SHORE MEMORIAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SHORE MEMORIAL HOSPITAL (EIN 21-0660835)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349300913
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T05:58:42-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 Date2012-01-01TaxPeriodBeginDate

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
Address Line2SuiteAddressLine2
CitySOMERS POINTCity
StateNJState
ZIP Code082442387ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namejames foleyName
TitlecfoTitle
Phone9738989494Phone
Date Signed2013-11-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
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 Receipts212866624GrossReceipts
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 and to that end pledge to provide you with the highest quality healthcare and to maintain a safe patient environment.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees1658TotalNbrEmployees
Total Nbr Volunteers375TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3442933ContributionsGrantsPriorYear
Contributions Grants Current Year3611140ContributionsGrantsCurrentYear
Program Service Revenue Prior Year206356854ProgramServiceRevenuePriorYear
Program Service Revenue CY205659906ProgramServiceRevenueCY
Investment Income Prior Year1643932InvestmentIncomePriorYear
Investment Income Current Year2135202InvestmentIncomeCurrentYear
Other Revenue Prior Year918032OtherRevenuePriorYear
Other Revenue Current Year1374611OtherRevenueCurrentYear
Total Revenue Prior Year212361751TotalRevenuePriorYear
Total Revenue Current Year212780859TotalRevenueCurrentYear
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 Year101359872SalariesEtcPriorYear
Salaries Etc Current Year109105907SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year433374TotalFundrsngExpCurrentYear
Other Expense Prior Year101665193OtherExpensePriorYear
Other Expenses Current Year104900598OtherExpensesCurrentYear
Total Expenses Prior Year203025065TotalExpensesPriorYear
Total Expenses Current Year214006505TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9336686RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1225646RevenuesLessExpensesCY
Total Assets BOY294764916TotalAssetsBOY
Total Assets EOY288335193TotalAssetsEOY
Total Liabilities BOY261487549TotalLiabilitiesBOY
Total Liabilities EOY247305555TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33277367NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41029638NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER and to that end pledge to provide you with the highest quality healthcare and to maintain a safe patient environment. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense79048683Expense
Grants0Grants
Revenue63558351Revenue
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 2012 THE ORGANIZATION HAD 6,612 ADMISSIONS FOR A TOTAL OF 32,700 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense19471222Expense
Grants0Grants
Revenue12670384Revenue
DescriptionEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY same day surgery services to all individuals in a non-discriminatory MANNER regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR abilITY TO pay. DURING 2012 THE ORGANIZATION TREATED 3,495 same day surgery CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense16022132Expense
Grants0Grants
Revenue10601132Revenue
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 2012 THE ORGANIZATION HAD 1,535 ADMISSIONS FOR A TOTAL OF 3,922 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp61628511TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev118830039TotalOfOtherProgramServiceRev
Total Program Service Expense176170548TotalProgramServiceExpense
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096704NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1658NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 (34 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
LOUIS P DESCIOLI
VICE CHAIRMAN - TRUSTEE1.0XX000
SANDY TZAFEROS PHARMD
SECRETARY/ASST TREAS - TRUSTEE1.0XX000
RONALD B STABLINI CPA MBA
TREAS/ASST SECRETARY - TRUSTEE1.0XX000
ROBERT J BEACH MD
TRUSTEE1.0X000
DAVID BEYEL
TRUSTEE1.0X000
CHARLES BISCIEGLIA
TRUSTEE1.0X000
ROBERT J BRAY DDS MS
TRUSTEE1.0X000
AUGGIE CIPOLLINI
TRUSTEE1.0X000
GERALD J CORCORAN ESQ
TRUSTEE1.0X000
FERNANDO DELASOTTA MD
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/CEO50.0XX4756650194397
STEVEN P NACHTIGALL MD
TRUSTEE1.0X000
GARY G SCHAFFER
TRUSTEE1.0X000
DAVID A SPITALNICK ESQ
TRUSTEE1.0X000
RICHARD L TRAA
TRUSTEE1.0X000
JAMES T FOLEY CPA MBA CHE
CFO50.0X2943380194631
JEANNE ROWE EFF 5712
CMO50.0X230532021000
JOAN GAVIN TERMED 12612
CNO50.0X248515030283
FREDERICK L BANNER
CIO50.0X188562047890
WILLIAM D ELLIOTTTERM 8112
EXECUTIVE DIRECTOR - FDN50.0X146647078339
THOMAS MUNDELL EFF 51612
CHIEF DEVELOPMENT OFFICER-FDN50.0X212039030642
ALAN L BEATTY
VICE PRESIDENT HUMAN RESOURCES50.0X200331055928
RICHARD A PITMAN
ED GOVERNMENT AFFAIRS50.010700800X
VASTHI WILSON MD
PHYSICIAN50.0297177015751X
JENNIFER ADIGUN MD
PHYSICIAN50.0285350032638X
HAROLD R DOWNS
DIRECTOR OF REVENUE CYCLE50.0269190062154X
CHARLES ROCHE III MD
PHYSICIAN50.0259060043569X
FARAZ RIZVI MD
PHYSICIAN50.0224980035313X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3439394TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation842535TotalOtherCompensation
Number Individuals GT100 K101NumberIndividualsGT100K
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
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117IT2760184
SCARBOROUGH PROPERTIES INC
2 EASTWICK DRIVEGIBBSBORONJ08026CONTRACTOR1858893
VANGUARD HEALTHCARE MANAGEMENT
301 ROUTE 17 NORTH SUITE 800RUTHERFORDNJ07070MANAGEMENT1586455
T N WARD
815 ATLANTIC AVENUE SUITE AATLANTIC CITYNJ08401CONTRACTOR1575309
THE CENTER FOR WOUND HEALING
PO BOX 512LAURELNY11948MEDICAL SERVICES1559676
FieldValueIRS element (for citing)
Number Of Contractors GT100 K86NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Related Organizations2602584RelatedOrganizations
Government Grants560940GovernmentGrants
All Other Contributions447616AllOtherContributions
Total Contributions3611140TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE541900205033629205033629
SHORE MEMORIAL PHYSICIAN GROUP541900-4048835-4048835
OTHER HEALTHCARE RELATED REVENUE54190046751124675112
FieldValueIRS element (for citing)
Total Program Service Revenue205659906TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column323TotalRevenueColumn
Exclusion$323ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column1579TotalRevenueColumn
Exclusion$1,579ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real559084Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real59309Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real499775Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column499775TotalRevenueColumn
Exclusion$499,775ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2153028Securities
Other6728Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other26456Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2153028Securities
Other-19728Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2133300TotalRevenueColumn
Exclusion$2,133,300ExclusionAmount

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA/VENDING722514740388$740,388
TELEVISION51700095888$95,888
TELEPHONE51700038560$38,560
FieldValueIRS element (for citing)
Total Other Revenue874836TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column212780859TotalRevenueColumn
Related Or Exempt Function Income205659906RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,509,813ExclusionAmount

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)
Total2756747Total
Program Services2481072ProgramServices
Management And General275675ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total76738410Total
Program Services64665104ProgramServices
Management And General11911508ManagementAndGeneral
Fundraising161798Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11410461Total
Program Services9607346ProgramServices
Management And General1778766ManagementAndGeneral
Fundraising24349Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10091243Total
Program Services8507927ProgramServices
Management And General1562199ManagementAndGeneral
Fundraising21117Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8109046Total
Program Services6845649ProgramServices
Management And General1246756ManagementAndGeneral
Fundraising16641Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1114865Total
Program Services713119ProgramServices
Management And General397477ManagementAndGeneral
Fundraising4269Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total194399Total
Program Services124347ProgramServices
Management And General69308ManagementAndGeneral
Fundraising744Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total152565Total
Management And General152565ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total23161Total
Program Services23161ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9709527Total
Program Services9709527ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1516051Total
Program Services969736ProgramServices
Management And General540510ManagementAndGeneral
Fundraising5805Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27690583Total
Program Services17809768ProgramServices
Management And General9774205ManagementAndGeneral
Fundraising106610Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3299586Total
Program Services2110568ProgramServices
Management And General1176384ManagementAndGeneral
Fundraising12634Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3249263Total
Program Services2067590ProgramServices
Management And General1169117ManagementAndGeneral
Fundraising12556Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total220219Total
Program Services131903ProgramServices
Management And General88074ManagementAndGeneral
Fundraising242Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total84267Total
Program Services55754ProgramServices
Management And General28501ManagementAndGeneral
Fundraising12Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4058573Total
Program Services2596051ProgramServices
Management And General1446982ManagementAndGeneral
Fundraising15540Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16309906Total
Program Services11349923ProgramServices
Management And General4918230ManagementAndGeneral
Fundraising41753Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2429919Total
Program Services1554289ProgramServices
Management And General866326ManagementAndGeneral
Fundraising9304Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMEDICAL SUPPLIESDescription
Total34847714Total
Program Services34847714ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total214006505Total
Program Services176170548ProgramServices
Management And General37402583ManagementAndGeneral
Fundraising433374Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1620748BOY
EOY723283EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY26521981BOY
EOY23258226EOY

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)
BOY18178340BOY
EOY16165311EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2598716BOY
EOY2810109EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY610160BOY
EOY763465EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis366646605LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec184405834LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY190321857BOY
EOY182240771EOY

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)
BOY46370549BOY
EOY53387956EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1981631BOY
EOY1805715EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6560934BOY
EOY7180357EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY294764916BOY
EOY288335193EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34655155BOY
EOY29966480EOY

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)
BOY79336524BOY
EOY76648227EOY

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)
BOY6692026BOY
EOY7003631EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY140803844BOY
EOY133687217EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY261487549BOY
EOY247305555EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27089946BOY
EOY36180326EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3764273BOY
EOY2282167EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2423148BOY
EOY2567145EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33277367BOY
EOY41029638EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY294764916BOY
EOY288335193EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1225646ReconcilationRevenueExpenses
Reconciliation Unrealized Invest767205ReconciliationUnrealizedInvest
Reconcilation Other Changes8210712ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
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$126,000RalliesDemonstrationsAmount
Other ActivitiestrueOtherActivities
Other Activities$26,565OtherActivitiesAmount
Total Lobbying Expenditures IIB152565TotalLobbyingExpendituresIIB
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 1H & 1IReturnReference
ExplanationSHORE MEDICAL CENTER ("MEDICAL CENTER") ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2012, THE TAXPAYER PAID TWO INDEPENDENT FIRMS $126,000 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 HEALTHCARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $5,350 during 2012. IN ADDITION, THE MEDICAL CENTER 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 $21,215 during 2012. LASTLY, THE ORGANIZATION IS ALSO 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.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 Balance6187421BeginningOfYearBalance
Investment Earnings Or Losses143997InvestmentEarningsOrLosses
Other Expenditures1482106OtherExpenditures
End Of Year Balance4849312EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Current Year Minus4 Years CurrentYearMinus4Years

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 Balance0.52940PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.47060TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5864494OtherCostOrOtherBasis
Book Value5864494BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis141118691OtherCostOrOtherBasis
Depreciation57736279Depreciation
Book Value83382412BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis217802690OtherCostOrOtherBasis
Depreciation125566909Depreciation
Book Value92235781BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1860730OtherCostOrOtherBasis
Depreciation1120646Depreciation
Book Value758084BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings182240771TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (13 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
USE15312623F
SECURITIES; LIMITED USE0F
LIMITED USE15832188F
LIMITED USE3180000F
LIMITED USE12843466F
LIMITED USE0F
LIMITED USE0F
LIMITED USE410521F
LIMITED USE132984F
PERPETUAL TRUST1876055F
PHYSICIANS GROUP-696995F
INVESTMENTS; LIMITED USE1308318F
LIMITED USE2497707F
FieldValueIRS element (for citing)
Total Of Book Value Program Related53387956TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY PAYORS; CURRENT$5,897,392
NON-CURRENT$3,340,607
RESERVE FOR INSURANCE CLAIMS$4,167,560
OTHER LIABILITIES$3,633,368
ACCRUED INTEREST PAYABLE$962,279
ACCRUED RETIREMENT BENEFITS; NET$115,686,011
FieldValueIRS element (for citing)
Total Of Amounts133687217TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

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
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
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 Served12259PersonsServed
Total Community Benefit Expense10482606TotalCommunityBenefitExpense
Direct Offsetting Revenue304098DirectOffsettingRevenue
Net Community Benefit Expense10178508NetCommunityBenefitExpense
Percent Of Total Expense0.04760PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served15696PersonsServed
Total Community Benefit Expense19085853TotalCommunityBenefitExpense
Direct Offsetting Revenue12656275DirectOffsettingRevenue
Net Community Benefit Expense6429578NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served27955PersonsServed
Total Community Benefit Expense29568459TotalCommunityBenefitExpense
Direct Offsetting Revenue12960373DirectOffsettingRevenue
Net Community Benefit Expense16608086NetCommunityBenefitExpense
Percent Of Total Expense0.07760PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served10456PersonsServed
Total Community Benefit Expense238144TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense238144NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served10456PersonsServed
Total Community Benefit Expense238144TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense238144NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served38411PersonsServed
Total Community Benefit Expense29806603TotalCommunityBenefitExpense
Direct Offsetting Revenue12960373DirectOffsettingRevenue
Net Community Benefit Expense16846230NetCommunityBenefitExpense
Percent Of Total Expense0.07870PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense60659TotalCommunityBuildingExpense
Net Community Building Expense60659NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense60659TotalCommunityBuildingExpense
Net Community Building Expense60659NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$7,484,191BadDebtExpenseAmount
Amount Reimbursed By Medicare63939202AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare99476922CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-35537720MedicareSurplusOrShortfall

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 Line1100 MEDICAL CENTER WAYAddressLine1
CitySOMERS POINTCity
StateNJState
ZIP Code082442387ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.shoremedicalcenter.orgWebsiteAddress
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
5401 HARDING HIGHWAYMAYS LANDINGNJ08330LAB 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

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 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 REPORTSCHEDULE H, PART I, LINE 6ANOT APPLICABLE.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COSTSCHEDULE H, PART I, LINE 7NO 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 D/B/A SHORE MEDICAL CENTER IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE 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 MEDICAL CENTER. PATIENT ACCOUNTS RECEIVABLE/ALLOWANCE FOR DOUBTFUL ACCOUNTS Patient accounts receivable result from the health care services provided by the Medical Center. The Medical Center 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 Medical Center 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, determined on the basis of cost, approximated $5,731,000 and $5,658,000 in 2012 and 2011, respectively. The New Jersey 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 2012 and 2011, the Medical Center recognized $1,306,779 and $1,041,452, respectively, as subsidies for charity care, which is included in net patient service revenue. Effective July 1, 2013, the State is preparing to replace the HCSF with a new payment mechanism referred to as the Delivery System Reform Incentive Payment Pool (the Pool). The Pool will be available to certain hospitals that are able to establish performance improvement activities in one of eight specified clinical improvement areas.
MEDICARE SHORTFALLSCHEDULE H, PART III, LINE 8MEDICARE 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 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 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: 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 INFORMATIONSCH H,PART V,SECTION B,QUEST. 10,11,12H,14G,16E,17E,18E,19c,19D,20d,21&22NOT APPLICABLE.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 2The steps taken in 2012 to ensure that the Community Health Needs Assessment (CHNA) was managed in a logical and effective manner included the following: (1) Identifying reputable guides and advice; (2) Engaging community representatives, especially those with public health expertise; (3) Defining the community that we serve; (4) Selecting quality data sources; (5) Reviewing and analyzing available information; and (6) Prioritizing the health and health-related problems. The guides and expert advice for the conducting the assessment included the following: (1) Educational Webinars by the New Jersey Hospital Association; (2) Guide for Planning & Reporting Community Benefit by Catholic Health Association; (3) Mobilizing for Action through Planning and Partnership (MAPP) by the National Association of County & City Officials; and (4) Schedule H (Form 990) by the US Department of the Treasury Internal Revenue Service. In 2012, a series of meetings with public health experts from the following organizations were held: Atlantic City Department of Health, Atlantic County, Division of Public Health, Atlantic County Department of Corrections, Rutgers Cooperative Extension, Southern Jersey Family Medical Center, Stockton College of Continuing Studies, and United Way. Key quantitative sources of data were from the American Cancer Society, Centers for Disease Control and Prevention, County Health Rankings, University of Wisconsin, New Jersey Department of Health and Senior Services, New Jersey Primary Care Association, and United States Census Bureau with new information from windshield surveys conducted by Nursing Students at Rowan University. An example of using portions of the CHNA data gathered in 2012: CHNA data: (1) the community has some of the highest smoking percentages in NJ with it estimated that 24% of adults in the community smoke equating to approx. 50,559 people and (2) cancer is the 2nd leading cause of death in the community with a higher cancer death rate than NJ overall. Since it has been proven that smoking is a leading cause of cancer, this data supported the MEDICAL CENTER's commitment to maintain the Tobacco Prevention and Treatment Program throughout 2012 even though grant funding from the State for the program ceased in 2011.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI; QUESTION 3SHORE MEDICAL CENTER ("MEDICAL CENTER") 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. THE MEDICAL CENTER ALSO HAS AN ADDITIONAL 4 INDIVIDUALS THAT HELP PATIENTS COMPLETE THESE FORMS IN THE BUSINESS OFFICE, EMERGENCY DEPARTMENT AND THE ADMISSIONS OFFICE. THE MEDICAL CENTER ALSO MAINTAINS SIGNAGE (MULTI LINGUAL) TO DIRECT PATIENTS TO THE HELP THEY MAY NEED.
COMMUNITY INFORMATIONSCHEDULE H, PART VI; QUESTION 4SHORE MEDICAL CENTER ("MEDICAL CENTER") IS LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. THE MEDICAL CENTER SERVES THE HEALTHCARE NEEDS OF BOTH THE YEAR ROUND AND SUMMER RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES AS WELL AS SEASONAL VISITORS FROM OTHER COMMUNITIES AND STATES. ACCORDING TO THE MOST RECENT CENSUS DATA, ATLANTIC COUNTY IS ONE OF THE MOST DIVERSE OF NEW JERSEY'S 21 COUNTIES. OF THE 270,000 PEOPLE RESIDING IN ATLANTIC COUNTY 17.5 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 MEDICAL CENTER ("MEDICAL CENTER") IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. OUR GENEROUS MEDICAL CENTER STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER. MORE RECENTLY, THE MEDICAL CENTER BECAME THE FIRST HOSPITAL IN NEW JERSEY AND ONE OF LESS THAN 50 ORGANIZATIONS WORLDWIDE TO RECEIVE PLANETREE PATIENT-CENTERED CARE DESIGNATION. THE PLANETREE NETWORK IS A PATIENT CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS.
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 MEDICAL CENTER, 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 MEDICAL CENTER, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 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 PHYSICIAN PRACTICE PROFESSIONAL CORPORATION CONTROLLED BY SHORE MEDICAL CENTER THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS.
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.
FACILITY REPORTING GROUP(S)SCHEDULE H, PART VI; QUESTION 8NOT APPLICABLE. THE MEDICAL CENTER HAS ONLY ONE MEDICAL CENTER FACILITY REFLECTED IN PART V, SECTION A.

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 PaymenttrueSeverancePayment
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 (13 entries)

TitleTitleBase 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
TRUSTEE - PRESIDENT/CEO42184903361402020201600950343020670062000
JAMES T FOLEY CPA MBA CHE
CFO2316470565430614801678660267650488969000
JEANNE ROWE EFF 5712
CMO217948000125840105680104320251532000
JOAN GAVIN TERMED 12612
CNO21077902799609740000302830278798000
FREDERICK L BANNER
CIO17288901478408890125300353600236452000
WILLIAM D ELLIOTTTERM 8112
EXECUTIVE DIRECTOR - FDN11985102424402552068916094230224986000
THOMAS MUNDELL EFF 51612
CHIEF DEVELOPMENT OFFICER-FDN20633500057040105040201380242681000
ALAN L BEATTY
VICE PRESIDENT HUMAN RESOURCES170255023862062140238810320470256259000
VASTHI WILSON MD
PHYSICIAN296857000320012621031300312928000
JENNIFER ADIGUN MD
PHYSICIAN2845850007650135900190480317988000
HAROLD R DOWNS
DIRECTOR OF REVENUE CYCLE1312760001379140390110231430331344000
CHARLES ROCHE III MD
PHYSICIAN2585280005320117970317720302629000
FARAZ RIZVI MD
PHYSICIAN224508000472077640275490260293000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 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 MEDICAL CENTER SENIOR EXECUTIVES TO THE USE OF THE CLUB'S FACILITIES. THE AMOUNTS OUTLINED HEREIN RELATING TO THE PERSONAL USE OF THIS CORPORATE MEMBERSHIP ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RONALD W. JOHNSON, $7,110; JAMES T. FOLEY, $1,468; JEANNE ROWE, $2,780; ALAN L. BEATTY, $4,908 and THOMAS MUNDELl, $2,780.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4ATHE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2012. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: HAROLD R. DOWNS, $47,744.
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 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RONALD W. JOHNSON, $55,386 AND JAMES T. FOLEY, $44,810.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 7CERTAIN 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
A22148759064579FAA12003-07-0131205000CONST/RENO/EQUIP/DEBT SVC FUNDfalsefalsefalse
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
B22148759064579FYS62009-09-1730000000BUILDINGS & STRUCTURESfalsefalsefalse
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
C22198708464579FZH92010-01-2715000000BUILDINGS & STRUCTURESfalsefalsefalse
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
D2219870842011-12-0113000000BUILDINGS & STRUCTURESfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount 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
A0031581861249817550000003175231006734027259429002004falsefalsetruetrue
B00300000000005983940029401606002011falsefalsetruetrue
C00150000000003000000014700000002011falsefalsetruetrue
D00130000000002183700012781630002011falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBIEngage Bond Counsel ContractsEngageBondCounselContracts
Afalsetruefalsefalse0.010400.01040truefalsefalsetrue
Bfalsefalsefalsefalse0.000000.00000truefalsefalsetrue0.00000
Cfalsefalsefalsefalse0truefalsefalsetrue
Dfalsefalsetruefalse0truefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYetTerm Of HedgeTermOfHedgeHedge TerminatedHedgeTerminated
0
Atruefalsefalsefalse0falsetrue
BARCLAY'S BANK PLC
Bfalsetruetruefalse0falsetruetrue30.false
0
Cfalsetruefalsefalse0falsetruetrue
0
Dfalsefalsefalsefalse0falsetruetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

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 Transaction270737AmountOfTransaction
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 2012. TOTAL FEES PAID TO COASTAL CLINICAL PATHOLOGISTS, P.A. during 2012 amounted to $270,737. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 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 department 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 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. 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 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. IN 2012 SHORE MEDICAL CENTER WAS HONORED AS BEST HOSPITAL & MEDICAL CENTER IN THE PRESS OF ALTANTIC CITY'S READERS CHOICE AWARDS AND WAS NAMED A HOSPITAL OF THE YEAR FINALIST IN THE 2012 NJBIZ HEALTHCARE HEROES AWARD CEREMONY. 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 SPINE SURGERY AND HIP AND KNEE REPLACEMENT PROGRAMS IN RECOGNITION OF THE MEDICAL CENTER'S STRICT ADHERENCE TO QUALITY STANDARDS. IN 2012, NEARLY 10,700 PATIENTS WERE ADMITTED TO THE MEDICAL CENTER, AND MORE THAN 46,500 WERE TREATED IN SHORE'S EMERGENCY DEPARTMENT. COMMUNITY FOCUSED EDUCATION ============================ SHORE'S WELLNESS PROGRAM HAS BEEN AN INTEGRAL PART OF THE COMMUNITY, OFFERING HEALTH EDUCATION AND SCREENINGS FOR MORE THAN 20 YEARS. IN 2012 THOUSANDS OF LOCAL RESIDENTS PARTICIPATED IN CLINICAL ENCOUNTERS, INCLUDING MORE THAN 300 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 431 BREAST CANCER SCREENINGS, 841 CERVICAL CANCER SCREENINGS, 38 COLORECTAL SCREENINGS AND 52 PROSTATE SCREENINGS FOR THE UNDERSERVED POPULATION. IN 2012, SHORE MEDICAL CENTER RECEIVED $376,629 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 $290,242 FOR THESE OUTREACH ACTIVITIES, IN 2012 1,549 INDIVIDUALS ATTENDED EDUCATIONAL WORKSHOPS OR LECTURES. ADDITIONALLY, THE SHORE CANCER CENTER OFFERED 28 EDUCATIONAL EVENTS IN 2012, DURING WHICH MORE THAN 2,500 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. THE SERVICE MATCHES A PERSON'S NEEDS SUCH AS SPECIALTY, LOCATION, INSURANCE AND OFFICE HOURS TO A SHORE MEDICAL STAFF PHYSICIAN. UNCOMPENSATED CARE ================== SHORE HAS LONG BEEN A REGIONAL LEADER IN MEETING ITS COMMITMENT TO THE MEDICALLY UNDERSERVED MEMBERS OF THE COMMUNITY. IN ADDITION TO ITS COMMUNITY OUTREACH PROGRAMS AND OBSTETRICAL CLINIC, THE MEDICAL CENTER PROVIDES SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO THOSE LEAST ABLE TO PAY FOR THESE SERVICES. IN KEEPING WITH ITS MISSION TO CARE FOR PATIENTS, THE MEDICAL CENTER SERVES ALL WITHOUT REGARD TO ABILITY TO PAY. IN 2012 SHORE SPENT APPROXIMATELY $18.5 MILLION AT COST FOR MEDICAL SERVICES DELIVERED TO THESE PATIENTS. THE HOSPITAL ONLY RECEIVED A STATE SUBSIDY OF APPROXIMATELY $1.3 MILLION 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 2012, THE MEDICAL CENTER PROVIDED MORE THAN $25 MILLION IN UNCOMPENSATED CARE, WHICH INCLUDES $20 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.
COMMUNITY BENEFIT STATEMENT; CONTINUEDFORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSAFFILIATIONS ============ SHORE IS PROUD TO BE AFFILIATED WITH THE WORLD-RENOWNED UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS), ALSO KNOWN AS PENN MEDICINE, GIVING 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 THIS PHILADELPHIA HEALTH SYSTEM. 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 SPINE SURGERY PROGRAMS. ADDITIONALLY, SHORE OFFERS A MATERNAL FETAL MEDICINE PROGRAM WITH PENN MEDICINE TO CARE FOR MOTHERS EXPERIENCING HIGH-RISK PREGNANCIES. In 2012, SHORE ENTERED INTO A PARTNERSHIP WITH ADVANCED RADIOLOGY SOLUTIONS, A TOMS RIVER BASED GROUP OF 25 FELLOWSHIP TRAINED, BOARD CERTIFIED RADIOLOGISTS WHO COVER THE BROAD SPECTRUM OF RADIOLOGY, INCLUDING X-RAYS, MRIs, CT SCANS, INTERNVENTIONAL RADIOLOGY, WOMEN'S IMAGING, MUSCULOSKELETAL RADIOLOGY AND NEURORADIOLOGY. SHORE IS ALSO A MEMBER OF THE JEFFERSON NEUROSCIENCE NETWORK AND HAS 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. EMERGENCY SERVICES ------------------ WHETHER IT'S A SPRAINED ANKLE FROM A RUN ON THE BOARDWALK OR A LIFE THREATENING HEART ATTACK, IT'S COMFORTING TO KNOW THE EMERGENCY STAFF AT SHORE IS READY, WILLING AND ABLE TO HELP. SHORE EMERGENCY DEPARTMENT PHYSICIANS ARE BOARD CERTIFIED IN EMERGENCY MEDICINE, WITH TRAINING IN EVERYTHING FROM OBSTETRICS AND PEDIATRICS TO ORTHOPEDICS AND CARDIOLOGY. IN ADDITION, EACH ONE OF THE MEDICAL CENTER'S SPECIALLY TRAINED NURSES IS CERTIFIED IN THE LATEST LIFE SAVING TECHNIQUES AND EMERGENCY CARE. 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 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 IN OCEAN CITY 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.
COMMUNITY BENEFIT STATEMENT; CONTINUEDFORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSNEUROSCIENCE 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. APPROXIMATELY 1,047 BABIES WERE BORN AT SHORE IN 2012. 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 ENSURE 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. 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 SPINE SURGERY AND HIP AND KNEE REPLACEMENT PROGRAMS HAVE RECEIVED THE GOLD SEAL OF APPROVAL BY THE JOINT COMMMISSION. SHORE IS ALSO PROUD TO HAVE PHYSICIANS 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 2012, SHORE HAD 380 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 PROGRAMS AND MEDICAL SCREENINGS ========================================= SHORE PROVIDES NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX EXEMPT PURPOSES INCLUDING THE FOLLOWING: 1. SHORE SPEAKERS BUREAU - A FREE PROGRAM WHERE SHORE HEALTHCARE SPECIALISTS AND EDUCATORS PROVIDE SCREEINGS, GIVE PRESENTATIONS AND DO QUESTION & ANSWER SESSIONS FOR COMMUNITY GROUPS WHO REQUEST THEM. 2. CANCER SCREENINGS FOR THE UNINSURED FUNDED BY THE NJ CANCER EDUCATION AND EARLY DETECTION GRANT. - BREAST - CERVICAL - COLON - PROSTATE 3. MAMMOGRAMS 4. ANNUAL BAYFEST HEALTH FAIR - CHOLESTEROL - BODY FAT - GLUCOSE - BLOOD PRESSURE SCREENING - STROKE ASSESSMENT - CARDIAC ASSESSMENT 5. ANNUAL COMMUNITY 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 3,000 INDIVIDUALS PARTICIPATED IN MEDICAL SCREENINGS, EDUCATIONAL PROGRAMS AND OTHER FREE WELLNESS PROGRAMS PROVIDED BY SHORE DURING 2012. 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. SHORE 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 2012, THE MEDICAL CENTER SPONSORED OR PARTICIPATED IN MORE THAN 100 EVENTS IN THE COMMUNITY. THE PERSONAL EFFORTS OF OUR GENEROUS MEDICAL CENTER 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 2012, INCLUDING THE MAKING STRIDES AGAINST BREAST CANCER EVENT AND THE RELAY FOR LIFE WALK IN OCEAN CITY. CANCER SURVIVORS' DAY --------------------- IN JUNE OF 2012 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.
COMMUNITY BENEFIT STATEMENT; CONTINUEDFORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSGILDA'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 2012, 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 $17,000 FOR THE AMERICAN HEART ASSOCIATION'S HEART WALK. MS WALK ------- SHORE'S WALKING TEAM RAISED MORE THAN $3,000 FOR THE NATIONAL MULTIPLE SCLEROSIS SOCIETY. UNITED WAY ---------- SHORE EMPLOYEES GENEROUSLY CONTRIBUTED MORE THAN $14,000 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; QUESTION 4EFFECTIVE DECEMBER 1, 2012 SHORE MEMORIAL HEALTH SYSTEM TRANSFERRED ITS INTEREST AS THE SOLE MEMEBER OF THE SHORE MEMORIAL HEALTH FOUNDATION, INC, ("FOUNDATION"), A PHILANTHROPIC ORGANIZATION, TO SHORE MEDICAL CENTER ("MEDICAL CENTER"). THIS ORGANIZATION CHANGE WAS EFFECTUATED TO REFLECT THE ROLE OF THE FOUNDATION AS A PHILANTHROPIC ORGANIZATION WHO PRIMARY FUNCTION IS TO SUPPORT THE ACTIVITIES OF THE MEDICAL CENTER. THE BYLAWS WERE RESTATED TO REFLECT THIS CHANGE.
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 within SHORE MEMORIAL HEALTH SYSTEM and affiliates ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM IS THE tax-exempt PARENT ENTITY OF THE SYSTEM. THis 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 MEDICAL CENTER 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 with the organization's audit and compliance committee WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990. 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 within SHORE MEMORIAL HEALTH SYSTEM and affiliates ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM 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 ITS CHIEF FINANCIAL OFFICER FOR REVIEW. THEREAFTER THE CHIEF FINANCIAL 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 IS AN AFFILIATE within SHORE MEMORIAL HEALTH SYSTEM and affiliates ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM IS THE tax-exempt PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE 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 within SHORE MEMORIAL HEALTH SYSTEM and affiliates ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM 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 SHORE MEMORIAL HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 9OTHER CHANGES IN FUND BALANCE INCLUDE: - CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT - ($194,169); - OTHER CHANGES IN PENSION AND OTHER POSTRETIREMENT BENEFIT LIABILITIES - $12,282,409; - TEMPORARILY RESTRICTED CHANGE IN INTEREST IN NET ASSETS OF SHORE MEMORIAL HEALTH FOUNDATION, Inc.; a related internal revenue code section 501(c)(3) tax-exempt organization - ($1,482,106); - Forgiveness of affiliate debt - ($2,500,000) and - PERMANENTLY RESTRICTED CHANGE IN BENEFICIAL INTEREST IN PERTUAL TRUST - $104,578.
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE within SHORE MEMORIAL HEALTH SYSTEM and affiliates ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM IS THE tax-exempt PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SHORE MEMORIAL HEALTH SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR each YEAR. THE organization's AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
FINANCIAL STATEMENTS AND REPORTINGCORE FORM, PART XII; QUESTION 3THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN A-133 AUDIT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 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 SMHNJ501(C)(3)509(A)(1)SMHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgBusiness 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.false
SHORE MEMORIAL PHYSICIAN'S GROUP PC
1 EAST NEW YORK AVENUESOMERS POINTNJ082442387275440611HEALTHCARE SVCSNJC CORP.trueSMH30424868994401.00000
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
Dividends Related OrganizationfalseDividendsRelatedOrganization
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 EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SHORE MEMORIAL HEALTH FOUNDATION INC
C2602584COST
SHORE MEMORIAL HEALTH FOUNDATION INC
E1897158COST
SHORE MEMORIAL HEALTH FOUNDATION INC
O1741589COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE R, PART VReturnReference
ExplanationTHE ORGANIZATION IS AN AFFILIATE within SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. Shore MEDICAL CENTER ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.Explanation

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