TY 2018 Form 990

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

CAPE REGIONAL HEALTH SYSTEM INC

Employer identification number

22-2629594

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................1

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) CAPE REGIONAL MEDICAL CENTER	210662542	3	Yes		0	0

Total 1					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Yes

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

Yes

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Yes

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Yes

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Yes

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART IV, SECTION D, QUESTION 3	Cape Regional Health System, Inc. ("CRHS") is a supporting organization of Cape Regional Medical Center, Inc. ("CRMC"); an organization recognized by the Internal Revenue Service as a tax-exempt hospital under Internal Revenue Code 501(c)(3). In addition, the Board of Trustees of CRHS and CRMC are identical. Accordingly, all decisions regarding CRHS' investment policies and use of its income or assets are made on a joint basis and are on behalf of and apply to both CRHS and CRMC.
SCHEDULE A, PART IV, SECTION E, QUESTION 3A	Cape Regional Health System, Inc. is a supporting organization of Cape Regional Medical Center, Inc.; an organization recognized by the Internal Revenue Service as a tax-exempt hospital under Internal Revenue Code 501(c)(3). Article IV, Section 2 of Cape Regional Medical Center's Amended and Restated Bylaws provide that the Board of Trustees of Cape Regional Health System, Inc. shall appoint the Board of Trustee members of Cape Regional Medical Center, Inc.
SCHEDULE A, PART IV, SECTION E, QUESTION 3B	Cape Regional Health System, Inc.'s ("CRHS") organizational documents conform to the requirements of Treasury Regulation 1.509(a)-4(c)(1) in that CRHS' stated purposes are consistent with those set forth in Internal Revenue Code 509(a)(3)(A). Moreover, there are no provisions which expressly empower CRHS to engage in activities which are not in furtherance of said purposes and which empower CRHS to support, or operate for the benefit of, any other organization outside of CRHS and its healthcare system, or in particular, Cape Regional Medical Center ("CRMC'). Article II, Section I of the Amended and Restated Bylaws of CRMC provides that the sole member of CRMC shall be CRHS, a New Jersey nonprofit corporation, and its corporate successors by merger, consolidation or otherwise and that there shall be no other member or classes of membership whatsoever. Article III, Section II of the Amended and Restated Bylaws of CRMC provides that CRHS reserves certain rights and powers in its capacity as sole member of CRMC unless otherwise stated. These include approval powers, joint initiatory powers, and sole and exclusive initiatory powers. Article IV, Section 1 of the Amended and Restated Bylaws of CRMC provides that all powers of CRMC shall be exercised by and under the authority of the Board of Trustees, and the property, business and affairs of CRMC shall be managed under the direction of the Board, subject, however, to such powers as are reserved to CRHS, as provided herein. Article IV, Section 2 of the Amended and Restated Bylaws of CRMC provides that the Board of CRHS shall appoint the Board of CRMC. Please also refer to our response to our response to Schedule A, part IV, Section D, Question 3 above.

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

	(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of 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 7/25/06, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII 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

(a) Description	(b) Book value
(1) DUE FROM AFFILIATES	30,221,000
(2) RENT RECEIVABLE	35,572
(3) OTHER ASSETS	22,693
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........	30,279,265

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................	2e
3	Subtract line 2e from line 1..................	3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................	4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................	2e
3	Subtract line 2e from line 1...................	3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................	4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5

Return Reference	Explanation
SCHEDULE D, PART X	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE FOOTNOTE BELOW IS FROM THE SYSTEM'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 4B	THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, SHE MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HER 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOANNE CARROCINO, FACHE, $42,235.
SCHEDULE J, PART I; QUESTION 6B	THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C MAY INCLUDE ADDITIONAL CONTRIBUTIONS MADE BY CAPE REGIONAL MEDICAL CENTER ("CRMC"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TO EMPLOYEES THAT PARTICIPATE IN THE CRMC INTERNAL REVENUE CODE SECTION 403(B) DEFINED CONTRIBUTION RETIREMENT PLAN. ACCORDING TO ARTICLE 35 OF CRMC'S COLLECTIVE BARGAINING AGREEMENT, IF CRMC'S AUDITED INCOME FROM OPERATIONS AS REPORTED IN ITS AUDITED FINANCIAL STATEMENTS EXCEEDS CERTAIN THRESHOLDS OUTLINED IN THE COLLECTIVE BARGAINING AGREEMENT, CRMC WILL CONTRIBUTE ADDITIONAL FUNDS INTO EACH PARTICIPATING MEMBER'S INTERNAL REVENUE CODE SECTION 403(B) DEFINED CONTRIBUTION RETIREMENT PLAN ACCOUNT. THERE WERE NO ADDITIONAL FUNDS CONTRIBUTED BY CRMC DURING THE YEAR ENDED DECEMBER 31, 2018.
SCHEDULE J, PART I; QUESTION 7	THE INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THE INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

CAPE REGIONAL HEALTH SYSTEM INC

Employer identification number

22-2629594

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	CAPE REGIONAL HEALTH SYSTEM, INC. ("CRHS") IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN CAPE MAY COURT HOUSE, NEW JERSEY. CAPE REGIONAL HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF VARIOUS NOT FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED CAPE REGIONAL HEALTH SYSTEM, INC. AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE 501(C)(3). AS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, CAPE REGIONAL HEALTH SYSTEM, INC. STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITY. CAPE REGIONAL HEALTH SYSTEM, INC. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. CAPE REGIONAL HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF CAPE REGIONAL MEDICAL CENTER ("CRMC"), A NATIONALLY ACCREDITED 242-BED ACUTE CARE HOSPITAL PROVIDING COMPREHENSIVE EMERGENCY, MEDICAL/SURGICAL AND REHABILITATIVE SERVICES TO SOUTHERN NEW JERSEY RESIDENTS. IN ADDITION TO INPATIENT, SAME-DAY AND OUTPATIENT CARE, THE MEDICAL CENTER IS CURRENTLY AN AFFILIATE OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. BACKGROUND ========== CAPE REGIONAL MEDICAL CENTER, INC. ("CRMC") IS A GENERAL MEDICAL AND SURGICAL ACUTE CARE HOSPITAL. CRMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CRMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CRMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) CRMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) CRMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) CRMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF CRMC RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS, OTHER PROMINENT MEMBERS OF THE COMMUNITY, MEDICAL STAFF MEMBERS AND THE CHIEF EXECUTIVE OFFICER; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CRMC IS THE 242-BED ACUTE-CARE MEDICAL CENTER OF THE SOUTH JERSEY CAPE. LOCATED IN THE COUNTY SEAT OF CAPE MAY COURT HOUSE, CRMC IS THE SOUTHERN-MOST GATEWAY TO ADVANCED CARE IN THE STATE OF NEW JERSEY. CRMC SERVES AN EXPANDING LOCAL POPULATION AND MORE THAN ONE MILLION SEASONAL VISITORS WITH A VARIETY OF INPATIENT AND OUTPATIENT SERVICES. CRMC IS FULLY ACCREDITED BY THE JOINT COMMISSION. OUTLINED BELOW ARE THE 2018 PATIENT STATISTICS OF CRMC: - ADMISSIONS 6,532 - PATIENT DAYS (INCLUDING NEWBORNS) 28,039 - NEWBORN DELIVERIES 326 - SURGICAL PROCEDURES - 7,076 - OUTPATIENT VISITS (INCLUDING ER) 202,740 - EMERGENCY DEPARTMENT VISITS 43,634 CRMC IS GUIDED BY ITS DEDICATION TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES. THAT LEVEL OF DETERMINATION AND COMMITMENT IS THE VERY SOUL OF CRMC. CRMC ALSO PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY, AS DEFINED BY INTERNAL REVENUE SERVICE AND THE NEW JERSEY STATE ATTORNEY GENERAL, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. CRMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF FINANCIAL ASSISTANCE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FINANACIAL ASSISTANCE POLICY. MISSION STATEMENT ================= THE MISSION OF CRMC IS TO SERVE ITS COMMUNITY BY PROVIDING THE HIGHEST QUALITY AND MOST COST EFFECTIVE HEALTHCARE TO ALL. CRMC IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES, WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS PRIMARILY IN SOUTHERN NEW JERSEY. CRMC ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. CRMC WILL BE A LEADER IN DEFINING THE COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE PROGRAMS. CRMC STATEMENT FOR COMMUNITY HEALTH IMPROVEMENT & BENEFITS ========================================================== TO PROMOTE WELLNESS, PREVENT ILLNESS, AND REMOVE BARRIERS THAT HINDER ACCESS TO HEALTHCARE BY WORKING HAND-IN-HAND WITH THE COMMUNITIES THAT CRMC SERVES. CRMC PRINCIPLES =============== CRMC IS GUIDED BY THE FOLLOWING PRINCIPLES IN PERFORMING ITS CHARITABLE TAX-EXEMPT PURPOSES: 1. CRMC BELIEVES THAT COMMUNITY HEALTH IMPROVEMENT IS ESSENTIAL TO THE CRMC MISSION. 2. CRMC BELIEVES COMMUNITY-BASED COALITIONS ARE UNIQUELY QUALIFIED TO ACHIEVE COMMUNITY HEALTH GOALS, AND CRMC VALUES PARTNERSHIPS WITH THEM. 3. CRMC VALUES EVIDENCE-BASED PRACTICES AND SEEKS TO MODEL EXCELLENCE IN COMMUNITY HEALTH PRACTICE BASED ON EVIDENCE. 4. CRMC BELIEVES IN APPLYING CONTINUOUS QUALITY IMPROVEMENT TO COMMUNITY HEALTH: MEASURING NEED, MATCHING RESOURCES TO NEED, MEASURING OUTCOMES, AND MAKING ADJUSTMENTS IN PROCESSES. CRMC OPERATIONAL VALUES ======================= QUALITY: CRMC STRIVES TO PROVIDE THE HIGHEST QUALITY OF CARE AND CONTINUALLY LOOKS FOR WAYS TO IMPROVE THE SERVICES IT PROVIDES. SERVICE: CRMC IS COMMITTED TO EXCEEDING THE EXPECTATIONS OF ITS PATIENTS, THEIR FAMILIES, ITS PHYSICIANS AND STAFF. EFFICIENCY: CRMC WILL UTILIZE ITS RESOURCES WISELY AND EFFICIENTLY TO ACHIEVE ITS GOALS. INTEGRITY: CRMC PERFORMS ITS JOBS IN AN ETHICAL MANNER, WITH HONESTY, SINCERITY AND RESPECT FOR OTHERS. SAFETY: CRMC PROMOTES A SAFE AND HEALTHY ENVIRONMENT FOR ITS PATIENTS, THEIR FAMILIES, ITS STAFF, PHYSICIANS, VOLUNTEERS, AND VISITORS. PROFESSIONALISM: CRMC IS DEDICATED TO ENHANCING ITS PROFESSIONAL AND PERSONAL KNOWLEDGE AND SKILLS THROUGH ONGOING PROFESSIONAL DEVELOPMENT EFFORTS. TEAMWORK: CRMC WILL WORK TOGETHER AS A TEAM TO ACHIEVE THE BEST POSSIBLE RESULTS. COMPASSION: CRMC SEEKS TO OFFER A COMPASSIONATE AND CARING ENVIRONMENT TO PROMOTE THE HEALING AND WELL-BEING OF ITS PATIENTS AND THEIR FAMILIES. VISION ====== CRMC WILL BE THE PREMIER COMMUNITY-BASED HEALTHCARE PROVIDER IN NEW JERSEY. CRMC WILL CONSTANTLY STRIVE TO BE THE HEALTHCARE LEADER AND PROVIDER OF CHOICE BY DEVELOPING A COMPREHENSIVE, INDEPENDENT AND HIGH QUALITY HEALTHCARE SYSTEM. RECOGNITION AND AWARDS ====================== - THE NEW JERSEY DEPARTMENT OF HUMAN SERVICES, DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES HAS AWARDED CAPE REGIONAL MEDICAL CENTER AN EXPANSION GRANT IN THE AMOUNT OF $176,896. THE GRANT WILL BE USED TO DEVELOP AN OPIOID OVERDOSE RECOVERY PROGRAM TO RESPOND TO INDIVIDUALS REVERSED FROM OPIOID OVERDOSES AND TREATED IN OUR EMERGENCY DEPARTMENT AS A RESULT OF THE REVERSAL. - CAPE REGIONAL MEDICAL CENTERs MOST RECENT LEAPFROG HOSPITAL GRADE OF "B". THE LEAPFROG HOSPITAL SAFETY GRADE USES NATIONAL PERFORMANCE MEASURES FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES, THE LEAPFROG HOSPITAL SURVEY, THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THE AMERICAN HOSPITAL ASSOCIATIONS ANNUAL SURVEY. - CAPE REGIONAL FOUNDATION RECEIVED A $9,000 GRANT FROM THE TD BANK FOUNDATION IN SUPPORT OF OUR PARISH NURSE PROGRAM. FUNDS WILL BE DESIGNATED FOR THE PURCHASE OF HEALTH SCREENING SUPPLIES USED AT THE MANY HEALTH FAIRS OUR PARISH NURSES ATTEND THROUGHOUT THE COMMUNITY. - THE CAPE REGIONAL WELLNESS ALLIANCE HAS BEEN APPROVED AND AWARDED $50,000 FOR THE ADVERSE CHILDHOOD EXPERIENCES (ACES) PROJECT. CAPE MAY COUNTY HAS ONE OF THE HIGHEST ACES RATES IN NEW JERSEY AS FOUR COMMUNITIES IN THE COUNTY HAVE BEEN IDENTIFIED WITH THE HIGHEST LEVEL OF INCIDENCES. - THE DEAN RANDAZZO CANCER FOUNDATION PRESENTED CRMC WITH A $5,000 CHECK TO SUPPORT CANCER SERVICES AT CAPE REGIONAL DURING THEIR ANNUAL "SURF FOR A CAUSE" SURFING CONTEST IN MARGATE. FOUNDATION MEMBERS THANKED CAPE REGIONAL FOR THE OUTSTANDING CANCER CARE PROVIDED TO PATIENTS IN CAPE MAY COUNTY. - THE JOINT COMMISSION CONDUCTED OUR TRIENNIAL SURVEY AND OVERALL THE FOUR DAY SURVEY WENT EXTREMELY WELL. THE THREE SURVEYORS WERE ALL VERY IMPRESSED WITH OUR HIGH RELIABILITY INITIATIVES AS WELL AS OUR COMPLIANCE WITH BOTH JOINT COMMISSION AND CMS STANDARDS. THEY INDICATED THAT THE SURVEYORS COMMENDED OUR PHYSICIANS AND TEAM MEMBERS FOR THEIR HIGH LEVELS OF ENGAGEMENT THROUGHOUT THE SURVEY.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	AFFILIATIONS ============ - UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM; - UNIVERSITY OF PENNSYLVANIA CANCER NETWORK (PROVIDES INDIVIDUALS WITH ACCESS TO OVER 200 CLINICAL TRIALS); AND - PENN CARDIAC CARE. CENTERS OF EXCELLENCE ===================== CANCER CARE ----------- COMPREHENSIVE, STATE-OF-THE-ART CANCER CARE CLOSE TO HOME IS WHAT CRMC PROVIDES THE PATIENTS AND FAMILIES IN CAPE MAY COUNTY. CRMC'S CANCER CARE CENTER IS A MEMBER OF THE UNIVERSITY OF PENNSYLVANIA CANCER NETWORK. THIS JOINT AFFILIATION STRENGTHENS CRMC'S MISSION TO PROVIDE THE HIGHEST QUALITY HEALTHCARE IN ITS COMMUNITY BY OFFERING AN INTEGRATED SYSTEM OF CARE THROUGH THE UNIVERSITY OF PENNSYLVANIA. PENN'S CANCER NETWORK HOSPITALS, INCLUDING CRMC, WERE CHOSEN FOR THEIR COMMITMENT TO EXCELLENCE IN PATIENT CARE AND IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. IN ADDITION, CRMC'S CANCER CARE PROGRAM HAS RECEIVED THE RECOGNITION OF THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS BY BEING AWARDED ACCREDITATION. ONCOLOGY PROGRAMS EARNING RECOGNITION FROM THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS OFFER HIGH-QUALITY CANCER CARE. ONLY ONE IN FOUR HOSPITALS THAT TREAT CANCER RECEIVES THIS SPECIAL APPROVAL. IT RECOGNIZES THE QUALITY OF COMPREHENSIVE CANCER CARE AVAILABLE AT A FACILITY AND OFFERS A COMMITMENT THAT PATIENTS WILL HAVE ACCESS TO ALL OF THE VARIOUS MEDICAL SPECIALISTS WHO ARE INVOLVED IN THE DIAGNOSIS AND TREATMENT OF CANCER. IMAGING SERVICES ---------------- CRMCS MRI STAFF INCLUDES BOARD-CERTIFIED RADIOLOGISTS AND NATIONALLY CERTIFIED RADIOLOGIC TECHNOLOGISTS WHO DELIVER HUNDREDS OF SAFE AND ACCURATE TESTS EVERY YEAR. CRMC'S MRI UNIT IS AMONG THE FASTEST AND MOST ADVANCED AVAILABLE, PROVIDING IMAGES OF THE ENTIRE BODY IN UNPRECEDENTED DETAIL AND WITHOUT THE USE OF X-RAYS. MRI WORKS USING A COMBINATION OF MAGNETIC ENERGY AND RADIO WAVES TO CREATE PICTURES OF THE INSIDE OF THE BODY. IN DECEMBER OF 2011 CAPE RADIOLOGY INSTALLED A NEW ADVANCED CT SCANNER THAT CAN REDUCE RADIATION UP TO 50 PERCENT WITHOUT COMPROMISING IMAGE QUALITY. THIS NEW CT SCANNER IS A PREMIUM 16-SLICE SYSTEM THAT ENABLES THE USE OF LESS RADIATION WHILE MAINTAINING HIGH QUALITY IMAGES. CRMC UTILIZES THE PICTURE ARCHIVING AND COMMUNICATION SYSTEM ("PACS") FOR RADIOLOGY IMAGES TAKEN SINCE 2006. THIS SYSTEM ALLOWS PHYSICIANS AND RADIOLOGISTS TO ACCESS THESE IMAGES 24 HOURS A DAY, 7 DAYS A WEEK IN A SECURE COMPUTER NETWORK WITHOUT WAITING FOR FILMS TO BE DELIVERED. PATIENTS REQUESTING COPIES OF THOSE IMAGES ARE PROVIDED ON A COMPACT COMPUTER DISK. CARDIAC CARE ------------ CRMC IS AN ACCREDITED CHEST PAIN CENTER BY THE SOCIETY OF CHEST PAIN CENTERS. CRMC OFFERS THE FIRST AND ONLY CARDIAC CATHETERIZATION LABORATORY IN CAPE MAY COUNTY. ALL CARDIAC SERVICES ARE AFFILIATED WITH THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM AND ARE STAFFED WITH BOARD CERTIFIED CARDIOLOGISTS AND INTERVENTIONAL CARDIOLOGISTS. THE CARDIAC CATHETERIZATION LABORATORY'S MEDICAL DIRECTOR IS GENE CHANG, M.D. DR. CHANG IS AN ASSOCIATE PROFESSOR OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE. DR. CHANG IS A GRADUATE OF TUFTS UNIVERSITY SCHOOL OF MEDICINE AND IS BOARD CERTIFIED IN CARDIOVASCULAR DISEASE, INTERNAL MEDICINE AND INTERVENTIONAL CARDIOLOGY. CRMC HAS PARTNERED WITH PENN PRESBYTERIAN MEDICAL CENTER IN PHILADELPHIA IN THE PENN HEART RESCUE PROGRAM. WHEN A PATIENT COMES TO THE EMERGENCY ROOM AT CRMC SEEKING EMERGENCY MEDICAL SERVICES FOR CHEST PAIN, THEY ARE EVALUATED TO DETERMINE IF THEY ARE HAVING A HEART ATTACK. IF THEY ARE DETERMINED TO HAVE AN ST ELEVATION MYOCARDIAL INFARCTION, THEY ARE TRANSPORTED ABOARD THE PENN STAR HELICOPTER TO PENN PRESBYTERIANS CARDIAC CATHETERIZATION LABORATORY. THE PATIENT IS MET BY A TEAM OF SKILLED HEALTHCARE PROFESSIONALS WAITING TO EVALUATE AND TREAT THEM. THE PENN PRESBYTERIAN EXPERT CARDIAC CARE TEAM IS ON HAND 24 HOURS A DAY, SEVEN DAYS A WEEK. CRMC OFFERS A VARIETY OF SUPPORT PROGRAMS TO OPTIMIZE YOUR CARDIOPULMONARY HEALTH. THESE SERVICES INCLUDE: - CARDIAC REHABILITATION; - CENTER FOR LIFESTYLE MANAGEMENT; - EECP PROGRAM FOR REFRACTORY ANGINA PATIENTS; - OUTPATIENT NUTRITIONAL COUNSELING; AND - SLEEPCARE AT CRMC (SLEEP DISORDERS LABORATORY). MATERNAL AND NEWBORN CARE ------------------------- CRMC'S STATE-OF-THE-ART LDRP SUITES ALLOW LABOR, DELIVERY, RECOVERY AND POSTPARTUM CARE TO OCCUR IN ONE COMFORTABLE, HOME-LIKE SETTING. CRMC'S HIGHLY EXPERIENCED MATERNITY STAFF INCLUDES PHYSICIANS, MIDWIVES, RNS, SURGEONS AND TEACHERS. TOGETHER THEY OFFER A FULL ARRAY OF EDUCATIONAL AND PREVENTATIVE SERVICES LIKE GENETIC COUNSELING, PRENATAL CARE, BREAST-FEEDING GUIDANCE AND ULTRASOUND. CRMC'S SERVICE ALSO PROVIDES HIGH-RISK NEONATAL CARE, A SPECIALIZED CARDIAC CLINIC AND PERINATOLOGY SERVICES THROUGH ITS AFFILIATIONS WITH THE COOPER HEALTH SYSTEM AND NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN. INPATIENT PERITONEAL DIALYSIS PROGRAM ------------------------------------- CAPE MAY COUNTY KIDNEY PATIENTS NO LONGER NEED TO TRAVEL BY AMBULANCE OUTSIDE OF THE COUNTY FOR CARE WHEN INPATIENT HOSPITALIZATION IS NEEDED. THE NEW PROGRAM PROVIDES STATE OF THE ART CARE, DELIVERED BY A SPECIALLY TRAINED PERITONEAL DIALYSIS TEAM OF APPROXIMATELY 20 REGISTERED NURSES AND BOARD CERTIFIED NEPHROLOGISTS. INPATIENTS UNDERGO PERITONEAL DIALYSIS IN THE CONVENIENCE AND COMFORT OF OUR OWN COMMUNITY MEDICAL CENTER. HEMODIALYSIS AND PERITONEAL DIALYSIS ARE BOTH USED TO TREAT KIDNEY FAILURE; PERITONEAL DIALYSIS IS A LESS TIRESOME, LESS TIME CONSUMING PROCESS THAT AFFORDS PATIENTS MANY MORE FREEDOMS AS WELL AS OTHER BENEFITS. ADVANCED ICU ------------ ALL ICU PATIENTS ARE NOW RECEIVING CONTINUOUS MONITORING BY A REMOTE TEAM OF INTENSIVISTS AND CRITICAL CARE RNS. THIS TEAM OF SPECIALISTS IS AVAILABLE 12 HOURS A DAY, SEVEN DAYS A WEEK BASED ON PATIENT, PROVIDER AND STAFF NEEDS. IMPORTANT TO THE SUCCESS OF THE PROJECT IS THE COMMUNICATION AND COLLABORATION BETWEEN THE BEDSIDE TEAM AND THE REMOTE TEAM. SLEEPCARE --------- THE SLEEPCARE CENTER AT CRMC IS STAFFED BY HIGHLY SPECIALIZED SLEEP EXPERTS. THE SERVICE HELPS PATIENTS AND THEIR LOVED ONES GET A SOUND, RESTFUL SLEEP. THE SPECIALISTS IDENTIFY AND DIAGNOSE SLEEP DISORDERS, LIKE SNORING AND SLEEP APNEA, SO THAT PATIENTS CAN RECEIVE RELIEF FROM THE SYMPTOMS. LABORATORY MEDICINE ------------------- CRMC'S DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS AND THE AMERICAN ASSOCIATION OF BLOOD BANKS, BRINGS TOGETHER BOARD CERTIFIED PATHOLOGISTS AND NATIONALLY CERTIFIED TECHNOLOGISTS TO OFFER A WIDE ARRAY OF LABORATORY TESTING AND TEST INTERPRETATION 24 HOURS A DAY, 7 DAYS A WEEK. IN ADDITION TO HISTOPATHOLOGY AND CYTOPATHOLOGY, THE LABORATORY SPECIALISTS PROVIDE CONSULTATION IN COAGULATION, HEMATOLOGY, IMMUNOLOGY, URINALYSIS, MICROBIOLOGY AND CLINICAL CHEMISTRY, INCLUDING TOXICOLOGY AND ENDOCRINOLOGY. CRMC UTILIZES STATE-OF-THE-ART TECHNOLOGY, INCLUDING A TUBE TRANSPORT SYSTEM, AUTOMATED ANALYTICAL SYSTEMS, DNA-PROBES, LASER AND ROBOTIC TECHNOLOGY, COUPLED WITH SPECIALIZED INFORMATION MANAGEMENT, PROVIDING ACCURATE AND RAPID SERVICES TO CRMC PATIENTS. ADVANCED COMPUTER NETWORK TO SEND TEST RESULTS DIRECTLY TO A PATIENT'S PHYSICIAN'S OFFICE IN ADDITION TO CRMC'S NURSES' STATIONS. THE SYSTEM CAN AUTOMATICALLY FAX TEST RESULTS ANYWHERE IN THE COUNTRY. FOR A PATIENT'S CONVENIENCE, CRMC OFFERS BLOOD-DRAWING SERVICES IN ITS OUTPATIENT DEPARTMENT FROM 7AM - 11PM SEVEN DAYS A WEEK AS WELL AS IN A PATIENT'S PHYSICIAN'S OFFICE, AT HOME AND CRMC'S SATELLITE BLOOD-DRAW STATION IN NEARBY RIO GRANDE AND NORTH CAPE MAY. CRMC OFFERS PHYSICIANS A HUGE ARRAY OF TESTS INCLUDING CHEMISTRY, THERAPEUTIC DRUG MONITORING, HEMATOLOGY, URINALYSIS, MICROBIOLOGY, TUBERCULOSIS, HISTOPATHOLOGY AND CYTOPATHOLOGY. CRMC'S IMMUNOCYTOCHEMISTRY PROCEDURES AID IN THE EARLY DIAGNOSIS OF CERTAIN DISEASES INCLUDING CANCERS. CRMC OFFERS A DIRECT-DONOR PROGRAM TO ALLOW A PATIENT OR A FAMILY MEMBER TO GIVE BLOOD TO YOU OR A RELATIVE. CAPE REGIONAL MEDICAL CENTERS LABORATORY OPENED A LAB OUTREACH HUB IN ROBBINSVILLE, NJ TO EXPAND SERVICES INTO THE CENTRAL JERSEY/TRENTON AREA. ALL LAB WORK FROM THIS AREA IS BROUGHT TO THE HUB FOR SPECIMEN PREPARATION AND IS THEN SENT TO CAPE REGIONAL FOR PROCESSING.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	SAME DAY CARE CENTER -------------------- THE SAME DAY CARE CENTER IS THE OUTPATIENT SURGERY CENTER AT CRMC. THE COMPLETE SAME-DAY SURGERY EXPERIENCE AT CRMC HAS BEEN DESIGNED AS A CENTER OF EXCELLENCE, WITH PATIENTS AND THEIR FAMILIES IN MIND. THIS TRANSLATES INTO CONVENIENT PARKING, STREAMLINED ADMISSIONS PROCEDURES AND FOLLOW-UP PHONE CALLS MADE TO A PATIENT'S HOME A DAY AFTER THE PROCEDURE. THE STAFF COMMUNICATES CLOSELY WITH A PATIENT'S PRIMARY CARE PHYSICIAN, SO THAT HE OR SHE CAN STAY APPRISED OF A PATIENT'S CONDITION. UNLIKE MANY STAND-ALONE SURGERY CENTERS, CRMC IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE NEW JERSEY HOSPITAL ASSOCIATION AND IS LICENSED BY THE NEW JERSEY STATE DEPARTMENT OF HEALTH AND SENIOR SERVICES. CRMC IS ALSO ACCREDITED BY THE JOINT COMMISSION, AND THE COLLEGE OF AMERICAN PATHOLOGISTS. NEW DIAGNOSTIC & TREATMENT TECHNIQUES ARE FASTER, LESS PAINFUL, RESULTING IN QUICKER RECOVERIES: TODAY, REMARKABLE ADVANCES IN SURGERY HAVE TRANSFORMED THE FIELD, MAKING MINIMALLY INVASIVE ALTERNATIVES TO TRADITIONAL "OPEN" SURGERY MORE READILY AVAILABLE. WHO WOULD HAVE THOUGHT 30 YEARS AGO THAT SURGERY WOULD BE DONE WITHOUT LENGHTY MEDICAL CENTER STAYS, SEVERE PAIN OR NOTICEABLE SCARRING? MANY PROCEDURES CAN NOW BE PERFORMED ON AN OUTPATIENT BASIS, GETTING PATIENTS OR THEIR FAMILY MEMBERS HOME THE SAME DAY. AN EXAMPLE OF THIS IS THE NEW LITHOTRIPSY PROCEDURE WHICH ALLOWS A LESS INVASIVE PROCEDURE FOR THE REMOVAL OF KIDNEY STONES. SPECIAL CARE FOR KIDS: CHILD PATIENTS AT THE SAME DAY CARE CENTER UNDERGO A SPECIAL ADMISSION, SURGICAL AND POST-OPERATIVE EXPERIENCE WHICH HAS BEEN CREATED ESPECIALLY FOR THEM. CRMC'S STAFF WORKS CLOSELY WITH THE MEDICAL CENTER'S DEPARTMENT OF PEDIATRICS TO MAINTAIN EXCELLENCE IN A CHILD'S PATIENT CARE AND MEET THEIR SPECIAL NEEDS. ENDOSCOPY CENTER ---------------- OPENED IN 2015 AND LOCATED A SHORT DISTANCE FROM THE MEDICAL CENTERS CAMPUS THIS HIGH-QUALITY ENDOSCOPY CENTER WAS OPENED IN RESPONSE TO THE COMMUNITYS GROWING NEEDS. THE NEW, MODERN, STATE-OF-THE-ART FACILITY FOCUSES ON THE PATIENTS PRIVACY, COMFORT, AND EASE OF ACCESS. OUR BOARD-CERTIFIED SURGEONS, GASTROENTEROLOGISTS, AND HIGHLY-TRAINED NURSES AND SUPPORT STAFF ARE COMMITTED TO OUR PATIENTS AND DELIVER THE HIGHEST QUALITY CARE. CENTER FOR WOUND HEALING ------------------------ OPENED IN 2015 AND LOCATED ON THE MEDICAL CENTERS CAMPUS WE ARE THE ONLY ADVANCED WOUND CARE CENTER IN CAPE MAY COUNTY WERE PATIENTS WILL SEE A WOUND CARE DOCTOR OR NURSE AT EVERY APPOINTMENT. EACH OF OUR NURSES IS CERTIFIED IN WOUND CARE, AND ALL OF OUR WOUND SPECIALISTS ARE CERTIFIED IN THE USE OF HYPERBARIC OXYGEN THERAPY. OUR WOUND CARE CENTER TREATS ANY KIND OF NONHEALING WOUND AND OUR WIDE NETWORK OF SPECIALISTS ALLOW US TO PROVIDE CONSULTS WITH VASCULAR AND PLASTIC SURGERY EXPERTS. THE CENTER TREATS WOUNDS OF ALL TYPES INCLUDING, BUT NOT LIMITED TO, DIABETIC WOUNDS, SURGICAL WOUNDS THAT ARE NOT HEALING, SKIN GRAFTS, WOUNDS CAUSED BY RADIATION THERAPY, BONE INFECTION, AND INTERNAL INJURIES CAUSED BY TRAUMATIC INJURIES. ONE OF THE TREATMENTS OFFERED AT THE CENTER IS HYPERBARIC OXYGEN (HBO) THERAPY. HBO IS A TREATMENT IN WHICH THE PATIENT BREATHES 100 PERCENT OXYGEN WHILE INSIDE THE CHAMBER. THE INCREASE IN OXYGEN IN THE BLOOD ENCOURAGES THE CREATION OF BLOOD VESSELS AND INCREASES THE PRODUCTION OF COLLAGEN, THE BODY'S NATURAL "SCAFFOLDING" BOTH NECESSARY FOR WOUND HEALING. BARIATRIC SURGERY ----------------- THE MISSION OF CRMCS COMPREHENSIVE BARIATRIC SURGERY PROGRAM IS TO IMPROVE THE HEALTH OF PEOPLE WHO STRUGGLE WITH THEIR WEIGHT BY PROVIDING COMPREHENSIVE TREATMENT THROUGH MEDICAL, SURGICAL, DIETARY, BEHAVIORAL AND EDUCATIONAL INTERVENTION. THE BARIATRIC SURGERY PROGRAM GUIDES YOU THROUGH THE STEPS NECESSARY TO HAVE SURGERY, AND WE WILL PROVIDE YOU WITH THE TOOLS THAT ARE FUNDAMENTAL FOR WEIGHT LOSS SUCCESS FOR MANY YEARS TO COME. BARIATRIC SURGERY IS HIGHLY EFFECTIVE, BUT REQUIRES A SIGNIFICANT COMMITMENT FROM THE PATIENT AFTER SURGERY AS POSITIVE LIFESTYLE CHOICES RELATED TO EXERCISE AND NUTRITION WILL BE CRITICAL FOR POST-SURGERY SUCCESS. CRMC HAS DEVELOPED AND COORDINATES SERVICES THAT ADDRESS PATIENTS NEEDS ACROSS THE WEIGHT LOSS CONTINUUM. THE CENTER FOR BARIATRIC SURGERY OFFERS COMPREHENSIVE SERVICES PROVIDED BY SPECIALLY-TRAINED CLINICIANS WHO WILL ENSURE YOU HAVE ACCESS TO THE MOST ADVANCED STRATEGIES. EXPERT PERSONAL GUIDANCE BY OUR PROGRAM MANAGER ENSURES YOU HAVE QUICK AND EASY ACCESS TO ALL THE SERVICES THAT WILL SUPPORT YOU IN ACHIEVING YOUR WEIGHT LOSS GOALS. PRE-SURGERY TESTING REQUIREMENTS SUCH AS BEHAVIORAL HEALTH EVALUATION, NUTRITION EVALUATION AND EDUCATION, AND FITNESS EVALUATION AND PROGRAM; SURGICAL INTERVENTIONS; POST-SURGERY PROGRAM AND SUPPORT INCLUDING: BEHAVIORAL HEALTH SUPPORT, NUTRITION EDUCATION AND SUPPORT, AND FITNESS PROGRAM. SOCIAL WORK/CASE MANAGEMENT --------------------------- THE SOCIAL WORK/CASE MANAGEMENT DEPARTMENT AT CRMC HELPS PATIENTS AND FAMILIES COORDINATE HOSPITAL AND COMMUNITY SERVICES ON BEHALF OF PATIENTS. THEY HELP FAMILIES COPE WITH ILLNESS, HOSPITALIZATION, DISCHARGE PLANNING, COMMUNITY OUTREACH, PERINATAL SERVICES, AND OTHERWISE HELP FAMILIES WITH SOCIAL AND EMOTIONAL CONCERNS RELATED TO AN ILLNESS. CRMC'S CARING SOCIAL WORKERS AND CASE MANAGERS HELP PATIENTS AND THEIR FAMILIES PLAN AT-HOME HEALTH SERVICES INCLUDING SKILLED NURSING AND REHABILITATIVE THERAPY. THE TEAM ALSO HELPS LOCATE THE RIGHT MEDICAL EQUIPMENT, REFERRAL SOURCES, NURSING HOMES OR AFTER-CARE FACILITIES. HELP WITH LIVING WILLS AND ADVANCE DIRECTIVES IS ALSO PROVIDED FOR YOUR FAMILY'S SPECIAL SITUATIONS. OUTPATIENT REHABILITATION ------------------------- CRMC OFFERS A VARIETY OF CONVENIENT SERVICES TO RESTORE PATIENTS TO THEIR HIGHEST LEVEL OF INDEPENDENCE AND FUNCTION. ALL OF CRMC'S SERVICES ARE CONDUCTED IN STATE-OF-THE-ART FACILITIES WITH A PATIENT'S CARE SUPERVISED BY HIGHLY QUALIFIED, LICENSED AND TRAINED REHAB EXPERTS. 1. PHYSICAL THERAPY: MANY PATIENTS OF ALL AGES MAY BENEFIT FROM PT AFTER AN ACCIDENT, ILLNESS, INJURY OR SURGERY. 2. CONCUSSION CENTER: A CONCUSSION IS A TYPE OF TRAUMATIC BRAIN INJURY THAT OCCURS WHEN A PERSON RECEIVES A BLOW TO THE HEAD, NECK OR UPPER BODY CAUSING THE BRAIN TO RATTLE OR SHAKE AGAINST THE SKULL CAUSING NEUROLOGICAL DAMAGE. UTILIZING THE DYNAVISION SYSTEM (D2) AND THE BIODEX BALANCE SYSTEM WE CAN IDENTIFY AND ADDRESS COGNITIVE AND MOTOR DEFICITS AS WELL AS BALANCE AND VESTIBULAR DEFICITS THAT OCCUR FROM CONCUSSIONS. 3. OCCUPATIONAL THERAPY: TREATING PEOPLE OF ALL AGES WHO, BECAUSE OF PHYSICAL, DEVELOPMENTAL, SOCIAL OR EMOTIONAL NEEDS, REQUIRE SPECIALIZED ASSISTANCE TO LEAD INDEPENDENT LIVES. 4. PRE-DRIVING PROGRAM: UTILIZING ENHANCED DRIVING SIMULATOR AS PART OF OCCUPATIONAL THERAPY DEPARTMENT IN ORDER TO ASSESS THE PATIENT'S DRIVING SKILLS. THIS PROGRAM IS DESIGNED TO AID THE ELDERLY, STROKE PATIENTS, OR ANYONE WITH WHOSE DRIVING ABILITIES MAY BE COMPROMISED. 5. LYMPHEDEMA MANAGEMENT: CANCER-SURGERY PATIENTS WHO HAVE EXPERIENCED LOSS OF FUNCTION DUE TO LYMPHEDEMA MAY BENEFIT FROM TREATMENT. 6. SPEECH THERAPY: STROKE AND OTHER PATIENTS WITH SPEECH, LANGUAGE OR COGNITIVE DEFICITS LEARN TO COMMUNICATE BETTER WITH THOSE AROUND THEM. SPEECH THERAPY ALSO HELPS THOSE WITH COMPROMISED SWALLOWING. 7. CARDIOPULMONARY REHABILITATION: OPEN TO THOSE WHO HAVE EXPERIENCED HEART ATTACK, STABLE ANGINA, OPEN-HEART SURGERY, HEART TRANSPLANTATION, ASTHMA, EMPHYSEMA, LUNG-VOLUME REDUCTION SURGERY AND OTHER CARDIOPULMONARY DISORDERS. SUPERVISED FIT-FOR-LIFE EXERCISE PROGRAMS AND FITNESS CENTER ARE ALSO AVAILABLE. 8. SMOKING CESSATION: NEW FOUR-WEEK PROGRAM DEVELOPED FOR THOSE WILLING TO QUIT SMOKING. 9. CAPE REGIONALS PHYSICAL THERAPY DEPARTMENT NOW OFFERS A PELVIC FLOOR REHABILITATION PROGRAM. PELVIC FLOOR ISSUES CAN GREATLY AFFECT QUALITY OF LIFE AS WEAK OR DAMAGED PELVIC FLOOR MUSCLES OFTEN CONTRIBUTE TO INCONTINENCE OR PELVIC PAIN DUE TO CHILDBIRTH, ILLNESS, AGING OR SURGERY. DIABETES CARE CENTER -------------------- THE CRMC DIABETES CARE CENTER IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION FOR QUALITY SELF-MANAGEMENT EDUCATION. SELF-MANAGEMENT EDUCATION IS AN ESSENTIAL COMPONENT OF DIABETES TREATMENT. ONE BENEFIT OF COMPLIANCE WITH THE NATIONAL STANDARDS IS GREATER CONSISTENCY IN THE QUALITY AND QUANTITY OF EDUCATION OFFERED TO PEOPLE WITH DIABETES. PROGRAM PARTICIPANTS ARE TAUGHT, AS NEEDED, SELF-CARE SKILLS THAT ALLOW BETTER MANAGEMENT OF THEIR DIABETES TREATMENT PROGRAM. THE CRMC DIABETES PROGRAM IS CERTIFIED WITH THE AMERICAN DIABETES ASSOCIATION.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	HOSPITALIST PROGRAM ------------------- IN 2007, CRMC ADDED A HOSPITALIST PROGRAM TO THE SERVICES AVAILABLE FOR PATIENTS ADMITTED TO THE MEDICAL CENTER. THE HOSPITALIST IS ABLE TO COORDINATE THE PATIENT'S CARE WITH THE PATIENT'S PHYSICIAN AND A HOSPITALIST IS AT THE MEDICAL CENTER 24 HOURS A DAY, 7 DAYS A WEEK. PASTORAL CARE ------------- CRMC'S CHAPEL IS LOCATED IN THE EAST LOBBY OF THE MEDICAL CENTER. CRMC'S INTERFAITH CHAPLAINS AND PASTORAL CARE VOLUNTEERS OFFER SPIRITUAL AND EMOTIONAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING HOSPITALIZATION. PRAYER, BIBLES AND SACRAMENTAL MINISTRY SERVICES ARE AVAILABLE TO PATIENTS UPON REQUEST. CLERGY WILL BE GUIDED BY A PATIENT'S SPIRITUAL PREFERENCES. COMMUNITY BENEFIT ================== CRMC IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION, OFFERING NUMEROUS HEALTHCARE RELATED PROGRAMS AND ACTIVITIES. CRMC WORKS IN COLLABORATION WITH VOLUNTEERS IN MEDICINE (VIM) AND A FEDERALLY QUALIFIED HEALTHCARE CENTER (FQHC), WHICH IS RUN BY COMMUNITY HEALTHCARE. CAPE REGIONAL HEALTH SYSTEM PROVIDES THE VIM OUTPATIENT FACILITY ON A RENT FREE BASIS. IN ADDITION, CRMC PROVIDES MUCH OF THE ANCILLARY SERVICES FOR THESE TWO PROVIDERS OF PRIMARY AND SPECIALTY CARE TO CHARITY AND STATE MEDICAID PATIENTS. CRMC'S CENTER FOR LIFESTYLE MANAGEMENT OFFERS A BROAD VARIETY OF SUPPORT GROUPS, HEALTH EDUCATION CLASSES, WELLNESS PROGRAMS AND INFORMATION ABOUT HEALTHCARE SERVICES IN CAPE MAY COUNTY. OUTLINED BELOW ARE A NUMBER OF CRMC COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION DEMONSTRATING HOW CRMC BENEFITS THE SURROUNDING COMMUNITY IN FURTHERANCE OF ITS CHARITABLE TAX-EXEMPT PURPOSES. SUPPORT GROUPS -------------- THE CENTER FOR LIFESTYLE MANAGEMENT PROVIDES ONGOING SUPPORT GROUPS FOR THOSE COPING WITH FOLLOWING: - DIABETES; - CANCER, BREAST, PROSTATE; - GRIEF; - CAREGIVER; - PULMONARY REHABILITATION; - RHEUMATOLOGY; - GASTRIC BYPASS; - LYMPHEDEMA; AND - PAIN MANAGEMENT. ADDITIONAL GROUP MEETINGS ------------------------- - AA AND ALANON; - OVEREATERS ANONYMOUS; - LIFE MAKEOVERS FOR WOMEN; - PROJECT HEALTHY BONES; - A MATTER OF BALANCE; AND - SKIN CANCER PREVENTION. HEALTH EDUCATION ---------------- CRMC'S HEALTH EDUCATION SERIES COVERS A VARIETY OF TOPICS WITH PROGRAMS AVAILABLE AT CRMC, ONLINE AT OUR WEBSITE (MEDICALLY SPEAKING) AND IN THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - DIABETES MANAGEMENT; - STRESS MANAGEMENT FOR HEART AND LUNG PATIENTS; - FITNESS WORKSHOPS; - HEART HEALTH INFORMATION; - CHRONIC DISEASE SELF-MANAGEMENT; - EXERCISE AND GETTING FIT; - SERVING UP GOOD NUTRITION; - BONE UP ON YOUR HEALTH; - BE WISE ABOUT YOUR MEDICATION; - KEEP UP THE BEAT; AND - MAXIMIZING MEMORY. HEALTH SCREENINGS ----------------- CRMC PROVIDES OPPORTUNITIES FOR THE COMMUNITY TO MONITOR THEIR HEALTH WITH THE FOLLOWING SCREENINGS AVAILABLE AT CRMC AND THROUGHOUT CAPE MAY COUNTY: - BLOOD PRESSURE; - BLOOD SUGAR; - CHOLESTEROL; - FRACTURE RISK; AND - PERIPHERAL ARTERY DISEASE. CERTIFICATION PROGRAMS ---------------------- - CPR CERTIFICATION AND RE-CERTIFICATION; - SAFE SITTER; - 55 ALIVE SAFE DRIVING; AND - SMOKING CESSATION. OTHER COMMUNITY BENEFIT PROGRAMS -------------------------------- 1. PARISH NURSING GRANT TO KEEP SENIORS HEALTHY & ACTIVE WHICH PROVIDES FREE SCREENINGS, HEALTH EDUCATION TO PUBLIC, AND TRAINS OTHER HEALTHCARE PROFESSIONALS TO GO BACK TO THEIR COMMUNITIES AND PROVIDE THE SAME PROGRAM IN THEIR AREA; 2. GAME OF LIFE AT CAPE MAY COUNTY TECHNICAL SCHOOL PROVIDED HIGH SCHOOL STUDENTS THE OPPORTUNITY TO MEET WITH REPRESENTATIVES FROM CRMC TO DISCUSS HEALTHCARE CAREER OPPORTUNITIES; 3. WELLNESS PROGRAMS AND HEALTHCARE RESOURCE DAYS HELD THROUGHOUT CAPE MAY COUNTY TO MAKE COUNTY RESIDENTS AND VISITORS AWARE OF THE SERVICES AVAILABLE AT CRMC AND CAPE REGIONAL HEALTH AFFILIATES AND TO ENCOURAGE USE OF THESE SERVICES; 4. PARISH NURSING COMMUNITY HEALTH FAIR WHICH PROVIDES VARIOUS SCREENINGS INCLUDING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, FRACTURE RISK FOR OSTEOPOROSIS, EYE TESTING, & MOBILE MAMMOGRAPHY (FREE FOR WOMEN WITHOUT INSURANCE); 5. ANNUAL MEN'S HEALTH DAY - CANCER SCREENINGS; PROSTATE, COLORECTAL, & TESTICULAR; 6. ANNUAL WOMEN'S HEALTH DAY - CANCER SCREENINGS; 7. CAPE REGIONAL MIRACLES FITNESS OPEN HOUSE; 8. ANNUAL HOME & HEALTH SHOW; PROVIDES FREE BLOOD PREASURE, CHOLESTEROL, BLOOD SUGAR, PERIPHERAL ARTERY DISEASE, FRACTURE RISK AND SKIN CANCER HEALTH SCREENINGS. "THE DOCTOR IS IN" STARTS AT 9 AM AND ATTENDEES HAVE THE OPPORTUNITY TO SPEAK FACE-TO-FACE WITH PHYSICIANS, NURSES, AND CLINICAL PROFESSIONALS REGARDING THEIR MEDICAL SPECIALTY AND SERVICES AND ALSO HEAR ABOUT HOW CAPE REGIONAL HEALTH SYSTEM HAS GREATLY EXPANDED OUR PRESENCE AND SERVICES THROUGHOUT CAPE MAY COUNTY. OVER 600 HEALTH SCREENINGS WERE PROVIDED TO THE PUBLIC AT NO CHARGE; 9. MEDICAL EXPLORER PROGRAM FOR HIGH SCHOOL STUDENTS IN THE LOCAL COMMUNITY; 10. ANNUAL DIABETES UPDATE OPEN TO THE PUBLIC AND CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION; 11. EMPLOYEE HEALTH SHARP CONTAINER EXCHANGES FOR INDIVIDUALS WITH CHRONIC DISEASE MANAGEMENT; 12. CAPE REGIONAL MEDICAL CENTER PROVIDES HEALTH EDUCATION ON THE PATIENT CHANNEL FROM THE WELLNESS NETWORK. PROGRAMS ARE MENTAL HEALTH, PHYSICAL ACTIVITY, NUTRITIONAL NEEDS, ALCOHOL & DRUG ADDICTION, LIVING WELL WITH COPD, PREVENTING FLU AND PNEUMONIA, ASTHMA, HEART FAILURE, IRREGULAR HEARTBEATES, MANAGING YOUR DIABETES, ETC: 13. THE CARES TEAM, FUNDED BY THE OPIOID OVERDOSE RECOVERY PROGRAM GRANT, PROVIDED SERVICES TO 369 OPIOID USE/OVERDOSE PATIENTS IN 2018. THE CARES TEAM ALSO PROVIDED SERVICES TO AN ADDITIONAL 312 PATIENTS SUFFERING FROM NON-OPIOID SUBSTANCE USE AND/OR ALCOHOL ABUSE. EIGHTY PERCENT OF THESE PATIENTS ENGAGED IN SOME FORM OF RECOVERY SERVICES OR SUPPORT. 14. CAPE REGIONAL PHYSICIANS ASSOCIATES AND CAPE REGIONAL PHYSICAL THERAPY PARTICIPATED IN THE STONE HARBOR MAYORS WELLNESS PROGRAM CONDUCTED IN FEBRUARY AND MARCH. DOTTIE DRAKE AND NICK ELISANO OF CAPE REGIONAL MIRACLES FITNESS WERE THE KEYNOTE SPEAKERS ON THE OPENING NIGHT OF THE PROGRAM. ALSO PARTICIPATING WAS: DR. CHRISTOPHER G. ZITNAY, ENDOCRINOLOGIST THE TRUTH ABOUT YOUR METABOLISM DR. GARY MIRONE, UROGYNECOLOGIST YES, THATS NORMAL DR. TARA VOGDES, PRIMARY CARE PRACTITIONER END PROCRASTINATION! GINGER MILLAR, DIRECTOR, CAPE REGIONAL PHYSICAL THERAPY FIND YOUR BALANCE DR. MICHAEL NILLAS, CARDIOLOGY WHAT YOU NEED TO KNOW ABOUT HYPERTENSION DR. KEVIN MCHALE, PENN ORTHOPAEDICS WALK THE WALK, DONT TALK THE TALK 15. GO BLUE FOR COLON CANCER DAY AT THE ENDOSCOPY CENTER. APPROXIMATELY 17,870 INDIVIDUALS BENEFITED FROM THE COMMUNITY BENEFIT PROGRAMS OFFERED BY CRMC DURING 2018. ADDITIONAL COMMUNITY BENEFIT PROGRAMS PROVIDED BY CAPE REGIONAL PHYSICIAN ASSOCIATES AND OTHER AFFILIATED ENTITIES INCLUDE THE FOLLOWING: - AVALON SENIORS DR. NILLAS PRESENTED ON HEART HEALTHY DIET AVALON LINKS RESTAURANT. - CRPA PIZZA PUMP PARTY AT POPPIS PIZZA WITH DRS. ANITA RAGHUWANSHI AND CHRISTOPHER ZITNAY 25 ATTENDEES. - CAPE REGIONAL PHYSICIANS ASSOCIATES AND CAPE REGIONAL PHYSICAL THERAPY PARTICIPATED IN THE STONE HARBOR MAYORS WELLNESS PROGRAM CONDUCTED IN FEBRUARY AND MARCH. DOTTIE DRAKE AND NICK ELISANO OF CAPE REGIONAL MIRACLES FITNESS WERE THE KEYNOTE SPEAKERS ON THE OPENING NIGHT OF THE PROGRAM. ALSO PARTICIPATING WAS: DR. CHRISTOPHER G. ZITNAY, ENDOCRINOLOGIST, DR. GARY MIRONE, UROGYNECOLOGIST, DR. TARA VOGDES, PRIMARY CARE PRACTITIONER, GINGER MILLAR, DIRECTOR, CAPE REGIONAL PHYSICAL THERAPY, DR. MICHAEL NILLAS, CARDIOLOGY, DR. KEVIN MCHALE, PENN ORTHOPAEDICS. - CAPE MAY COUNTY ADMINISTRATION WELLNESS LUNCH AND LEARN 30 ATTENDEES. DR. STANLEY MICHAEL SPOKE ON ORTHOPEDIC PAIN MANAGEMENT. - CAPE MAY COUNTY ADMINISTRATION LUNCH AND LEARN WILLIAM BRADWAY, DO SPOKE ON SLEEP MEDICINE AND PULMONARY ISSUES 25 ATTENDEES. - CAPE MAY COUNTY ADMINISTRATION LUNCH & LEARN WITH DR. CHRISTOPHER ZITNAY 25 ATTENDEES. - WOMENS HEALTH PANEL: BE A WOMAN IN THE KNOW - LEARN ABOUT PREVENTIVE CARE, DIFFERENT TYPES OF SCREENINGS AND WHY THEY ARE IMPORTANT, HOW TO STAY IN GOOD HEALTH AS YOU AGE, 75 ATTENDEES. PHYSICIAN EXPERTS FOR THE FOLLOWING SPECIALTIES INCLUDED: CARDIOLOGY, OB AND GYNECOLOGY, RADIATION ONCOLOGY, OB AND GYNECOLOGY, UROGYNECOLOGIST, ENDOCRINOLOGY AND WEIGHT MANAGEMENT, GENERAL SURGERY, PRIMARY CARE. - MENS HEALTH PANEL LEARN ABOUT PREVENTIVE CARE, CANCER SCREENINGS, HEART DISEASE, ORTHOPAEDIC INJURIES AND MORE. 30 ATTENDEES. PHYSICIAN EXPERTS FOR THE FOLLOWING SPECIALTIES INCLUDED: RADIATION ONCOLOGY, INTERNAL MEDICINE, UROLOGY, ORTHOPAEDIC SURGERY, GENERAL SURGERY, GASTROLOGY. - CAPE MAY COUNTY LUNCH AND LEARN REGARDING BREAST CANCER WITH GUEST SPEAKER, PATRICIA MARTZ, MD 30 ATTENDEES.
CORE FORM, PART VI, SECTION A; QUESTION 2	RICHARD A. MICHNER, M.D. & JOSEPH L. MILIO, D.O - BUSINESS RELATIONSHIP.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC. ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, EACH MEMBER OF THE CAPE REGIONAL HEALTH SYSTEM, INC. EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE PERFORMED A DETAILED REVIEW OF THIS FORM 990 PRIOR TO FILING WITH THE IRS. THE CAPE REGIONAL HEALTH SYSTEM INC. EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR BOTH TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("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, BUT NOT LIMITED TO, THE VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE ("INTERNAL WORKING GROUP") 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 FOR 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 PRIOR TO THE PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CAPE REGIONAL HEALTH SYSTEM, INC. EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE AND THEREAFTER MADE AVAILABLE TO EACH MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. THEREAFTER THE PRESIDENT/CHIEF EXECUTIVE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS, IF APPLICABLE, FOR REVIEW BY THE ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC. THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE EMPLOYED BY THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER, IS SHOWN ON THIS TAX RETURN BECAUSE SHE IS ALSO A BOARD MEMBER OF THIS ORGANIZATION. ACCORDINGLY, THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE 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 IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE HOSPITAL TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE 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 HEALTH CARE 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. 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.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC. ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS INCLUDE: - TRANSFER FROM CAPE REGIONAL MEDICAL CENTER, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION - $6,125,000.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S FINANCE AND PLANNING COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

CAPE REGIONAL HEALTH SYSTEM INC

Employer identification number

22-2629594

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) 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
(1) CAPE REGIONAL HOLDINGS LLC 2 STONE HARBOR BOULEVARD CAPE MAY COURT HOUSE,NJ08210 45-2206617	REAL ESTATE	NJ	1,137,658	14,779,373	CRHS

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 entity?
(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	Yes	No
(1)CAPE REGIONAL MEDICAL CENTER 2 STONE HARBOR BLVD CAPE MAY COURT HOUSE,NJ08210 21-0662542	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	CRHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CRPT MGMT SVCS LLC 2 STONE HARBOR BLVD CAPE MAY COURT HOUSE,NJ08210 45-5462517	MANAGMENT SVCS.	NJ	NA
(2) CR MIRACLES 2 STONE HARBOR BLVD CAPE MAY COURTHOUSE,NJ08210 82-4059310	FITNESS CENTER	NJ	NA

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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) CAPE REGIONAL HEALTH ENTERPRISES INC TWO STONE HARBOR BLVD CAPE MAY COURT HOUSE,NJ08210 22-2615938	HEALTHCARE MGMT.	NJ	CRHS	C CORP.	2,231,766	5,072,035	100.000 %	Yes
(2) CAPE CARDIOLOGY ASSOCIATES INC STONE HARBOR BLVD PO BOX 593 CAPE MAY COURT HOUSE,NJ08210 22-2859159	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(3) CAPE IMAGING SERVICES STONE HARBOR BLVD PO BOX 59 CAPE MAY COURT HOUSE,NJ08210 22-3154952	HOLDING CO.	NJ	NA	C CORP.					No
(4) CAPE PHYSICIAN ASSOCIATES PA TWO STONE HARBOR BOULEVARD CAPE MAY COURT HOUSE,NJ08210 22-3172481	HEALTHCARE SVCS	NJ	NA	C CORP.					No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CAPE REGIONAL MEDICAL CENTER INC	E	3,361,132	COST
(2) CAPE REGIONAL MEDICAL CENTER INC	O	70,504	COST
(3) CAPE REGIONAL MEDICAL CENTER INC	S	6,125,000	COST

Schedule R (Form 990) 2018

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V

THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC. ("SYSTEM"). CAPE REGIONAL MEDICAL CENTER, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO CONTINUALLY DEVELOP AND OPERATE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	26,605
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	99,253	66,841
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	91,608	27,206
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	190,861	94,047
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)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	26,582	22,022
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	26,582	22,022
19	Revenue less expenses. Subtract line 18 from line 12.......	164,279	72,025
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	36,841,288	46,907,750
21	Total liabilities (Part X, line 26).............	5,576,857	9,583,007
22	Net assets or fund balances. Subtract line 21 from line 20.....	31,264,431	37,324,743

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 26,605 )
	EXPENSES INCURRED IN FUNCTIONING AS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC.; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES to all individuals IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(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
(A) Name and Title
(1) ELLEN KRAVET BURKE...................................................................... CHAIR - TRUSTEE	1.0 ................. 0.0	X	X	0	0	0
(2) RALPH AUTUORE...................................................................... SECRETARY/TREASURER - TRUSTEE	1.0 ................. 0.0	X	X	0	0	0
(3) HENRY S BRZYSKI...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(4) JOANNE CARROCINO FACHE...................................................................... TRUSTEE - PRESIDENT/CEO	55.0 ................. 0.0	X	X	0	729,529	69,545
(5) THOMAS F DIERKES DO...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(6) ROBERT A FINEBERG ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(7) GARRY GILBERT...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(8) HERBERT L HORNSBY JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(9) VICKI LACHMAN PHD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(10) ARLENE MACDONALD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(11) RICHARD A MICHNER MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	1,250	0
(12) JOSEPH L MILIO DO...................................................................... TRUSTEE - PRESIDENT MED STAFF	1.0 ................. 0.0	X		0	10,000	0
(13) ANTONIOS THALASSINOS DO...................................................................... TRUSTEE - VP ELECT MED STAFF	1.0 ................. 0.0	X		0	2,500	0
(14) SUZANNE WALTERS...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	743,279	69,545

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		0

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		0

3 Investment income (including dividends, interest, and othersimilar amounts) ......			73,534		73,534
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,137,116
b	Less: rental expenses		1,109,910
c	Rental income or (loss)	0	27,206
d	Net rental income or (loss)......			27,206	26,605	601
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		-6,693
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		-6,693
d	Net gain or (loss).....			-6,693		-6,693
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			94,047	26,605	67,442

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	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	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	10,069	0	10,069
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	0
12	Advertising and promotion ....	0
13	Office expenses .......	0
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	11,953	0	11,953
23	Insurance ...	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	22,022	0	22,022	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			69,325	2	71,360
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			0	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			0	8	0
9	Prepaid expenses and deferred charges ......			10,918	9	3,543
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	17,092,260
b	Less: accumulated depreciation	10b	2,323,604	10,512,127	10c	14,768,656
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			2,060,328	13	1,722,138
14	Intangible assets ...............			66,393	14	62,788
15	Other assets. See Part IV, line 11 ...........			24,122,197	15	30,279,265
16	Total assets. Add lines 1 through 15 (must equal line 34)...			36,841,288	16	46,907,750

17	Accounts payable and accrued expenses .....	89,625	17	1,168,190
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	4,356,915	23	4,189,910
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,130,317	25	4,224,907
26	Total liabilities. Add lines 17 through 25..	5,576,857	26	9,583,007

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	31,264,431	27	37,324,743
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	31,264,431	33	37,324,743
34	Total liabilities and net assets/fund balances ........	36,841,288	34	46,907,750

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land .....	0	2,418,722		2,418,722
b	Buildings ....		10,107,268	2,162,118	7,945,150
c	Leasehold improvements		3,019	805	2,214
d	Equipment ....		464,833	154,094	310,739
e	Other .....		4,098,418	6,587	4,091,831
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					14,768,656

(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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO AFFILIATES	3,544,683
OTHER LIABILITIES	680,224
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,224,907
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOANNE CARROCINO FACHE TRUSTEE - PRESIDENT/CEO	(i) (ii)	0 ------------- 621,426	0 ------------- 62,856	0 ------------- 45,247	0 ------------- 53,166	0 ------------- 16,379	0 ------------- 799,074	0 ------------- 0