TY 2018 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ELLEN KRAVET BURKE...................................................................... CHAIR - TRUSTEE	1.0 ................. 0.0	X	X		0	0
(2) RALPH AUTUORE...................................................................... SECRETARY/TREASURER - TRUSTEE	1.0 ................. 0.0	X	X		0	0
(3) HENRY S BRZYSKI...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(4) JOANNE CARROCINO FACHE...................................................................... TRUSTEE - PRESIDENT/CEO	55.0 ................. 0.0	X	X		729,529	69,545
(5) THOMAS F DIERKES DO...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(6) ROBERT A FINEBERG ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(7) GARRY GILBERT...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(8) HERBERT L HORNSBY JR...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(9) VICKI LACHMAN PHD...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(10) ARLENE MACDONALD...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(11) RICHARD A MICHNER MD...................................................................... TRUSTEE	1.0 ................. 0.0	X			1,250	0
(12) JOSEPH L MILIO DO...................................................................... TRUSTEE - PRESIDENT MED STAFF	1.0 ................. 0.0	X			10,000	0
(13) ANTONIOS THALASSINOS DO...................................................................... TRUSTEE - VP ELECT MED STAFF	1.0 ................. 0.0	X			2,500	0
(14) SUZANNE WALTERS...................................................................... TRUSTEE	1.0 ................. 0.0	X			0	0
(15) MARK R GILL...................................................................... VP FINANCE/CFO	55.0 ................. 0.0		X		462,769	87,899
(16) ANDREA MCCOY MD...................................................................... CHIEF MEDICAL OFFICER	55.0 ................. 0.0		X		387,798	52,487
(17) RICHARD WHEATLEY...................................................................... CHIEF INFORMATION OFFICER	55.0 ................. 0.0			X	266,748	39,543

(A) Name and business address	(B) Description of services	(C) Compensation
CROTHALL HEALTHCARE INC, 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	ENVIRONMENTAL	2,078,501
UNIVERSITY OF PENNSYLVANIA, 3737 MARKET STREET 6TH FLOOR PHILADELPHIA,PA19104	MEDICAL	1,108,861
CERNER HEALTH SERVICES, PO BOX 959167 ST LOUIS,MO63195	TECHNOLOGY	951,151
ADVANCED ICU CARE INC, PO BOX 671773 DALLAS,TX75267	MEDICAL	949,006
QUEST DIAGNOSTICS, PO BOX 828669 PHILADELPHIA,PA19182	LABORATORY	595,211
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 38

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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 MEDICAL CENTER INC

Employer identification number

21-0662542

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 ...............................

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

(i) Name of supported organization	(ii) EIN	(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)


Total

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.

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?

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).

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.

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.

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.

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 (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2018

Name of the organization

CAPE REGIONAL MEDICAL CENTER INC

Employer identification number

21-0662542

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization CAPE REGIONAL MEDICAL CENTER INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization CAPE REGIONAL MEDICAL CENTER INC		Employer identification number 21-0662542

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization CAPE REGIONAL MEDICAL CENTER INC			Employer identification number 21-0662542
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

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

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CAPE REGIONAL MEDICAL CENTER INC

Employer identification number

21-0662542

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

12,941

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

23,972

Total. Add lines 1c through 1i ....................................................................................................

36,913

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1G & 1I	CAPE REGIONAL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND THE NEW JERSEY HOSPITAL ASSOCIATION ("NJHA") WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $12,941 DURING 2018. ADDITIONALLY THE ORGANIZATION HAS ALLOCATED A PERCENTAGE OF THE TOTAL COMPENSATION PAID TO ITS PRESIDENT/CHIEF EXECUTIVE OFFICER TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $23,972 DURING 2018. THE ORGANIZATION IS ALSO A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $15,000 DURING 2018. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1G & 1I

CAPE REGIONAL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND THE NEW JERSEY HOSPITAL ASSOCIATION ("NJHA") WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $12,941 DURING 2018. ADDITIONALLY THE ORGANIZATION HAS ALLOCATED A PERCENTAGE OF THE TOTAL COMPENSATION PAID TO ITS PRESIDENT/CHIEF EXECUTIVE OFFICER TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $23,972 DURING 2018. THE ORGANIZATION IS ALSO A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $15,000 DURING 2018. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

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 MEDICAL CENTER INC

Employer identification number

21-0662542

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(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 ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	723,425	520,506	571,530	611,801	674,429
b	Contributions ...	1,315,332	937,527	744,269	610,563	1,289,187
c	Net investment earnings, gains, and losses	-45,919	-19,260	-7,439	-13,626	-10,840
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	843,315	715,348	787,854	637,208	1,340,975
f	Administrative expenses ....
g	End of year balance ......	1,149,523	723,425	520,506	571,530	611,801

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

5.050 %

Temporarily restricted endowment SchDMd Bullet

94.950 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	475,499		475,499
b	Buildings ....	66,106,671	45,482,194	20,624,477
c	Leasehold improvements	573,831	573,831	0
d	Equipment ....	122,838,923	105,810,906	17,028,017
e	Other .....	3,337,211	2,066,768	1,270,443
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				39,398,436

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)LIMITED USE	3,590,318	F
(2)USE	3,364,960	F
(3)MUTUAL FUNDS; LIMITED USE	25,578,368	F
(4)EQUITY SECURITIES; LIMITED USE	30,759,888	F
(5)LIMITED USE	23,341,488	F
(6)LIMITED USE	181,325	F
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	86,816,347

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				4,631,058
(2) OTHER ASSETS				3,187,000
(3) OTHER RECEIVABLES				1,081,108
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				8,899,166

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
ACCRUED RETIREMENT BENEFITS	22,745,262
IBNR MALPRACTICE COSTS	3,521,000
IBNR WORKERS COMPENSATION LIABILITY	428,720
THIRD-PARTY PAYORS	1,193,068
OTHER LIABILITIES	1,067,642
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	28,955,692
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

Schedule D (Form 990) 2018

Page 4

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	121,057,103
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-9,669,716
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	-9,669,716
3	Subtract line 2e from line 1..................			3	130,726,819
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	423,824
b	Other (Describe in Part XIII.) ...........	4b	1,191,857
c	Add lines 4a and 4b....................			4c	1,615,681
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	132,342,500

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	125,991,725
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	77,556
e	Add lines 2a through 2d....................			2e	77,556
3	Subtract line 2e from line 1...................			3	125,914,169
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	423,824
b	Other (Describe in Part XIII.) ............	4b	6,125,000
c	Add lines 4a and 4b.....................			4c	6,548,824
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	132,462,993

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART V; QUESTION 4	ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF CAPE REGIONAL MEDICAL CENTER, INC. FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE FOOTNOTES BELOW ARE FROM THE MEDICAL CENTER'S 2018 AUDITED FINANCIAL STATEMENTS AND REPORTS THE ORGANIZATION'S DONOR-RESTRICTED GIFTS: DONOR-RESTRICTED GIFTS ---------------------- UNCONDITIONAL PROMISES TO GIVE CASH AND OTHER ASSETS ARE REPORTED AT FAIR VALUE AT THE DATE THE PROMISE IS RECEIVED, WHICH IS THEN TREATED AS COST. THE GIFTS ARE REPORTED AS RESTRICTED SUPPORT IF THEY ARE RECEIVED WITH DONOR STIPULATIONS THAT LIMIT THE USE OF THE DONATED ASSETS. WHEN A DONOR RESTRICTION EXPIRES, THAT IS, WHEN A STIPULATED TIME RESTRICTION ENDS OR PURPOSE RESTRICTION IS ACCOMPLISHED, NET ASSETS WITH DONOR RESTRICTIONS ARE RECLASSIFIED TO NET ASSETS WITHOUT DONOR RESTRICTIONS AND REPORTED IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS A COMPONENT OF TOTAL REVENUE FOR OPERATING PURPOSES AND AS OTHER CHANGES IN NET ASSETS WITHOUT DONOR RESTRICTIONS FOR ACQUISITIONS OF PROPERTY AND EQUIPMENT.
SCHEDULE D, PART X	AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF CAPE REGIONAL MEDICAL CENTER, INC. FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. IN ADDITION, THE ORGANIZATION WAS ALSO INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES. THE FOOTNOTE BELOW IS FROM THE MEDICAL CENTER'S 2018 AUDITED FINANCIAL STATEMENTS AND REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE MEDICAL CENTER FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE MEDICAL CENTER DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.
SCHEDULE D, PART XI; LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: - ADDITIONAL RENTAL EXPENSES NOT ALREADY INCLUDED IN REVENUE - ($42,441); - GIFT SHOP EXPENSES - ($35,115); - TEMPORARILY RESTRICTED CONTRIBUTIONS - $1,315,332; AND - TEMPORARILY RESTRICTED INVESTMENT RETURN - ($45,919).
SCHEDULE D, PART XII; LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: - ADDITIONAL RENTAL EXPENSES NOT ALREADY INCLUDED IN REVENUE - $42,441; - GIFT SHOP EXPENSES - $35,115.
SCHEDULE D, PART XII; LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: - PHYSICIAN SERVICES SUPPORT - $6,125,000.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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 MEDICAL CENTER INC

Employer identification number

21-0662542

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 HOUSE PARTY (event type)	(b) Event #2 HOME & HEALTH (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	97,055	86,840	78,605	262,500
2	Less: Contributions . . . .	69,795	70,847	43,399	184,041
3	Gross income (line 1 minus line 2) . . . . . .	27,260	15,993	35,206	78,459

4	Cash prizes . . . . .
5	Noncash prizes . . . .	2,493	519	15,048	18,060
6	Rent/facility costs . . . .
7	Food and beverages . . .	22,287	1,463		23,750
8	Entertainment . . . .			12,200	12,200
9	Other direct expenses . . .	2,480	14,011	7,958	24,449
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				78,459
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

CAPE REGIONAL MEDICAL CENTER INC

Employer identification number

21-0662542

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,294,100	106,137	1,187,963	0.900 %
b	Medicaid (from Worksheet 3, column a) . . . . .	23,232,375	14,798,810	8,433,565	6.370 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	24,526,475	14,904,947	9,621,528	7.270 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	931,776	11,225	920,551	0.690 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	5,553,749		5,553,749	4.190 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	8,216	9,000	0	0 %
j	Total. Other Benefits . .	6,493,741	20,225	6,474,300	4.880 %
k	Total. Add lines 7d and 7j .	31,020,216	14,925,172	16,095,828	12.150 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,946,940

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

752,343

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

43,155,215

Enter Medicare allowable costs of care relating to payments on line 5.....

56,306,257

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-13,151,042

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	CAPE REGIONAL MEDICAL CENTER INC 2 STONE HARBOR BOULEVARD CAPE MAY COURT HOUSE,NJ08210 WWW.CAPEREGIONAL.COM 10501	X	X	X	1

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CAPE REGIONAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.CAPEREGIONAL.COM

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CAPEREGIONAL.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CAPE REGIONAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.CAPEREGIONAL.COM

The FAP application form was widely available on a website (list url):

WWW.CAPEREGIONAL.COM

A plain language summary of the FAP was widely available on a website (list url):
WWW.CAPEREGIONAL.COM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	CAPE REGIONAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	CAPE REGIONAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, QUESTION 3I	CAPE REGIONAL MEDICAL CENTER'S ("CRMC") COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") COVERS THE THREE-YEAR PERIOD 2014 2016. DURING THE FIRST YEAR OF THE CHNA; 2014, CRMC ASSESSED THE SIGNIFICANT HEALTH NEEDS WITHIN ITS COMMUNITY. IN EARLY 2015, THE HEALTH NEEDS OF THE COMMUNITY WERE IDENTIFIED AND PRIORITIZED. SUBSEQUENTLY, CRMC IDENTIFIED EXISTING PROGRAMS AND IMPLEMENTED NEW PROGRAMS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED. THIS CHNA FOLLOWED THE SAME PROCESS AS CRMCS PREVIOUS CHNA FOR THE THREE-YEAR PERIOD 2011 2013. ACCORDINGLY, THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA WERE OUTLINED IN THE 2013 CHNA. SIMILARLY, THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA WERE OUTLINED IN THE 2016 CHNA. SINCE THE IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE 2013 CHNA WERE ADDRESSED IN THE 2013 CHNA, SCHEDULE H, PART V, SECTION B, QUESTION 3I IS NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 5	IN ITS MOST RECENTLY CONDUCTED CHNA CRMC TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY. THIS COMPREHENSIVE REPORT IS THE RESULT OF A THOROUGH ASSESSMENT OF THE COMMUNITIES HEALTHCARE PROFILE, INCLUDING A REVIEW OF PUBLIC HEALTH DATA AND DATA OBTAINED BY MEANS OF FOCUS GROUPS, PUBLIC FORUMS AND A COMMUNITY NEEDS ASSESSMENT SURVEY. IN AN EFFORT TO RECEIVE INPUT BY THE MEMBERS OF THEIR PRIMARY SERVICE AREA, CRMC DISTRIBUTED A COMMUNITY SURVEY TO PARTICIPANTS AT COMMUNITY HEALTH FAIRS, SUPPORT GROUPS AND VARIOUS OTHER COMMUNITY EVENTS. THE SURVEY INCLUDED 92 MULTIPLE CHOICE QUESTIONS CONCERNING GENERAL INFORMATION, ADULT HEALTH STATUS, CHILDREN'S HEALTH AND BARRIERS TO HEALTHCARE. THE ORGANIZATION RECEIVED 908 COMPLETED SURVEYS FROM COMMUNITY MEMBERS WHICH PROVIDED VALUABLE FEEDBACK REGARDING THE CONCERNS OF PERSONS WITHIN THE COMMUNITY. THIS AMOUNTED TO 301 MORE COMPLETED SURVEYS RECEIVED THAN FROM ITS PRIOR CHNA CONDUCTED IN 2013! CRMC INITIATED TEN SEPARATE ONE HOUR FOCUS GROUPS WITHIN THE COMMUNITIES OF WILDWOOD, WOODBINE, CAPE MAY COURT HOUSE, WHITESBORO, STONE HARBOR AND DENNIS TOWNSHIP NEW JERSEY. THE FOCUS GROUPS DISCUSSED HEALTH CONCERNS OF THE PARTICIPANTS. ADDITIONALLY, THIRTY-FIVE INDIVIDUAL DISCUSSIONS WERE CONDUCTED WITH COMMUNITY LEADERS, HEALTHCARE PROFESSIONALS AND COMMUNITY RESIDENTS THROUGHOUT CAPE MAY COUNTY.
SCHEDULE H, PART V, SECTION B, QUESTION 6B	CRMC HAS A LONGSTANDING AND ACTIVE PARTNERSHIP WITH MANY SOCIAL AND CIVIC ORGANIZATIONS, FAITH COMMUNITIES, SCHOOLS AND LOCAL EMPLOYERS. THE CHNA IS THE RESULT OF A COLLABORATIVE EFFORT WITH VARIOUS COMMUNITY PARTNERS WHO WORKED TOGETHER TO IDENTIFY THE MOST-PRESSING HEALTHCARE NEEDS IN CAPE MAY COUNTY. CRMC'S CHNA COMMUNITY PARTNERS INCLUDE THE FOLLOWING: - CAPE REGIONAL HEALTH SYSTEM; - CAPE REGIONAL PHYSICIAN ASSOCIATES; - CAPE MAY COUNTY DEPARTMENT OF HEALTH; - CAPE MAY COUNTY DEPARTMENT OF AGING AND DISABILITY SERVICES; - CAPE ASSIST; - CAPE COUNSELING; - COMPLETE CARE; - CURE; - PREVENTION PARTNERSHIP; - VOLUNTEERS IN MEDICINE; - RUTGERS COOPERATIVE EXTENSION; - CARING FOR KIDS; - PUERTO RICAN ACTION COMMITTEE; - CONCERNED CITIZENS OF WHITESBORO; - CHRIST GOSPEL CHURCH; - CAPE MAY COUNTY CHAMBER OF COMMERCE; - MIDDLE TOWNSHIP POLICE DEPARTMENT; - LOWER TOWNSHIP SCHOOL DISTRICT; AND - QUALITY CARE-CAPE MAY COUNCIL FOR YOUNG CHILDREN.
SCHEDULE H, PART V, SECTION B, QUESTION 7A	THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.CAPEREGIONAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, QUESTION 10	THE CHNA INCLUDES THE CRMC WRITTEN IMPLEMENTATION STRATEGY AS REQUIRED UNDER INTERNAL REVENUE CODE SECTION 501(R)(3). THE IMPLEMENTATION STRATEGY INCLUDES INFORMATION WITH RESPECT TO EACH IDENTIFIED COMMUNITY HEALTH NEED AS WELL AS THE GOALS, PROGRAMS, ACTIVITIES AND OUTCOMES RELATED TO EACH IDENTIFIED NEED. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS INCLUDED WITHIN ITS CHNA. THESE DOCUMENTS ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA AND IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.CAPEREGIONAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, QUESTION 11	AFTER ANALYZING DATA GATHERED FROM THE CHNA COMMUNITY SURVEYS, FOCUS GROUP MEETINGS AND DISCUSSIONS WITH COMMUNITY MEMBERS, THE FOLLOWING TOP SIX HEALTH CONCERNS WERE IDENTIFIED: 1) ADVERSE CHILDHOOD EXPERIENCES; 2) BONE ISSUES: FALLS PREVENTION, EXCERISE AND PAIN MANAGEMENT; 3) CANCER: PREVENTION, SCREENING AND TREATMENT; 4) DIABETES AND HYPERTENSION; 5) MENTAL HEALTH ISSUES/SUBSTANCE USE DISORDERS; AND 6) WEIGHT ISSUES/NUTRITION. THE ORGANIZATION'S IMPLEMENTATION STRATEGY, WHICH IS INCLUDED WITHIN THE CHNA, DESCRIBES CRMC'S GOALS ON HOW THE ABOVE HEALTH CONCERNS ARE BEING ADDRESSED. IT ALSO INCLUDES PLANNED ACTIVITIES BY CRMC TO ASSIST IN ADDRESSING THE SIGNIFICANT NEEDS.
SCHEDULE H, PART V, SECTION B, QUESTION 16	THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.CAPEREGIONAL.COM/PATIENTS-VISITORS/FINANCE

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, CAPE REGIONAL MEDICAL CENTER USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO CRMC'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CHARITY CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") --------------------------------------------------------------------- CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME CRITERIA: PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% AND LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE. FREE CARE OR PARTIALLY COVERED CHARGES WILL BE DETERMINED BY USE OF THE NEW JERSEY DEPARTMENT OF HEALTH FEE SCHEDULE. IF PATIENTS ON THE 20% TO 80% SLIDING FEE SCALE ARE RESPONSIBLE FOR QUALIFIED OUT-OF-POCKET PAID MEDICAL EXPENSES IN EXCESS OF 30% OF THEIR GROSS ANNUAL INCOME (I.E. BILLS UNPAID BY OTHER PARTIES), THEN THE AMOUNT IN EXCESS OF 30% IS CONSIDERED HOSPITAL CARE PAYMENT ASSISTANCE. ASSET CRITERIA: CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. NEW JERSEY UNINSURED DISCOUNT (PUBLIC LAW 2008, C. 60) ------------------------------------------------------ UNINSURED PATIENTS WITH FAMILY GROSS INCOME LESS THAN 500% OF FPG MAY BE ELIGIBLE FOR DISCOUNTED CARE UNDER THIS PROGRAM. ELIGIBLE INDIVIDUALS MUST BE NEW JERSEY RESIDENTS. IF A PATIENT HAS FAMILY GROSS INCOME: - BELOW $75,000, CHARGES MAY BE DISCOUNTED TO CURRENT MEDICARE RATES. - BETWEEN $75,001 AND $100,000, CHARGES MAY BE DISCOUNTED TO CURRENT MEDICARE RATES PLUS 5%. - BETWEEN $100,001 AND 500% OF FPG, CHARGES MAY BE DISCOUNTED TO CURRENT MEDICARE RATES PLUS 15%. NJ FAMILYCARE ------------- NJ FAMILYCARE IS NEW JERSEY'S PUBLICLY FUNDED HEALTH INSURANCE PROGRAM WHICH INCLUDES CHIP, MEDICAID AND MEDICAID EXPANSION POPULATIONS. NJ FAMILYCARE IS A FEDERAL AND STATE FUNDED HEALTH INSURANCE PROGRAM CREATED TO HELP QUALIFIED NEW JERSEY RESIDENTS OF ANY AGE ACCESS TO AFFORDABLE HEALTH INSURANCE. NJ FAMILYCARE IS FOR PEOPLE WHO DO NOT HAVE EMPLOYER INSURANCE. FINANCIAL ELIGIBILITY FOR INDIVIDUALS SEEKING ELIGIBILITY FOR NJ FAMILYCARE WILL BE BASED ON THEIR MODIFIED ADJUSTED GROSS INCOME ("MAGI"). NJFAMILYCARE ELIGIBILITY GUIDELINES ARE ESTABLISHED BY THE STATE OF NEW JERSEY AND CAN BE FOUND AT WWW.NJFAMILYCARE.ORG. A PATIENT CAN BE PRESUMED ELIGIBLE FOR NJFAMILYCARE ONCE IN A TWELVE MONTH PERIOD. NEW JERSEY CANCER EDUCATION AND EARLY DETECTION ("NJCEED") ---------------------------------------------------------- THE NJCEED PROGRAM PROVIDES COMPREHENSIVE OUTREACH, EDUCATION AND SCREENING SERVICES FOR BREAST, CERVICAL, COLORECTAL AND PROSTATE CANCERS. A PATIENT MUST BE UNINSURED OR UNDERINSURED AND MUST HAVE FAMILY GROSS INCOME AT OR BELOW 250% OF FPG TO BE ELIGIBLE. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.NJ.GOV/HEALTH/CANCER/NJCEED. CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND -------------------------------------------- THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROVIDES FINANCIAL ASSISTANCE TO FAMILIES OF CHILDREN WITH A CATASTROPHIC ILLNESS. IN ORDER TO BE ELIGIBLE, HOSPITAL EXPENSES MUST EXCEED 10% OF THE FAMILY'S GROSS INCOME, PLUS 15% OF ANY EXCESS INCOME OVER $100,000, THE CHILD MUST HAVE BEEN 21 YEARS OR YOUNGER WHEN THE MEDICAL EXPENSES WERE INCURRED AND THE FAMILY MUST HAVE LIVED IN NEW JERSEY FOR THREE MONTHS IMMEDIATELY PRIOR TO THE DATE OF APPLICATION. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.STATE.NJ.US/HUMANSERVICES/CICRF/HOME. NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE ----------------------------------------------- THE STATE OF NEW JERSEY HAS ESTABLISHED THE NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE TO COMPENSATE VICTIMS OF CRIME FOR LOSSES AND EXPENSES, INCLUDING CERTAIN MEDICAL EXPENSES, RESULTING FROM CERTAIN CRIMINAL ACTS. IN ORDER TO BE ELIGIBLE FOR NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE THE CRIME MUST HAVE OCCURRED IN NEW JERSEY OR MUST RELATE TO A NEW JERSEY RESIDENT VICTIMIZED OUTSIDE OF THE STATE, THE VICTIM MUST HAVE REPORTED THE CRIME TO POLICE WITHIN NINE MONTHS AND VICTIM MUST COOPERATE WITH THE INVESTIGATION AND PROSECUTION OF THE CRIME. THE CLAIM MUST BE FILED WITHIN THREE YEARS OF THE DATE OF THE CRIME AND THE PATIENT MUST BE AN INNOCENT VICTIM OF THE CRIME. ADDITIONAL INFORMATION CAN BE FOUND AT HTTPS://WWW.STATE.NJ.US/LPS/NJVICTIMS/TEMPLATES/HOME.HTM AMOUNTS GENERALLY BILLED ("AGB") -------------------------------- PURSUANT TO INTERNAL REVENUE CODE SECTION 501(R)(5), IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, FAP-ELIGIBLE PATIENTS WILL NOT BE CHARGED MORE THAN AN INDIVIDUAL WHO HAS INSURANCE COVERING SUCH CARE. PATIENTS MAY BE ELIGIBLE FOR THIS DISCOUNT IF THEY ARE UNINSURED AND HAVE FAMILY GROSS INCOME LESS THAN 500% OF FPG. ADDITIONALLY, UNDERINSURED PATIENTS MAY BE ELIGIBLE IF THEIR FAMILY GROSS INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPG.
SCHEDULE H, PART I, LINE 6A	NOT APPLICABLE.
SCHEDULE H, PART I, LINE 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS.
SCHEDULE H, PART III, LINE 2, 3 & 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE AMOUNT REFLECTED ON SCHEDULE H, PART III, LINE 2 WAS ARRIVED AT BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO TO ITS TOTAL BAD DEBT EXPENSE. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED. THE ORGANIZATION ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. ALLOWANCE FOR DOUBTFUL ACCOUNTS ------------------------------- THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR ESTIMATED LOSSES RESULTING FROM UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE RESERVE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE MEDICAL CENTER CEASES COLLECTION EFFORTS AND RELEASES THE ACCOUNTS TO COLLECTION AGENCIES. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. UNCOMPENSATED CARE ------------------ THE MEDICAL CENTER PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN FINANCIAL CRITERIA ESTABLISHED BY THE STATE OF NEW JERSEY. THE DIRECT AND INDIRECT COST OF SERVICES AND SUPPLIES FURNISHED TO PATIENTS ELIGIBLE FOR SUCH CHARITY CARE, USING A RATIO OF COST TO GROSS CHARGES, APPROXIMATED $1,328,000 AND $1,623,000 FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY. GROSS CHARGES FORGONE RELATED TO CHARITY CARE SERVICES AMOUNTED TO APPROXIMATELY $8,509,000 AND $9,960,000 FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY. THE MEDICAL CENTER'S PATIENT ACCEPTANCE POLICY IS BASED ON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THIS POLICY RESULTS IN THE ASSUMPTION OF HIGHER-THAN-NORMAL PATIENT ACCOUNTS RECEIVABLE CREDIT RISKS. TO THE EXTENT THE MEDICAL CENTER REALIZES ADDITIONAL LOSSES RESULTING FROM SUCH HIGHER CREDIT RISK FOR PATIENTS THAT ARE NOT IDENTIFIED OR DO NOT MEET THE PREVIOUSLY DESCRIBED CHARITY DEFINITION, SUCH ADDITIONAL LOSSES ARE INCLUDED IN THE PROVISION FOR BAD DEBTS. ADDITIONALLY, THE MEDICAL CENTER SPONSORS CERTAIN OTHER CHARITABLE PROGRAMS, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY AND ELDERLY POPULATIONS THAT REQUIRE SPECIAL SUPPORT, AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. THE HEALTH CARE REFORM ACT OF 1992, CHAPTER 160, ESTABLISHED THE HEALTH CARE SUBSIDY FUND TO PROVIDE A MECHANISM AND FUNDING SOURCE TO COMPENSATE HOSPITALS FOR CHARITY CARE. THE MEDICAL CENTER RECEIVED APPROXIMATELY $106,000 AND $206,000 FOR CHARITY CARE, WHICH IS INCLUDED IN NET PATIENT SERVICE REVENUE FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, RESPECTIVELY. THE HEALTH CARE SUBSIDY FUND AMOUNTS ARE SUBJECT TO CHANGE FROM YEAR TO YEAR BASED ON AVAILABLE STATE BUDGET AMOUNTS AND ALLOCATION METHODOLOGIES.
SCHEDULE H, PART III, LINE 8	MEDICARE COSTS WERE DERIVED FROM THE 2018 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. FROM THE LATEST DATA PROVIDED BY THE AHA, AS OF 2017, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL
SCHEDULE H, PART III, LINE 9B	ACCOUNTS CONSIDERED TO BE FINANCIAL ASSISTANCE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. CRMC'S BILLING AND COLLECTION POLICIES AND PROCEDURES ARE OUTLINED WITHIN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"). THIS POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THESE PROVISIONS INCLUDE THE FOLLOWING: COLLECTION PROCEDURES --------------------- (1) STATEMENTS ARE MAILED AT NO LESS THAN 28 DAY INTERVALS SHOWING THE CURRENT ACTIVITY AND BALANCE. EACH BILLING STATEMENT INCLUDES CONSPICUOUS WRITTEN NOTICE WHICH INFORMS THE RECIPIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES THE WEBSITE OF WHERE AN INDIVIDUAL CAN OBTAIN COPIES OF THE FAP, APPLICATION FOR FINANCIAL ASSISTANCE ("APPLICATION") OR PLAIN LANGUAGE SUMMARY ("PLS"). ADDITIONALLY, IT INCLUDES THE TELEPHONE NUMBER THAT PATIENTS CAN CALL IF THEY HAVE QUESTIONS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE APPLICATION PROCESS. (2) IF NO PAYMENT IS MADE BY 31 DAYS AFTER THE INITIAL STATEMENT THE ACCOUNT WILL BE ELECTRONICALLY TRANSFERRED TO NATIONAL PATIENT ACCOUNT SERVICES ("NPAS") FOR THE COLLECTION PROCESS. NPAS WILL SEND THREE DATA MAILERS AND MAKE PHONE CALLS WHEN APPROPRIATE. IF NO PAYMENT IS MADE THE ACCOUNTS WILL BE ELECTRONICALLY CLOSED AND A 48-HOUR LETTER WILL BE GENERATED BY THE BUSINESS OFFICE OF THE HOSPITAL EXPLAINING TO THE PATIENT THE COLLECTION PROCESS. (3) EACH STATEMENT OFFERS THE PATIENT A PAYMENT PLAN ON THE REVERSE SIDE OF THE DATA MAILER, A SPACE FOR CREDIT CARD INFORMATION AND A SPACE FOR INSURANCE INFORMATION. (4) ACCOUNTS WILL BE CONSIDERED FOR BAD DEBT TRANSFER WHEN THEY HAVE REACHED 120 DAYS FROM THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, WITH EXCEPTION OF BAD ADDRESSES. (5) AFTER THE LAST STATEMENT IS SENT AND THERE IS NO RESPONSE FROM THE DEBTOR, THE MANAGERS OR DIRECTOR WILL REVIEW THE ACCOUNT FOR COLLECTABILITY TO INSURE PROPER PRE-COLLECTION PROCEDURES HAVE BEEN FOLLOWED. A DETERMINATION WILL BE MADE TO HOLD THE ACCOUNT IN HOUSE FOR AN ADDITIONAL PERIOD OF TIME FOR FURTHER FOLLOW-UP, SEND IT TO A COLLECTION AGENCY OR PURSUE THROUGH APPROPRIATE LEGAL ACTION. (6) RETURN MAIL, WHETHER STATEMENT, LETTER OR BILL, WILL BE DOCUMENTED IN THE PATIENTS FILE AND INVESTIGATED FOR A GOOD ADDRESS. IF CAPE IS UNABLE TO DETERMINE A NEW MAILING ADDRESS, IT WILL BE DOCUMENTED IN THE ACCOUNT AND IT WILL BE PLACED FOR COLLECTIONS. (7) A CONTRACT WILL BE ESTABLISHED WITH THE PATIENTS WRITTEN OR VERBAL PERMISSION FOR MONTHLY PAYMENTS OF A SET AMOUNT. CREDIT ARRANGEMENTS: - NON-EMERGENT SERVICES 50% DEPOSIT; - BALANCE: UNDER $500.00 DUE IN 90 DAYS; - UNDER $1000.00 DUE IN 180 DAYS; - UNDER $1500.00 DUE IN 12 MONTHS; AND - GREATER THAN $1500.00 NOT MORE THAN 24 MONTHS. INTERNAL REVENUE CODE SECTION 501(R)(6) --------------------------------------- CAPE DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE "NOTIFICATION PERIOD". THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS MAY BE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD CAPE, OR ANY THIRD PARTIES ACTING ON THEIR BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF A FAP-ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. - REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; - DEFERRING, DENYING OR REQUIRING PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF AN INDIVIDUAL'S NONPAYMENT FOR PREVIOUSLY PROVIDED CARE; - PLACING A LIEN ON AN INDIVIDUAL'S PROPERTY; AND - GARNISHING AN INDIVIDUAL'S WAGES. CRMC MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. CAPE WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FAP. CAPE MUST TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1. THE PATIENT HAS BEEN PROVIDED WITH WRITTEN NOTICE WHICH: - INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; - IDENTIFIES THE ECA(S) THAT CAPE INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND - STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2. THE PATIENT HAS RECEIVED A COPY OF THE PLS WITH THIS WRITTEN NOTIFICATION; AND 3. REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. BAD DEBT WRITE-OFF ------------------ AFTER ALL THE COLLECTION PROCEDURES HAVE BEEN MET ALL OTHER ACCOUNTS EXCEPT, (1) SUBJECT TO PAYMENT PLANS (CONTRACTS); (2) THOSE FILED UNDER BANKRUPTCY; (3) MEDICAL DENIALS AND (4) COURTESY ALLOWANCES, WILL BE REVIEWED BY A MANAGER OR DIRECTOR AND A DETERMINATION WILL BE MADE WHETHER OR NOT TO HOLD THE ACCOUNT IN HOUSE OR FOR AN ADDITIONAL PERIOD OF TIME FOR FURTHER FOLLOW UP; SEND TO AN OUTSIDE COLLECTION AGENCY; OR PURSUE THROUGH APPROPRIATE LEGAL ACTION.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, PART V, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: (1) A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); (2) ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND (3) A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST OF NEW JERSEY, KID'S COUNT, NEW JERSEY HEALTH & SENIOR SERVICES DEPARTMENT, ETC). THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION.
SCHEDULE H, PART VI; QUESTION 3	IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) CRMC INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: (1) CAPE'S FAP, APPLICATION AND PLS ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: HTTPS://WWW.CAPEREGIONAL.COM/PATIENTS-VISITORS/FINANCE (2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE IN AT VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITY WHICH INCLUDE THE EMERGENCY DEPARTMENT, ADMISSIONS/REGISTRATION DEPARTMENTS AND PATIENT FINANCIAL SERVICES OFFICES. (3) CAPE'S FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED BY CAPE'S PRIMARY SERVICE AREA. CAPE PROVIDES LANGUAGE INTERPRETING AND TRANSLATION SERVICES, AND PROVIDES INFORMATION TO PATIENTS WITH VISION, SPEECH, HEARING OR COGNITIVE IMPAIRMENTS IN A MANNER THAT MEETS THE PATIENT'S NEEDS. (4) ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE OR DISCHARGE PROCESS. (5) SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC MEDICAL CENTER LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS/REGISTRATION DEPARTMENTS AND PATIENT FINANCIAL SERVICES OFFICES THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. (6) CAPE ALSO MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. CAPE ACCOMPLISHES THIS THROUGH ITS INVOLVEMENT WITH VARIOUS OTHER AGENCIES IN CAPE MAY COUNTY.
SCHEDULE H, PART VI; QUESTION 4	THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM LOW INCOME COMMUNITIES TO MORE AFFLUENT SUBURBAN AREAS, WHICH INCLUDE RESORT COMMUNITIES AT THE NEW JERSEY SHORE. THIS ORGANIZATION IS LOCATED IN CAPE MAY COURT HOUSE, IN CAPE MAY COUNTY. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES THE LOCAL POPULATION AS WELL AS THE NEEDS OF SUMMER VACATIONERS AND AN INFLUX OF LOW INCOME SUMMER WORKERS SERVING THOSE VACATIONERS. APPROXIMATELY 20% OF ITS PATIENTS CONSIST OF THE UNDERINSURED AND UNINSURED PAYER CATEGORIES. THE FOLLOWING COMMUNITY DEMOGRAPHICS WERE ALSO INCLUDED IN THE ORGANIZATION'S MOST RECENTLY CONDUCTED CHNA: - YEAR-ROUND POPULATION IS 95,895; - MAJOR INDUSTRY IS TOURISM: SUMMER SEASON POPULATION (MAY SEPTEMBER) SWELLS TO OVER 800,000; - BREAKDOWN OF POPULATION: 89% CAUCASIAN, 5% AFRICAN AMERICAN AND 6% HISPANIC; - UNEMPLOYMENT RATE IS 22%; - POPULATION OVER 65 IS 22.1%; - POVERTY LEVEL IS 11.4%; AND - POVERTY LEVEL UNDER 18 YEARS OF AGE IS 19.6%.
SCHEDULE H, PART VI; QUESTION 5	THIS ORGANIZATION HOLDS A PUBLIC MEETING ATTENDED BY VARIOUS SENIOR MANAGEMENT AND BOARD MEMBERS OF CAPE REGIONAL MEDICAL CENTER. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHOM RESIDE IN THE COMMUNITY. MEDICAL CENTER STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
SCHEDULE H, PART VI; QUESTION 6	OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE CAPE REGIONAL HEALTH SYSTEM. NOT FOR-PROFIT CAPE REGIONAL HEALTH SYSTEM ENTITIES: ==================================================== CAPE REGIONAL HEALTH SYSTEM, INC. --------------------------------- CAPE REGIONAL HEALTH SYSTEM, INC. ("CRHS") IS THE TAX-EXEMPT PARENT OF CAPE REGIONAL MEDICAL CENTER, INC. ("CRMC"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER CRMC OR CRHS. CAPE REGIONAL HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). CAPE REGIONAL MEDICAL CENTER, INC. ---------------------------------- CRMC IS A 242-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN CAPE MAY COURT HOUSE, NEW JERSEY. CRMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. CRMC STRIVES TO CONTINUALLY DEVELOP AND OPERATE A HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. CRMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. 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 AND THE BOARD OF TRUSTEES OF CAPE REGIONAL HEALTH SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CAPE REGIONAL HOLDINGS, LLC --------------------------- CAPE REGIONAL HOLDINGS, LLC IS A NOT-FOR-PROFIT CORPORATION WHOSE SOLE CORPORATE MEMBER IS CAPE REGIONAL HEALTH SYSTEM, INC. CAPE REGIONAL HOLDINGS, LLC MAINTAINS AND OPERATES CERTAIN HEALTHCARE RELATED RENTAL REAL ESTATE. FOR-PROFIT CAPE REGIONAL HEALTH SYSTEM ENTITIES: ================================================ CAPE REGIONAL HEALTH ENTERPRISES, INC. AND SUBSIDIARIES ------------------------------------------------------- A CONSOLIDATED GROUP OF FOR-PROFIT ENTITIES, INCLUDING CAPE CARDIOLOGY ASSOCIATES, INC. AND CAPE IMAGING SERVICES, INC., WHOSE PARENT IS CAPE REGIONAL HEALTH ENTERPRISES, INC. ("CRHE"). CRHE PROVIDES BILLING SERVICES TO PRIVATE PHYSICIANS AND, AS THE OWNER OF CAPE CARDIOLOGY ASSOCIATES, INC. ("CCA"), PROVIDES EKG INTERPRETATION SERVICES. CRHE IS ALSO THE OWNER OF CAPE IMAGINE SERVICES, INC. ("CIS"). THE SOLE SHAREHOLDER OF CRHE IS CRHS. THESE ENTITIES ARE LOCATED IN CAPE MAY COURT HOUSE, NEW JERSEY. CAPE REGIONAL PHYSICIAN ASSOCIATES, P.A. ---------------------------------------- CAPE REGIONAL PHYSICIAN ASSOCIATES, P.A. IS A FOR-PROFIT MULTI-SPECIALTY MEDICAL GROUP CONTROLLED BY CAPE REGIONAL MEDICAL CENTER, INC. THROUGH A NOMINEE OWNERSHIP BY A LICENSED PROFESSIONAL DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. CRPT MANAGEMENT SERVICES, LLC ------------------------------ CRPT MANAGEMENT SERVICES, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OF WHICH CAPE REGIONAL HEALTH ENTERPRISES, INC. IS A 66.67% MEMBER. THIS ORGANIZATION IS LOCATED IN CAPE MAY COURT HOUSE AND PROVIDES MANAGEMENT SERVICES. CAPE REGIONAL MIRACLES FITNESS, LLC ----------------------------------- CAPE REGIONAL MIRACLES FITNESS, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OF WHICH CAPE REGIONAL HEALTH ENTERPRISES, INC. IS AN 80% MEMBER. THIS ORGANIZATION PROVIDES HEALTH, WELLNESS AND FITNESS PROGRAMS TO CAPE MAY COUNTY RESIDENTS.
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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 MEDICAL CENTER INC

Employer identification number
21-0662542

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I; QUESTION 2	GRANTS ARE AWARDED ON A REVIEW AND APPROVAL PROCESS FOR VARIOUS APPLICANTS IN ACCORDANCE WITH THE ORGANIZATION'S CHARITABLE PURPOSES, PROGRAMS AND SERVICES. GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
SCHEDULE I, PART II	PLEASE NOTE THAT ALL GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER ORGANIZATIONS WERE LESS THAN OR EQUAL TO $5,000 EACH. THEREFORE, THERE ARE NO ORGANIZATIONS LISTED IN SCHEDULE I, PART II. THE TOTAL AMOUNTS PAID FOR CONTRIBUTIONS AND EVENT SPONSORSHIPS CAN BE FOUND ON CORE FORM, PART IX, LINE 1.

Schedule I (Form 990) 2018

Additional Data

Software ID:
Software Version:

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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 MEDICAL CENTER INC

Employer identification number

21-0662542

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(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)	621,426 ------------- 0	62,856 ------------- 0	45,247 ------------- 0	53,166 ------------- 0	16,379 ------------- 0	799,074 ------------- 0	0 ------------- 0
2MARK R GILL VP FINANCE/CFO	(i) (ii)	432,498 ------------- 0	29,197 ------------- 0	1,074 ------------- 0	47,637 ------------- 0	40,262 ------------- 0	550,668 ------------- 0	0 ------------- 0
3ANDREA MCCOY MD CHIEF MEDICAL OFFICER	(i) (ii)	351,452 ------------- 0	34,746 ------------- 0	1,600 ------------- 0	9,725 ------------- 0	42,762 ------------- 0	440,285 ------------- 0	0 ------------- 0
4RICHARD WHEATLEY CHIEF INFORMATION OFFICER	(i) (ii)	245,523 ------------- 0	20,183 ------------- 0	1,042 ------------- 0	11,295 ------------- 0	28,248 ------------- 0	306,291 ------------- 0	0 ------------- 0
5ROSEMARY DUNN EFF 6118 CHIEF NURSING OFFICER	(i) (ii)	161,828 ------------- 0	0 ------------- 0	0 ------------- 0	2,354 ------------- 0	13,019 ------------- 0	177,201 ------------- 0	0 ------------- 0
6BYRON K HUNTER VP HUMAN RESOURCES	(i) (ii)	254,482 ------------- 0	22,532 ------------- 0	1,084 ------------- 0	32,404 ------------- 0	40,187 ------------- 0	350,689 ------------- 0	0 ------------- 0
7JOANNE VAUL VP PHYS INTEGRATION & AMB SVCS	(i) (ii)	231,885 ------------- 0	34,627 ------------- 0	934 ------------- 0	10,395 ------------- 0	1,832 ------------- 0	279,673 ------------- 0	0 ------------- 0
8THOMAS J PIRATZKY CFRE EXEC DIR - CAPE REGIONAL FDN	(i) (ii)	219,031 ------------- 0	17,476 ------------- 0	7,144 ------------- 0	9,563 ------------- 0	39,378 ------------- 0	292,592 ------------- 0	0 ------------- 0
9MICHAEL SLUSARZ VP MKTG/BUSINESS DEVELOPMENT	(i) (ii)	165,538 ------------- 0	18,090 ------------- 0	0 ------------- 0	4,399 ------------- 0	41,263 ------------- 0	229,290 ------------- 0	0 ------------- 0
10DEBORAH BAEHSER RN VP PAT CARE SVCS (TERM 5/18)	(i) (ii)	91,275 ------------- 0	20,887 ------------- 0	14,519 ------------- 0	1,599 ------------- 0	10,927 ------------- 0	139,207 ------------- 0	0 ------------- 0
11RICHARD ARTYMOWICZ PHARMD DIRECTOR OF PHARMACY	(i) (ii)	173,917 ------------- 0	23,033 ------------- 0	1,694 ------------- 0	11,894 ------------- 0	41,162 ------------- 0	251,700 ------------- 0	0 ------------- 0
12SUSAN JOHNSON PHARMACIST	(i) (ii)	177,044 ------------- 0	0 ------------- 0	15,211 ------------- 0	10,075 ------------- 0	36,232 ------------- 0	238,562 ------------- 0	0 ------------- 0
13FRANK VAUL DIRECTOR OF FINANCE	(i) (ii)	167,888 ------------- 0	16,613 ------------- 0	976 ------------- 0	7,827 ------------- 0	39,536 ------------- 0	232,840 ------------- 0	0 ------------- 0
14JAMES NUSS PHARMD PHARMACIST	(i) (ii)	160,572 ------------- 0	0 ------------- 0	24,309 ------------- 0	7,728 ------------- 0	37,592 ------------- 0	230,201 ------------- 0	0 ------------- 0
15GRETCHEN W SORENSEN RPH PHARMACIST	(i) (ii)	142,839 ------------- 0	0 ------------- 0	11,803 ------------- 0	9,587 ------------- 0	15,891 ------------- 0	180,120 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 4B	THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOANNE CARROCINO, FACHE, $42,235; MARK R. GILL, $32,018 and BYRON K. HUNTER, $19,006.
SCHEDULE J, PART I; QUESTION 6A	THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C MAY INCLUDE ADDITIONAL CONTRIBUTIONS MADE BY CAPE REGIONAL MEDICAL CENTER ("CRMC") 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 THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2018.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule J (Form 990) 2018

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 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 MEDICAL CENTER INC

Employer identification number

21-0662542

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CERNER CORPORATION	SUBSTANTIAL CONTRIBUTOR	951,151	COMPUTER SERVICES		No
(2) MONZO CATANESE HILLEGASS PC	SUBSTANTIAL CONTRIBUTOR	150,890	LEGAL SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV

CERNER CORPORATION WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. CAPE REGIONAL MEDICAL CENTER UTILIZED THE SERVICES OF CERNER CORPORATION. TOTAL FEES PAID TO CERNER CORPORATION DURING 2018 AMOUNTED TO $951,151. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. MONZO, CATANESE, HILLEGASS, P.C. WAS A SUBSTANTIAL CONTRIBUTOR TO THE ORGANIZATION DURING 2018. CAPE REGIONAL MEDICAL CENTER UTILIZED THE SERVICES OF MONZO, CATANESE, HILLEGASS, P.C. TOTAL FEES PAID TO MONZO, CATANESE, HILLEGASS, P.C. DURING 2018 AMOUNTED TO $150,890. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- 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 MEDICAL CENTER INC

Employer identification number

21-0662542

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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. AFFILIATIONS ============ - UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM; - UNIVERSITY OF PENNSYLVANIA CANCER NETWORK (PROVIDES INDIVIDUALS WITH ACCESS TO OVER 200 CLINICAL TRIALS); AND - PENN CARDIAC CARE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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 A; QUESTIONS 6 & 7	CAPE REGIONAL HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. CAPE REGIONAL HEALTH SYSTEM, INC. HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11b	THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE 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 AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE SYSTEM'S PRESIDENT/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 AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. CAPE REGIONAL HEALTH SYSTEM INC.'S BOARD OF TRUSTEES HAS AN EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF CAPE REGIONAL MEDICAL CENTER, INC.'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
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	CERTAIN INDIVIDUALS WERE REPORTED AS OFFICERS ON THE PREVIOUS FORM 990, CORE FORM, PART VII AND SCHEDULE J. UPON REVIEW OF THEIR RESPECTIVE DUTIES, ROLES AND RESPONSIBILITIES IT WAS DETERMINED THAT THESE INDIVIDUALS DO NOT SATISFY THE CRITERIA TO BE AN OFFICER UNDER (1) FORM 990 RULES, REGULATIONS AND INSTRUCTIONS; (2) STATE OF NEW JERSEY LAW; OR (3) THE ORGANIZATION'S BYLAWS. HOWEVER, IT WAS DETERMINED THAT THESE INDIVIDUALS SATISFY THE CRITERIA TO BE CLASSIFIED AS A KEY EMPLOYEE FOR FORM 990 REPORTING PURPOSES. ACCORDINGLY, CORE FORM, PART VII OF THIS FORM 990 HAS BEEN UPDATED TO REPORT THESE INDIVIDUALS AS KEY EMPLOYEES OF THE ORGANIZATION.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CAPE REGIONAL HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS 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 X; LINES 27-29	IN 2018, THE MEDICAL CENTER ADOPTED, AS REQUIRED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS UPDATE ("ASU") 2016-14, PRESENTATION OF FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES ("ASU 2016-14"). THIS STANDARD MAKES CERTAIN IMPROVEMENTS TO THE PREVIOUS REPORTING REQUIREMENTS FOR NOT-FOR-PROFIT ENTITIES INCLUDING: (1) THE PRESENTATION FOR TWO CLASSES OF NET ASSETS AT THE END OF THE PERIOD, RATHER THAN THE PREVIOUSLY REQUIRED THREE CLASSES, AS WELL AS THE ANNUAL CHANGE IN EACH OF THE TWO CLASSES; (2) INFORMATION ABOUT LIQUIDITY AND THE AVAILABILITY OF RESOURCES; AND (3) ADDRESSES THE LACK OF CONSISTENCY ABOUT EXPENSES AND INVESTMENT RETURN. THE MEDICAL CENTERS FINANCIAL STATEMENTS HAVE BEEN ADJUSTED TO REFLECT THE NEW REQUIREMENTS. ASU 2016-14 HAS BEEN APPLIED RETROSPECTIVELY TO ALL YEARS PRESENTED, EXCEPT FOR THE DISCLOSURE AROUND LIQUIDITY AND AVAILABILITY OF RESOURCES AND, AS SUCH, THIS DISCLOSURE HAS BEEN PRESENTED FOR 2018 ONLY AS ALLOWED BY ASU 2016-14.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS INCLUDE: - OTHER CHANGES IN PENSION BENEFIT OBLIGATION - ($614,272); AND - NET ASSETS RELEASED FROM DONOR RESTRICTION FOR OPERATIONS - ($398,807).
CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE TAXPAYER IS AN AFFILIATE WITHIN CAPE REGIONAL HEALTH SYSTEM, INC. AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S FINANCE AND PLANNING COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE TAXPAYER'S FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR.

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:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO OUR COMMUNITY.
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	1,346
6	Total number of volunteers (estimate if necessary) .............	6	418
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	29,895

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,106,204	1,759,210
9	Program service revenue (Part VIII, line 2g) .........	124,962,579	121,859,433
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,340,610	7,512,691
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	803,697	1,211,166
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	132,213,090	132,342,500
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	23,782	9,270
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)	72,088,047	71,387,635
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)....	54,418,888	61,066,088
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	126,530,717	132,462,993
19	Revenue less expenses. Subtract line 18 from line 12.......	5,682,373	-120,493
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	168,577,969	158,028,659
21	Total liabilities (Part X, line 26).............	69,278,825	69,532,803
22	Net assets or fund balances. Subtract line 21 from line 20.....	99,299,144	88,495,856

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 89,812,892 including grants of $ 9,270 ) (Revenue $ 121,859,433 )
	EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY 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 (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION.

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 expenses89,812,892

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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
(18) ROSEMARY DUNN EFF 6118........................................................................ CHIEF NURSING OFFICER	55.0 .......................0.0	X		161,828	0	15,373
(19) BYRON K HUNTER........................................................................ VP HUMAN RESOURCES	55.0 .......................0.0	X		278,098	0	72,591
(20) JOANNE VAUL........................................................................ VP PHYS INTEGRATION & AMB SVCS	55.0 .......................0.0	X		267,446	0	12,227
(21) THOMAS J PIRATZKY CFRE........................................................................ EXEC DIR - CAPE REGIONAL FDN	55.0 .......................0.0	X		243,651	0	48,941
(22) MICHAEL SLUSARZ........................................................................ VP MKTG/BUSINESS DEVELOPMENT	55.0 .......................0.0	X		183,628	0	45,662
(23) DEBORAH BAEHSER RN........................................................................ VP PAT CARE SVCS (TERM 5/18)	55.0 .......................0.0	X		126,681	0	12,526
(24) RICHARD ARTYMOWICZ PHARMD........................................................................ DIRECTOR OF PHARMACY	55.0 .......................0.0		X	198,644	0	53,056
(25) SUSAN JOHNSON........................................................................ PHARMACIST	55.0 .......................0.0		X	192,255	0	46,307
(26) FRANK VAUL........................................................................ DIRECTOR OF FINANCE	55.0 .......................0.0		X	185,477	0	47,363
(27) JAMES NUSS PHARMD........................................................................ PHARMACIST	55.0 .......................0.0		X	184,881	0	45,320
(28) GRETCHEN W SORENSEN RPH........................................................................ PHARMACIST	55.0 .......................0.0		X	154,642	0	25,478

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,037,825	0	674,318

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	184,041
d	Related organizations		1d
e	Government grants (contributions)		1e	444,510

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,130,659

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		1,759,210

		Business Code
2a	NET PATIENT SERVICE REVENUE	541900	121,293,931	121,293,931
b	OTHER HEALTHCARE RELATED REVENUE	541900	565,502	565,502
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		121,859,433

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,756,150			2,756,150
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		83,051
b	Less: rental expenses		135,369
c	Rental income or (loss)	0	-52,318
d	Net rental income or (loss)......			-52,318			-52,318
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	200	23,820,041
b	Less: cost or other basis and sales expenses		19,063,700
c	Gain or (loss)	200	4,756,341
d	Net gain or (loss).....			4,756,541			4,756,541
8a	Gross income from fundraising events (not including $ 184,041of contributions reported on line 1c). See Part IV, line 18 ....
	a		78,459
b	Less: direct expenses ...b		78,459
c	Net income or (loss) from fundraising events..
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		54,380
b	Less: cost of goods sold ..b		35,115
c	Net income or (loss) from sales of inventory..			19,265			19,265
Business Code			Miscellaneous Revenue
11a	CHILD CARE		624410	731,324			731,324
b	CAFETERIA/VENDING MACHINE REVENUE		722514	492,348			492,348
c	TELEPHONE		517000	20,547			20,547
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,244,219
12	Total revenue. See Instructions......			132,342,500	121,859,433		8,723,857

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	9,270	9,270
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 ....	3,578,720	2,426,372	1,152,348	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	51,719,719	35,065,969	16,653,750
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,875,882	1,271,848	604,034
9	Other employee benefits .......	9,667,051	6,554,261	3,112,790
10	Payroll taxes ...........	4,546,263	3,082,366	1,463,897
11	Fees for services (non-employees):
a	Management ......	701,443	475,578	225,865
b	Legal .........	271,838	184,306	87,532
c	Accounting ...........	310,000	210,180	99,820
d	Lobbying ...........	36,913	25,027	11,886
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	423,824	287,353	136,471
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	13,196,059	8,946,928	4,249,131
12	Advertising and promotion ....	427,580	289,899	137,681
13	Office expenses .......	2,396,115	1,624,566	771,549
14	Information technology ......	1,892,997	1,283,452	609,545
15	Royalties ..	0
16	Occupancy ...........	2,087,277	1,415,174	672,103
17	Travel ............	508,832	344,988	163,844
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	953,824	646,693	307,131
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	7,333,692	4,972,243	2,361,449
23	Insurance ...	1,315,300	891,773	423,527
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	MEDICAL SUPPLIES	18,456,018	12,513,180	5,942,838
b	PHYSICIAN SERVICES SUPPORT	6,125,000	4,152,750	1,972,250
c	REPAIRS & MAINTENANCE	4,044,371	2,742,084	1,302,287
d	DUES & SUBSCRIPTIONS	198,458	134,555	63,903
e	All other expenses	386,547	262,077	124,470
25	Total functional expenses. Add lines 1 through 24e	132,462,993	89,812,892	42,650,101	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 ........			1,580	1	1,580
2	Savings and temporary cash investments .........			3,909,487	2	1,311,411
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			15,257,233	4	13,969,374
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 ....			2,715,082	7	2,546,801
8	Inventories for sale or use ........			2,078,764	8	2,247,950
9	Prepaid expenses and deferred charges ......			2,652,264	9	2,837,594
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	193,332,135
b	Less: accumulated depreciation	10b	153,933,699	42,064,344	10c	39,398,436
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 ..			94,850,973	13	86,816,347
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			5,048,242	15	8,899,166
16	Total assets. Add lines 1 through 15 (must equal line 34)...			168,577,969	16	158,028,659

17	Accounts payable and accrued expenses .....	15,624,886	17	15,369,671
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 ..	22,635,512	23	25,207,440
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	31,018,427	25	28,955,692
26	Total liabilities. Add lines 17 through 25..	69,278,825	26	69,532,803

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	98,575,719	27	87,346,333
28	Temporarily restricted net assets ...........	665,425	28	1,091,523
29	Permanently restricted net assets	58,000	29	58,000
	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 ...........	99,299,144	33	88,495,856
34	Total liabilities and net assets/fund balances ........	168,577,969	34	158,028,659

(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 HEALTH SYSTEM INC 2 STONE HARBOR BLVD CAPE MAY COURT HOUSE,NJ08210 22-2629594	HOLDING CO.	NJ	501(C)(3)	509(A)(3)	NA		No

(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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CAPE REGIONAL HEALTH SYSTEM INC	D	3,361,132	COST
(2) CAPE REGIONAL HEALTH SYSTEM INC	O	70,504	COST
(3) CAPE REGIONAL HEALTH SYSTEM INC	R	6,125,000	COST
(4) CAPE PHYSICIAN ASSOCIATES PA	D	132,940	COST

(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