAL OF KIDNEY STONES. SPECIAL CARE FOR KIDS: CHILD PATIENTS AT THE SAME DAY CARE CENTER UNDERGO A SPECIAL ADMISSION, SURGICAL AND POST-OPERATIVE EXPERIENCE WHICH HAS BEEN CREATED ESPECIALLY FOR THEM. CRMC'S STAFF WORKS CLOSELY WITH THE MEDICAL CENTER'S DEPARTMENT OF PEDIATRICS TO MAINTAIN EXCELLENCE IN A CHILD'S PATIENT CARE AND MEET THEIR SPECIAL NEEDS. COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SOCIAL WORK/CASE MANAGEMENT --------------------------- THE SOCIAL WORK/CASE MANAGEMENT DEPARTMENT AT CRMC HELPS PATIENTS AND FAMILIES COORDINATE HOSPITAL AND COMMUNITY SERVICES ON BEHALF OF PATIENTS. THEY HELP FAMILIES COPE WITH ILLNESS, HOSPITALIZATION, DISCHARGE PLANNING, COMMUNITY OUTREACH, PERINATAL SERVICES, AND OTHERWISE HELP FAMILIES WITH SOCIAL AND EMOTIONAL CONCERNS RELATED TO AN ILLNESS. CRMC'S CARING SOCIAL WORKERS AND CASE MANAGERS HELP PATIENTS AND THEIR FAMILIES PLAN AT-HOME HEALTH SERVICES INCLUDING SKILLED NURSING AND REHABILITATIVE THERAPY. THE TEAM ALSO HELPS LOCATE THE RIGHT MEDICAL EQUIPMENT, REFERRAL SOURCES, NURSING HOMES OR AFTER-CARE FACILITIES. HELP WITH LIVING WILLS AND ADVANCE DIRECTIVES MAY ALSO BE PROVIDED FOR YOUR FAMILY'S SPECIAL SITUATIONS. OUTPATIENT REHABILITATION ------------------------- CRMC OFFERS A VARIETY OF CONVENIENT SERVICES TO RESTORE PATIENTS TO THEIR HIGHEST LEVEL OF INDEPENDENCE AND FUNCTION. ALL OF CRMC'S SERVICES ARE CONDUCTED IN STATE-OF-THE-ART FACILITIES WITH A PATIENT'S CARE SUPERVISED BY HIGHLY QUALIFIED, LICENSED AND TRAINED REHAB EXPERTS. - PHYSICAL THERAPY - MANY PATIENTS OF ALL AGES MAY BENEFIT FROM PT AFTER AN ACCIDENT, ILLNESS, INJURY OR SURGERY. - WOUND CARE SERVICES - UPON REFERRAL BY A PATIENT'S PRIMARY CARE PHYSICIAN, OUR WOUND CARE PROGRAM IS DESIGNED TO HEAL AND PREVENT CHRONIC WOUNDS. - OCCUPATIONAL THERAPY - TREATING PEOPLE OF ALL AGES WHO, BECAUSE OF PHYSICAL, DEVELOPMENTAL, SOCIAL OR EMOTIONAL NEEDS, REQUIRE SPECIALIZED ASSISTANCE TO LEAD INDEPENDENT LIVES. - PRE-DRIVING PROGRAM UTILIZING ENHANCED DRIVING SIMULATOR AS PART OF OCCUPATIONAL THERAPY DEPARTMENT IN ORDER TO ACCESS THE PATIENT'S DRIVING SKILLS. THIS PROGRAM IS DESIGNED TO AID THE ELDERLY, STROKE PATIENTS, OR ANYONE WITH WHOSE DRIVING ABILITIES MAY BE COMPROMISED. - LYMPHEDEMA MANAGEMENT - CANCER-SURGERY PATIENTS WHO HAVE EXPERIENCED LOSS OF FUNCTION DUE TO LYMPHEDEMA MAY BENEFIT FROM TREATMENT. - SPEECH THERAPY- STROKE AND OTHER PATIENTS WITH SPEECH, LANGUAGE OR COGNITIVE DEFICITS LEARN TO COMMUNICATE BETTER WITH THOSE AROUND THEM. SPEECH THERAPY ALSO HELPS THOSE WITH COMPROMISED SWALLOWING. - CARDIOPULMONARY REHABILITATION - OPEN TO THOSE WHO HAVE EXPERIENCED HEART ATTACK, STABLE ANGINA, OPEN-HEART SURGERY, HEART TRANSPLANTATION, ASTHMA, EMPHYSEMA, LUNG-VOLUME REDUCTION SURGERY, AND OTHER CARDIOPULMONARY DISORDERS. SUPERVISED FIT-FOR-LIFE EXERCISE PROGRAMS AND FITNESS CENTER ARE ALSO AVAILABLE. - SMOKING CESSATION - NEW FOUR-WEEK PROGRAM DEVELOPED FOR THOSE WILLING TO QUIT SMOKING. DIABETES CARE CENTER -------------------- THE CRMC DIABETES CARE CENTER IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION FOR QUALITY SELF-MANAGEMENT EDUCATION. SELF-MANAGEMENT EDUCATION IS AN ESSENTIAL COMPONENT OF DIABETES TREATMENT. ONE BENEFIT OF COMPLIANCE WITH THE NATIONAL STANDARDS IS GREATER CONSISTENCY IN THE QUALITY AND QUANTITY OF EDUCATION OFFERED TO PEOPLE WITH DIABETES. PROGRAM PARTICIPANTS ARE TAUGHT, AS NEEDED, SELF-CARE SKILLS THAT ALLOW BETTER MANAGEMENT OF THEIR DIABETES TREATMENT PROGRAM. HOSPITALIST PROGRAM ------------------- IN 2007, CRMC ADDED A HOSPITALIST PROGRAM TO THE SERVICES AVAILABLE FOR PATIENTS ADMITTED TO THE MEDICAL CENTER. THE HOSPITALIST IS ABLE TO COORDINATE THE PATIENT'S CARE WITH THE PATIENT'S PHYSICIAN AND A HOSPITALIST IS AT THE MEDICAL CENTER 24 HOURS A DAY, 7 DAYS A WEEK. PASTORAL CARE ------------- CRMC'S CHAPEL IS LOCATED NEAR BISTRO 10 AND THE EAST LOBBY OF THE MEDICAL CENTER. CRMC'S INTERFAITH CHAPLAINS AND PASTORAL CARE VOLUNTEERS OFFER SPIRITUAL AND EMOTIONAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING HOSPITALIZATION. PRAYER, BIBLES AND SACRAMENTAL MINISTRY SERVICES ARE AVAILABLE TO PATIENTS UPON REQUEST. CLERGY WILL BE GUIDED BY A PATIENT'S SPIRITUAL PREFERENCES. COMMUNITY BENEFIT ================= CRMC IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION, OFFERING NUMEROUS HEATHCARE RELATED PROGRAMS AND ACTIVITIES. CRMC WORKS IN COLLABORATION WITH VOLUNTEERS IN MEDICINE (VIM) AND A FEDERALLY QUALIFIED HEALTHCARE CENTER (FQHC), WHICH IS RUN BY COMMUNITY HEALTHCARE. CAPE REGIONAL HEALTH SYSTEM PROVIDES THE VIM OUTPATIENT FACILITY ON A RENT FREE BASIS. IN ADDITION, CRMC PROVIDES MUCH OF THE ANCILLARY SERVICES FOR THESE TWO PROVIDERS OF PRIMARY AND SPECIALTY CARE TO CHARITY AND STATE MEDICAID PATIENTS. CRMC'S CENTER FOR LIFESTYLE MANAGEMENT OFFERS A BROAD VARIETY OF SUPPORT GROUPS, HEALTH EDUCATION CLASSES, WELLNESS PROGRAMS AND INFORMATION ABOUT HEALTHCARE SERVICES IN CAPE MAY COUNTY. OUTLINED BELOW ARE A NUMBER OF CRMC COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION DEMONSTRATING HOW CRMC BENEFITS THE SURROUNDING COMMUNITY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SUPPORT GROUPS -------------- THE CENTER FOR LIFESTYLE MANAGEMENT PROVIDES ONGOING SUPPORT GROUPS FOR THOSE COPING WITH FOLLOWING: - DIABETES - CANCER - GRIEF - CAREGIVER - PULMONARY REHABILITATION - FIBROMYALGIA - GASTRIC BYPASS - LYMPHEDEMA ADDITIONAL GROUP MEETINGS ------------------------- - AA AND ALANON - WEIGHT WATCHERS - OVEREATERS ANONYMOUS - LIFE MAKEOVERS FOR WOMEN HEALTH EDUCATION ---------------- CRMC'S HEALTH EDUCATION SERIES COVER A VARIETY OF TOPICS WITH PROGRAMS AVAILABLE AT CRMC AND IN THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - DIABETES MANAGEMENT - STRESS MANAGEMENT FOR HEART AND LUNG PATIENTS - FITNESS WORKSHOPS - HEART HEALTH INFORMATION - CHRONIC DISEASE SELF MANAGEMENT - EXERCISE AND GETTING FIT - SERVING UP GOOD NUTRITION - BONE UP ON YOUR HEALTH - BE WISE ABOUT YOUR MEDICATION - KEEP UP THE BEAT - MAXIMIZING MEMORY HEALTH SCREENINGS ----------------- CRMC PROVIDES OPPORTUNITIES FOR THE COMMUNITY TO MONITOR THEIR HEALTH WITH THE FOLLOWING SCREENINGS AVAILABLE AT CRMC AND THROUGHOUT CAPE MAY COUNTY: - BLOOD PRESSURE - BLOOD SUGAR - CHOLESTEROL - FRACTURE RISK - PERIPHERAL ARTERY DISEASE CERTIFICATION PROGRAMS ---------------------- - CPR CERTIFICATION AND RE-CERTIFICATION - SAFE SITTER - 55 ALIVE SAFE DRIVING - SMOKING CESSATION OTHER COMMUNITY BENEFIT PROGRAMS -------------------------------- - PARISH NURSING GRANT TO KEEP SENIORS HEALTHY & ACTIVE WHICH PROVIDES FREE SCREENINGS, HEALTH EDUCATION TO PUBLIC, AND TRAINS OTHER HEALTHCARE PROFESSIONALS TO GO BACK TO THEIR COMMUNITIES AND PROVIDE THE SAME PROGRAM IN THEIR AREA - PARISH NURSING COMMUNITY HEALTH FAIR WHICH PROVIDES VARIOUS SCREENINGS INCLUDING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, FRACTURE RISK FOR OSTEOPOROSIS, EYE TESTING, & MOBILE MAMMOGRAPHY (FREE FOR WOMEN WITHOUT INSURANCE) - ANNUAL MEN'S HEALTH DAY - CANCER SCREENINGS; PROSTATE, COLORECTAL, & TESTICULAR - ANNUAL WOMEN'S HEALTH DAY - CANCER SCREENINGS - PERIPHERAL ARTERY DISEASE - FREE SCREENINGS EVERY FRIDAY - NATIONAL LUNG HEALTH DAY - ANNUAL HOME & HEALTH SHOW; FUNDRAISER FROM TOURS OF HOMES AND PROVIDES FREE HEALTH SCREENINGS - MEDICAL EXPLORER PROGRAM FOR HIGH SCHOOL STUDENTS IN THE LOCAL COMMUNITY - ANNUAL DIABETES UPDATE OPEN TO THE PUBLIC AND CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION - FREE FLU SHOTS PROVIDED IN PARTNERSHIP WITH THE CAPE MAY COUNTY DEPARTMENT OF HEALTH AND A LEADING COMMUNITY BUSINESS - EMPLOYEE HEALTH SHARP CONTAINER EXCHANGES FOR INDIVIDUALS WITH CHRONIC DISEASE MANAGEMENT APPROXIMATELY 21,000 INDIVIDUALS BENEFITED FROM THE COMMUNITY BENEFIT PROGRAMS OFFERED BY CRMC DURING 2012. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CAPE REGIONAL HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. CAPE REGIONAL HEALTH SYSTEM, INC. HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11b THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, EACH MEMBER OF THE CAPE REGIONAL HEALTH SYSTEM, INC. EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE PERFORMED A DETAILed REVIEW OF THIS ORGANIZATION'S FORM 990 PRIOR TO FILING WITH THE IRS. THE CAPE REGIONAL HEALTH SYSTEM INC. EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR BOTH TAX-EXEMPT AFFILIATES OF THE SYSTEM. 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, VICE-PRESIDENT 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 FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS 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 FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO THE PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CAPE REGIONAL HEALTH SYSTEM, INC. EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE AND THEREAFTER MADE AVAILABLE TO EACH MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE 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 PRESIDENT/CEO FOR REVIEW. THEREAFTER THE PRESIDENT/CEO PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS, IF APPLICABLE, FOR REVIEW BY THE ORGANIZATION'S BOARD OF TRUSTEES. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. CAPE REGIONAL HEALTH SYSTEM INC.'S BOARD OF TRUSTEES HAS AN EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF CAPE REGIONAL MEDICAL CENTER, INC.'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 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, 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 CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; NOT SOLELY THIS ORGANIZATION. OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - Change in Pension Benefit Obligation - ($1,833,276); - TRANSFER TO CAPE REGIONAL HEALTH SYSTEM, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION - ($2,000,000); AND - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION FOR OPERATIONS - ($108,863). AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE TAXPAYER IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S FINANCE AND PLANNING COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE TAXPAYER'S FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR. CAPE REGIONAL HEALTH SYSTEM INC 2 STONE HARBOR BLVD CAPE MAY COURT HOUSE NJ 08210 222629594 HOLDING CO. NJ 501(C)(3) 509(A)(2) false BURDETTE TOMLIN MRI PA 2 STONE HARBOR BOULEVARD PO BOX 59 CAPE MAY COURT HOUSE NJ 08210 223120589 HEALTHCARE SVCS. NJ N/A C CORP. false CAPE REGIONAL HEALTH ENTERPRISES TWO STONE HARBOR BLVD CAPE MAY COURT HOUSE NJ 08210 222615938 HEALTHCARE MGT. NJ N/A C CORP. false CAPE CARDIOLOGY ASSOCIATES INC STONE HARBOR BOULEVARD PO BOX 59 CAPE MAY COURT HOUSE NJ 08210 222859159 HEALTHCARE SVCS. NJ N/A C CORP. false CAPE IMAGING SERVICES STONE HARBOR BOULEVARD PO BOX 59 CAPE MAY COURT HOUSE NJ 08210 223154952 HOLDING CO. NJ N/A C CORP. false CAPE PHYSICIAN ASSOCIATES PA TWO STONE HARBOR BOULEVARD CAPE MAY COURT HOUSE NJ 08210 223172481 HEALTHCARE SVCS. NJ CRMC C CORP. 8805557 3362293 1.00000 true false false false true true false false false false false false false false false true false true true true CAPE REGIONAL HEALTH SYSTEM INC R 2000000 COST CAPE REGIONAL HEALTH SYSTEM INC D 54423 COST CAPE REGIONAL HEALTH SYSTEM INC D 509611 COST