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
SHORE MEMORIAL HOSPITAL
 
Doing Business As
SHORE MEDICAL CENTER
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE EAST NEW YORK AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
SOMERS POINT, NJ082442387
D Employer identification number

21-0660835
E Telephone number

G Gross receipts $ 200,283,550
F Name and address of principal officer:
RONALD W JOHNSON
1 EAST NEW YORK AVE
SOMERS POINT,NJ08244
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SHOREMEMORIAL.ORG
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: 1942
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 18
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,731
6 Total number of volunteers (estimate if necessary) .... 6 360
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,310,454 4,334,975
9 Program service revenue (Part VIII, line 2g) ......... 197,989,500 191,111,944
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -147,193 3,807,540
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 920,096 966,121
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 202,072,857 200,220,580
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) 111,089,478 111,863,007
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet675,071    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 85,776,058 85,322,041
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 196,865,536 197,185,048
19 Revenue less expenses. Subtract line 18 from line 12...... 5,207,321 3,035,532
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 254,882,136 276,272,946
21 Total liabilities (Part X, line 26)............ 189,579,798 217,675,343
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 65,302,338 58,597,603
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: TO CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SEVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABIILITY TO PAY. PLEASE REFER TO 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 $ 75,748,763 including grants of $ 0 ) (Revenue $ 54,932,236 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY Inpatient Medical Services (excludes surgical cases and maternal child health), to all individuals iN A non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2010 THE ORGANIZATION HAD 6,425 ADMISSIONS FOR A TOTAL OF 29,218 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 16,216,278 including grants of $ 0 ) (Revenue $ 10,533,711 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY Maternal AND pediatric inpatient services to all individuals in a non-discriminatory manner regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ability to pay. DURING 2010 THE ORGANIZATION HAD 1,693 ADMISSIONS FOR A TOTAL OF 4,358 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 15,510,495 including grants of $ 0 ) (Revenue $ 31,251,979 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY Emergency medical services to all individuals in a non-discriminatory MANNER regardless of RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR abilITY TO pay. DURING 2010 THE ORGANIZATION TREATED 36,084 EMERGENCY CASES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 50,581,707 including grants of $ 0 ) (Revenue $ 94,394,018 )
4e Total program service expensesMediumBullet$ 158,057,243
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
 
No
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
Yes
 
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
Yes
 
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
 
No
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
673
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
1,731
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
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
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
 
 
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
 
 
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
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
18
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
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
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
JAMES T FOLEY CPA MBA CHE
1 EAST NEW YORK AVE
SOMERS POINT,NJ08244
(609) 653-3707
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) JAY A GILLIAN
CHAIRMAN - TRUSTEE
3.0 X   X       0 0 0
(2) ROBERT J BRAY DDS MS
VICE CHAIRMAN - TRUSTEE
3.0 X   X       0 0 0
(3) SANDY TZAFEROS PHARMD
SECRETARY/ASST TREAS - TRUSTEE
3.0 X   X       0 0 0
(4) FERNANDO DELASOTTA MD
TREAS/ASST SECRETARY - TRUSTEE
3.0 X   X       0 0 0
(5) ROBERT J BEACH MD
TRUSTEE
3.0 X           0 0 0
(6) DAVID BEYEL
TRUSTEE
3.0 X           0 0 0
(7) CHARLES BISCIEGLIA
TRUSTEE
3.0 X           0 0 0
(8) AGOSTINO CIPOLLINI
TRUSTEE
3.0 X           0 0 0
(9) GERALD J CORCORAN ESQ
TRUSTEE
3.0 X           0 0 0
(10) LOUIS P DESCIOLI
TRUSTEE
3.0 X           0 0 0
(11) JOSEPH DIORIO
TRUSTEE
3.0 X           0 0 0
(12) ARTHUR T FORD III ESQ
TRUSTEE
3.0 X           0 0 0
(13) CAROL L GAFFNEY RN BSN
TRUSTEE
3.0 X           0 0 0
(14) THOMAS H HEIST IV
TRUSTEE
3.0 X           0 0 0
(15) RONALD W JOHNSON
TRUSTEE-PRES/CEO(11/12-12/31)
45.0 X   X       369,432 0 155,073
(16) GARY G SCHAFFER
TRUSTEE
3.0 X           0 0 0
(17) SUSAN SCHNEIDER
TRUSTEE
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) ANAGELO SPARAGNA III MD
TRUSTEE
3.0 X           0 0 0
(19) DAVID A SPITALNICK ESQ
TRUSTEE
3.0 X           0 0 0
(20) RICHARD L TRAA
TRUSTEE
3.0 X           0 0 0
(21) ALBERT L GUTIERREZ
PRESIDENT/CEO(1/1/10-11/12/10)
45.0     X       1,005,522 0 175,211
(22) JAMES T FOLEY
CFO
45.0     X       325,151 0 173,869
(23) PETER R JUNGBLUT MD
CMO
55.0     X       288,890 0 125,129
(24) JOAN GAVIN
CNO
55.0     X       260,601 0 62,524
(25) FREDERICK L BANNER
CIO
45.0     X       191,732 0 39,498
(26) WILLIAM D ELLIOTT
EXECUTIVE DIRECTOR - FDN
5.0     X       224,404 0 68,578
(27) KIMBERLY H SIMERS
VICE PRESIDENT MARKETING
45.0     X       214,492 0 50,423
(28) ALAN L BEATTY
VICE PRESIDENT HUMAN RESOURCES
55.0     X       213,537 0 62,421
(29) RICHARD A PITMAN
ED GOVERNMENT AFFAIRS
55.0       X     56,220 0 0
(30) ROBERT L WOOD
DIRECTOR OF FINANCE
45.0       X     201,847 0 38,667
(31) JEFFREY MELTZER MD
PHYSICIAN
55.0         X   250,286 0 30,895
(32) HAROLD R DOWNS
DIRECTOR OF REVENUE CYCLE
55.0         X   174,270 0 51,545
(33) ROBERT F ROBERTSON
DIRECTOR OF ENTERPRISE SVCS
55.0         X   168,332 0 41,576
(34) ELIZABETH CIANFRANI
DIRECTOR OF OPERATING ROOM
55.0         X   158,239 0 39,435
(35) THEODORE SHEPPARD
PHARMACIST
55.0         X   150,782 0 54,338
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,253,737 0 1,169,182
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet82
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
 
No
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
MASSETT BUILDING COMPANY
6815 DELILAH ROAD
EGG HARBOR TOWNSHIP,NJ08234
CONTRACTOR 26,243,111
CERNER CORPORATION
PO BOX 412702
KANSAS CITY,MO64141
IT 2,037,924
S P BUILDERS LLC
2 EASTWICK DRIVE
GIBBSBORO,NJ08026
CONTRACTOR 1,089,607
CHILDRENS HEALTHCARE ASSOCIATES
2835 N SHEFFIELD SUITE 501
CHICAGO,IL60657
PHYSICIAN 1,006,007
VANGUARD HEALTHCARE MANAGEMENT
301 ROUTE 17 NORTH SUITE 800
RUTHERFORD,NJ07070
MANAGEMENT 990,638
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet60
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 2,725,000
e Government grants (contributions)1e 493,374
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,116,601
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 4,334,975
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541,900 188,290,858 188,290,858    
b OTHER HEALTHCARE RELATED REVENUE 541,900 2,821,086 2,821,086    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 191,111,944
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 3,764,179   0 3,764,179
4 Income from investment of tax-exempt bond proceeds..MediumBullet 36,408     36,408
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 239,988  
b Less: rental expenses 62,970  
c Rental income or (loss) 177,018  
d Net rental income or (loss).......MediumBullet 177,018     177,018
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   6,953
b Less: cost or other basis and sales expenses    
c Gain or (loss)   6,953
d Net gain or (loss)..........MediumBullet 6,953     6,953
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 PARKING LOT 812,930 1,558     1,558
b CAFETERIA/VENDING 722,210 787,545     787,545
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 789,103
12 Total revenue. See Instructions....MediumBullet 200,220,580 191,111,944 0 4,773,661
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 .... 4,304,021 3,873,621 430,400 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 78,109,070 65,862,465 12,091,157 155,448
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 10,059,954 8,491,592 1,548,654 19,708
9 Other employee benefits ....... 11,880,844 10,008,560 1,848,306 23,978
10 Payroll taxes ........... 7,509,118 6,349,321 1,145,468 14,329
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 615,231 434,016 178,116 3,099
c Accounting ........... 160,893 113,502 46,580 811
d Lobbying ........... 60,647   60,647  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 0      
12 Advertising and promotion .... 0      
13 Office expenses ....... 55,779,752 38,892,953 16,490,505 396,294
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 2,721,113 1,919,615 787,790 13,708
17 Travel ............ 219,408 111,963 105,260 2,185
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 72,830 58,268 13,378 1,184
20 Interest ........... 843,950 595,366 244,332 4,252
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 9,770,073 6,894,136 2,846,573 29,364
23 Insurance .............. 2,126,240 1,499,961 615,568 10,711
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 DEBTS 6,425,797 6,425,797 0 0
b PHYSICIAN SALARIES AND FEES 5,517,469 5,517,469 0 0
c COLLECTION EXPENSE 1,008,638 1,008,638 0 0
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 197,185,048 158,057,243 38,452,734 675,071
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 ..........   1  
2 Savings and temporary cash investments ....... 140,712 2 330,147
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 20,983,198 4 19,059,848
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 ............. 18,047,083 7 18,299,353
8 Inventories for sale or use .............. 2,111,454 8 2,538,588
9 Prepaid expenses and deferred charges ............ 2,694,524 9 1,556,986
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 315,092,570
b Less: accumulated depreciation. ..... 10b 159,063,662 104,077,404 10c 156,028,908
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 .. 103,001,693 13 72,555,226
14 Intangible assets ......... 1,633,359 14 1,877,797
15 Other assets. See Part IV, line 11 ........... 2,192,709 15 4,026,093
16 Total assets. Add lines 1 through 15 (must equal line 34)... 254,882,136 16 276,272,946
Liabilities 17 Accounts payable and accrued expenses . 35,308,880 17 34,110,242
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 59,550,862 20 71,197,918
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 .. 522,470 23 308,323
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 94,197,586 25 112,058,860
26 Total liabilities. Add lines 17 through 25..... 189,579,798 26 217,675,343
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 ..... 59,950,335 27 51,927,423
28 Temporarily restricted net assets ..... 3,027,510 28 4,131,286
29 Permanently restricted net assets ..... 2,324,493 29 2,538,894
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 ..... 65,302,338 33 58,597,603
34 Total liabilities and net assets/fund balances ..... 254,882,136 34 276,272,946
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
200,220,580
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
197,185,048
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
3,035,532
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
65,302,338
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-9,740,267
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
58,597,603
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
Yes
 
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
Yes
 
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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 1,000,000       1,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        1,500,000
             
c Total lobbying expenditures 33,623       33,623
             
d Grassroots non-taxable amount 250,000       250,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        375,000
             
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)? ....
Yes
 
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
 
36,000
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
24,647
j
Total. lines 1c through 1i ...................................
60,647
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
POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES SCHEDULE C, PART II-B; QUESTIONS 1G & 1H SHORE MEMORIAL HOSPITAL ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2010, THE TAXPAYER PAID TWO INDEPENDENT FIRMS A TOTAL OF $36,000 FOR LOBBYING CONSULTING SERVICES. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS EXECUTIVE DIRECTOR OF GOVERNMENT AFFAIRS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTH CARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $2,811. IN ADDITION, SHORE MEMORIAL HOSPITAL IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, BOTH OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THESE ORGANIZATIONS ARE ALLOCATED TOWARDS THESE LOBBYING EFFORTS. THIS ALLOCATION AMOUNTED TO $21,836 IN 2010.
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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 .... 5,352,003 4,995,593 2,772,200
b Contributions ........ 1,103,776 327,510 2,700,000
c Investment earnings or losses ... 214,401 28,900 -476,607
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
     
f Administrative expenses ....      
g End of year balance ...... 6,670,180 5,352,003 4,995,593
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet61.940 %
c
Term endowment: SchDMd Bullet38.060 %
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 .................   4,451,365 4,451,365
b Buildings ................   39,454,602 23,140,167 16,314,435
c Leasehold improvements ............        
d Equipment ................   171,338,347 134,858,036 36,480,311
e Other .................   99,848,256 1,065,459 98,782,797
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 156,028,908
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) USE 14,798,303 F
(2) SECURITIES; LIMITED USE 1,596,148 F
(3) LIMITED USE 8,179,273 F
(4) LIMITED USE 5,782,145 F
(5) LIMITED USE 11,910,388 F
(6) LIMITED USE 10,299,099 F
(7) LIMITED USE 8,745,312 F
(8) LIMITED USE 9,255,819 F
(9) LIMITED USE 125,371 F
(10) PERPETUAL TRUST 1,863,368 F
Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 72,555,226
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
THIRD PARTY PAYORS; CURRENT 6,297,392
NON-CURRENT 4,392,980
MALPRACTICE CLAIMS 1,240,000
OTHER LIABILITIES 97,194,711
ACCRUED INTEREST PAYABLE 734,772
RETAINAGE PAYABLE 2,199,005



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 112,058,860
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) .................... 1 200,220,580
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 197,185,048
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 3,035,532
4 Net unrealized gains (losses) on investments .......................... 4 501,682
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -10,241,949
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -9,740,267
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -6,704,735
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 200,785,232
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 501,682
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 62,970
e Add lines 2a through 2d ..................... 2e 564,652
3 Subtract line 2e from line 1..................... 3 200,220,580
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.) ...... 5 200,220,580
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 197,248,018
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 62,970
e Add lines 2a through 2d...................... 2e 62,970
3 Subtract line 2e from line 1..................... 3 197,185,048
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.) ...... 5 197,185,048
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; QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI; LINE 8 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - OTHER CHANGE IN PENSION AND OTHER POSTRETIREMENT BENEFIT LIABILITIES; ($11,505,688); - CHANGE IN TEMPORARY INTEREST IN NET ASSETS OF SHORE MEMORIAL HEALTH FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; $1,103,776; - CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; $159,963.
RECONCILIATION OF REV PER AUDITED FINANCIAL STATEMENTS WITH REV PER RETURN SCHEDULE D, PART XII; LINE 2D OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12 INCLUDE: - RENTAL EXPENSES - $62,970
RECONCILIATION OF EXP PER AUDITED FINANCIAL STATEMENTS WITH EXP PER RETURN SCHEDULE D, PART XIII, LINE 2D OTHER RECONCILIATION ITEMS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 INCLUDE: - RENTAL EXPENSES - $62,970
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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
 
No
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
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
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) ..
  13,098 11,322,365 884,831 10,437,534 5.470 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
  14,587 15,543,862 11,335,366 4,208,496 2.210 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....   0 0 0 0 0 %
dTotal Charity Care and
Means-Tested Government Programs .....
  27,685 26,866,227 12,220,197 14,646,030 7.680 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
45 303,150 563,965 98,453 465,512 0.240 %
f Health professions education
(from Worksheet 5) ..
1 244 1,590 0 1,590 0 %
g Subsidized health services
(from Worksheet 6) ..
  0 0 0 0 0 %
h Research (from Worksheet 7)   0 0 0 0 0 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
  0 0 0 0 0 %
jTotal Other Benefits ... 46 303,394 565,555 98,453 467,102 0.240 %
kTotal. Add lines 7d and 7j. .. 46 331,079 27,431,782 12,318,650 15,113,132 7.920 %
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   0 0 0 0 0 %
2 Economic development   0 0 0 0 0 %
3 Community support 1 2,400 112,797 0 112,797 0.060 %
4 Environmental improvements   0 0 0 0 0 %
5 Leadership development and training for community members   0 0 0 0 0 %
6 Coalition building   0 0 0 0 0 %
7 Community health improvement advocacy   0 0 0 0 0 %
8 Workforce development 1 278 302 0 302 0 %
9 Other   0 0 0 0 0 %
10 Total 2 2,678 113,099 0 113,099 0.060 %
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
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
6,425,797
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
 
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
53,077,891
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
84,630,087
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-31,552,196
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 SHORE MEMORIAL HOSPITAL
ONE EAST NEW YORK AVENUE
SOMERS POINT,NJ082442387
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:SHORE MEMORIAL 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?5
Name and address Type of Facility (Describe)
1 SMH - HEALTH & CONFERENCE CENTER
649 SHORE ROAD
SOMERS POINT,NJ08244
LAB AND RADIOLOGY SERVICES
2 SMH - HEALTH & CONFERENCE CENTER
649 SHORE ROAD
SOMERS POINT,NJ08244
LAB AND RADIOLOGY SERVICES
3 SMH - HEALTH & CONFERENCE CENTER
649 SHORE ROAD
SOMERS POINT,NJ08244
LAB AND RADIOLOGY SERVICES
4 SMH - HEALTH & CONFERENCE CENTER
649 SHORE ROAD
SOMERS POINT,NJ08244
LAB AND RADIOLOGY SERVICES
5 SMH - HEALTH & CONFERENCE CENTER
649 SHORE ROAD
SOMERS POINT,NJ08244
LAB AND RADIOLOGY SERVICES
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 THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2010 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A NOT APPLICABLE.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7 THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,425,797. NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II SHORE MEMORIAL HOSPITAL IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. THE PERSONAL EFFORTS OF OUR GENEROUS HOSPITAL STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY SHORE MEMORIAL'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER AND OTHER AVENUES LIKE OUR TV SHOW, "HEALTH TODAY". MORE RECENTLY, SHORE MEMORIAL BECAME PART OF THE PLANETREE NETWORK. THE PLANETREE MODEL OF CARE IS A PATIENT-CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS.
BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. SHORE MEMORIAL HEALTH SYSTEM PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF SHORE MEMORIAL HOSPITAL. PATIENT ACCOUNTS RECEIVABLE/ALLOWANCE FOR DOUBTFUL ACCOUNTS PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE HOSPITAL CEASES COLLECTION EFFORTS. CHARITY CARE THE HOSPITAL PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA ESTABLISHED BY THE STATE OF NEW JERSEY. THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED TO PATIENTS ELIGIBLE FOR SUCH CHARITY CARE APPROXIMATED $44,479,000 AND $33,816,000 IN 2010 AND 2009, RESPECTIVELY. THE NEW JERSETY HEALTH CARE REFORM ACT OF 1992, CHAPTER 160, ESTABLISHED THE HEALTH CARE SUBSIDY FUND (HCSF) TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE CERTAIN HOSPITALS FOR CHARITY CARE. FOR 2010 AND 2009, THE HOSPITAL RECOGNIZED $720,536 AND $495,342, RESPECTIVELY, AS SUBSIDIES FOR CHARITY CARE, WHICH IS INCLUDED IN NET PATIENT SERVICE REVENUE.
MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8 MEDICARE COSTS WERE DERIVED FROM THE 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. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE;
DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE SHORE MEMORIAL HEALTH SYSTEM AND ALL ITS HOSPITAL AFFILIATES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $500 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY.
FACILITY POLICIES AND PRACTICES SCHEDULE H, PART V; SECTION B NOT APPLICABLE.
NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 AS A COMMUNITY HOSPITAL, IT IS SHORE MEMORIAL'S RESPONSIBILITY TO ADDRESS THE UNIQUE NEEDS OF OUR COMMUNITY, NO MATTER WHAT AGE, RACE OR GENDER THEY MAY BE. SHORE MEMORIAL IDENTIFIES THE NEEDS OF OUR COMMUNITY VIA SEVERAL AVENUES. THESE INCLUDE AN ANNUAL COMMUNITY NEEDS ASSESSMENT SURVEY WHERE WE RECEIVE CLOSE TO 1,000 RESPONDENTS, THE HOSPITAL'S PARTNERSHIP WITH THE UNITED WAY OF ATLANTIC COUNTY, WHICH IDENTIFIES AND SUPPORTS AREA ORGANIZATIONS IN NEED, AND BY MAINTAINING A VISIBLE PRESENCE OUR COMMUNITY THROUGH THE HUNDREDS OF COMMUNITY WELLNESS EVENTS EACH YEAR, RANGING FROM WALKS AND COMPETITIONS TO CHURCH CELEBRATIONS AND COMMUNITY FAIRS. IT WAS THROUGH THESE ASSESSMENTS, FOR EXAMPLE, THAT SHORE MEMORIAL RECENTLY LEARNED OF A NEED FOR DIABETES EDUCATION IN THE COMMUNITY. AS A RESULT, IN 2010 SHORE MEMORIAL LAUNCHED A DIABETES EDUCATION CLASS OFFERED AT NO COST TO THE PUBLIC AT THE HOSPITAL'S OUTPATIENT TESTING CENTER IN EGG HARBOR TOWNSHIP. ADDITIONALLY, THE HOSPITAL IS LAUNCHING HEALTH RISK ASSESSMENTS ONLINE TO PROVIDE GREATER ACCESS FOR MEMBERS OF OUR COMMUNITY TO PROACTIVELY STAY HEALTHY.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 SHORE MEMORIAL HOSPITAL HAS ENGAGED A THIRD PARTY NCO, TO PROVIDE EDUCATION AND ELIGIBILITY PROCESSING FOR CHARITY CARE AND MEDICAID ELIGIBILITY. THIS 3RD PARTY MEETS WITH INPATIENTS, THEIR FAMILIES AND WALK IN PATIENTS TO PROVIDE ALL NECESSARY GUIDANCE FOR THE PATIENT FINANCIAL NEEDS. IN ADDITION THEY ALSO MAKE HOUSE CALLS FOR THOSE THAT NEED FURTHER ASSISTANCE AND HELP IN GETTING TO THE AGENCIES NECESSARY TO COMPLETE STATE APPLICATIONS. SHORE MEMORIAL HOSPITAL ALSO HAS AN ADDITIONAL 4 INDIVIDUALS THAT HELP PATIENTS COMPLETE THESE FORMS IN THE BUSINESS OFFICE, EMERGENCY DEPARTMENT AND THE ADMISSIONS OFFICE. SHORE MEMORIAL HOSPITAL ALSO MAINTAINS SIGNAGE (MULTI LINGUAL) TO DIRECT PATIENTS TO THE HELP THEY MAY NEED.
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 SHORE MEMORIAL HOSPITAL IS LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. SHORE MEMORIAL HOSPITAL SERVES THE HEALTHCARE NEEDS OF BOTH THE YEAR ROUND AND SUMMER RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES AS WELL AS SEASONAL VISITORS FROM OTHER COMMUNITIES AND STATES. ACCORDING TO THE MOST RECENT CENSUS DATA, ATLANTIC COUNTY IS ONE OF THE MOST DIVERSE OF NEW JERSEY'S 21 COUNTIES. OF THE 270,000 PEOPLE RESIDING IN ATLANTIC COUNTY 17.5 PERCENT ARE OF AFRICAN AMERICAN DESCENT AND 15.3 PERCENT ARE OF HISPANIC DESCENT. NEARLY 50,000 RESIDENTS SUFFER FROM DISABILITIES AND MORE THAN 10 PERCENT OF THE POPULATION IS BELOW THE POVERTY LEVEL.
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 SHORE MEMORIAL HOSPITAL IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. THE PERSONAL EFFORTS OF OUR GENEROUS HOSPITAL STAFF HAVE PARTICIPATED IN NUMEROUS EVENTS THAT SUPPORT AND EXEMPLIFY SHORE MEMORIAL'S COMMITMENT TO OUR COMMUNITY. OUR PRIMARY GOAL IS TO CARE FOR AND RESPECT, ALL PATIENTS THEIR FAMILIES AND EACH OTHER. ALONG WITH THE SUPERIOR CARE THAT WE DELIVER EVERY DAY, WE STRIVE TO EDUCATE AND PROMOTE WELLNESS TO THE COMMUNITY THROUGH THE MANY OUTREACH PROGRAMS WE OFFER AND OTHER AVENUES LIKE OUR TV SHOW. "HEALTH TODAY". MORE RECENTLY, SHORE MEMORIAL BECAME PART OF THE PLANETREE NETWORK. THE PLANETREE MODEL OF CARE IS A PATIENT CENTERED, HOLISTIC APPROACH TO HEALTHCARE, PROMOTING MENTAL, EMOTIONAL, SPIRITUAL, SOCIAL AND PHYSICAL HEALING. WE HOPE TO EMPOWER OUR PATIENTS AND FAMILIES THROUGH THE EXCHANGE OF INFORMATION TO ULTIMATELY ENCOURAGE AND FOSTER HEALING PARTNERSHIPS WITH CAREGIVERS.
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 NOT FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITIES: SHORE HEALTH SERVICES CORPORATION Shore Health Services Corporation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization, NOW INACTIVE, provided medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. SHORE MEMORIAL HEALTH SYSTEM Shore Memorial Health System is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). The organization functions as the parent corporation of and supports the charitable purposes, programs and services of Shore Memorial Health System and affiliates, including Shore Memorial Hospital, which provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. SHORE MEMORIAL HEALTH FOUNDATION, INC. Shore Memorial Health Foundation, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). The organization supports and raises funds on behalf of the Shore Memorial Health System, including Shore Memorial Hospital, which provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. SHORE MEMORIAL PROPERTIES Shore Memorial Properties is an INACTIVE organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(2). FOR-PROFIT SHORE MEMORIAL HEALTH SYSTEM ENTITY: SHORE HEALTH ENTERPRISES, INC. A for-profit entity whose sole shareholder is Shore Memorial Health System ("SMHS"). The entity provides real estate services for SMHS.
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.
Schedule 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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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
Yes
 
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
Yes
 
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
 
No
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) RONALD W JOHNSON (i)
(ii)
285,360
0
78,551
0
5,521
0
125,842
0
29,231
0
524,505
0
0
0
(2) ALBERT L GUTIERREZ (i)
(ii)
346,919
0
176,472
0
482,131
0
152,838
0
22,373
0
1,180,733
0
463,237
0
(3) JAMES T FOLEY (i)
(ii)
208,694
0
94,113
0
22,344
0
152,372
0
21,497
0
499,020
0
0
0
(4) PETER R JUNGBLUT MD (i)
(ii)
209,763
0
77,181
0
1,946
0
98,178
0
26,951
0
414,019
0
0
0
(5) JOAN GAVIN (i)
(ii)
220,344
0
34,959
0
5,298
0
41,244
0
21,280
0
323,125
0
0
0
(6) FREDERICK L BANNER (i)
(ii)
162,046
0
0
0
29,686
0
13,302
0
26,196
0
231,230
0
0
0
(7) WILLIAM D ELLIOTT (i)
(ii)
199,021
0
19,562
0
5,821
0
55,760
0
12,818
0
292,982
0
0
0
(8) KIMBERLY H SIMERS (i)
(ii)
170,985
0
41,879
0
1,628
0
26,600
0
23,823
0
264,915
0
0
0
(9) ALAN L BEATTY (i)
(ii)
164,489
0
47,660
0
1,388
0
35,926
0
26,495
0
275,958
0
0
0
(10) ROBERT L WOOD (i)
(ii)
169,848
0
0
0
31,999
0
19,340
0
19,327
0
240,514
0
0
0
(11) JEFFREY MELTZER MD (i)
(ii)
244,742
0
0
0
5,544
0
7,350
0
23,545
0
281,181
0
0
0
(12) HAROLD R DOWNS (i)
(ii)
148,361
0
0
0
25,909
0
31,002
0
20,543
0
225,815
0
0
0
(13) ROBERT F ROBERTSON (i)
(ii)
147,275
0
0
0
21,057
0
14,120
0
27,456
0
209,908
0
0
0
(14) ELIZABETH CIANFRANI (i)
(ii)
155,820
0
0
0
2,419
0
18,851
0
20,584
0
197,674
0
0
0
(15) THEODORE SHEPPARD (i)
(ii)
127,840
0
0
0
22,942
0
32,838
0
21,500
0
205,120
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 SCHEDULE J, PART 1, QUESTION 1 THE ORGANIZATION MAINTAINS A CLUB MEMBERSHIP FOR BUSINESS PURPOSES AND MEETINGS. THIS MEMBERSHIP ENTITLES CERTAIN SHORE MEMORIAL HOSPITAL SENIOR EXECUTIVES TO THE USE OF THE CLUB'S FACILITIES. THE AMOUNTS OUTLINED HEREIN RELATING TO THE PERSONAL USE OF THIS CORPORATE MEMBERSHIP ARE TREATED AS TAXABLE WAGES AND ARE INCLUDED ON EACH INDIVIDUAL'S RESPECTIVE 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RONALD W. JOHNSON, $1,575; ALBERT L. GUTIERREZ, $963; JAMES T. FOLEY, $1,050 AND WILLIAM D. ELLIOTT, $1,050; and PETER R. JUNGBLUT, M.D., $947.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. CERTAIN AMOUNTS WERE REPORTED AS EMPLOYEE BENEFIT PLAN CONTRIBUTIONS ON PRIOR YEAR FORMS 990. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ALBERT L. GUTIERREZ, $463,237. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, AS TAXABLE WAGES: RONALD W. JOHNSON, $23,497; ALBERT L. GUTIERREZ, $66,860; JAMES T. FOLEY, $30,901 AND PETER R. JUNGBLUT, M.D., $23,464.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 THE FOLLOWING INDIVIDUALS RECEIVED AN INCENTIVE DISTRIBUTION BASED ON ATTAINING PERFORMANCE TARGETS APPROVED BY THE BOARD MANAGEMENT REVIEW AND COMPENSATION COMMITTEE DURING CALENDAR YEAR 2010 WHICH AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RONALD W. JOHNSON, $78,551; ALBERT L. GUTIERREZ, $176,472; JAMES T. FOLEY, $94,113; PETER R. JUNGBLUT, M.D., $77,181; JOAN GAVIN, $34,959; WILLIAM D. ELLIOTT, $19,562; KIMBERLY SIMERS, $41,879 AND ALAN L. BEATTY, $47,660.
COMPENSATION INFORMATION SCHEDULE J, PART II; COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL REPRESENTS AN AMOUNT THAT BECAME TAXABLE IN 2010 BECAUSE IT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE FOR SERVICES RENDERED IN PRIOR YEARS, AND REPORTED AS AN ACCRUED BENEFIT ON THE ORGANIZATIONS PRIOR YEAR FORMS 990. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2010 FORM W-2, BOX 5 MEDICARE WAGES AS FOLLOWS: ALBERT L. GUTIERREZ, $463,237.
Schedule J (Form 990) 2010

Additional Data


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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
SHORE MEMORIAL HOSPITAL
 
Employer identification number
21-0660835
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
 
22-1487590 64579FAA1 07-01-2003 31,205,000 CONST/RENO/EQUIP/DEBT SVC FUND   X   X X  
B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1487590 64579FYS6 09-17-2009 29,919,677 BUILDINGS & STRUCTURES   X   X X  
C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FZH9 01-27-2010 15,000,000 BUILDINGS & STRUCTURES   X   X X  
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 0 0 0  
2 Amount of bonds defeased . . . . 0 0 0  
3 Total proceeds of issue . . . . 31,836,423 30,000,000 15,000,000  
4 Gross proceeds in reserve funds . . 2,498,175 0 0  
5 Capitalized interest from proceeds. 0 0 0  
6 Proceeds in refunding escrow. . . . . 0 0 0  
7 Issuance costs from proceeds . . . 626,021 598,394 300,000  
8 Credit enhancement from proceeds. 0 0 0  
9 Working capital expenditures from proceeds . . 0 0 0  
10 Capital expenditures from proceeds . . 28,712,227 29,401,606 14,700,000  
11 Other spent proceeds . . 0 0 0  
12 Other unspent proceeds. . . 0 0 0  
13 Year of substantial completion . . . 2004 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X X      
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   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   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X     X   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   X   X    
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   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   X   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 1.040 % 0 % 0 %  
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 0 % 0 % 0 %  
6 Total of lines 4 and 5 . . .. . . . . . 1.040 % 0 % 0 %  
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   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     X   X    
2 Is the bond issue a variable rate issue?   X X   X      
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X X     X    
b Name of provider . BARCLAY'S BANK PLC
 
BARCLAY'S BANK PLC
 
 
 
 
 
c Term of hedge . . 30. 30.    
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   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   X   X    
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   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
TAX-EXEMPT BOND ISSUES SCHEDULE K, PART I THE JULY 1, 2003 TAX-EXEMPT BOND ISSUANCE INCLUDED IN SCHEDULE K, PART I INCLUDES CUSIP NUMBERS IN ADDITION TO THE ONE DISCLOSED IN SCHEDULE K, PART I, COLUMN (C). THESE ARE THE FOLLOWING: 64579FAB9; 64579FAC7; 64579FAD5; 64579FAE3; 64579FAF3; 64579FAG8; 64579FAH6; 64579FAJ2; 64579FAK9 & 64579FAL7.
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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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) COASTAL CLINICAL PATHOLOGISTS PA R. BEACH, M.D. - TRUSTEE 284,928 MEDICAL 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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND =========== SHORE MEMORIAL HOSPITAL (SHORE MEMORIAL) IS A GENERAL MEDICAL AND SURGICAL HOSPITAL RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SHORE MEMORIAL PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SHORE MEMORIAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) SHORE MEMORIAL PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) SHORE MEMORIAL OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS PER YEAR; 3) SHORE MEMORIAL MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF SHORE MEMORIAL RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF SHORE MEMORIAL, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF SHORE MEMORIAL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. MISSION STATEMENT ================== WE CARE FOR AND RESPECT ALL PATIENTS, THEIR FAMILIES AND EACH OTHER. ORGANIZATION OVERVIEW ====================== SHORE MEMORIAL IS A NOT-FOR-PROFIT HEALTH CARE RESOURCE THAT HAS SERVED SOUTHERN NEW JERSEY FOR MORE THAN 70 YEARS. IN THAT TIME, SHORE MEMORIAL HAS BECOME KNOWN FOR PROVIDING A COMPASSIONATE LEVEL OF SERVICE THAT GOES HAND IN HAND WITH ITS ADVANCED TECHNOLOGY AND MODERN MEDICAL FACILITIES. SHORE MEMORIAL IS A 296 BED, NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN SOMERS POINT, ATLANTIC COUNTY, NEW JERSEY, APPROXIMATELY 10 MILES SOUTH OF ATLANTIC CITY, NEW JERSEY. SHORE MEMORIAL IS LICENSED AND APPROVED BY THE STATE OF NEW JERSEY TO OPERATE AS A GENERAL ACUTE CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES TO THE COMMUNITY. FOUNDED IN 1928 AND CHARTERED IN 1940 AS A NOT-FOR-PROFIT CORPORATION, SHORE MEMORIAL SERVES THE HEALTHCARE NEEDS OF BOTH THE YEAR-ROUND AND SUMMER RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES, AS WELL AS VISITORS FROM OTHER COMMUNITIES AND STATES. SHORE MEMORIAL HAS UNDERGONE FOURTEEN MAJOR CONSTRUCTION AND RENOVATION PROJECTS SINCE 1940 TO PROVIDE NECESSARY FACILITIES AND SERVICES FOR ITS EXPANDING PATIENT POPULATION. CURRENTLY THE HOSPITAL IS CONSTRUCTING A FOUR-STORY 135,000 SQUARE FOOT SURGICAL AND OUTPATIENT SERVICES PAVILION TO MEET THE GROWING NEEDS OF THE COMMUNITY. THE PROJECT IS EXPECTED TO BE COMPLETED IN THE SUMMER OF 2011. THE BOARD OF TRUSTEES AND STAFF OF THE HOSPITAL TAKE GREAT PRIDE IN PURSUING THIS ENDEAVOR DURING THE WORST ECONOMIC CLIMATE SEEN SINCE THE GREAT DEPRESSION, AS IT HAS RESULTED IN COMPETITIVE RATES FOR LABOR AND MATERIALS AND FINANCING. THE PAVILION WILL POSITION SHORE MEMORIAL AS THE REGION'S LEADING SURGICAL PROVIDER AND WILL BENEFIT THE RESIDENTS OF ATLANTIC AND CAPE MAY COUNTIES. SHORE MEMORIAL ENGAGES THE TALENTS AND TEAMWORK OF THE BEST AND BRIGHTEST PEOPLE IN THE INDUSTRY. OUR TEAM OF PHYSICIANS, NURSES, TECHNOLOGISTS, MANAGERS, FINANCIAL EXPERTS, BOARD OF TRUSTEES AND OUR AFFILIATES IN PHILADELPHIA ALL WORK TOGETHER TO ENSURE THAT THE COMMUNITY HAS ACCESS TO THE BEST HEALTHCARE RESOURCES WHEN NEEDED. AND THE COMMUNITY HAS RESPONDED POSITIVELY TO OUR APPROACH TO HEALTHCARE DELIVERY. INDEPENDENT MARKET RESEARCH BY THE MELIOR GROUP CONFIRMS THAT SHORE MEMORIAL IS THE PREFERRED HOSPITAL AMONG ATLANTIC AND CAPE MAY COUNTY RESIDENTS. THE COMMUNITY HAS VOICED THEIR VOTE OF CONFIDENCE IN SHORE MEMORIAL AND THE HOSPITAL WILL CONTINUE TO EARN THE COMMUNITY'S TRUST AS THE LEADING HEALTHCARE PROVIDER IN THE REGION. THE PROFESSIONAL COMMUNITY HAS ALSO TAKEN NOTICE OF SHORE MEMORIAL. IN 2010 SHORE MEMORIAL WAS OFFICIALLY DESIGNATED A PRIMARY STROKE CENTER BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES. SHORE MEMORIAL IS ALSO ACCREDITED BY THE JOINT COMMISSION-THE NATION'S PREDOMINANT STANDARDS-SETTING AND ACCREDITING BODY IN HEALTH CARE- AS A PRIMARY STROKE CENTER. THE JOINT COMMISSION HAS ALSO ACCREDITED SHORE MEMORIAL'S LUMBAR AND CERVICAL SPINE SURGERY PROGRAMS IN RECOGNITION OF THE HOSPITAL'S STRICT ADHERENCE TO QUALITY STANDARDS. IN FACT, SHORE MEMORIAL'S NEUROSURGICAL SPINE PROGRAM IS ONE OF ONLY A HANDFUL OF HOSPITALS NATIONWIDE TO RECEIVE THIS ACCOLADE. IN 2010, THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC) AWARDED SHORE MEMORIAL'S CANCER PROGRAM THE "THREE YEAR WITH COMMENDATION" AWARD, WHICH IS ASSIGNED TO PROGRAMS THAT GO ABOVE AND BEYOND IN THE COC'S ELIGIBILITY STANDARDS. SHORE MEMORIAL'S 28,000 SQUARE FOOT REGIONAL CANCER CENTER PROVIDES MEDICAL ONCOLOGY, ADVANCED RADIATION ONCOLOGY AND NUMEROUS OUTPATIENT-SUPPORT PROGRAMS FOR CANCER PATIENTS. INDIVIDUALIZED SERVICES INCLUDE SOCIAL AND NUTRITIONAL COUNSELING COUPLED WITH CLINICAL PREVENTION AND INNOVATIVE TREATMENT PROGRAMS IN COOPERATION WITH THE PENN CANCER NETWORK. IN 2010 SHORE MEMORIAL LAUNCHED ITS WOUND CARE AND HYPERBARIC MEDICINE CENTER. THIS OUTPATIENT SERVICE GIVES PATIENTS ACCESS TO INNOVATIVE WOUND TREATMENTS DESIGNED TO HELP THEM HEAL QUICKLY AND MORE. THIS TREATMENT PLAN INVOLVES THE USE OF HYPERBARIC OXYGEN THERAPY CHAMBERS TO ENHANCE THE BODY'S NATURAL HEALING SYSTEM. IN 2010 SHORE MEMORIAL ALSO INTRODUCED THE ADVANCED SPINE AND ORTHOPEDIC INSTITUTE - A FULL-SERVICE SOLUTION THAT BLENDS SHORE MEMORIAL'S RENOWNED JOINT COMMISSION-CERTIFIED LUMBAR AND CERVICAL SPINE SURGERY PROGRAMS WITH THE CLINICAL SOPHISITICATION OF ITS ORTHOPEDIC SERVICES. PATIENTS IN NEED OF SPINE CARE, JOINT REPLACEMENT AND OTHER ORTHOPEDIC SERVICES RECEIVE A CONTINUUM OF CARE THAT STARTS WITH DIAGNOSIS AND CONTINUES THROUGH TREATMENT TO REHABILITATION AND RECOVERY. IN 2010, MORE THAN 11,000 PATIENTS WERE ADMITTED TO THE HOSPITAL, AND MORE THAN 44,000 WERE TREATED IN SHORE MEMORIAL'S EMERGENCY DEPARTMENT. THE HOSPITAL'S OBSTETRICAL CLINIC PROVIDED TREATMENT FOR 3,859 EXPECTANT MOTHERS WHO ARE UNDERINSURED OR UNINSURED. SHORE MEMORIAL WAS RECOGNIZED IN 2010 BY THE NEW JERSEY HOSPITAL ASSOCIATION'S INSTITUTE FOR QUALITY AND PATIENT SAFETY AND THE JOHNS HOPKINS UNIVERSITY QUALITY AND SAFETY GROUP FOR ITS WORK IN INFECTION PREVENTION. THE CEO ROUNDTABLE ON CANCER NAMED SHORE MEMORIAL A GOLD STANDARD EMPLOYER IN 2010 IN ACKNOWLEDGEMENT OF THE HOSPITAL'S DEDICATION TO THE HEALTH AND WELL-BEING OF EMPLOYEES AND THEIR FAMILIES. COMMUNITY FOCUSED EDUCATION ============================ SINCE APRIL OF 1992 THE HOSPITAL HAS PRODUCED ITS OWN TELEVISION SHOW. HEALTH TODAY FROM SHORE MEMORIAL HOSPITAL IS A COMMUNITY-FOCUSED 30 MINUTE HEALTH INFORMATION TELEVISION SHOW. IT IS PRODUCED IN COOPERATION WITH THE LOCAL NBC AFFILIATE NBC 40 AND BRINGS HEALTHCARE ISSUES AS DISCUSSED BY SHORE MEMORIAL PHYSICIANS, NURSES AND OTHER EXPERTS INTO THE HOMES OF VIEWERS EACH WEEK. THE SHOWS ALSO FEATURE A WELLNESS SEGMENT AND SPECIAL REPORTS ON TECHNOLOGY AND HAVE TOUCHED EVERY PART OF THE HOSPITAL FROM STERILE PROCESSING TO THE EMERGENCY ROOM, PHYSICAL THERAPY, DIAGNOSTIC IMAGING, LABORATORY SERVICES AND MORE. IN OVER 300 SHOWS, MORE THAN 1,000 TOPICS HAVE BEEN DISCUSSED AND VIEWERS HAVE BEEN TAKEN INSIDE THE OPERATING ROOM TO WATCH ACTUAL SURGERIES INCLUDING A CRANIOTOMY, SPINE SURGERY, C-SECTION AND JOINT REPLACEMENT. SHORE MEMORIAL'S WELLNESS PROGRAM HAS BEEN AN INTEGRAL PART OF THE COMMUNITY, OFFERING HEALTH EDUCATION AND SCREENINGS FOR MORE THAN 20 YEARS. IN 2010 THOUSANDS OF LOCAL RESIDENTS PARTICIPATED IN CLINICAL ENCOUNTERS, INCLUDING 606 BLOOD PRESSURES AND MORE THAN 870 ADDITIONAL HEALTH SCREENINGS SUCH AS VASCULAR AND GLUCOSE SCREENINGS. SHORE IS THE LEAD AGENCY FOR THE NJ CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAM FOR ATLANTIC COUNTY, PROVIDING CANCER SCREENING SERVICES AT CONVENIENT LOCATIONS WITHIN THE COMMUNITIES WE SERVE. SHORE MEMORIAL COORDINATED MORE 370 BREAST CANCER SCREENINGS, 794 CERVICAL CANCER SCREENINGS, 51 COLORECTAL SCREENINGS AND 56 PROSTATE SCREENINGS FOR THE UNDERSERVED POPULATION. SHORE MEMORIAL RECEIVED $332,110 IN CEED GRANT FUNDING FOR THESE SCREENINGS. ADDITIONALLY, 2,539 INDIVIDUALS ATTENDED EDUCATIONAL WORKSHOPS OR LECTURES AND 1,763 INDIVIDUALS ATTENDED SPECIAL COMMUNITY EVENTS.
COMMUNITY BENEFIT STATEMENT; CONTINUED FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ADDITIONALLY, SHORE MEMORIAL CANCER CENTER OFFERED 15 COMMUNITY OUTREACH EVENTS IN 2010, DURING WHICH MORE THAN 781 PEOPLE IN THE COMMUNITY WERE PROVIDED WITH EDUCATION ABOUT CANCER PREVENTION AND EARLY DETECTION. CHILDBIRTH EDUCATION, BREAST FEEDING, SIBLING PREPARATION AND OTHER PROGRAMS TO WELCOME A NEWBORN INTO THE FAMILY ARE OFFERED TO THE ENTIRE COMMUNITY. SHORE MEMORIAL'S WEBSITE PROVIDES INFORMATION ON HOSPITAL PROGRAMS, SERVICES, AND PHYSICIANS. IT ALSO OFFERS EDUCATIONAL VIDEOS, HEALTH-FOCUSED ARTICLES AND ASSESSMENTS. SHORE MEMORIAL'S PHYSICIAN FINDER SERVICE IS FREE AND AVAILABLE ON THE INTERNET AND THROUGH A CALL CENTER. THE SERVICE MATCHES A CALLER'S NEEDS SUCH AS SPECIALTY, LOCATION, INSURANCE AND OFFICE HOURS TO A SHORE MEMORIAL PHYSICIAN. UNCOMPENSATED CARE =================== SHORE MEMORIAL HAS LONG BEEN A REGIONAL LEADER IN MEETING ITS COMMITMENT TO THE MEDICALLY UNDERSERVED MEMBERS OF THE COMMUNITY. IN ADDITION TO ITS COMMUNITY OUTREACH PROGRAMS AND OBSTETRICAL CLINIC, THE HOSPITAL PROVIDES SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO THOSE LEAST ABLE TO PAY FOR THESE SERVICES. IN KEEPING WITH ITS MISSION TO CARE FOR PATIENTS, THE HOSPITAL SERVES ALL WITHOUT REGARD TO ABILITY TO PAY. IN 2010 SHORE MEMORIAL SPENT APPROXIMATELY 9.4 MILLION AT COST FOR MEDICAL SERVICES DELIVERED TO THESE PATIENTS. THE HOSPITAL ONLY RECEIVED A STATE SUBSIDY OF APPROXIMATELY $721,000 TO OFFSET THIS AMOUNT. SHORE MEMORIAL RECOGNIZES THE FINANCIAL DIFFICULTY IMPOSED ON THE SELF-PAY PATIENT WHO IS LEAST ABLE TO AFFORD TO PAY FOR HEALTHCARE SERVICES WHEN BILLED AT THE HOSPITAL'S STANDARD CHARGES. THEREFORE THE HOSPITAL ESTABLISHED AN INNOVATIVE POLICY TO ADDRESS THE DISPARITY BETWEEN HOSPITAL-BILLED CHARGES AND THE ACTUAL COST OF PROVIDING CARE TO THE SELF-PAY PATIENT OR UNDER-INSURED PATIENT. THE METHOD ADOPTED IS BASED UPON SOUND ACCOUNTING PRINCIPLES TO DETERMINE THE ACTUAL COST OF PROVIDING CARE TO PATIENTS USING A KNOWN STANDARD DEVELOPED FOR THE MEDICARE COST REPORT. THE POLICY IS TO APPLY THE MOST CURRENT HOSPITAL SPECIFIC MEDICARE COST TO CHARGE RATIO TO THE SELF-PAY PATIENT'S TOTAL CHARGE BALANCE AND ADJUST THE BILL TO COST. THIS ADJUSTMENT IS LIMITED ONLY TO THOSE PATIENTS NOT COVERED BY INSURANCE. THIS RATIO IS SUBJECT TO CHANGE AS DETERMINED BY THE MEDICARE FISCAL INTERMEDIARY. PATIENTS UNABLE TO PAY THE COST ADJUSTED BILL IN FULL ARE PERMITTED TO ENTER INTO A HOSPITAL APPROVED PAYMENT ARRANGEMENT. PAYMENT ARRANGEMENTS ARE DETERMINED BASED UPON THE FINANCIAL CONDITION OF THE PATIENT AND PAID OVER TIME USING OUR EXISTING PAYMENT ARRANGEMENT METHODOLOGY. AS A NON-PROFIT HEALTHCARE PROVIDER, IT IS SHORE MEMORIAL'S RESPONSIBILITY TO DELIVER HIGH-QUALITY HEALTHCARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. IN 2010, THE HOSPITAL PROVIDED MORE THAN $21 MILLION IN UNCOMPENSATED CARE, WHICH INCLUDES $8.5 MILLION IN BAD DEBT. SHORE MEMORIAL IS COMMITTED TO THE COMMUNITY THAT IT SERVES. THE CHALLENGE OF MEETING THE HIGH COSTS OF PROVIDING QUALITY HEALTH SERVICES IS MADE POSSIBLE THROUGH THE DEDICATION OF PHYSICIANS, STAFF AND VOLUNTEERS. AFFILIATIONS ============= SHORE MEMORIAL CONTINUES TO BE THE ONLY HOSPITAL IN THE REGION TO OFFER PATIENTS A CLINICAL AFFILIATION WITH BOTH THE WORLD-RENOWNED UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (UPHS)-ALSO KNOWN AS PENN MEDICINE - AND THE CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP) CARE NETWORK. THIS GIVES SHORE MEMORIAL PHYSICIANS AND THEIR PATIENTS THE BENEFIT OF CLINICAL RESEARCH, EDUCATIONAL RESOURCES, AND THE LATEST IN MEDICAL TECHNOLOGY DELIVERED IN A COMMUNITY HOSPITAL SETTING THROUGH A SEAMLESS CONNECTION WITH BOTH PHILADELPHIA HEALTH SYSTEMS. THROUGH SHORE MEMORIAL'S AFFILIATION WITH PENN MEDICINE, CARDIOLOGISTS FROM PENN CARDIAC CARE PROVIDE LOW-RISK CARDIAC CATHETERIZATION SERVICES ON-SITE IN THE SHORE MEMORIAL CARDIOVASCULAR INSTITUTE (CVI). THROUGH THIS ARRANGEMENT, SHORE MEMORIAL PHYSICIANS AND THE CARDIOVASCULAR TEAM COLLABORATE WITH PENN CARDIOLOGISTS TO PROVIDE COMPREHENSIVE CARE OF THE HEART AND CIRCULATORY SYSTEM FOR PATIENTS IN THE SOUTHERN NEW JERSEY AREA. ADDITIONALLY, THE AFFILIATION PROVIDES EMERGENCY SERVICES FOR HEART ATTACK PATIENTS. THE PENN HEART RESCUE PROGRAM SUPPLIES EMERGENCY AIRLIFT FOR PATIENTS IN NEED OF HEART SURGERY OR EMERGENCY ANGIOPLASTY. PENN MEDICINE AND SHORE MEMORIAL ALSO COLLABORATE THROUGH A CLINICAL AFFILIATION THAT EXPANDS NEUROLOGICAL AND NEUROSURGICAL SERVICES AND PROGRAMS FOR THE RESIDENTS OF THE SOUTHERN NEW JERSEY SHORE COMMUNITIES. AS PART OF THE AGREEMENT, PENN'S NEUROLOGICAL INSTITUTE IS AN EXTENSION OF SHORE MEMORIAL'S NEUROSCIENCE CENTER IN THE DELIVERY OF NEUROLOGICAL CARE - INCLUDING INTERDISCIPLINARY EVALUATION SERVICES, ADVANCED DIAGNOSTIC TESTING, ADVANCED SURGICAL TECHNOLOGY, SPECIALIZED NEUROLOGICAL CRITICAL-CARE TREATMENT, AND ACCESS TO THE LATEST CLINICAL RESEARCH TRIALS. IN ADDITION, SHORE MEMORIAL HAS DIRECT ACCESS TO PENN'S EXTENSIVE RANGE OF INNOVATIVE PREVENTATIVE, DIAGNOSTIC, AND TREATMENT SERVICES - SUCH AS SKULL-BASE SURGERY AND INTERVENTIONAL RADIOLOGY - FOR A WIDE ARRAY OF DISEASES AND DISORDERS, INCLUDING EPILEPSY, HEAD INJURY, MEMORY DISORDERS, MULTIPLE SCLEROSIS, PARKINSON'S DISEASE, SPINE DISORDERS, AND STROKE. THE HOSPITAL PROUDLY HOLDS THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AS A PRIMARY STROKE CENTER AND ITS GOLD SEAL OF APPROVAL FOR SHORE MEMORIAL'S LUMBAR AND CERVICAL SPINE SURGERY PROGRAMS. SHORE MEMORIAL'S CANCER CENTER IS ALSO PART OF THE PENN CANCER NETWORK. AS A MEMBER, SHORE MEMORIAL PATIENTS HAVE ACCESS TO THE LATEST IN CANCER RESEARCH, EDUCATION, TREATMENT AND CLINICAL TRIALS. THROUGH SHORE MEMORIAL'S RELATIONSHIP WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA CARE NETWORK, CHOP PEDIATRICIANS AND NEONATOLOGISTS ARE AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY TO PEDIATRIC INPATIENTS AND EMERGENCY PATIENTS, AND TO ASSIST SHORE MEMORIAL PHYSICIANS WITH HIGH-RISK BIRTHS. THIS SERVICE PROVIDES SHORE MEMORIAL PHYSICIANS WITH ADDITIONAL EXPERTISE AND AROUND-THE-CLOCK PHYSICIAN ATTENTION TO THEIR HOSPITALIZED PATIENTS. SHORE MEMORIAL'S MATERNITY AND PEDIATRIC CARE CENTERS OFFER A FAMILY-FRIENDLY ENVIRONMENT, SPECIALIZED NURSING, A PEDIATRIC SURGICAL PROGRAM AND A CHILD LIFE PROGRAM. ADDITIONALLY, SHORE MEMORIAL OFFERS A MATERNAL-FETAL MEDICINE PROGRAM WITH PENN MEDICINE TO CARE FOR MOTHERS EXPERIENCING HIGH-RISK PREGNANCIES, SPIRIT OF SHORE ================ HOSPITALS ARE BUSY PLACES, BUT THE STAFF AT SHORE MEMORIAL IS NEVER TOO BUSY TO PAY ATTENTION TO THE THOUGHTFUL GESTURES AND KIND ACTS THAT CAN MAKE A MEANINGFUL DIFFERENCE TO PATIENTS AND THEIR FAMILY MEMBERS. THIS PHILOSOPHY IS THE DRIVING FORCE BEHIND THE SPIRIT OF SHORE INITIATIVE AT SHORE MEMORIAL. THE SPIRIT OF SHORE REFLECTS THE CULTURE OF CARING THAT IS UNIQUE TO SHORE MEMORIAL. THIS CULTURE IS FURTHER EVIDENT IN THE HOSPITAL'S AFFILIATION WITH PLANETREE, A GLOBAL NON-PROFIT ORGANIZATION THAT PROMOTES PATIENT-CENTERED CARE IN HEALING ENVIRONMENTS. CENTERS OF EXCELLENCE ====================== SHORE MEMORIAL'S RECOGNIZED CENTERS OF EXCELLENCE INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: CANCER CENTER SHORE MEMORIAL'S CANCER PROGRAM WAS DESIGNED WITH ONE GOAL IN MIND: FULFILLING THE HOSPITAL'S CONTINUING MISSION TO PROVIDE THE MOST ADVANCED HEALTHCARE SERVICES TO INDIVIDUALS AND THEIR FAMILIES. THE CANCER CENTER AT SHORE MEMORIAL WAS CONCEIVED, DESIGNED AND BUILT SPECIFICALLY TO SUPPORT THE SPECIAL NEEDS OF CANCER PATIENTS AND THEIR FAMILIES. IT REPRESENTS THE NEW LOOK OF 21ST CENTURY CANCER CARE - A COMPREHENSIVE APPROACH COMBINING CLINICAL EXCELLENCE WITH PATIENT COMFORT AND CONVENIENCE. A BLEND OF LEADING-EDGE TECHNOLOGY AND BEAUTIFUL DESIGN, THE CANCER CENTER SUPPORTS THE TECHNICAL NEEDS OF PHYSICIANS, RADIATION THERAPISTS, PHYSICISTS, NURSES AND OTHER SPECIALISTS WHILE PROVIDING A CONVENIENT, SAFE, CARING AND ATTRACTIVE ATMOSPHERE OF HEALING, PRIVACY AND DIGNITY. SHORE MEMORIAL'S CANCER PROGRAM IS SUPPORTED BY THE MOST ADVANCED LABORATORY, DIAGNOSTIC IMAGING AND OTHER CANCER DETECTION SYSTEMS - NATIONALLY ACCREDITED TO ENSURE ACCURACY AND SPEED WHEN EVERY MINUTE COUNTS.
COMMUNITY BENEFIT STATEMENT; CONTINUED FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CARDIOVASCULAR INSTITUTE (CVI) AT THE SHORE MEMORIAL CARDIOVASCULAR INSTITUTE, A TEAM OF HIGHLY TRAINED AND EXPERIENCED DOCTORS, NURSES AND SUPPORT STAFF PROVIDES COMPREHENSIVE CARDIOVASCULAR HEALTH SERVICES WITH A SPECIAL EMPHASIS ON ADVANCED DIAGNOSIS, EDUCATION AND PREVENTION. THE CVI HAS BROUGHT UNIVERSITY-SETTING CARDIAC SERVICES TO THE COMMUNITY HOSPITAL ENVIRONMENT. THE CVI CONCENTRATES A FULL RANGE OF MULTIDISCIPLINARY SERVICES IN ONE FACILITY AND OFFERS THE HIGHEST LEVEL OF CARE IN ITS LOW-RISK DIAGNOSTIC CARDIAC CATHETERIZATION LABORATORY. THE CVI ALSO INCLUDES AN MRI ANGIOGRAPHY SUITE, VASCULAR LAB, DIGITAL ULTRASOUND, NON-INVASIVE CARDIAC TESTING SERVICES AND CARDIOPULMONARY REHABILITATION. THE INTEGRATION OF ADVANCED TOOLS AND SKILLED SPECIALISTS HAS ALSO MADE THE SHORE MEMORIAL CVI THE REGION'S MOST COMPREHENSIVE PROGRAM FOR STROKE PREVENTION, LIMB PRESERVATION, DETECTION AND TREATMENT OF ANEURYSMS, AND CIRCULATION IMPROVEMENT FOR INPATIENTS AND OUTPATIENTS. THE HOSPITAL'S VASCULAR DIAGNOSTIC AND THERAPEUTIC CAPABILITIES INCLUDE ADVANCED ULTRASOUND COMPUTER ENHANCED IMAGING IN SHORE MEMORIAL'S NON-INVASIVE VASCULAR LAB; AND THE SPECIAL PROCEDURES SUITE FOR PROCEDURES SUCH AS ANGIOPLASTY AND DIAGNOSTIC ANGIOGRAPHY. EMERGENCY SERVICES WHETHER IT'S A SPRAINED ANKLE FROM A RUN ON THE BOARDWALK OR A LIFE-THREATENING HEART ATTACK, IT'S COMFORTING TO KNOW THE EMERGENCY STAFF AT SHORE MEMORIAL IS READY, WILLING AND ABLE TO HELP. SHORE MEMORIAL EMERGENCY DEPARTMENT PHYSICIANS ARE BOARD-CERTIFIED IN EMERGENCY MEDICINE, WITH TRAINING IN EVERYTHING FROM OBSTETRICS AND PEDIATRICS TO ORTHOPEDICS AND CARDIOLOGY. IN ADDITION, EACH ONE OF THE HOSPITAL'S SPECIALLY TRAINED NURSES IS CERTIFIED IN THE LATEST LIFE-SAVING TECHNIQUES AND EMERGENCY CARE. FURTHER, SHORE MEMORIAL'S AFFILIATION WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA PROVIDES EMERGENCY SERVICE COVERAGE FOR SPECIALIZED PEDIATRIC CARE 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. ABOUT ONE-QUARTER OF SHORE MEMORIAL'S EMERGENCY PATIENTS ARE CHILDREN WHO REQUIRE A SPECIAL KIND OF EMERGENCY CARE THAT IS DIFFERENT FROM ADULTS. THE HOSPITAL'S SKILLED EMERGENCY STAFF IS WELL PREPARED WITH KNOWLEDGE AND EQUIPMENT TO CARE FOR OUR YOUNGEST PATIENTS. THE BRESLOW TAPE, FOR INSTANCE, HELPS EMERGENCY PERSONNEL QUICKLY CORRELATE A CHILD'S SIZE TO A COLOR CHART. COLOR-CODED EMERGENCY CARTS ARE THEN WHEELED IN, ALREADY STOCKED WITH APPROPRIATELY SIZED EQUIPMENT AND DOSES OF MEDICINE. HAVING THE RIGHT OXYGEN MASK OR IV TUBE READY CAN SAVE PRECIOUS MINUTES AT A TIME WHEN EVERY SECOND COUNTS. TO ASSIST IN TRIAGE AND ENABLE STAFF TO PROVIDE CARE MORE EFFICIENTLY, SHORE MEMORIAL HAS SET UP QUICK CARE CENTERS IN ITS EMERGENCY ROOM AND AT SEVERAL LOCATIONS THROUGHOUT THE COMMUNITY TO PROVIDE TREATMENT FOR MINOR ILLNESSES AND INJURIES. SHORE MEMORIAL ALSO IS PART OF THE PENN HEART RESCUE PROGRAM TO PROVIDE HEART ATTACK PATIENTS WITH EMERGENCY AIRLIFT TO PENN PRESBYTERIAN FOR LIFE SAVING EMERGENCY ANGIOPLASTY OR CARDIAC SURGERY. NEUROSCIENCE CENTER JUST AS YOUR BRAIN IS THE COMMAND CENTRAL FOR YOUR ENTIRE BODY, SHORE MEMORIAL'S NEUROSCIENCE CENTER IS THE REGION'S COMMAND CENTER FOR ADDRESSING DISORDERS OF THE BRAIN, PERIPHERAL NERVES AND MUSCLES. USING TODAY'S ADVANCED TECHNOLOGY - INCLUDING LEADING-EDGE COMPUTER-ASSISTED IMAGE GUIDANCE AND MICROSURGICAL INSTRUMENTATION - THE HOSPITAL'S BOARD-CERTIFIED NEUROSURGEONS, NEUROLOGISTS, SPECIALLY TRAINED NURSES AND TECHNICAL STAFF ARE ABLE TO DIAGNOSE AND TREAT NEUROLOGICAL INJURIES AND DISORDERS WITH AMAZING PRECISION. AND, AS ALWAYS, THIS EXTRAORDINARY HIGH-TECH CARE IS DELIVERED WITH THE CARING TOUCH YOU EXPECT FROM SHORE MEMORIAL. SHORE MEMORIAL'S AFFILIATION WITH THE UNIVERSITY OF PENNSYLVANIA HOSPITAL AND ITS WORLD-RENOWNED PENN NEUROLOGICAL INSTITUTE FURTHER ENHANCES THE LEVEL OF CARE TO AREA RESIDENTS - INCLUDING ACCESS TO CLINICAL TRIALS. SPECIALISTS FROM BOTH PROMINENT INSTITUTIONS COLLABORATE IN A MULTI-DISCIPLINARY APPROACH TO EVALUATION, DIAGNOSIS AND TREATMENT. BOARD-CERTIFIED PHYSICIANS AND SPECIALLY TRAINED NURSES WORK COLLABORATIVELY AND SEAMLESSLY WITH PSYCHOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS, SOCIAL WORKERS AND OTHER AFFILIATED HEALTHCARE PROFESSIONALS TO DELIVER EXCEPTIONAL NEUROLOGICAL CARE. AWARDED THE JOINT COMMISSION GOLD SEAL OF APPROVAL AS A PRIMARY STROKE CENTER, THE STAFF OF THE NEUROSCIENCE CENTER IS ALSO SETTING NEW STANDARDS OF STROKE CARE EXCELLENCE. THIS PRESTIGIOUS CERTIFICATION BY THE JOINT COMMISSION RECOGNIZES SHORE MEMORIAL'S STRICT ADHERENCE TO NATIONAL STANDARDS AND GUIDELINES THAT HELP DIAGNOSE AND TREAT STROKE PATIENTS FASTER AND WITH BETTER OUTCOMES. AS A DESIGNATED PRIMARY STROKE CENTER, SHORE MEMORIAL STAFF FOLLOWS PROTOCOLS ISSUED THROUGH THE AMERICAN STROKE ASSOCIATION/AMERICAN HEART ASSOCIATION AND USES JOINT COMMISSION STANDARD TREATMENT ORDERS AND CLINICAL PATHS. SHORE MEMORIAL'S EMERGENCY DEPARTMENT STAFF AND PHYSICIANS ARE SPECIALLY TRAINED IN THE CARE AND TREATMENT OF STROKE PATIENTS AND ARE SKILLED IN ADMINISTERING T-PA, THE CLOT BUSTING MEDICATION THAT CAN IMPROVE PATIENT OUTCOMES. MATERNAL AND CHILD HEALTH SHORE IS A HIGH QUALITY PROVIDER OF COMMUNITY MATERNAL/CHILD HEALTH SERVICES. A RECENTLY ENGAGED, INDEPENDENT COMMUNITY NEEDS ASSESSMENT HAS DETERMINED THAT THERE IS A SHORTAGE OF OBSTETRICIANS IN BOTH SHORE MEMORIAL'S PRIMARY AND SECONDARY SERVICE AREAS. THE SHORE MEMORIAL MATERNAL CHILD HEALTH DEPARTMENT (MATERNAL, NEWBORN AND PEDIATRIC SERVICES) PROVIDES THE COMMUNITY WITH COMPREHENSIVE SERVICES, FROM CONCEPTION TO FOLLOW UP CARE FOR MOTHER, BABY AND FAMILY. MORE THAN 1,100 BABIES WERE BORN AT SHORE MEMORIAL IN 2010, OF WHICH APPROXIMATELY ONE THIRD WERE SERVED BY THE HOSPITAL'S PRENATAL CLINIC. MATERNITY CARE SERVICES AT SHORE MEMORIAL CURRENTLY INCLUDE: PRENATAL OUTPATIENT CARE AND REFERRALS; INPATIENT LDRP (LABOR, DELIVERY, RECOVERY, POSTPARTUM SUITES) WHICH ARE BEAUTIFULLY RENDERED, SPACIOUS "INN" SUITES THAT CONVEY AN ATMOSPHERE OF COMFORT AND RELAXATION, WHILE AT THE SAME TIME ARE EQUIPPED WITH EVERYTHING NECESSARY TO ASSURE THE SAFEST AND BEST PATIENT CARE POSSIBLE; HIGHLY SKILLED OBSTETRICIANS AND ANESTHESIOLOGISTS; EXPERIENCED, TECHNICALLY EXCELLENT AND WONDERFULLY NURTURING NURSES; LACTATION SPECIALISTS; AN OBSTETRICAL CLINICAL EDUCATOR AND AN ARRAY OF SUPPORT SERVICES. IN ADDITION, FOR MORE THAN A DECADE SHORE HAS BEEN AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA IN A COMPREHENSIVE RELATIONSHIP WHICH ALLOWS SHORE MEMORIAL TO HAVE HIGHLY TRAINED AND EXPERT NEONATOLOGISTS AND PEDIATRICIANS AT THE BEDSIDE OF ITS INFANTS AND CHILDREN 24 HOURS A DAY, SEVEN DAYS A WEEK. SHORE MEMORIAL OFFERS CARE FOR MOTHERS EXPERIENCING HIGH-RISK PREGNANCIES THROUGH A MATERNAL FETAL MEDICINE PROGRAM WITH PENN MEDICINE. MEDICAL SERVICES ================= CONSISTENT WITH REVENUE RULING 69-545, ALL QUALIFIED PHYSICIANS ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES. DURING 2010, SHORE HAD 378 PHYSICIANS ON ITS MEDICAL STAFF COMPRISED OF THE FOLLOWING MEDICAL SPECIALTIES: ALLERGY/IMMUNOLOGY ANESTHESIOLOGY CARDIOLOGY DERMATOLOGY EMERGENCY MEDICINE ENDOCRINOLOGY FAMILY PRACTICE GASTROENTEROLOGY GYNECOLOGY HEMATOLOGY INTERNAL MEDICINE INFECTIOUS DISEASE MEDICAL ONCOLOGY NEPHROLOGY NEUROLOGICAL SURGERY NEUROLOGY OBSTETRICS OPHTHALMOLOGY ORTHOPAEDIC SURGERY OTORHINOLARYNGOLOGY PAIN MANAGEMENT PATHOLOGY PEDIATRICS PHYSICAL MEDICINE/REHABILITATION PLASTIC SURGERY PODIATRY PSYCHIATRY PSYCHOLOGY PULMONARY MEDICINE RADIATION THERAPY RADIOLOGY RHEUMATOLOGY SURGERY - GENERAL SURGERY - TRAUMA SURGERY - THORACIC SURGERY - VASCULAR UROLOGY ALCOHOL & DRUG DEPENDENCY MATERNAL & FETAL MEDICINE COMMUNITY PROGRAMS AND MEDICAL SCREENINGS =========================================== SHORE MEMORIAL PROVIDES NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX EXEMPT PURPOSES INCLUDING THE FOLLOWING*: 1. CHOLESTEROL 2. CANCER SCREENINGS FOR THE UNINSURED FUNDED BY THE NJ CANCER EDUCATION AND EARLY DETECTION GRANT. - BREAST - CERVICAL - COLON - PROSTATE 3. MAMMOGRAMS 4. BAYFEST HEALTH FAIR - CHOLESTEROL - BODY FAT - GLUCOSE - BLOOD PRESSURE SCREENING - STROKE ASSESSMENT - CARDIAC ASSESSMENT 5. HEART DAY - BLOOD GLUCOSE - BLOOD PRESSURE - BODY FAT - BMI - CARBON MONOXIDE - CARDIAC RISK - STROKE RISK - PULSE OX - CHOLESTEROL - LIPID PROFILE PLEASE NOTE THAT THE AFOREMENTIONED LIST OF MEDICAL SCREENING PROGRAMS IS NOT AN ALL INCLUSIVE LIST. MORE THAN 24,000 INDIVIDUALS PARTICIPATED IN MEDICAL SCREENINGS, EDUCATIONAL PROGRAMS AND OTHER WELLNESS PROGRAMS PROVIDED BY SHORE MEMORIAL DURING 2010.
COMMUNITY BENEFIT STATEMENT; CONTINUED FORM 990, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS LECTURES AND SEMINARS ====================== SHORE MEMORIAL PROVIDES NUMEROUS LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX EXEMPT PURPOSES INCLUDING THE FOLLOWING: * 1. GILDA'S CLUB - BEREAVEMENT GROUP - BREAST CANCER - NETWORKING GROUP - "DUETS" COUPLES GROUP - FAMILY & FRIENDS GROUP - LIVING WITH LOSS PH & D FAMILY & FRIENDS GROUP - PH & D WELLNESS GROUP - WELLNESS GROUP 2. FITNESS - YOGA - ZUMBA - ZUMBA GOLD - BALLROOM DANCING - SPINNING - PILATES 3. FAMILY LIFE SERVICES - PREPARATION FOR CHILDBIRTH AND EARLY PARENTING - NURSING YOUR BABY - SIBLING PREPARATION CLASSES - MOM-TO-MOM (POST-PARTUM SUPPORT GROUP) - MATERNAL CHILD HEALTH COMMUNITY OUTREACH 4. CANCER RECOVERY AND SUPPORTIVE CARE SERVICES 5. ADULT SUPPORT GROUP - LIVING AT THE SHORE WITH LYMPHEDEMA - PROSTATE CANCER SUPPORT GROUP - LOOK GOODFEEL BETTER 6. SMOKING CESSATION 7. WORKSHOPS - CENTER FOR WOMEN'S HEALTH - EXERCISE - FAMILY LIFE SERVICES - HEALTH WORKSHOPS - LIFESTYLE WORKSHOPS - MEDICAL LECTURES - NUTRITION *PLEASE NOTE THAT THE AFOREMENTIONED LIST OF COMMUNITY EDUCATION PROGRAMS IS NOT AN ALL INCLUSIVE LIST. COMMUNITY INVOLVEMENT ====================== THE SHORE MEMORIAL HOSPITAL IS PROUD TO MAKE A DIFFERENCE IN THE COMMUNITIES WE CALL HOME. IN 2010, THE HOSPITAL SPONSORED OR PARTICIPATED IN MORE THAN 200 EVENTS IN THE COMMUNITY. THE PERSONAL EFFORTS OF OUR GENEROUS HOSPITAL STAFF RAISED TENS OF THOUSANDS OF DOLLARS FOR OTHER WORTHY NON-PROFIT CAUSES. HERE ARE JUST A FEW EXAMPLES OF SHORE MEMORIAL'S COMMITMENT TO OUR COMMUNITY: AMERICAN CANCER SOCIETY SHORE MEMORIAL CANCER CENTER SERVED AS A SPONSOR FOR SEVERAL AMERICAN CANCER SOCIETY PROGRAMS IN 2010, INCLUDING THE MAKING STRIDES AGAINST BREAST CANCER KICK OFF BREAKFAST AND THE RELAY FOR LIFE WALK IN OCEAN CITY. AMERICAN RED CROSS SHORE MEMORIAL STAFF, PHYSICIANS AND VOLUNTEERS DONATED NEARLY 300 UNITS OF BLOOD DURING THE 2010 BLOOD DRIVES. CANCER SURVIVORS' DAY IN JUNE OF 2010 SHORE MEMORIAL CANCER CENTER HOSTED NATIONAL CANCER SURVIVORS DAY, AN EVENT CELEBRATED ACROSS THE COUNTRY IN ORDER TO PROVIDE HOPE TO ADULTS AND CHILDREN CURRENTLY LIVING WITH CANCER. GILDA'S CLUB OF SOUTH JERSEY A LONGTIME ADVOCATE OF THE LINWOOD-BASED GILDA'S CLUB OF SOUTH JERSEY, SHORE MEMORIAL ONCE AGAIN SERVED AS A SPONSOR FOR THE ORGANIZATION IN 2010, SHORE MEMORIAL SUPPORTED THE CLUB'S SPECIAL EVENTS - SUCH AS THE ANNUAL MOVERS AND SHAKERS LUNCHEON - AS WELL AS SUPPORT PROGRAMS FOR MEN, WOMEN, TEENS AND CHILDREN. HEART WALK SHORE MEMORIAL'S HEART WALK TEAM OF NEARLY 200 WALKERS RAISED MORE THAN $27,000 FOR THE AMERICAN HEART ASSOCIATION'S HEART WALK. MS WALK SHORE MEMORIAL'S WALKING TEAM RAISED MORE THAN $2,300 FOR THE NATIONAL MULTIPLE SCLEROSIS SOCIETY. THE HOSPITAL RECEIVED THE WALK'S PARTNER APPRECIATION AWARD, AND SHORE MEMORIAL'S TEAM CAPTAIN KRIS LIWOCH WAS HONORED WITH THE WALK'S GOLD CLUB AWARD. UNITED WAY SHORE MEMORIAL EMPLOYEES GENEROUSLY CONTRIBUTED MORE THAN $25,000 TO THE UNITED WAY OF ATLANTIC COUNTY. THE UNITED WAY SUPPORTS MORE THAN 60 PROGRAMS AT 39 LOCAL HEALTH AND HUMAN SERVICES AGENCIES.
OTHER PROGRAM SERVICES CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11A THE ORGANIZATION IS AN AFFILIATE IN THE SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHORE MEMORIAL HEALTH SYSTEM IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE SHORE MEMORIAL HOSPITAL AUDIT AND COMPLIANCE COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING THE VICE-PRESIDENT OF FINANCE, DIRECTOR OF FINANCE AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN WITH THE IRS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE IN THE SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE CHIEF COMPLIANCE OFFICER OF THE ORGANIZATION PRESENTS THIS SUMMARY TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J RONALD W. JOHNSON SERVED AS THE ORGANIZATION'S EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER FOR THE PERIOD JANUARY 1, 2010 THROUGH NOVEMBER 12, 2010 AT WHICH TIME HE BECAME THE PRESIDENT AND CHIEF EXECUTIVE OFFICER.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J AS OF JANUARY 1, 2010, PAUL L. GIUNTA, III WAS ON THE BOARD OF TRUSTEES. HE RESIGNED DURING 2010 AND WAS NOT A BOARD MEMBER AS OF DECEMBER 31, 2010. THUS HE HAS NOT BEEN INCLUDED IN PART VII.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET UNREALIZED GAIN ON INVESTMENTS; $447,244; - OTHER CHANGE IN PENSION AND OTHER POSTRETIREMENT BENEFIT LIABILITIES; ($11,505,688); - CHANGE IN TEMPORARY INTEREST IN NET ASSETS OF SHORE MEMORIAL HEALTH FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; $1,103,776; - CHANGE IN NET UNREALIZED GAINS AND LOSSES ON INVESTMENTS; $54,438; - CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; $159,963.
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE SHORE MEMORIAL HEALTH SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHING THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM IS ISSUING AN OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE BIG FOUR INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE TAXPAYERS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR.
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAY A GILLIAN TITLE:CHAIRMAN - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT J BRAY DDS MS TITLE:VICE CHAIRMAN - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SANDY TZAFEROS PHARMD TITLE:SECRETARY/ASST TREAS - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FERNANDO DELASOTTA MD TITLE:TREAS/ASST SECRETARY - TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT J BEACH MD TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID BEYEL TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES BISCIEGLIA TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:AGOSTINO CIPOLLINI TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GERALD J CORCORAN ESQ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LOUIS P DESCIOLI TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH DIORIO TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ARTHUR T FORD III ESQ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CAROL L GAFFNEY RN BSN TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS H HEIST IV TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RONALD W JOHNSON TITLE:TRUSTEE-PRES/CEO(11/12-12/31) HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GARY G SCHAFFER TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN SCHNEIDER TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANAGELO SPARAGNA III MD TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID A SPITALNICK ESQ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD L TRAA TITLE:TRUSTEE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALBERT L GUTIERREZ TITLE:PRESIDENT/CEO(1/1/10-11/12/10) HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES T FOLEY TITLE:CFO HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PETER R JUNGBLUT MD TITLE:CMO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOAN GAVIN TITLE:CNO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:FREDERICK L BANNER TITLE:CIO HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM D ELLIOTT TITLE:EXECUTIVE DIRECTOR - FDN HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KIMBERLY H SIMERS TITLE:VICE PRESIDENT MARKETING HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALAN L BEATTY TITLE:VICE PRESIDENT HUMAN RESOURCES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD A PITMAN TITLE:ED GOVERNMENT AFFAIRS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT L WOOD TITLE:DIRECTOR OF FINANCE HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JEFFREY MELTZER MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HAROLD R DOWNS TITLE:DIRECTOR OF REVENUE CYCLE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT F ROBERTSON TITLE:DIRECTOR OF ENTERPRISE SVCS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ELIZABETH CIANFRANI TITLE:DIRECTOR OF OPERATING ROOM HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THEODORE SHEPPARD TITLE:PHARMACIST 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:  
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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
SHORE MEMORIAL HOSPITAL
 
Employer identification number

21-0660835
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) SHORE HEALTH SERVICES CORPORATION

ONE EAST NEW YORK AVENUE

SOMERS POINT,NJ08244
22-2866335
HEALTH SVCS. NJ 501(C)(3) 509(A)(3) SMHS
 
 
 
(2) SHORE MEMORIAL HEALTH SYSTEM

ONE EAST NEW YORK AVENUE

SOMERS POINT,NJ08244
22-2866326
HEALTH SVCS. NJ 501(C)(3) 509(A)(1) N/A
 
 
(3) SHORE MEMORIAL HEALTH FOUNDATION INC

ONE EAST NEW YORK AVENUE

SOMERS POINT,NJ08244
34-2027846
SUPPORT SMHS NJ 501(C)(3) 509(A)(1) SMHS
 
 
 
(4) SHORE MEMORIAL PROPERTIES

ONE EAST NEW YORK AVENUE

SOMERS POINT,NJ08244
22-2866329
REALTY NJ 501(C)(2) N/A SMHS
 
 
 






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












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) SHORE HEALTH ENTERPRISES INC
ONE EAST NEW YORK AVENUE
SOMERS POINT,NJ08244
22-3501680
RENTAL REAL EST. 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
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
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
Yes
 
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
Yes
 
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


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