Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
BAYSHORE COMMUNITY HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
727 NORTH BEERS STREET
 
Room/suite
City or town, state or country, and ZIP + 4
HOLMDEL, NJ07733
D Employer identification number

21-0744668
E Telephone number

G Gross receipts $ 99,649,813
F Name and address of principal officer:
JOHN K LLOYD FACHE
727 NORTH BEERS STREET
HOLMDEL,NJ07733
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BCHS.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1962
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THIS ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NEW JERSEY BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 22
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 14
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,276
6 Total number of volunteers (estimate if necessary) .... 6 183
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a -71,108
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -71,108
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 85,506 111,766
9 Program service revenue (Part VIII, line 2g) ......... 96,651,694 97,341,071
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,071,546 1,533,156
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,634,587 475,512
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 110,443,333 99,461,505
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 53,082,608 53,456,855
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 49,634,766 50,652,731
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 102,717,374 104,109,586
19 Revenue less expenses. Subtract line 18 from line 12...... 7,725,959 -4,648,081
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 118,167,633 123,139,885
21 Total liabilities (Part X, line 26)............ 70,840,959 70,927,617
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 47,326,674 52,212,268
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: THIS ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NEW JERSEY BY PROVIDING QUALITY, PATIENT-CENTERED HEALTHCARE SERVICES. THE ORGANIZATION 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. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 39,102,198 including grants of $ 0 ) (Revenue $ 28,616,243 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 31,846,617 including grants of $ 0 ) (Revenue $ 52,761,198 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 5,610,161 including grants of $ 0 ) (Revenue $ 8,048,318 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 17,139,651 including grants of $ 0 ) (Revenue $ 7,844,204 )
4e Total program service expensesMediumBullet$ 93,698,627
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
312
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,276
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
22
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JOHN GANTNER
727 NORTH BEERS STREET
HOLMDEL,NJ07733
(732) 739-5900
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) PETER REINHART ESQ
CHAIRMAN - TRUSTEE
3.0 X   X       0 0 0
(2) THOMAS J KONONOWITZ
VICE CHAIRMAN - TRUSTEE
3.0 X   X       0 0 0
(3) MEREDYTH ARMITAGE
SECRETARY - TRUSTEE
3.0 X   X       0 0 0
(4) RICHARD AMDUR ESQ
TRUSTEE
3.0 X           0 0 0
(5) GREGG AZCUY
TRUSTEE
3.0 X           0 0 0
(6) SERENA DIMASO
TRUSTEE
3.0 X           0 0 0
(7) PETER S FALVO JR ESQ
TRUSTEE
3.0 X           0 0 0
(8) JOHN J FLYNN
TRUSTEE
3.0 X           0 0 0
(9) JEFFREY HAGER DO
TRUSTEE
3.0 X           0 0 0
(10) WILLIAM LAWLESS
TRUSTEE
3.0 X           0 0 0
(11) MARC H LORY
TRUSTEE; EX-OFFICIO
3.0 X           0 1,734,807 54,471
(12) JOSEPH H MANCINI
TRUSTEE
3.0 X           0 0 0
(13) JOHN ROSE MD
TRUSTEE
3.0 X           0 10,000 0
(14) ANTHONY T SCARDELLA MD
TRUSTEE
3.0 X           0 0 0
(15) VINCENT VIVONA DO JD FACP
TRUSTEE
3.0 X           0 0 0
(16) GEORGE YOUNAN MD
TRUSTEE
3.0 X           0 0 0
(17) MARTIN J EPSTEIN
TRUSTEE; EX-OFFICIO
3.0 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) STEVEN KOERNER DO
TRUSTEE; EX-OFFICIO
3.0 X           0 35,782 0
(19) JOHN K LLOYD FACHE
TRUSTEE; EX-OFFICIO
3.0 X   X       0 1,503,737 278,011
(20) FRANK SHARP MD
TRUSTEE; EX-OFFICIO
3.0 X           0 35,863 0
(21) PHILLIPA G WOODRIFFE MD
TRUSTEE; EX-OFFICIO
3.0 X           0 30,000 0
(22) LEONARD J ZAWODNIAK MD
TRUSTEE; EX-OFFICIO
3.0 X           0 0 0
(23) JOHN E SINDONI SPHR
ASSISTANT SECRETARY
3.0     X       0 603,867 62,776
(24) RAIMONDA A CLARK
PRES/CEO (1/1/10-8/31/10)
55.0     X       1,094,575 0 22,971
(25) MICHAEL KEEN
VICE PRESIDENT, CFO(1/1-10/15)
55.0     X       421,781 0 20,093
(26) JOHN GANTNER
VICE PRES./CFO (10/15-12/31)
3.0     X       0 823,138 333,288
(27) MICHAEL SCHWARTZ
VP, ACTING PRESIDENT/CEO
55.0     X       0 0 0
(28) KARL MEINERT
SVP CORPORATE SERVICES
55.0       X     282,337 0 28,398
(29) L SCOTT LARSEN
VP MEDICAL STAFF
55.0       X     292,291 0 18,835
(30) SUSAN R WOOD
VP SENIOR SERVICES (1/1-11/24)
55.0       X     0 262,713 18,869
(31) EMRO KRASOVEC
VP HUMAN RESOURCES
55.0       X     232,429 0 16,507
(32) WENDY E BROWN
VP NURSING
55.0       X     177,057 0 21,398
(33) CHRISTINE DOMALEWSKI
VP COMMUNITY RELATIONS
55.0       X     114,057 0 24,813
(34) ADRIAN M PRISTAS
MEDICAL DIRECTOR - MED STAFF
55.0         X   177,525 0 9,293
(35) LINDA F QUINN
CHIEF NURSE EXECUTIVE
55.0         X   136,975 0 25,316
(36) SCOTT W NOTHNAGEL
DIRECTOR OF FINANCE
55.0         X   131,177 0 4,583
(37) JOANN KREIDLER
DIRECTOR OF PATIENT ACCOUNTING
55.0         X   125,263 0 8,599
(38) NANCY L SALERNO
NURSING CARE COORDINATOR
55.0         X   124,383 0 17,294
(39) LINDA B WOODS
FORMER VP IT DEPARTMENT
0.0           X 104,793 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,414,643 5,039,907 965,515
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet28
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ACUMEN TECHNOLOGY SOLUTIONS
609 OLDERSHAW AVENUE
MOORESTOWN,NJ08057
IT CONSULTING 1,447,176
WOUND CARE CENTERS INC
PO BOX 85001
ORLANDO,FL32085
CLINICAL MANAGEMENT 655,446
ACCENTURE LLP
PO BOX 70629
CHICAGO,IL60673
CONSULTING 613,671
EMERGENCY MEDICAL ASSOCIATES LLC
551 WEST MT PLEASANT AVENUE
LIVINGSTON,NJ07039
MEDICAL 573,215
SLEEPCARE CENTERS INC
457 HADDONFIELD STREET
CHERRY HILL,NJ08002
CLINICAL MANAGEMENT 431,568
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet30
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 111,766
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 111,766
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541,900 95,398,759 95,398,759    
b OTHER HEALTHCARE RELATED REVENUE 541,900 1,942,312 1,942,312    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 97,341,071
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,525,924     1,525,924
4 Income from investment of tax-exempt bond proceeds..MediumBullet 3,615     3,615
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 133,061  
b Less: rental expenses 185,675  
c Rental income or (loss) -52,614  
d Net rental income or (loss).......MediumBullet -52,614   -71,108 18,494
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   6,250
b Less: cost or other basis and sales expenses   2,633
c Gain or (loss)   3,617
d Net gain or (loss)..........MediumBullet 3,617     3,617
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA 722,210 388,484     388,484
b TELEVISION 517,000 104,167     104,167
c TELEPHONE 517,000 20,840     20,840
d All other revenue .... 14,635     14,635
e Total. Add lines 11a–11d ......MediumBullet 528,126
12 Total revenue. See Instructions....MediumBullet 99,461,505 97,341,071 -71,108 2,079,776
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 2,767,542 2,490,788 276,754 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 41,107,945 36,997,150 4,110,795  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 748,247 673,422 74,825  
9 Other employee benefits ....... 5,663,998 5,097,598 566,400  
10 Payroll taxes ........... 3,169,123 2,852,211 316,912  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 200,000 180,000 20,000  
c Accounting ........... 147,001 132,301 14,700  
d Lobbying ........... 13,208 11,887 1,321  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 253,401 228,061 25,340  
12 Advertising and promotion .... 191,932 172,739 19,193  
13 Office expenses ....... 17,989,754 16,190,779 1,798,975  
14 Information technology ...... 461,241 415,117 46,124  
15 Royalties .. 0      
16 Occupancy ........... 253,417 228,075 25,342  
17 Travel ............ 36,209 32,588 3,621  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 10,112 9,101 1,011  
20 Interest ........... 2,174,419 1,956,977 217,442  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 4,866,543 4,379,889 486,654  
23 Insurance .............. 806,750 726,075 80,675  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PROVISION FOR BAD DEBT 5,973,000 5,375,700 597,300 0
b REPAIRS AND MAINTENANCE 4,469,727 4,022,754 446,973 0
c OUTSIDE SERVICES 3,458,387 3,112,548 345,839 0
d PHYSICIAN FEES 2,458,059 2,212,253 245,806 0
e UTILITIES 2,030,032 1,827,029 203,003 0
f All other expenses 4,859,539 4,373,585 485,954 0
25 Total functional expenses. Add lines 1 through 24f 104,109,586 93,698,627 10,410,959 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 2,736,587 1 2,711,488
2 Savings and temporary cash investments ....... 0 2 3,400
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 11,286,536 4 10,375,950
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 8,376,697 7 8,923,731
8 Inventories for sale or use .............. 1,641,230 8 2,008,508
9 Prepaid expenses and deferred charges ............ 5,388,496 9 3,727,487
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 95,750,503
b Less: accumulated depreciation. ..... 10b 48,491,154 41,490,546 10c 47,259,349
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 .. 43,710,906 13 44,402,256
14 Intangible assets ......... 0 14 1,723,000
15 Other assets. See Part IV, line 11 ........... 3,536,635 15 2,004,716
16 Total assets. Add lines 1 through 15 (must equal line 34)... 118,167,633 16 123,139,885
Liabilities 17 Accounts payable and accrued expenses . 11,377,168 17 13,295,231
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 46,325,000 20 42,354,974
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 13,138,791 25 15,277,412
26 Total liabilities. Add lines 17 through 25..... 70,840,959 26 70,927,617
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 47,023,725 27 51,935,268
28 Temporarily restricted net assets ..... 302,949 28 277,000
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 47,326,674 33 52,212,268
34 Total liabilities and net assets/fund balances ..... 118,167,633 34 123,139,885
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
99,461,505
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
104,109,586
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-4,648,081
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
47,326,674
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
9,533,675
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
52,212,268
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
13,208
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
13,208
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINE 1H THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $13,208. IN ADDITION, EFFECTIVE SEPTEMBER 1, 2010, AS A RESULT OF A STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. INTO MERIDIAN HEALTH SYSTEM, INC., THE ORGANIZATION BECAME AN AFFILIATE WITHIN MERIDIAN HEALTH SYSTEM, INC., A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. MERIDIAN HEALTH SYSTEM, INC. ALSO ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS AFFILIATES; INCLUDING THIS ORGANIZATION.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 302,949 345,245 699,498
b Contributions ........ 153,000   192,768
c Investment earnings or losses ... -35,949 42,704 -90,262
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
143,000 85,000 456,759
f Administrative expenses ....      
g End of year balance ...... 277,000 302,949 345,245
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet100.000 %
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   3,063,591 3,063,591
b Buildings ................   50,591,341 30,186,117 20,405,224
c Leasehold improvements ............   1,514,739 0 1,514,739
d Equipment ................   39,084,126 17,307,963 21,776,163
e Other .................   1,496,707 997,075 499,632
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 47,259,349
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) MUTUAL FUNDS 44,200,917 F
(2) ORGANIZATION 201,339 F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 44,402,256
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
EST. AMTS. DUE TO 3RD PARTY PAYERS 3,502,367
PENSION LIABILITY 7,033,900
ESTIMATED INSURANCE LIABILITIES 3,394,915
OTHER LIABILITIES 838,813
DUE TO AFFILIATES; CURRENT 507,417




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 15,277,412
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS SCHEDULE D, PART V RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE MERIDIAN HEALTH SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED FINANCIAL STATEMENTS AUDITED BY PRICEWATERHOUSE COOPERS, L.L.C. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 DISCLOSURE BELOW IS FROM THE SYSTEM'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF ITS 2010 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME. THE CORPORATION IS ALSO EXEMPT FROM STATE INCOME TAXES. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED. THE ORGANIZATION IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF MERIDIAN HOSPITALS CORPORATION AND SUBSIDIARY AUDITED BY PRICEWATERHOUSE COOPERS, L.L.C. . THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 DISCLOSURE BELOW IS FROM THE SYSTEM'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF ITS 2010 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME. THE CORPORATION IS ALSO EXEMPT FROM STATE INCOME TAXES. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    4,415,845 188,145 4,227,700 4.300 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    5,032,902 3,515,581 1,717,321 1.750 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    9,448,747 3,703,726 5,945,021 6.050 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    299,489 0 299,489 0.310 %
f Health professions education
(from Worksheet 5) ..
           
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
           
jTotal Other Benefits ...     299,489 0 299,489 0.310 %
kTotal. Add lines 7d and 7j. ..     9,748,236 3,703,726 6,244,510 6.360 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
1,036,004
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
38,030,628
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
43,607,672
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-5,577,044
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 BAYSHORE COMMUNITY HOSPITAL
727 NORTH BEERS STREET
HOLMDEL,NJ07733
X X         X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BAYSHORE COMMUNITY HOSPITAL
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?4
Name and address Type of Facility (Describe)
1 HOLMDEL SLEEP CENTER
668 NORTH BEERS STREET
HOLMDEL,NJ07733
SLEEP CENTER
2 HOLMDEL SLEEP CENTER
668 NORTH BEERS STREET
HOLMDEL,NJ07733
SLEEP CENTER
3 HOLMDEL SLEEP CENTER
668 NORTH BEERS STREET
HOLMDEL,NJ07733
SLEEP CENTER
4 HOLMDEL SLEEP CENTER
668 NORTH BEERS STREET
HOLMDEL,NJ07733
SLEEP CENTER
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
FINANCIAL ASSISTANCE ELIGIBILITY SCHEDULE H, PART I, LINE 3C NOT APPLICABLE - THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A NOT APPLICABLE
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,973,085.
COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II AT BAYSHORE COMMUNITY HOSPITAL, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITAL REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITY. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. IN THIS NEW ERA OF HEALTH CARE REFORM, COMMUNITY BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. BAYSHORE REMAINS COMMITTED TO STRENGTHENING ITS MISSION AND IN 2010 DEVOTED MORE THAN $250,000 IN COMMUNITY BENEFITS. THE SUCCESS AND EFFECTIVENESS OF BAYSHORE'S COMMUNITY BENEFIT PROGRAMS ARE A DIRECT RESULT OF THE EFFORTS OF ITS COMMITTED STAFF OF PHYSICIANS, NURSES, HEALTHCARE SPECIALISTS AND COMMUNITY EDUCATORS ALONG WITH DEDICATED COMMUNITY MEMBERS WHO HELP IDENTIFY, DEVELOP AND IMPLEMENT INITIATIVES THAT POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY.
BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE RESULT FROM HEALTH CARE SERVICES FOR WHICH THE COMPANY RECEIVES PAYMENT UNDER COST REIMBURSEMENT, PROSPECTIVE PAYMENT FORMULAE OR NEGOTIATED RATES, WHICH COVER THE MAJORITY OF PATIENT SERVICES, AND ARE STATED AT THE ESTIMATED NET AMOUNT RECEIVABLE FROM PAYORS, WHICH ARE GENERALLY LESS THAN THE ESTABLISHED BILLING RATES. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLES RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLES. CHARITY CARE THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO EITHER DO NOT MEET THE DHSS CRITERIA OR FOR WHOM THE HOSPITAL WAS UNABLE TO OBTAIN SUFFICIENT DOCUMENTATION TO MAKE A CHARITY CARE DETERMINATION AND, ACCORDINGLY, THESE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CURRENT DHSS CHARITY CARE GUIDELINES REQUIRE A SIGNIFICANT LEVEL OF PARTICIPATION FROM THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. MANAGEMENT BELIEVES THAT THE PRESENT CHARITY CARE GUIDELINES CAUSE A SIGNIFICANT UNDERSTATEMENT OF THE HOSPITAL'S CHARITY CARE AMOUNTS AND AN OVERSTATEMENT OF THE BAD DEBTS REPORTED BECAUSE OF THE DIFFICULTIES WITH OBTAINING PATIENT COOPERATION. IN ADDITION, THE HOSPITAL PROVIDES DISCOUNTS TO PATIENTS WHO HAVE NO INSURANCE, BASING THESE DISCOUNTS ON RATES PAID BY MEDICARE OR OTHER PAYORS FOR IDENTICAL SERVICES. THE AMOUNT OF CHARITY CARE PROVIDED DURING THE YEAR ENDED DECEMBER 31, 2010, BASED ON THE CORPORATION'S ESTABLISHED CHARGES, WAS APPROXIMATELY $25,487,452.
MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8 MEDICARE COSTS WERE DERIVED FROM THE 2010 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. 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; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE.
DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE BAYSHORE COMMUNITY HOSPITAL BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE 'SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $200 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND 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 BAYSHORE COMMUNITY 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 FOR THOSE PATEINTS UNDER 500% OF FPG, AND PROVIDES ADDITIONAL COMPASSIONATE CARE DISCOUNTS FOR ALL OTHERS.
FACILITY POLICIES AND PRACTICES SCHEDULE H, PART V; SECTION B NOT APPLICABLE.
NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 ASSESSING THE LOCAL HEALTH NEEDS -------------------------------- IN 2010, BAYSHORE PARTICIPATED IN THE MERIDIAN LED PROCESS OF STRATEGICALLY REASSESSING THE AREA'S HEALTHCARE NEEDS. AN INTERNAL COMMUNITY HEALTH STEERING COMMITTEE WAS ESTABLISHED UNDER THE LEADERSHIP OF THE SENIOR VICE PRESIDENT OF CLINICAL EFFECTIVENESS AND THE DIRECTOR OF COMMUNITY OUTREACH. THE STEERING COMMITTEE IS COMPRISED OF SENIOR LEADERS FROM EACH MERIDIAN HOSPITAL, PARTNER COMPANIES AND OTHER CORPORATE DEPARTMENTS AND EXISTS FOR CONTINUOUS ASSESSMENT, PLANNING AND IMPLEMENTATION OF COMMUNITY HEALTH NEEDS. THE COMMITTEE CONVENES ON A REGULAR BASIS, HAS DEVELOPED A WORK PLAN TO ENSURE GOALS AND DELIVERABLES ARE ACHIEVED, AND IS RESPONSIBLE FOR ENSURING COMPLIANCE WITH ALL APPLICABLE REGULATORY REQUIREMENTS WITH REGARD TO COMMUNITY BENEFITS. USING A NATIONALLY RENOWNED RESEARCH FIRM, MERIDIAN SURVEYED 1,000 HOUSEHOLDS VIA TELEPHONE IN MONMOUTH AND OCEAN COUNTIES TO GATHER LOCAL RESIDENTS' VIEWS OF THEIR COMMUNITY'S MOST CRITICAL HEALTH NEEDS. THIS COMMUNITY HEALTH ASSESSMENT, A FOLLOW-UP TO A SIMILAR STUDY CONDUCTED IN 2006, IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF OUR RESIDENTS AND WILL SERVE AS A TOOL TO REACHING THREE BASIC GOALS: TO IMPROVE RESIDENTS' HEALTH STATUS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE, TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS AND TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL RESIDENTS. THE SURVEY INSTRUMENT USED FOR THE STUDY IS LARGELY BASED ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK SURVEILLANCE SYSTEM AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION AS WELL AS OTHER RECOGNIZED HEALTH ISSUES. THE SAMPLE DESIGN FOR THIS EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 1,054 INDIVIDUALS AGE 18 AND OLDER AND WAS CONSTRUCTED TO INCLUDE MINIMUM SAMPLE THRESHOLDS FOR EACH HOSPITAL SERVICE AREA AS WELL AS AFRICAN AMERICAN AND LATINO RESPONDENTS. IN ADDITION, FIVE FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 32 KEY PERSONS IN THE COMMUNITY INCLUDING MEMBERS OF THE HOSPITALS' COMMUNITY ADVISORY COMMITTEES, LOCAL HEALTH DEPARTMENT OFFICIALS, AND OTHER COMMUNITY LEADERS. THESE FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE GROUPS WERE DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS OF THE AREA. A VARIETY OF SECONDARY DATA SOURCES WERE ALSO CONSULTED TO COMPLEMENT THE SURVEY AND FOCUS GROUP DATA AND INCLUDES; STATE OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES, NEW JERSEY UNIFORM CRIME REPORT, CENTERS FOR DISEASE CONTROL & PREVENTION, ESRI BIS DEMOGRAPHIC PORTFOLIO (PROJECTIONS BASED ON US CENSUS) AND NATIONAL CENTER FOR HEALTH STATISTICS. THESE SOURCES HAVE DATA AND INFORMATION ON PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF THE UNINSURED, LOW INCOME AND MINORITY GROUPS. ADDITIONALLY, THESE AND OTHER SECONDARY SOURCES WERE USED TO DEVELOP A LIST OF EXISTING RESOURCES OF HEALTH CARE SERVICES AT MERIDIAN AS WELL AS OTHER PROVIDERS IN THE AREA. MERIDIAN HAS IDENTIFIED FOUR SOURCES OF BENCHMARKING DATA THAT IT WILL USE THROUGHOUT THE ASSESSMENT PROCESS AND INCLUDES, TRENDING DATA FROM THE SIMILAR SURVEY CONDUCTED IN 2006, NEW JERSEY RISK FACTOR DATA FROM SECONDARY SOURCES LISTED PREVIOUSLY, NATIONWIDE RISK FACTOR DATA, ALSO FROM SECONDARY SOURCES AND FINALLY, HEALTHY PEOPLE 2020 TARGETS. HEALTHY PEOPLE PROVIDES SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. FINDINGS OF THE ASSESSMENT ARE REVIEWED TOGETHER WITH MERIDIAN'S COMMUNITY ADVISORY COMMITTEES, LOCAL HEALTH DEPARTMENT OFFICIALS, PHYSICIANS, OTHER AREA HOSPITALS AND COMMUNITY LEADERS, WITH THE GOAL OF SELECTING AND PRIORITIZING THE TOP HEALTH CONCERNS FOR MERIDIAN AND OTHERS TO ADDRESS OVER THE NEXT THREE YEARS. THIS COLLABORATIVE EFFORT WILL RESULT IN HOSPITAL-BASED, COMMUNITY HEALTH IMPLEMENTATION PLANS, WHICH WILL BE COMPLETE IN THE FIRST QUARTER OF 2012. MERIDIAN CONVENES SEVERAL HOSPITAL-BASED, COMMUNITY ADVISORY COMMITTEES (CAC) WHOSE MISSION IS TO ASSIST US IN IDENTIFYING AND ADDRESSING LOCAL HEALTH CARE NEEDS. COMMITTEE MEMBERS REPRESENT A CROSS-SECTION OF THE COMMUNITY IN TERMS OF AGE, GENDER, RELIGION, ETHNICITY, INTERESTS AND PROFESSIONAL STATUS. OUR PARTNERS IN HEALTH AND UNIDOS COMMITTEES ARE COMPRISED OF AFRICAN AMERICAN AND HISPANIC CIVIC AND COMMUNITY LEADERS RESPECTIVELY AND ARE FOCUSED ON ADDRESSING HEALTH ISSUES AND DISPARITIES AFFECTING COMMUNITIES OF COLOR. CURRENTLY, MORE THAN 100 PEOPLE FROM THE SURROUNDING AREA SERVE AS MEMBERS OF MERIDIAN'S COMMUNITY ADVISORY COMMITTEES. MERIDIAN PARTICIPATES IN MONMOUTH AND OCEAN COUNTIES' STRATEGIC PLANNING PROCESS CALLED, MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). STAKEHOLDERS FROM LOCAL HEALTH DEPARTMENTS, AREA AGENCIES AND COMMUNITY-BASED ORGANIZATIONS WORK TOGETHER TO IDENTIFY STRATEGIC HEALTH ISSUES AFFECTING THE COUNTIES. THESE ISSUES INCLUDED BARRIERS TO HEALTH CARE, COMPREHENSIVE HEALTH CARE DESPITE THE HIGH COST OF LIVING IN MONMOUTH COUNTY, TOBACCO, DRUGS AND ALCOHOL, TRANSPORTATION BARRIERS, CANCER MORBIDITY, AND THE GROWING OLDER ADULT POPULATION. THE PLANNING PROCESS RESULTED IN THE DEVELOPMENT OF A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR EACH COUNTY. IN 2010, MERIDIAN COMMITTED TO SHARE THE RESULTS OF ITS COMMISSIONED NEEDS ASSESSMENT RESEARCH TO FURTHER REFINE AND ADJUST THE EXISTING CHIPS FOR BOTH COUNTIES. IN ADDITION, MERIDIAN MAINTAINS PARTNERSHIPS AND COLLABORATES WITH A VARIETY OF COMMUNITY AND HEALTH CARE ORGANIZATIONS INCLUDING, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION, MONMOUTH COUNTY CANCER COALITION, OCEAN COUNTY CANCER COALITION, PEDIATRIC ASTHMA COALITION OF NJ, NJ DEPARTMENT OF HEALTH AND SENIOR SERVICES, AS WELL AS COUNTY AND LOCAL MUNICIPAL HEALTH DEPARTMENTS, SEVERAL AREA YMCAS AND OTHERS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 BAYSHORE HAS NOTICES POSTED IN ALL REGISTRATION AREAS, IN BOTH ENGLISH AND SPANISH, INFORMING PATIENTS TO INQUIRE ABOUT FINANCIAL ASSISTANCE. DURING THE INTERVIEW PROCESS, PATIENTS ARE VERBALLY GIVEN THE OPPORTUNITY TO INQUIRE ABOUT FINANCIAL ASSISTANCE. ALL STATEMENTS MAILED TO THE PATIENTS INCLUDE A FORM TO COMPLETE AND A PHONE NUMBER TO CALL, IF THEY WISH TO APPLY FOR FINANCIAL ASSISTANCE. IF PATIENTS CALL THE BUSINESS OFFICE, THEY ARE TOLD THEY MAY APPLY FOR FNANCIAL ASSISTANCE.
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 BAYSHORE OPERATES IN MONMOUTH, NEW JERSEY. The following information is based on recent CENSUS ESTIMATES: MONMOUTH COUNTY POPULATION, 2010 630,380 UNDER 5 YEARS OF AGE, 2009 5.7% UNDER 18 YEARS OF AGE, 2009 23.9% 65 YEARS OLD AND OVER, 2009 13.4% HOUSEHOLDS BELOW POVERTY LEVEL, 2009 6.9% MEDIAN HOUSEHOLD INCOME, 2009 $ 80,231 RACIAL COMPOSITION, 2010: WHITE 76.7% AFRICAN AMERICAN 7.4% ASIAN 5.0% HISPANIC OR LATINO ORIGIN 9.7% OTHER 1.2%
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION 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.
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 MERIDIAN HEALTH SYSTEM, INC. ---------------------------- MERIDIAN HEALTH SYSTEM, INC. ("MERIDIAN") IS THE TAX-EXEMPT PARENT OF THE MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER MERIDIAN OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY MERIDIAN. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT MONMOUTH AND OCEAN COUNTIES AND SURROUNDING AREAS. MERIDIAN 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 SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF A LARGE TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY, MERIDIAN STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF MONMOUTH AND OCEAN COUNTIES AND SURROUNDING COMMUNITIES. MERIDIAN ENSURES THAT ITS SYSTEM 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. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. SYSTEM ACTIVE HOSPITALS INCLUDE: JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, BAYSHORE COMMUNITY HOSPITAL AND K. HOVNANIAN CHILDREN'S HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOSPITALS CORPORATION ------------------------------ MERIDIAN HOSPITALS CORPORATION ("HOSPITALS") IS A NOT FOR-PROFIT CORPORATION THAT OPERATES AN ACUTE CARE HOSPITAL SYSTEM, WHICH PROVIDES PRIMARY AND TERTIARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HOSPITALS ALSO PROVIDES PROGRAMS FOR MEDICAL TRAINING, RESEARCH, EDUCATION AND CONDUCTS ACTIVITIES ESTABLISHED TO IMPROVE THE HEALTH OF ITS COMMUNITIES. HOSPITALS INCLUDES JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, BAYSHORE COMMUNITY HOSPITAL AND K. HOVNANIAN CHILDREN'S HOSPITAL. JERSEY SHORE UNIVERSITY MEDICAL CENTER -------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER ("JSUMC") IS A 661-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. JSUMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, JSUMC 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, JSUMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. RIVERVIEW MEDICAL CENTER ------------------------ RIVERVIEW MEDICAL CENTER ("RMC") IS A 492-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RED BANK, MONMOUTH COUNTY, NEW JERSEY. RMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, RMC 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, RMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. OCEAN MEDICAL CENTER -------------------- OCEAN MEDICAL CENTER ("OMC") IS A 303-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. OMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, OMC 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, OMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SOUTHERN OCEAN MEDICAL CENTER ----------------------------- SOUTHERN OCEAN MEDICAL CENTER ("SOMC") IS A 186-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN MANAHAWKIN, OCEAN COUNTY, NEW JERSEY. SOMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, SOMC 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, SOMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BAYSHORE COMMUNITY HOSPITAL --------------------------- BAYSHORE COMMUNITY HOSPITAL ("BCH") IS A 238-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HOLMDEL, MONMOUTH COUNTY, NEW JERSEY. BCH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, BCH 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, BCH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINES IN IRS REVENUE RULING 69-545. K. HOVNANIAN CHILDREN'S HOSPITAL -------------------------------- K. HOVNANIAN CHILDREN'S HOSPITAL ("HOVNANIAN") IS A NON-PROFIT ACUTE CARE CHILDREN'S HOSPITAL LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. HOVNANIAN OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, HOVNANIAN PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, HOVNANIAN OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SHORE REHABILITATION INSTITUTE, INC. ------------------------------------ SHORE REHABILITATION INSTITUTE, INC. ("SRI") IS AN 40-BED NON-PROFIT ACUTE REHABILITATION CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. SRI IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SRI PROVIDES MEDICALLY NECESSARY REHABILITATIVE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SRI OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOME CARE SERVICES, INC. --------------------------------- MERIDIAN HOME CARE SERVICES, 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)(2). THE ORGANIZATION COORDINATES AND OPERATES HOME HEALTHCARE, HOME INFUSION AND HOSPICE SERVICES AND PROVIDES DURABLE MEDICAL EQUIPMENT TO ALL FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION ALSO SUPPORTS MERIDIAN HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES. HEALTH INNOVATIONS UNLIMITED, INC. ---------------------------------- HEALTH INNOVATIONS UNLIMITED, 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)(2) WHOSE SOLE MEMBER IS MERIDIAN HOME CARE SERVICES, INC. THE ORGANIZATION PROVIDES THE DURABLE MEDICAL EQUIPMENT AND TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES ON BEHALF OF ITS SOLE MEMBER, MERIDIAN HOME CARE SERVICES, INC. JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER 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). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF JERSEY SHORE UNIVERSITY MEDICAL CENTER; A DIVISION OF A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT 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. OCEAN MEDICAL CENTER FOUNDATION, INC. ------------------------------------- OCEAN MEDICAL CENTER FOUNDATION
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. MERIDIAN HOSPITALS CORPORATION, AN ORGANIZATION INCLUDED IN THIS GROUP FORM 990, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IT MAKES AVAILABLE TO THE PUBLIC ON ITS WEBSITE: WWW.MERIDIANHEALTH.COM.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) MARC H LORY (i)
(ii)
0
528,501
0
150,000
0
1,056,306
0
29,460
0
25,011
0
1,789,278
0
1,015,352
(2) JOHN K LLOYD FACHE (i)
(ii)
0
899,129
0
540,000
0
64,608
0
252,861
0
25,150
0
1,781,748
0
0
(3) JOHN E SINDONI SPHR (i)
(ii)
0
330,188
0
112,500
0
161,179
0
39,552
0
23,224
0
666,643
0
152,522
(4) RAIMONDA A CLARK (i)
(ii)
361,230
0
0
0
733,345
0
4,900
0
18,071
0
1,117,546
0
288,387
0
(5) MICHAEL KEEN (i)
(ii)
290,536
0
0
0
131,245
0
2,022
0
18,071
0
441,874
0
0
0
(6) JOHN GANTNER (i)
(ii)
0
576,529
0
215,000
0
31,609
0
309,864
0
23,424
0
1,156,426
0
0
(7) KARL MEINERT (i)
(ii)
282,337
0
0
0
0
0
4,154
0
24,244
0
310,735
0
0
0
(8) L SCOTT LARSEN (i)
(ii)
285,791
0
0
0
6,500
0
764
0
18,071
0
311,126
0
0
0
(9) SUSAN R WOOD (i)
(ii)
0
191,007
0
0
0
71,706
0
798
0
18,071
0
281,582
0
0
(10) EMRO KRASOVEC (i)
(ii)
156,553
0
0
0
75,876
0
3,216
0
13,291
0
248,936
0
70,667
0
(11) WENDY E BROWN (i)
(ii)
177,057
 
0
0
0
0
3,327
0
18,071
0
198,455
0
0
0
(12) ADRIAN M PRISTAS (i)
(ii)
177,525
0
0
0
0
0
0
0
9,293
0
186,818
0
0
0
(13) LINDA F QUINN (i)
(ii)
96,162
0
0
0
40,813
0
1,138
0
24,178
0
162,291
0
0
0
(14) LINDA B WOODS (i)
(ii)
0
0
0
0
104,793
0
0
0
0
0
104,793
0
0
0


Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION CORE FORM PART VII AND SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING 2010. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RAIMONDA A. CLARK, $382,933; MICHAEL KEEN, $75,066; SUSAN R. WOOD, $58,130 AND LINDA B. WOODS, $104,793.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP"). THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $1,015,352; JOHN E. SINDONI, SPHR, $152,522; RAIMONDA A. CLARK, $288,387 AND EMRO KRASOVEC, $70,667. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") FROM A RELATED ORGANIZATION WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, AS TAXABLE WAGES: JOHN GANTNER, $186,130. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A RETENTION AGREEMENT 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 2010 FORM W-2, AS TAXABLE WAGES: JOHN K. LLOYD, FACHE, $200,000 AND JOHN GANTNER, $100,000.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 THE FOLLOWING INDIVIDUALS RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH BONUS AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARC H. LORY, $150,000; JOHN K. LLOYD, FACHE, $540,000; JOHN E. SINDONI, SPHR, $112,500 AND JOHN GANTNER, $215,000.
COMPENSATION INFORMATION SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2010 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2010 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $1,015,352 AND JOHN E. SINDONI, SPHR, $152,522. THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2010 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE WAGES: RAIMONDA A. CLARK, $288,387 AND EMRO KRASOVEC, $70,667.
COMPENSATION INFORMATION SCHEDULE J, PART II PLEASE NOTE THAT THE COMPENSATION REFLECTED IN CORE FORM, PART VII AND SCHEDULE J, PART II FOR THE FOLLOWING INDIVIDUALS INCLUDES SIX MONTHS OF AMOUNTS THAT WERE ALSO INCLUDED IN THE FINAL FORM 990, SCHEDULE J, PART II FOR SOUTHERN OCEAN MEDICAL CENTER ("SOMC") FOR THE SIX MONTH PERIOD ENDED JUNE 30, 2010: JOHN K. LLOYD, FACHE, MARC H. LORY, STEVEN KOERNER, D.O. AND JOHN E. SINDONI, SPHR. ON JULY 1, 2010, SOMC MERGED INTO ITS SOLE MEMBER MERIDIAN HOSPITALS CORPORATION ("MHC"). SOMC FILED A FINAL FORM 990 FOR THE SHORT SIX MONTH PERIOD ENDED JUNE 30, 2010. FOR THE SIX MONTH PERIOD JULY 1, 2010 THROUGH DECEMBER 31, 2010 SOMC IS INCLUDED AS A DIVISION OF MHC WITHIN THE MERIDIAN HEALTH SYSTEM - SUBS FORM 990 (FEIN 01-0649794). ON SEPTEMBER 1, 2010, BAYSHORE COMMUNITY HOSPITAL ("BCH") BECAME A WHOLLY OWNED SUBSIDIARY OF MHC. THIS OCCURRED AS A RESULT OF THE MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC., BCH'S SOLE CORPORATE MEMBER PRIOR TO THE MERGER, INTO MERIDIAN HEALTH SYSTEM, INC.; AN IRC 501(C)(3) TAX-EXEMPT ORGANIZATION AND PARENT ENTITY OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES MHC. BCH AND SOMC ARE RELATED ORGANIZATIONS AS THEY ARE BOTH AFFILIATES WITHIN MERIDIAN HEALTH SYSTEM.
COMPENSATION INFORMATION CORE FORM, PART VII AND SCHEDULE J MICHAEL SCHWARTZ DID NOT RECEIVE ANY COMPENSATION DIRECTLY FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING 2010 FOR HIS SERVICES AS ACTING PRESIDENT/CEO. AS REFLECTED IN OUR RESPONSE TO CORE FORM, PART VI, QUESTION #3, BAYSHORE COMMUNITY HOSPTIAL ("BCH") RETAINED THE SERVICES OF AN OUTSIDE, INDEPENDENT MANAGEMENT COMPANY TO MANAGE THE DAY-TO-DAY ACTIVITIES AND OPERATIONS OF THE ORGANIZATION UNTIL ALL THESE FUNCTIONS WERE TRANSITIONED TO MERIDIAN HEALTH SYSTEM, INC. PERSONNEL IN AUGUST OF 2011. MICHAEL SCHWARTZ IS THE REPRESENTATIVE OF THIS OUTSIDE MANAGEMENT COMPANY THAT PERFORMED THE DUTIES WITH RESPECT TO THE MANAGEMENT OF THE DAY-TO-DAY OPERATIONS AND ACTIVITIES OF THE ORGANIZATION. MERIDIAN HOSPITALS CORPORATION ("MHC"), BCH'S SOLE MEMBER AFTER THE STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND AFFILIATES INTO MERIDIAN HEALTH SYSTEM, INC., COMPENSATED THE OUTSIDE MANAGEMENT COMPANY DIRECTLY AND BCH REIMBURSED MHC FOR THESE EXPENSES.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number
21-0744668
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FCY7 06-24-2004 8,000,000 MEDICAL OFFICE, EQUIP., RENOV.   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 8,000,000      
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 204,951      
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 7,795,049      
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2006
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X            
15 Were the bonds issued as part of an advance refunding issue?   X            
16 Has the final allocation of proceeds been made? . . X              
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X            
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X            
b Are there any research agreements that may result in private business use of bond-financed property? . .   X            
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .   X            
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X            
2 Is the bond issue a variable rate issue? X              
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X            
b Name of provider .  
 
 
 
 
 
 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X            
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X            
6 Did the bond issue qualify for an exception to rebate? . . .   X            
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) EMERGENCY MEDICAL ASSOCIATES INC OFFICER - LARSEN 573,215 HOUSE PHYSICIAN SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Identifier Return Reference Explanation
DISCLOSURE INFORMATION - CHANGE OF OWNERSHIP CORE FORM ON SEPTEMBER 1, 2010, BAYSHORE COMMUNITY HOSPITAL ("BCH") BECAME A WHOLLY OWNED SUBSIDIARY OF MERIDIAN HOSPITALS CORPORATION ("MHC"), AN INTERNAL REVENUE CODE ("IRC") 501(C)(3) TAX-EXEMPT HOSPITAL AND MEDICAL CENTER THAT 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. THIS OCCURRED AS A RESULT OF THE MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC., BCH'S SOLE CORPORATE MEMBER PRIOR TO THE MERGER, INTO MERIDIAN HEALTH SYSTEM, INC.; AN IRC 501(C)(3) TAX-EXEMPT ORGANIZATION AND PARENT ENTITY OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES MHC. THIS ORGANIZATION IS FILING A SEPARATE FORM 990 FOR 2010.
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ============ BAYSHORE COMMUNITY HOSPITAL ("BAYSHORE") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. BAYSHORE IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, BAYSHORE PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, BAYSHORE OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. OUR HISTORY ----------- IN 1963, COMMUNITY MEMBERS IDENTIFIED THE NEED FOR AN ACUTE CARE HOSPITAL IN THE BAYSHORE AREA. IN 1964, 17 ACRES OF OPEN LAND ON NORTH BEERS STREET IN HOLMDEL WAS ACQUIRED AND GROUND WAS OFFICIALLY BROKEN ON APRIL 29, 1970. BAYSHORE COMMUNITY HOSPITAL OPENED ON TIME AND UNDER BUDGET IN 1972 WITH 158 ACUTE CARE BEDS. THE EARLY MEDICAL STAFF, NURSES, TECHNICIANS AND SUPPORT STAFF DESERVE THE CREDIT FOR IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. AS THE SURROUNDING COMMUNITIES GREW, SO DID THE NEED FOR MORE MEDICAL SERVICES. THE HOSPITAL IMPLEMENTED MAJOR CONSTRUCTION PROGRAMS FROM 1977 TO 1984, STARTING WITH A 10,000-SQUARE-FOOT EMERGENCY ROOM AND GENERAL OFFICE EXPANSION; THE ADDITION OF A 10-BED SURGICAL-RESPIRATORY INTENSIVE CARE UNIT; THE CONSTRUCTION OF THE HOSPITAL'S NORTH WING, ADDING 50 MEDICAL-SURGICAL BEDS, ALONG WITH RENOVATION OF ALL SUPPORT SERVICES; ALL INCREASED THE HOSPITAL'S BED COMPLEMENT TO 218. PLEASANT VALLEY ADULT DAY CARE, AN INDEPENDENT AFFILIATE OF BCHS, OPENED IN 1985, PROVIDING RESPITE FROM ONE TO FIVE DAYS PER WEEK FOR FAMILIES CARING FOR THE ELDERLY. LOCATED ON THE BAYSHORE HOSPITAL CAMPUS, THE BAYSHORE HEALTH CARE CENTER OPENED IN 1988 WITH 120 SKILLED CARE BEDS. SOON AFTER, A SECOND FLOOR WAS ADDED WITH AN ADDITIONAL 60 RESIDENTIAL BEDS. AN 11-BED LONG-TERM CARE VENTILATOR UNIT WAS ADDED IN 1996. A SUBACUTE CARE UNIT ALSO PROVIDED A CONTINUUM OF CARE FOR PATIENTS BEING DISCHARGED FROM THE HOSPITAL FOLLOWING AN ACUTE ILLNESS WHO REQUIRE INTENSIVE REHABILITATIVE SERVICES TO ENABLE THEM TO RETURN HOME. IN 1992, BAYSHORE COMMUNITY HOSPITAL ADDED SEVEN INTENSIVE CARE BEDS, FURTHER INCREASING ITS LICENSED BED COMPLEMENT TO 225. INTERNAL RENOVATIONS RESULTED IN THE RELOCATION AND UPGRADE OF A 20-YEAR-OLD INTENSIVE CARE UNIT, CREATING A NEW, 16-BED FACILITY AND A RENOVATED AND EXPANDED OPERATING ROOM SUITE. A STATE-OF-THE-ART CARDIAC CATHETERIZATION AND DIGITAL ANGIOGRAPHY SUITE OPENED IN 1997, COMPLEMENTING THE ALREADY EXPANSIVE TECHNOLOGICAL SERVICES OF THE HOSPITAL IN THE FIELD OF CARDIOLOGY AND INTERVENTIONAL RADIOLOGY. IN JULY 1999, THE WILLOWS AT HOLMDEL, AN ELEGANT 74-UNIT ASSISTED LIVING RESIDENCE OPENED ON THE BAYSHORE CAMPUS. THE WILLOWS ALSO OFFERS THE TERRACE, PRIVATE SUITES IN A SAFE AND SECURE ENVIRONMENT FOR ALZHEIMER'S RESIDENTS. THE JOHN BOYD AND KATHRYN ROBERTA MITCHELL PAVILION FOR EMERGENCY AND AMBULATORY CARE SERVICES OPENED IN 2000. THE NEW PAVILION HOUSES AN EXPANDED STATE-OF-THE-ART EMERGENCY DEPARTMENT AND INCREASED OUTPATIENT SERVICES FOR THE COMMUNITY. A FAST TRACK UNIT EXPANSION WAS ADDED IN 2003 FOR PATIENTS IN NEED OF TREATMENT FOR MINOR ILLNESS OR INJURY. BAYSHORE CONTINUED TO ADDRESS THE NEEDS OF THE COMMUNITY WHILE EXPANDING SERVICES THROUGHOUT THE AREA WITH TWO UNIQUE CENTERS: THE BAYSHORE FITNESS AND WELLNESS CENTER AT HAZLET, ONE OF THE FIRST FACILITIES IN THE NATION TO INTEGRATE FITNESS AND WELLNESS INTO ONE MODEL FOCUSED ON PROMOTING A HEALTHY LIFESTYLE, AND THE SLEEPCARE CENTERS OF BAYSHORE (2000) AND FREEHOLD (2001), WHICH DIAGNOSE AND TREAT SLEEP DISORDERS. ON MAY 1, 2002, BAYSHORE COMMUNITY HOSPITAL CELEBRATED ITS 30TH ANNIVERSARY. IN JUNE 2003, THE $15 MILLION GANZ AMBULATORY IMAGING PAVILION OPENED, PROVIDING THE COMMUNITY WITH STATE-OF-THE-ART DIAGNOSTICS FOR OUTPATIENT SERVICES THAT INCLUDE THE PICTURE ARCHIVING COMMUNICATION (PACS) AND PET SCANS. THE FACILITY ALSO HOUSES THE BREAST CARE CENTER AT BAYSHORE OFFERING DIGITAL MAMMOGRAPHY (2009), BREAST MRI, BONE DENSITOMETRY. ACCREDITED BY THE COMMISSION ON CANCER AND THE AMERICAN COLLEGE OF SURGEONS, ONCOLOGY SERVICES WERE IMPLEMENTED AT BAYSHORE IN 2005 THAT ALLOWED INDIVIDUALS WITH CANCER TO RECEIVE CHEMOTHERAPY AND OTHER TREATMENT SERVICES IN AN OUTPATIENT SETTING. A NEW INFUSION SUITE WAS ALSO ADDED. BAYSHORE WAS PROUD TO ANNOUNCE THE RENOVATION OF ITS OPERATING ROOMS TO A DIGITAL SYSTEM IN 2006, WHICH AIMED TO HELP ENHANCE PATIENT CARE BY PROVIDING SURGEONS WITH OPTIMUM CONTROL OF THE EQUIPMENT AND OVERALL ENVIRONMENT WITH THE TOUCH OF A SCREEN. IN 2007, BAYSHORE WELCOMED CENTRAL JERSEY BARIATRICS, A TEAM OF BOARD CERTIFIED, NEW YORK FELLOWSHIP TRAINED SURGEONS AS WELL AS A BARIATRIC PROGRAM DESIGNED TO OFFER OPTIONS TO PEOPLE WHO ARE 100 POUNDS OR MORE OVERWEIGHT. BAYSHORE COMMUNITY HOSPITAL ANNOUNCED THAT IT IS THE FIRST HOSPITAL IN THE NATION TO ADOPT SPOKEN TRANSLATION'S PRODUCT CONVERSER FOR HEALTHCARE, WHICH IS AN ENGLISH-TO-SPANISH TRANSLATION SOFTWARE. IN 2009, THE HOSPITAL RECEIVED A GOLD SEAL ACCREDITATION FROM THE JOINT COMMISSION. BAYSHORE WAS DESIGNATED AS A PRIMARY STROKE CENTER BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES. IN SEPTEMBER 2010, BAYSHORE COMMUNITY HOSPITAL JOINED THE MERIDIAN HEALTH FAMILY! OUR MISSION ----------- MERIDIAN HEALTH IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF THE RESIDENTS OF NEW JERSEY BY PROVIDING QUALITY, PATIENT-CENTERED HEALTH CARE SERVICES DELIVERED IN HOSPITAL, COMMUNITY AND IN-HOME SETTINGS, AND TO ADVANCING MEDICINE THROUGH CLINICAL EDUCATION AND RESEARCH. WE FOSTER A CULTURE OF EXCELLENCE WITHIN A COLLABORATIVE ENVIRONMENT. WE ACTIVELY SEEK INNOVATIVE SOLUTIONS, TECHNOLOGIES AND PARTNERSHIPS TO SUPPORT SUSTAINABLE FINANCIAL GROWTH AND TO ENSURE COMMUNITIES WE SERVE HAVE ACCESS TO A COMPREHENSIVE CONTINUUM OF INTEGRATED SERVICES THAT MEET THEIR PRESENT AND FUTURE HEALTH CARE NEEDS. AWARDS AND RECOGNITION ---------------------- WITH OUR MERIDIAN PARTNER HOSPITALS, BAYSHORE COMMUNITY HOSPITAL RECEIVED THE FOLLOWING AWARDS: - FORTUNE'S "100 BEST COMPANIES TO WORK FOR" IN 2010 & 2011 - TOP 100 INTEGRATED HEALTH NETWORKS BY MODERN HEALTHCARE MAGAZINE - "BEST PLACES TO WORK IN NEW JERSEY" FOR SEVEN CONSECUTIVE YEARS BY NJBIZ - NEW JERSEY'S OUTSTANDING EMPLOYER OF THE YEAR IN 2003 AND 2009 - ONE OF THE TOP 100 MOST WIRED HEALTH SYSTEMS IN THE UNITED STATES FOR 10 CONSECUTIVE YEARS - JOHN M. EISENBERG AWARD FOR PATIENT SAFETY, ONE OF THE HIGHEST RECOGNITIONS IN THE NATION FOR HOSPITAL QUALITY. CENTERS OF EXCELLENCE ====================== BALANCE AND MOTION CENTER ------------------------- THIS SPECIALIZED TEAM OF MEDICAL PRACTITIONERS WILL PERFORM DIAGNOSTIC TESTS ON ALL ASPECTS OF A PARTICIPANT'S BALANCE SYSTEM TO IDENTIFY THE CAUSE OF DIZZINESS OR EQUILIBRIUM RELATED DIFFICULTIES, AND DESIGN AN INDIVIDUALIZED TREATMENT PLAN TO RESTORE MOBILITY AND FUNCTION. BALANCE TRAINING PROGRAM & VESTIBULAR REHABILITATION THROUGH THIS CUSTOMIZED PROGRAM AT BAYSHORE, PATIENTS WILL PARTAKE IN VARIOUS TYPES OF PHYSICAL REHABILITATION THERAPY, WITH THE GOAL OF PREVENTING UNINTENTIONAL FALLS IN THE FUTURE THAT COULD LEAD TO LIFE-ALTERING HEALTH COMPLICATIONS. THIS TRAINING METHODOLOGY FOCUSES ON EXERCISES DESIGNED TO HEIGHTEN EACH PATIENT'S KINESTHETIC BODY AWARENESS, IMPROVE COORDINATION, AND INCREASE STRENGTH AND ENDURANCE. TECHNIQUES INCLUDE: - FLEXIBILITY TRAINING - TRUNK AND LOWER EXTREMITY STRENGTHENING - GAZE STABILIZATION TRAINING - STANDING, DYNAMIC, AND AMBULATION BALANCE TRAINING - MOVEMENT SAFETY TIPS - VISUAL, VESTIBULAR, AND MUSCULOSKELETAL INTEGRATION TRAINING
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BREAST CARE CENTER ------------------ FULL SERVICE BREAST CARE RIGHT HERE AT BAYSHORE OFFERING ADVANCED TECHNOLOGIES FOR BREAST HEALTH SCREENINGS, DIAGNOSIS AND TREATMENT, THE BREAST CARE CENTER AT BAYSHORE PROVIDES EXPERT, YET PERSONALIZED, SERVICE CONVENIENTLY LOCATED FOR EASY ACCESS BY AREA RESIDENTS, BOTH WOMEN AND MEN. STAFF EXPERTISE THE BREAST CARE TEAM - LED BY FELLOWSHIP TRAINED, BOARD CERTIFIED RADIOLOGISTS - IS AMONG THE FINEST IN THE CENTRAL NEW JERSEY VICINITY, WITH PHYSICIANS HAILING FROM TOP-RATED MEDICAL PROGRAMS AT INSTITUTIONS THAT INCLUDE HARVARD, CORNELL, COLUMBIA PRESBYTERIAN, NEW YORK UNIVERSITY AND MONTEFIORE/ALBERT EINSTEIN MEDICAL CENTER. ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY, THE BREAST CARE CENTER PROVIDES CARING, INDIVIDUALIZED ATTENTION WITH A STAFF OF REGISTERED MAMMOGRAPHY TECHNOLOGISTS. RANGE OF SERVICES EMPLOYING THE LATEST TECHNOLOGIES IN BREAST CARE HEALTH, THE BREAST CARE CENTER FURNISHES THE FOLLOWING DIAGNOSTIC SERVICES: - DIGITAL MAMMOGRAPHY - ULTRASOUND - BREAST MRI - STEREOTACTIC BIOPSY - BONE DENSITOMETRY CANCER CARE ----------- COMPREHENSIVE CARE PROVIDING A CONTINUUM OF CANCER CARE, FROM DIAGNOSIS THROUGH TREATMENT, IS A TOP PRIORITY FOR THE MEDICAL PRACTITIONERS AT BAYSHORE, WITH THESE SERVICES BEING OFFERED: - HIGH-TECHNOLOGY DIAGNOSTIC TESTING, INCLUDING PET/CT SCAN, DIGITAL MAMMOGRAPHY, MRI, BREAST MRI - BIOPSY PROCEDURES INCLUDING STEREOTACTIC BREAST BIOPSY - TEAM-BASED CASE MANAGEMENT - CANCER SURGERY - OUTPATIENT AND INPATIENT CHEMOTHERAPY - IMMUNOTHERAPY - BRACHYTHERAPY - NUTRITIONAL AND GENETIC COUNSELING - CANCER REHABILITATION SERVICES - AT-HOME ASSISTANCE THROUGH MERIDIAN-AT-HOME SERVICES OUTPATIENT INFUSION SERVICES A BREADTH OF TREATMENT PROCEDURES ARE AVAILABLE TO PATIENTS REQUIRING FREQUENT INFUSIONS OF MEDICATIONS, ALL PROVIDED IN THE SOOTHING, NATURAL LIGHT-FILLED COMFORT OF THE INFUSION SUITE: - CHEMOTHERAPY - BLOOD AND PLATELET TRANSFUSIONS - INTRAVENOUS ANTIBIOTICS - TREATMENTS FOR ANEMIA AND LOW CALCIUM - ANTI-INFLAMMATORY MEDICATIONS - THERAPEUTIC PHLEBOTOMY - MEDICATIONS FOR VARIOUS BLOOD DISORDERS CARDIAC SERVICES ---------------- CARDIAC DIAGNOSTICS THE FIRST STEP IN CARDIAC TREATMENT IS TO PROPERLY EVALUATE AND IDENTIFY CARDIOVASCULAR DISEASE THROUGH THE USE OF NONINVASIVE DIAGNOSTIC IMAGING SERVICES. BAYSHORE OFFERS THE FOLLOWING MEDICAL TESTS: - CARDIAC EVENT MONITORING - NUCLEAR STRESS TEST ELECTROCARDIOGRAM (EKG) - ECHOCARDIOGRAM STRESS ECHOCARDIOGRAM - EXERCISE STRESS TEST - TRANS-ESOPHAGEAL ECHOCARDIOGRAM (TEE) - MULTIPLE GATED ACQUISITION (MUGA) SCANS - HOLTER MONITORING (AMBULATORY ECG MONITORING) CENTER FOR BARIATRICS --------------------- TO HELP OUR PATIENTS SUCCEED, WE HAVE BUILT A PROGRAM THAT ENSURES ACTIVE PARTICIPATION OF OUR PATIENTS IN THEIR WEIGHT-LOSS JOURNEY, WHICH INCLUDES MEDICAL, NUTRITIONAL, EMOTIONAL, AND EXERCISE COUNSELING. AFTER SURGERY, WE CONTINUE TO BE COMMITTED TO OUR PATIENTS TO ENSURE POSITIVE RESULTS BY HELPING THEM MAINTAIN HEALTHY HABITS. OUR COMPREHENSIVE APPROACH TO CARE IS ONLY ONE REASON THAT SETS US APART. IN ORDER TO PROVIDE YOU WITH THE BEST POSSIBLE CARE, WE OFFER ACCESS TO A PANEL OF DEDICATED SPECIALISTS. OUR BARIATRIC SURGERY TEAM INCLUDES CARDIOLOGISTS, GASTROENTEROLOGISTS, PULMONOLOGISTS, ENDOCRINOLOGISTS, SURGEONS, DIETITIANS, EXERCISE AND BEHAVIORAL HEALTH EXPERTS, ALL WORKING TOGETHER TO DEVELOP A PERSONALIZED CARE PLAN FOR YOU. THIS CARE PLAN INCLUDES EXTENSIVE EDUCATION AND EVALUATION BEFORE SURGERY, AND THE LIFETIME FOLLOW-UP CARE AND SUPPORT CRUCIAL TO KEEPING THE WEIGHT OFF AND STAYING HEALTHY. CENTER FOR WOUND HEALING ------------------------ LAUDING A WOUND HEALING RATE CONSISTENTLY OVER 95%, THE EXPERT MEDICAL PRACTITIONERS AT THE CENTER FOR WOUND HEALING AT BAYSHORE, AN OUTPATIENT WOUND CARE MANAGEMENT PROGRAM, PROVIDE TREATMENT AND CARE THAT NOT ONLY HEALS WOUNDS - IT HEALS LIVES. DEALING WITH A WOUND CAN BE PERSONALLY FRUSTRATING, IN ADDITION TO BEING RESTRICTIVE TO THE PERFORMANCE OF DAILY ACTIVITIES, AND CAN POSSIBLY LEAD TO MORE SERIOUS, LIFE-CHANGING HEALTH CONDITIONS. USING THE MOST UP-TO-DATE APPROACHES IN THE SCIENCE OF WOUND CARE, THESE HEALTH CARE PROFESSIONALS - COMPRISED OF BOARD-CERTIFIED SURGEONS, PODIATRISTS AND REGISTERED NURSES - EMPLOY AN INTERDISCIPLINARY CASE MANAGEMENT APPROACH, WITH THE GOAL OF RETURNING PATIENTS TO AN IMPROVED QUALITY OF LIFE. DIABETES MANAGEMENT ------------------- THIS COMPREHENSIVE PROGRAM TEACHES PATIENTS HOW TO CONTROL, AND HEALTHFULLY LIVE WITH, EITHER TYPE 1 OR TYPE 2 DIABETES. THE BAYSHORE DIABETES SELF-MANAGEMENT EDUCATION PROGRAM HAS BEEN RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION FOR QUALITY SELF-MANAGEMENT EDUCATION. MONITORING FOR PREVENTION OF COMPLICATIONS PROGRAM PARTICIPANTS LEARN HOW TO BECOME EXPERT IN THE THREE BASIC SKILLS FOR PROPER DIABETES CONTROL: - DETECTION - PREVENTION - TREATMENT FREE HEALTH SCREENINGS OFFERED THE FOLLOWING SCREENINGS, CONDUCTED THROUGHOUT THE YEAR BY BAYSHORE'S COMMUNITY HEALTH EDUCATION DEPARTMENT, ARE HELD AT BOTH BAYSHORE HOSPITAL AND THE MERIDIAN FITNESS & WELLNESS CENTER IN HAZLET: - DIABETES RETINOPATHY - FOOT SCREENING - BODY MASS INDEX - BLOOD PRESSURE AND PULSE - BONE DENSITY - CHOLESTEROL - GLUCOSE LEVEL - STROKE RISK ASSESSMENT DIAGNOSTIC IMAGING ------------------ THE MEDICAL PRACTITIONERS IN DIAGNOSTIC IMAGING PROVIDE 24-HOUR REPORT TURNAROUND FROM THE TIME A PROCEDURE IS PERFORMED UNTIL THE REPORT IS DELIVERED TO THE PATIENT'S PHYSICIAN. TEST SERVICES INCLUDE: - PET/CT SCAN - MRI - CT SCAN - MR ANGIOGRAPHY (MRA) AND CT ANGIOGRAPHY (CTA) - ULTRASOUND/SONOGRAPHY - BREAST IMAGING: DIGITAL MAMMOGRAPHY, ULTRASOUND AND MRI - INTERVENTIONAL RADIOLOGY - GENERAL RADIOLOGY EMERGENCY MEDICINE ------------------ THE EMERGENCY DEPARTMENT AT BAYSHORE OFFERS THE EXPERTISE OF A HIGHLY TRAINED STAFF OF MEDICAL PROFESSIONALS, ALL READY TO RESPOND TO THE IMMEDIATE HEALTH CARE CRISES OF AREA RESIDENTS. EXPERT EMERGENCY MEDICINE TEAM CRITICAL MEMBERS OF THE MEDICAL TEAM INCLUDE BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS, ALONG WITH EXPERIENCED MID-LEVEL PROVIDERS - PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS - WITH CLINICAL SPECIALTY TRAINING IN EMERGENCY MEDICINE. PROVIDING CRUCIAL HANDS-ON HEALTH CARE ARE ACCOMPLISHED REGISTERED NURSES WITH TRAUMA NURSING CORE COURSE TRAINING, IN ADDITION TO CERTIFICATIONS IN BASIC LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT AND PEDIATRIC ADVANCED LIFE SUPPORT. PATIENT CARE ASSOCIATES ARE ON STAFF TO PERFORM A VARIETY OF DIAGNOSTIC AND MONITORING SERVICES, WHILE PATIENT ADVOCATES ARE AVAILABLE 12 HOURS PER DAY AS A RESOURCE FOR PATIENTS AND THEIR FAMILIES. MULTI-NEED FACILITIES HOUSING 13 ACUTE-CARE BEDS, IN ADDITION TO TEN FAST TRACK BEDS, THE EMERGENCY DEPARTMENT PROMPTLY EVALUATES A PATIENT'S CONDITION VIA A SKILLED TRIAGE NURSE, WHO DETERMINES THE IMMEDIACY OF TREATMENT NEEDED. A NEGATIVE PRESSURE ROOM IS AVAILABLE TO ACCOMMODATE PATIENTS WITH INFECTIOUS DISEASE, IN ADDITION TO A SPECIALLY OUTFITTED ROOM TO HANDLE EYE AND EAR AILMENTS. A LOCKED ROOM IS ON-HAND, SHOULD A PATIENT REQUIRE CRISIS INTERVENTION AND SECURE SUPERVISION. FAST TRACK WITH ITS FAST TRACK PROGRAM, THE EMERGENCY DEPARTMENT IS ABLE TO QUICKLY TREAT NON-LIFE THREATENING CONDITIONS, UTILIZING THE SKILLED SERVICES OF PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. THESE MEDICAL PROFESSIONALS CAN OFTEN OVERSEE BASIC DIAGNOSTIC TESTS AND PROCEDURES, SUCH AS X-RAYS, SPLINTING AND SUTURING, UNDER THE DIRECTION OF A STAFF PHYSICIAN, ALLOWING FOR IMPROVED PATIENT FLOW AND REDUCED TREATMENT TURNAROUND TIME. PRIMARY STROKE CENTER BAYSHORE HOSPITAL IS A DESIGNATED PRIMARY STROKE CENTER, INDICATING THAT ITS SPECIALLY TRAINED STROKE TEAM IS PREPARED WITH THE SKILLS AND EQUIPMENT NECESSARY TO EXPEDITIOUSLY ASSESS STROKE SYMPTOMS AND DETERMINE THE PROPER IMMEDIATE TREATMENT. CONSISTING OF A PHYSICIAN, REGISTERED NURSE, RESPIRATORY THERAPIST AND EMERGENCY DEPARTMENT STAFF, THE STROKE TEAM'S QUICK RESPONSE CAN DRAMATICALLY IMPACT A PATIENT'S SUCCESSFUL RECOVERY FROM A STROKE.
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ENDOSCOPY SERVICES ------------------ WITH A MULTI-DISCIPLINARY TEAM THAT INCLUDES PHYSICIANS SPECIALIZING IN GASTROENTEROLOGY, PROCTOLOGY, PULMONOLOGY, BARIATRICS AND ANESTHESIOLOGY, THE ENDOSCOPY DEPARTMENT IS ROUNDED OUT WITH A TEAM OF HIGHLY TRAINED REGISTERED NURSES AND CERTIFIED TECHNICIANS. RESPONSIBLE FOR ALL ITS OWN PRE- AND POST-PROCEDURE CARE, THE ENDOSCOPY DEPARTMENT IS A CONVENIENT ONE-STOP LOCATION FOR SAME-DAY PROCEDURES, RECEIVING REPEATEDLY RECOGNIZED FOR ITS HIGH LEVEL OF PATIENT SATISFACTION. HOUSING THREE PROCEDURE ROOMS - ONE IS A SPECIAL NEGATIVE PRESSURE BRONCHIAL ROOM -THE ENDOSCOPY DEPARTMENT PROVIDES CARE FOR OUTPATIENTS, IN-HOUSE PATIENTS AND EMERGENCY ROOM ADMITTANCES, HANDLING A VARIETY OF MEDICAL PROCEDURES THAT INCLUDE: - ANORECTAL TESTS - BRONCHOSCOPY - COLONOSCOPY - SMALL BOWEL ENTEROSCOPY - SMALL BOWEL CAPSULE ENDOSCOPY - ESOPHAGEAL GASTRO DUODENOSCOPY (EGD) - PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) - ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) MINOR SURGERY ------------- THE MINOR SURGERY STAFF PROVIDES COMPREHENSIVE PRE- AND POST-OPERATIVE CARE, INCLUDING A THOROUGH PRE-OP PHONE INTERVIEW AND CONTINUOUS MONITORING BY A REGISTERED NURSE THROUGHOUT THE PROCEDURE. POST-OPERATIVE CARE IS REVIEWED WITH EACH PATIENT UPON DISCHARGE, COMPLETING THE CYCLE OF FINE MEDICAL SERVICE FROM THE BAYSHORE MINOR SURGERY TEAM. RANGE OF SERVICES - EYE LASER TREATMENTS FOR GLAUCOMA AND SECONDARY CATARACTS. - EXCISION AND LASER REMOVAL OF SKIN ABNORMALITIES - ARTHROPLASTY OF TOES - SKIN GRAFTS - EPIDURAL STEROID INJECTIONS - LUMBAR AND CERVICAL FACET INJECTIONS - RADIOFREQUENCY PROCEDURES ORTHOPEDIC SERVICES ------------------- COMPREHENSIVE ORTHOPEDIC SERVICES SIMPLE TO COMPLEX, THE BAYSHORE ORTHOPEDIC STAFF HAS THE SKILLED EXPERTISE TO ACCURATELY ASSESS INJURIES AND DISORDERS OF THE SKELETAL SYSTEM, INCLUDING DEGENERATIVE DISEASES, ORTHOPEDIC TRAUMA, SPINE DISORDERS, SPORTS INJURIES AND CONGENITAL CONDITIONS. AN ASSORTMENT OF THE CORRECTIVE PROCEDURES INCLUDES: - TOTAL HIP REPLACEMENT - JOINT AND LIGAMENT REPAIR - FULL AND PARTIAL KNEE REPLACEMENT - SHOULDER RECONSTRUCTION - BACK AND SPINAL SURGERY - HAND SURGERY - SCOLIOSIS TREATMENT AND SURGERY - ELBOW SURGERY - BONE AND TENDON GRAFTS - BUNIONECTOMY - SPINAL DECOMPRESSION - SPINAL FUSION - CERVICAL AND LUMBAR EPIDURALS - NERVE BLOCKS - ARTHROPLASTY JOINT REPLACEMENT OF FINGER AND TOE - ARTHROSCOPIC SURGERIES OF THE KNEE, ANKLE, SHOULDER, WRIST BLOOD MANAGEMENT PROGRAM ------------------------ BAYSHORE HAS THE DISTINCTION OF OFFERING A BLOOD MANAGEMENT SYSTEM, OFTEN REFERRED TO AS A "CELL SAVER" PROGRAM, TO PATIENTS UNDERGOING MORE EXTENSIVE ORTHOPEDIC SURGERIES. DURING THE OPERATION, A PATIENT'S LOST BLOOD IS RECOVERED, THEN RECYCLED AND REINFUSED INTO THE PATIENT DURING THE PERIOPERATIVE PROCESS. THIS TECHNIQUE IS AN APPEALING ALTERNATIVE FOR PATIENTS WITH OBJECTIONS TO BLOOD TRANSFUSIONS. EXCEPTIONAL INTRAOPERATIVE MONITORING ------------------------------------- USING CUTTING-EDGE TECHNOLOGY, BAYSHORE'S ORTHOPEDIC SPINE SURGERY TEAM IS ABLE TO PRECISELY TRACK CHANGES IN THE BRAIN, SPINAL CORD, AND PERIPHERAL NERVE FUNCTION DURING MAJOR SPINE SURGERIES. THROUGH THE USE OF A NEUROPHYSIOLOGICAL MONITORING SYSTEM, MANAGED BY SPECIALLY TRAINED TECHNICIANS, SURGEONS CAN ENSURE THAT DELICATE NERVES ARE NOT DAMAGED DURING EXTENSIVE SURGICAL PROCEDURES, ALL TO OBTAIN THE OPTIMUM OUTCOME FOR PATIENTS. REHABILITATION SERVICES ----------------------- TYPES OF THERAPY AVAILABLE: - PHYSICAL THERAPY - VESTIBULAR REHABILITATION - OCCUPATIONAL THERAPY - SPEECH THERAPY - AUDIOLOGY TESTING - NEURODIAGNOSTIC TESTING - AQUATIC THERAPY - CONTINENCE TRAINING RESPIRATORY CARE ---------------- RANGE OF SERVICES THE SKILLFUL RESPIRATORY CARE PRACTITIONERS PERFORM A VARIETY OF THERAPIES AND DIAGNOSTIC TESTS TO AID PHYSICIANS IN DETERMINING PROPER TREATMENT FOR CONDITIONS OF THE CARDIO-RESPIRATORY SYSTEM. THE FOLLOWING SERVICES ARE OFFERED, ALL UNDER THE DIRECTION OF A PHYSICIAN: - ADMINISTERING MEDICAL GASES (AIR AND OXYGEN), HUMIDIFICATION, AND AEROSOLS - BREATHING EXERCISES TO IMPROVE LUNG FUNCTION - BRONCHIAL HYGIENE TECHNIQUES (POSTURAL DRAINAGE, PERCUSSION, AND VIBRATION) - ARTERIAL BLOOD GAS SAMPLING AND ANALYSIS TO DETERMINE LEVELS OF OXYGEN, CARBON DIOXIDE AND ACIDITY (PH) IN BLOOD FROM AN ARTERY - PULMONARY FUNCTION TEST TO MEASURE OVERALL LUNG FUNCTION - AIRWAY MANAGEMENT (INSERTION AND MAINTENANCE OF ARTIFICIAL AIRWAYS) - MECHANICAL VENTILATORY SUPPORT - PERFORMANCE OF CARDIO-PULMONARY RESUSCITATION (CPR) - BILEVEL AND CONTINUOUS POSITIVE AIRWAY PRESSURE (BIPAP AND CPAP) THERAPY ALL LICENSED BY THE STATE OF NEW JERSEY TO PRACTICE RESPIRATORY THERAPY, THE STAFF ARE PART OF BAYSHORE'S EMERGENCY RESPONSE TEAMS - CODE BLUE, STROKE ACTIVATION AND RAPID RESPONSE - PROVIDING URGENT MEDICAL CARE TO PATIENTS. LONG-TERM VENTILATOR CARE FOR PATIENTS REQUIRING PROLONGED MECHANICAL VENTILATORY SUPPORT, BAYSHORE OFFERS A LONG-TERM VENTILATOR CARE UNIT ON ITS CAMPUS IN THE BAYSHORE HEALTH CARE CENTER. ONE OF THE FEW OPERATIONS OF THIS TYPE IN MONMOUTH COUNTY, THE STAFF PROVIDES 24-HOUR RESPIRATORY AND NURSING CARE TO THE RESIDENTS OF THIS LONG-TERM VENTILATOR UNIT. SLEEP CARE CENTER ----------------- SLEEP TESTING THERE ARE SEVERAL TYPES OF EVALUATIONS THAT CAN BE PERFORMED AT THE SLEEP CARE CENTER AT BAYSHORE, WHICH HOUSES TWO PRIVATE BEDROOMS FURNISHED WITH QUEEN-SIZE BEDS AND TELEVISIONS FOR PATIENTS' COMFORT. TESTS ARE GENERALLY PERFORMED AT NIGHT, ALTHOUGH DAYTIME TESTING IS AVAILABLE FOR PATIENTS WHO WORK NIGHT SHIFTS. - POLYSOMNOGRAM (PSG) - CPAP/BIPAP TITRATION STUDY - MULTIPLE SLEEP LATENCY TEST (MSLT) - MAINTENANCE OF WAKEFULNESS TEST (MWT) COMMUNITY BENEFIT AND OPERATIONS ================================== COMMUNITY OUTREACH ------------------ BAYSHORE OFFERS MANY COMMUNITY OUTREACH PROGRAMS INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: ADULT HEALTH INITIATIVES - ACTIVE ADULT HEALTH & WELLNESS OUTREACH - BOOKER HEALTH SCIENCES LIBRARY - CALL CENTER SERVICES - HEALTH EDUCATION - HEALTH SCREENINGS - SUPPORT GROUPS CHILDREN'S HEALTH INITIATIVES - DOCTOR BERNARD AND THE PAWSITIVE ACTION TEAM. - OUTREACH, EDUCATION, AND SCREENINGS CLASSES ------- BAYSHORE ALSO OFFERS A VARIETY OF CLASSES TO THE PUBLIC INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - DRIVER SAFETY PROGRAM - ACHIEVING GOALS THROUGH EXERCISE - CONTROLLING YOUR CHOLESTEROL - TREATING PAD - INFANT CARE 101 - CHILDBIRTH PREP - CPR AED HEART SAVERS - DIABETES SUPPORT GROUP - MENDED HEARTS SUPPORT GROUP - BIG BROTHERS/ BIG SISTERS - WELLNESS SCREENINGS - REHABILITATION AND THE STROKE SURVIVOR - FIRST AID - DIABETES AND KIDNEY DISEASE - SMOKING CESSATION OTHER COMMUNITY BENEFIT INFORMATION =================================== CARING FOR ALL MEMBERS OF THE COMMUNITY --------------------------------------- PEOPLE WITHOUT HEALTH INSURANCE COVERAGE ARE MORE LIKELY TO FOREGO PREVENTIVE CARE AND SEEK TREATMENT ONLY WHEN THEIR ILLNESSES REQUIRE VISITS TO HOSPITAL EMERGENCY ROOMS. BY THAT TIME, THEIR ILLNESSES TYPICALLY ARE MORE ADVANCED AND MORE COSTLY TO TREAT. BAYSHORE'S OUTREACH EFFORTS AND PROGRAMS HAVE ENCOURAGED MANY TO WALK THROUGH ITS DOORS WHO MIGHT OTHERWISE HAVE GONE WITHOUT NECESSARY HEALTH CARE. IN 2010, BAYSHORE PROVIDED $5.7 MILLION IN CHARITY CARE TO PATIENTS FOR WHICH WE RECEIVED NO PAYMENT. IN ADDITION, MEDICARE AND MEDICAID OFTEN DO NOT COVER ALL THE COSTS ASSOCIATED WITH PROVIDING QUALITY PATIENT CARE. IN 2010, BAYSHORE SPENT MORE THAN $8.9 MILLION IN DIRECT PATIENT CARE THAT WAS NOT REIMBURSED BY ANY OF THE FEDERAL OR STATE HEALTH PROGRAMS. SUPPORTING LOCAL ORGANIZATIONS ------------------------------ OVER THE YEARS, BAYSHORE HAS BEEN ABLE TO OFFER SUPPORT THROUGH CHARITABLE DONATIONS TO A HOST OF WORTHY, LOCAL NOT-FOR-PROFIT ORGANIZATIONS. BAYSHORE ALSO ENCOURAGES OUR LEADERS, PHYSICIANS, AND TEAM MEMBERS TO SERVE ON A VARIETY OF BOARDS AND COMMUNITY GROUPS DEDICATED TO IMPROVING THE QUALITY OF LIFE IN OUR NEIGHBORHOODS. AS A SOCIALLY CONSCIOUS MEMBER OF THE COMMUNITY, BAYSHORE FOCUSES ITS CHARITABLE GIVING ON THE AREAS THAT SUPPORT OR ARE ALIGNED WITH BAYSHORE'S CHARITABLE MISSION. THESE INCLUDE; GROUPS THAT PROMOTE AWARENESS OF HEALTH-RELATED ISSUES; COMMUNITY ASSOCIATIONS THAT HELP THOSE IN NEED OBTAIN BASIC NECESSITIES LIKE FOOD, CLOTHING AND SHELTER; ORGANIZATIONS THAT ENCOURAGE YOUNG PEOPLE TO ACHIEVE THEIR POTENTIAL, USE THEIR IMAGINATION, AND KEEP THEM SAFE FROM HARM; SOCIAL SERVICES THAT PROVIDE RELIEF AND COUNSELING TO THOSE SUFFERING FROM ABUSE; AND EVENTS THAT PROMOTE HEALTHY ACTIVITY AND SOCIALIZATION SUCH AS COMMUNITY FESTIVALS AND WALKS.
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS COMMUNICATING ACROSS THE COUNTIES ---------------------------------- BAYSHORE REGULARLY PUBLISHED A FREE CONSUMER MAGAZINE - CHANGING YOUR LIFE - TO EDUCATE AND INFORM RESIDENTS OF MONMOUTH COUNTY ON TIMELY AND RELEVANT HEALTH TOPICS. CHANGING YOUR LIFE FEATURED REAL-LIFE PATIENT STORIES THAT DETAIL HOW INDIVIDUALS RECEIVE THEIR DIAGNOSIS AND MAKE IMPORTANT TREATMENT DECISIONS IN CONJUNCTION WITH THEIR PHYSICIANS. THE MAGAZINE CONTAINS BAYSHORE'S CALENDAR OF EVENTS WHERE RESIDENTS CAN FIND FREE COMMUNITY EDUCATION AND SCREENING PROGRAMS AS WELL AS A VARIETY OF HEALTH AND WELLNESS TIPS. FOLLOWING ARE HIGHLIGHTS OF BAYSHORE'S 2010 PROGRAMS: BAYSHORE HAS A LONG HISTORY OF CREATING AWARENESS, EDUCATING AND CONDUCTING PREVENTIVE SCREENINGS FOR THE MEMBERS OF OUR COMMUNITY AND IN 2010 MORE THAN 3,500 ADULTS TOOK ADVANTAGE OF FREE HEALTH AND WELLNESS SCREENINGS AND EDUCATION PROGRAMS. IN 2010, BAYSHORE CONDUCTED OVER 600 FREE PREVENTIVE HEALTH SCREENINGS INCLUDING TAKING BLOOD PRESSURE, CHECKING CHOLESTEROL, MEASURING BMI, SKIN CANCER SCREENING, BREAST CANCER SCREENING, PROSTATE CANCER SCREENING AND COLORECTAL CANCER SCREENINGS AMONG OTHERS. DISEASE AWARENESS AND PREVENTION EDUCATION PROGRAMS REACH OVER 3,500 PEOPLE EACH YEAR. THESE INCLUDE PHYSICIAN LED SEMINARS ON A PLETHORA OF HEALTH CARE TOPICS INCLUDING, BUT NOT LIMITED TO CARDIOVASCULAR DISEASE, STROKE, CANCER, DIABETES, ASTHMA, MENTAL HEALTH, ARTHRITIS AND OSTEOPOROSIS, NUTRITION, HEALTHY PREGNANCY AND DELIVERY, A VARIETY OF PEDIATRIC CONDITIONS (ASTHMA, DIABETES, AUTISM, DIGESTIVE DISEASE, EPILEPSY AND OTHER CHRONIC CONDITIONS) AND MORE. IN ADDITION, THESE EDUCATION PROGRAMS INCLUDE FITNESS PROGRAMS AND DEMONSTRATIONS AND HEALTHY COOKING DEMONSTRATIONS AS WELL. FREE SUPPORT GROUPS ARE PROVIDED FOR PATIENTS, THEIR FAMILIES AND COMMUNITY MEMBERS DEALING WITH CHRONIC AND OTHER LIFE ALTERING DISEASES INCLUDING CANCER, HEART DISEASE, ALZHEIMER'S, BEREAVEMENT AND MANY, MANY MORE. BAYSHORE ALSO COORDINATES A SPEAKER'S BUREAU WHERE PHYSICIANS, NURSES OR OTHER HEALTH CARE PROFESSIONALS BRING PREVENTION AND WELLNESS EDUCATION TO LOCAL BUSINESSES, SCHOOLS AND UNIVERSITIES, COMMUNITY GROUPS, FAITH BASED ORGANIZATIONS AND UNDERSERVED COMMUNITIES UPON REQUEST. IN ADDITION, THE HOSPITAL HAS ESTABLISHED AND COORDINATED A PROGRAM THAT PROVIDES A REFERRAL SYSTEM AND ASSISTANCE TO SENIOR CITIZENS IN COMPLETING FORMS FOR INSURANCE SUBMISSION AND MEDICARE AND MEDICAID APPLICATIONS AS WELL AS OTHER HEALTH-RELATED PAPER WORK THEY MAY HAVE. A SENIOR DINING PROGRAM PROVIDES NUTRITIONALLY BALANCED MEALS TO LOCAL SENIORS AT REDUCED RATES.
OTHER PROGRAM SERVICES CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 3 PLEASE NOTE THAT BCH RETAINED THE SERVICES OF AN OUTSIDE, INDEPENDENT MANAGEMENT COMPANY TO MANAGE THE DAY-TO-DAY ACTIVITIES AND OPERATIONS OF THE ORGANIZATION UNTIL ALL THESE FUNCTIONS WERE TRANSITIONED TO MERIDIAN HEALTH SYSTEM, INC. PERSONNEL IN AUGUST OF 2011.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 4 THE BYLAWS OF THIS ORGANIZATION WERE AMENDED TO INCLUDE THE FOLLOWING: 1. AMENDMENT PROVISIONS WITH RESPECT TO (1) THE MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND ITS AFFILIATES, INCLUDING BAYSHORE COMMUNITY HOSPITAL, INTO MERIDIAN HEALTH SYSTEM ON SEPTEMBER 1, 2010 AND (2) CHANGES IN BOARD COMPOSITION ON A PROSPECTIVE BASIS AS A RESULT OF THE MERGER. PLEASE NOTE THAT, AS INDICATED IN THE FIRST SCHEDULE O ATTACHMENT OF THIS FORM 990 WITH RESPECT TO THE MERGER ON SEPTEMBER 1, 2010, BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND ITS AFFILIATES ARE ALL FILING SEPARATE FORMS 990 FOR THE 2010 YEAR.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ON SEPTEMBER 1, 2010, AS A RESULT OF A STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. INTO MERIDIAN HEALTH SYSTEM, MERIDIAN HOSPITALS CORPORATION ("MHC") BECAME THE SOLE MEMBER OF THIS ORGANIZATION. MERIDIAN HEALTH SYSTEM, INC. ("MHS") IS THE SOLE MEMBER OF MHC. MHS HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11A AS A RESULT OF THE STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC., THIS ORGANIZATION'S SOLE MEMBER PRIOR TO THE MERGER, INTO MERIDIAN HEALTH SYSTEM, INC. ON SEPTEMBER 1, 2010, THIS ORGANIZATION BECAME AN AFFILIATE WITHIN THE MERIDIAN HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. MERIDIAN HEALTH SYSTEM, INC. ("MERIDIAN HEALTH") IS THE PARENT ORGANIZATION OF THE SYSTEM. THE PROCESS FOR REVIEWING THE FORM 990 IS AS FOLLOWS: MERIDIAN HEALTH RETAINED A FIRM OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS WITH EXPERIENCE AND EXPERTISE IN HEALTHCARE AND NOT FOR PROFIT TAX RETURN PREPARATION ("CPA FIRM") TO PREPARE AND FILE THE FORM 990. THE CPA FIRM PREPARED A DRAFT OF THE FORM 990 BASED ON INFORMATION PROVIDED BY THE ORGANIZATION, WHICH WAS THEN REVIEWED BY THE ORGANIZATION'S FINANCE PERSONNEL, OTHER APPROPRIATE INTERNAL STAFF FOR ACCURACY, GENERAL COUNSEL AND OUTSIDE TAX COUNSEL. THE DRAFT WAS THEN REVISED BY THE CPA FIRM BASED ON THIS REVIEW AND PRESENTED TO THE GOVERNING BODY'S AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE GOVERNING BODY. AFTER THE AUDIT COMMITTEE MEETING, ANY SUGGESTED REVISIONS TO THE FORM 990 WERE MADE, AND THE REVISED FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S GOVERNING BODY FOR REVIEW AT A MEETING PRIOR TO FILING OF THE FORM 990.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 PRIOR TO THE STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND ITS AFFILIATES INTO MERIDIAN HEALTH SYSTEM, INC. ON SEPTEMBER 1, 2010, BAYSHORE COMMUNITY HOSPITAL ("HOSPITAL") WAS A TAX-EXEMPT AFFILIATE OF BAYSHORE COMMUNITY HEALTH SERVICES, INC., A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION REGULARLY MONITORED AND ENFORCED COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL WERE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES WERE RETURNED TO THE ORGANIZATION'S PRESIDENT/CEO FOR REVIEW. THEREAFTER THE PRESIDENT/CEO PREPARED A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINED INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTED THIS SUMMARY TO THE ORGANIZATION'S CONFLICT OF INTEREST COMMITTEE FOR ITS REVIEW AND DISCUSSION. THE CONFLICT OF INTEREST COMMITTEE THEN BROUGHT TO THE ATTENTION OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, ANY ISSUES WHICH REQUIRED FURTHER REVIEW AND DISCUSSION. SUBSEQUENT TO THE STATUTORY MERGER, THE ORGANIZATION FOLLOWS MERIDIAN HEALTH SYSTEM INC.'S POLICY. MERIDIAN HEALTH HAS ADOPTED A SYSTEM CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF THE SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH THE SYSTEM'S CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND KEY EMPLOYEES OF EACH ORGANIZATION ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE ON APPLICABLE TRANSACTIONS AND RELATIONSHIPS. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S SENIOR VICE PRESIDENT AND GENERAL COUNSEL FOR REVIEW. THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO THE SYSTEM'S EXECUTIVE COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). DURING THE YEAR, THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL ALSO MONITORS ON-GOING TRANSACTIONS IN LIGHT OF THE SUMMARY TO ENSURE THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE APPROPRIATELY HANDLED IN COMPLIANCE WITH THE POLICY.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 FOR ALL OF THE 2010 YEAR, PRIOR TO THE STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. INTO MERIDIAN HEALTH SYSTEM, INC. ON SEPTEMBER 1, 2010, BAYSHORE COMMUNITY HOSPITAL ("HOSPITAL") WAS A TAX-EXEMPT AFFILIATE OF BAYSHORE COMMUNITY HEALTH SERVICES, INC., A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE HOSPITAL'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 HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE HOSPITAL'S 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 CERTAIN SENIOR MANAGEMENT IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE HOSPITAL 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 HOSPITAL'S 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 HOSPITAL'S 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 SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE SYSTEM'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET CHANGE IN UNREALIZED GAINS AND LOSSES AND EQUITY IN EARNINGS OF OTHER INVESTMENTS - $3,097,272 - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL PURPOSES - $143,000 - CHANGE IN PENSION LIABILITY TO BE RECOGNIZED IN FUTURE PERIODS - ($1,152,000) - MARKET VALUE ADJUSTMENT PURSUANT TO STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND AFFILIATES - $7,445,404
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THIS ORGANIZATION WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAYSHORE COMMUNITY HOSPITAL AND BAYSHORE HEALTH CARE CENTER. ERNST & YOUNG, L.L.P., AN INDEPENDENT BIG FOUR CPA FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BAYSHORE COMMUNITY HOSPITAL AND BAYSHORE HEALTH CARE CENTER FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY. ERNST & YOUNG, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS EACH YEAR. THIS ORGANIZATION WAS ALSO INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERIDIAN HOSPITALS CORPORATION AND SUBSIDIARY. PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT BIG FOUR CPA FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF MERIDIAN HOSPITALS CORPORATION AND SUBSIDIARY FOR THE YEAR ENDED DECEMBER 31, 2010. PRICEWATERHOUSE COOPERS, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THIS ORGANIZATION WAS ALSO INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES. PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT BIG FOUR CPA FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES FOR THE YEAR ENDED DECEMBER 31, 2010. PRICEWATERHOUSE COOPERS, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PETER REINHART ESQ TITLE:CHAIRMAN - TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS J KONONOWITZ TITLE:VICE CHAIRMAN - TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MEREDYTH ARMITAGE TITLE:SECRETARY - TRUSTEE HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD AMDUR ESQ TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GREGG AZCUY TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SERENA DIMASO TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PETER S FALVO JR ESQ TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN J FLYNN TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFFREY HAGER DO TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM LAWLESS TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARC H LORY TITLE:TRUSTEE; EX-OFFICIO HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH H MANCINI TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN ROSE MD TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY T SCARDELLA MD TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:VINCENT VIVONA DO JD FACP TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE YOUNAN MD TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARTIN J EPSTEIN TITLE:TRUSTEE; EX-OFFICIO HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN KOERNER DO TITLE:TRUSTEE; EX-OFFICIO HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN K LLOYD FACHE TITLE:TRUSTEE; EX-OFFICIO HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FRANK SHARP MD TITLE:TRUSTEE; EX-OFFICIO HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILLIPA G WOODRIFFE MD TITLE:TRUSTEE; EX-OFFICIO HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LEONARD J ZAWODNIAK MD TITLE:TRUSTEE; EX-OFFICIO HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN E SINDONI SPHR TITLE:ASSISTANT SECRETARY HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAIMONDA A CLARK TITLE:PRES/CEO (1/1/10-8/31/10) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL KEEN TITLE:VICE PRESIDENT, CFO(1/1-10/15) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN GANTNER TITLE:VICE PRES./CFO (10/15-12/31) HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL SCHWARTZ TITLE:VP, ACTING PRESIDENT/CEO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KARL MEINERT TITLE:SVP CORPORATE SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:L SCOTT LARSEN TITLE:VP MEDICAL STAFF HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN R WOOD TITLE:VP SENIOR SERVICES (1/1-11/24) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EMRO KRASOVEC TITLE:VP HUMAN RESOURCES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WENDY E BROWN TITLE:VP NURSING HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHRISTINE DOMALEWSKI TITLE:VP COMMUNITY RELATIONS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ADRIAN M PRISTAS TITLE:MEDICAL DIRECTOR - MED STAFF HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDA F QUINN TITLE:CHIEF NURSE EXECUTIVE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SCOTT W NOTHNAGEL TITLE:DIRECTOR OF FINANCE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOANN KREIDLER TITLE:DIRECTOR OF PATIENT ACCOUNTING HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY L SALERNO TITLE:NURSING CARE COORDINATOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDA B WOODS TITLE:FORMER VP IT DEPARTMENT HOURS:
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BAYSHORE COMMUNITY HOSPITAL
 
Employer identification number

21-0744668
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity



















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) MERIDIAN HOSPITALS CORPORATION

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
22-3471515
HEALTH SVCS. NJ 501(C)(3) HOSPITAL MH SYSTEM
 
 
 
(2) MERIDIAN HOME CARE SERVICES INC

103 EAST FRONT STREET

RED BANK,NJ07701
22-2731440
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MH SYSTEM
 
 
 
(3) JERSEY SHORE UNIVERSITY MEDICAL CNTR FDN

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
22-2342452
FUNDRAISING NJ 501(C)(3) 509(A)(1) MH SYSTEM
 
 
 
(4) RIVERVIEW MEDICAL CENTER FDN INC

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
22-2333524
FUNDRAISING NJ 501(C)(3) 509(A)(1) MH SYSTEM
 
 
 
(5) OCEAN MEDICAL CENTER FOUNDATION INC

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
22-2361311
FUNDRAISING NJ 501(C)(3) 509(A)(1) MH SYSTEM
 
 
 
(6) MERIDIAN NURSING & REHABILITATION INC

3349 HIGHWAY 138 BUILDING C

WALL,NJ07719
52-1772578
NURSING LTC NJ 501(C)(3) 509(A)(2) MH SYSTEM
 
 
 
(7) MERIDIAN HEALTH FOUNDATION INC

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
30-0107825
FUNDRAISING NJ 501(C)(3) 509(A)(1) MH SYSTEM
 
 
 
(8) MERIDIAN PRACTICE INSTITUTE INC

1200 JUMPING BROOK RD BLDG 5

NEPTUNE,NJ07753
06-1755235
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MH SYSTEM
 
 
 
(9) MERIDIAN HEALTH REALTY CORPORATION

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
22-3200147
TITLE HLDING NJ 501(C)(3) 509(A)(3) MH SYSTEM
 
 
 
(10) HEALTH INNOVATIONS UNLIMITED INC

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
22-2581430
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) HOMECARE
 
 
 
(11) MERIDIAN SURGICAL ASSOCIATES PC

1945 STATE ROUTE 33

NEPTUNE,NJ07753
06-1755228
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(12) MERIDIAN PEDIATRIC ASSOCIATES PC

1945 STATE ROUTE 33

NEPTUNE,NJ07753
06-1755230
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(13) MERIDIAN MEDICAL ASSOCIATES PC

1945 STATE ROUTE 33

NEPTUNE,NJ07753
06-1755233
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(14) NORTHERN OCEAN CTY MEDICAL ASSOC PC

1945 STATE ROUTE 33

NEPTUNE,NJ07753
14-1981653
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(15) NORTHERN MONMOUTH CTY MED ASSOC PC

1945 STATE ROUTE 33

NEPTUNE,NJ07753
14-1981647
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(16) MERIDIAN TRAUMA ASSOCIATES PC

1945 STATE ROUTE 33

NEPTUNE,NJ07753
14-1981651
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(17) MERIDIAN OBST & GYN ASSOCIATES PC

1945 STATE ROUTE 33

NEPTUNE,NJ07753
06-1455239
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(18) MERIDIAN PEDIATRIC SURGICAL ASSOC PC

1200 JUMPING BROOK RD BLDG 5

NEPTUNE,NJ07753
77-0720131
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(19) SHORE REHABILITATION INSTITUTE INC

425 JACK MARTIN BLVD

BRICK,NJ08724
22-3274755
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MHC
 
 
 
(20) SOUTHERN OCEAN MEDICAL CENTER FOUNDATION

1140 ROUTE 72 WEST

MANAHAWKIN,NJ08050
22-2666099
HEALTH SVCS. NJ 501(C)(3) 509(A)(1) MH SYSTEM
 
 
 
(21) BAYSHORE COMMUNITY HOSPITAL FOUNDATION

727 NO BEERS ST

HOLMDEL,NJ07733
22-2367109
HEALTH SVCS. NJ 501(C)(3) 509(A)(1) MH SYSTEM
 
 
 
(22) BAYSHORE HEALTH CARE CENTER INC

715 NO BEERS ST

HOLMDEL,NJ07733
22-2715789
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MNR
 
 
 
(23) SOCH PROPERTIES INC

1140 ROUTE 72 WEST

MANAHAWKIN,NJ08050
22-3846197
TITLE HLDG. NJ 501(C)(3) 509(A)(3) MH REALTY
 
 
 
(24) SOMC MEDICAL GROUP PC

1140 RT 72 WEST

MANAHAWKIN,NJ08050
27-1412183
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MPI
 
 
 
(25) MERIDIAN OCCUPATIONAL HEALTH PC

1350 CAMPUS PARKWAY

NEPTUNE,NJ07753
27-2377326
HEALTH SVCS. NJ 501(C)(3) 509(A)(2) MH SYSTEM
 
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) COASTAL CO-OP OF NJ

1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
22-3603146
PURCHASING NJ  
        No     No  












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) ASSISTED LIVING AT COLTS NECK INC
3349 HIGHWAY 138 BLDG C SUITE A
WALL,NJ07719
22-2567119
HEALTHCARE SVCS. NJ  
C CORP.      
(2) MERIDIAN HEALTH MANAGEMENT INC
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
22-2519699
HEALTHCARE SVCS. NJ  
C CORP.      
(3) MERIDIAN HEALTHWARES BRICK
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
22-3571926
HEALTHCARE SVCS. NJ  
C CORP.      
(4) MERIDIAN HEALTHWARES WEST LONG BRANCH
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
22-3571931
HEALTHCARE SVCS. NJ  
C CORP.      
(5) COASTAL MEDICAL INSURANCE LTD
44 CHURCH STREET 3RD FLOOR
HAMILTON   HA 12
BD
98-0166769
FINANCIAL VEHICLE BD  
FOREIGN CORP.      
(6) COMPASS HEALTHCARE INC
1140 ROUTE 72 WEST
MANAHAWKIN,NJ08050
22-3357958
HEALTHCARE SVCS. NJ  
C CORP.      
(7) BAYSHORE HEALTHCARE MANAGEMENT CORP
727 NO BEERS ST
HOLMDEL,NJ07733
22-2550716
HEALTHCARE SVCS. NJ  
C CORP.      
(8) HCMC INC
PO BOX 176
HOLMDEL,NJ07733
22-2620595
HEALTHCARE SVCS. NJ  
C CORP.      
(9) BAYSHORE CENTER FOR REHAB & PHYS THERAPY
1 BETHANY ROAD SUITE 43
HAZLET,NJ07730
22-3116637
INACTIVE NJ  
C CORP.      
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: