{"success":true,"data":{"_id":210744668,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"This organization is committed to improving the health and well-being of the residents of new jersey by providing quality, patient-centered healthcare services.","primary_activities":"Expenses incurred in providing medically necessary outpatient services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nExpenses incurred in providing medically necessary inpatient services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nExpenses incurred in providing medically necessary emergency room services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nBackground ============ bayshore community hospital (\"bayshore\") is a general medical and surgical hospital. Bayshore is recognized by the irs as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, bayshore provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, bayshore operates consistently with the criteria outlined in irs revenue ruling 69-545. Our history ----------- in 1963, community members identified the need for an acute care hospital in the bayshore area. In 1964, 17 acres of open land on north beers street in holmdel was acquired and ground was officially broken on april 29, 1970. Bayshore community hospital opened on time and under budget in 1972 with 158 acute care beds. The early medical staff, nurses, technicians and support staff deserve the credit for improving the health and well-being of our community. As the surrounding communities grew, so did the need for more medical services. The hospital implemented major construction programs from 1977 to 1984, starting with a 10,000-square-foot emergency room and general office expansion; the addition of a 10-bed surgical-respiratory intensive care unit; the construction of the hospital's north wing, adding 50 medical-surgical beds, along with renovation of all support services; all increased the hospital's bed complement to 218. Pleasant valley adult day care, an independent affiliate of bchs, opened in 1985, providing respite from one to five days per week for families caring for the elderly. Located on the bayshore hospital campus, the bayshore health care center opened in 1988 with 120 skilled care beds. Soon after, a second floor was added with an additional 60 residential beds. An 11-bed long-term care ventilator unit was added in 1996. A subacute care unit also provided a continuum of care for patients being discharged from the hospital following an acute illness who require intensive rehabilitative services to enable them to return home. In 1992, bayshore community hospital added seven intensive care beds, further increasing its licensed bed complement to 225. Internal renovations resulted in the relocation and upgrade of a 20-year-old intensive care unit, creating a new, 16-bed facility and a renovated and expanded operating room suite. A state-of-the-art cardiac catheterization and digital angiography suite opened in 1997, complementing the already expansive technological services of the hospital in the field of cardiology and interventional radiology. In july 1999, the willows at holmdel, an elegant 74-unit assisted living residence opened on the bayshore campus. The willows also offers the terrace, private suites in a safe and secure environment for alzheimer's residents. The john boyd and kathryn roberta mitchell pavilion for emergency and ambulatory care services opened in 2000. The new pavilion houses an expanded state-of-the-art emergency department and increased outpatient services for the community. A fast track unit expansion was added in 2003 for patients in need of treatment for minor illness or injury. Bayshore continued to address the needs of the community while expanding services throughout the area with two unique centers: the bayshore fitness and wellness center at hazlet, one of the first facilities in the nation to integrate fitness and wellness into one model focused on promoting a healthy lifestyle, and the sleepcare centers of bayshore (2000) and freehold (2001), which diagnose and treat sleep disorders. On may 1, 2002, bayshore community hospital celebrated its 30th anniversary. In june 2003, the $15 million ganz ambulatory imaging pavilion opened, providing the community with state-of-the-art diagnostics for outpatient services that include the picture archiving communication (pacs) and pet scans. The facility also houses the breast care center at bayshore offering digital mammography (2009), breast mri, bone densitometry. Accredited by the commission on cancer and the american college of surgeons, oncology services were implemented at bayshore in 2005 that allowed individuals with cancer to receive chemotherapy and other treatment services in an outpatient setting. A new infusion suite was also added. Bayshore was proud to announce the renovation of its operating rooms to a digital system in 2006, which aimed to help enhance patient care by providing surgeons with optimum control of the equipment and overall environment with the touch of a screen. In 2007, bayshore welcomed central jersey bariatrics, a team of board certified, new york fellowship trained surgeons as well as a bariatric program designed to offer options to people who are 100 pounds or more overweight. Bayshore community hospital announced that it is the first hospital in the nation to adopt spoken translation's product converser for healthcare, which is an english-to-spanish translation software. In 2009, the hospital received a gold seal accreditation from the joint commission. Bayshore was designated as a primary stroke center by the new jersey department of health and senior services. In september 2010, bayshore community hospital joined the meridian health family! Our mission ----------- meridian health is committed to improving the health and well-being of the residents of new jersey by providing quality, patient-centered health care services delivered in hospital, community and in-home settings, and to advancing medicine through clinical education and research. We foster a culture of excellence within a collaborative environment. We actively seek innovative solutions, technologies and partnerships to support sustainable financial growth and to ensure communities we serve have access to a comprehensive continuum of integrated services that meet their present and future health care needs. Awards and recognition ---------------------- with our meridian partner hospitals, bayshore community hospital received the following awards: - fortune's \"100 best companies to work for\" in 2010 & 2011 - top 100 integrated health networks by modern healthcare magazine - \"best places to work in new jersey\" for seven consecutive years by njbiz - new jersey's outstanding employer of the year in 2003 and 2009 - one of the top 100 most wired health systems in the united states for 10 consecutive years - john m. Eisenberg award for patient safety, one of the highest recognitions in the nation for hospital quality. Centers of excellence ====================== balance and motion center ------------------------- this specialized team of medical practitioners will perform diagnostic tests on all aspects of a participant's balance system to identify the cause of dizziness or equilibrium related difficulties, and design an individualized treatment plan to restore mobility and function. Balance training program & vestibular rehabilitation through this customized program at bayshore, patients will partake in various types of physical rehabilitation therapy, with the goal of preventing unintentional falls in the future that could lead to life-altering health complications. This training methodology focuses on exercises designed to heighten each patient's kinesthetic body awareness, improve coordination, and increase strength and endurance. Techniques include: - flexibility training - trunk and lower extremity strengthening - gaze stabilization training - standing, dynamic, and ambulation balance training - movement safety tips - visual, vestibular, and musculoskeletal integration training\n\nBreast care center ------------------ full service breast care right here at bayshore offering advanced technologies for breast health screenings, diagnosis and treatment, the breast care center at bayshore provides expert, yet personalized, service conveniently located for easy access by area residents, both women and men. Staff expertise the breast care team - led by fellowship trained, board certified radiologists - is among the finest in the central new jersey vicinity, with physicians hailing from top-rated medical programs at institutions that include harvard, cornell, columbia presbyterian, new york university and montefiore/albert einstein medical center. Accredited by the american college of radiology, the breast care center provides caring, individualized attention with a staff of registered mammography technologists. Range of services employing the latest technologies in breast care health, the breast care center furnishes the following diagnostic services: - digital mammography - ultrasound - breast mri - stereotactic biopsy - bone densitometry cancer care ----------- comprehensive care providing a continuum of cancer care, from diagnosis through treatment, is a top priority for the medical practitioners at bayshore, with these services being offered: - high-technology diagnostic testing, including pet/ct scan, digital mammography, mri, breast mri - biopsy procedures including stereotactic breast biopsy - team-based case management - cancer surgery - outpatient and inpatient chemotherapy - immunotherapy - brachytherapy - nutritional and genetic counseling - cancer rehabilitation services - at-home assistance through meridian-at-home services outpatient infusion services a breadth of treatment procedures are available to patients requiring frequent infusions of medications, all provided in the soothing, natural light-filled comfort of the infusion suite: - chemotherapy - blood and platelet transfusions - intravenous antibiotics - treatments for anemia and low calcium - anti-inflammatory medications - therapeutic phlebotomy - medications for various blood disorders cardiac services ---------------- cardiac diagnostics the first step in cardiac treatment is to properly evaluate and identify cardiovascular disease through the use of noninvasive diagnostic imaging services. Bayshore offers the following medical tests: - cardiac event monitoring - nuclear stress test electrocardiogram (ekg) - echocardiogram stress echocardiogram - exercise stress test - trans-esophageal echocardiogram (tee) - multiple gated acquisition (muga) scans - holter monitoring (ambulatory ecg monitoring) center for bariatrics --------------------- to help our patients succeed, we have built a program that ensures active participation of our patients in their weight-loss journey, which includes medical, nutritional, emotional, and exercise counseling. After surgery, we continue to be committed to our patients to ensure positive results by helping them maintain healthy habits. Our comprehensive approach to care is only one reason that sets us apart. In order to provide you with the best possible care, we offer access to a panel of dedicated specialists. Our bariatric surgery team includes cardiologists, gastroenterologists, pulmonologists, endocrinologists, surgeons, dietitians, exercise and behavioral health experts, all working together to develop a personalized care plan for you. This care plan includes extensive education and evaluation before surgery, and the lifetime follow-up care and support crucial to keeping the weight off and staying healthy. Center for wound healing ------------------------ lauding a wound healing rate consistently over 95%, the expert medical practitioners at the center for wound healing at bayshore, an outpatient wound care management program, provide treatment and care that not only heals wounds - it heals lives. Dealing with a wound can be personally frustrating, in addition to being restrictive to the performance of daily activities, and can possibly lead to more serious, life-changing health conditions. Using the most up-to-date approaches in the science of wound care, these health care professionals - comprised of board-certified surgeons, podiatrists and registered nurses - employ an interdisciplinary case management approach, with the goal of returning patients to an improved quality of life. Diabetes management ------------------- this comprehensive program teaches patients how to control, and healthfully live with, either type 1 or type 2 diabetes. The bayshore diabetes self-management education program has been recognized by the american diabetes association for quality self-management education. Monitoring for prevention of complications program participants learn how to become expert in the three basic skills for proper diabetes control: - detection - prevention - treatment free health screenings offered the following screenings, conducted throughout the year by bayshore's community health education department, are held at both bayshore hospital and the meridian fitness & wellness center in hazlet: - diabetes retinopathy - foot screening - body mass index - blood pressure and pulse - bone density - cholesterol - glucose level - stroke risk assessment diagnostic imaging ------------------ the medical practitioners in diagnostic imaging provide 24-hour report turnaround from the time a procedure is performed until the report is delivered to the patient's physician. Test services include: - pet/ct scan - mri - ct scan - mr angiography (mra) and ct angiography (cta) - ultrasound/sonography - breast imaging: digital mammography, ultrasound and mri - interventional radiology - general radiology emergency medicine ------------------ the emergency department at bayshore offers the expertise of a highly trained staff of medical professionals, all ready to respond to the immediate health care crises of area residents. Expert emergency medicine team critical members of the medical team include board-certified emergency medicine physicians, along with experienced mid-level providers - physician assistants and nurse practitioners - with clinical specialty training in emergency medicine. Providing crucial hands-on health care are accomplished registered nurses with trauma nursing core course training, in addition to certifications in basic life support, advanced cardiac life support and pediatric advanced life support. Patient care associates are on staff to perform a variety of diagnostic and monitoring services, while patient advocates are available 12 hours per day as a resource for patients and their families. Multi-need facilities housing 13 acute-care beds, in addition to ten fast track beds, the emergency department promptly evaluates a patient's condition via a skilled triage nurse, who determines the immediacy of treatment needed. A negative pressure room is available to accommodate patients with infectious disease, in addition to a specially outfitted room to handle eye and ear ailments. A locked room is on-hand, should a patient require crisis intervention and secure supervision. Fast track with its fast track program, the emergency department is able to quickly treat non-life threatening conditions, utilizing the skilled services of physician assistants and nurse practitioners. These medical professionals can often oversee basic diagnostic tests and procedures, such as x-rays, splinting and suturing, under the direction of a staff physician, allowing for improved patient flow and reduced treatment turnaround time. Primary stroke center bayshore hospital is a designated primary stroke center, indicating that its specially trained stroke team is prepared with the skills and equipment necessary to expeditiously assess stroke symptoms and determine the proper immediate treatment. Consisting of a physician, registered nurse, respiratory therapist and emergency department staff, the stroke team's quick response can dramatically impact a patient's successful recovery from a stroke.\n\nEndoscopy services ------------------ with a multi-disciplinary team that includes physicians specializing in gastroenterology, proctology, pulmonology, bariatrics and anesthesiology, the endoscopy department is rounded out with a team of highly trained registered nurses and certified technicians. Responsible for all its own pre- and post-procedure care, the endoscopy department is a convenient one-stop location for same-day procedures, receiving repeatedly recognized for its high level of patient satisfaction. Housing three procedure rooms - one is a special negative pressure bronchial room -the endoscopy department provides care for outpatients, in-house patients and emergency room admittances, handling a variety of medical procedures that include: - anorectal tests - bronchoscopy - colonoscopy - small bowel enteroscopy - small bowel capsule endoscopy - esophageal gastro duodenoscopy (egd) - percutaneous endoscopic gastrostomy (peg) - endoscopic retrograde cholangiopancreatography (ercp) minor surgery ------------- the minor surgery staff provides comprehensive pre- and post-operative care, including a thorough pre-op phone interview and continuous monitoring by a registered nurse throughout the procedure. Post-operative care is reviewed with each patient upon discharge, completing the cycle of fine medical service from the bayshore minor surgery team. Range of services - eye laser treatments for glaucoma and secondary cataracts. - excision and laser removal of skin abnormalities - arthroplasty of toes - skin grafts - epidural steroid injections - lumbar and cervical facet injections - radiofrequency procedures orthopedic services ------------------- comprehensive orthopedic services simple to complex, the bayshore orthopedic staff has the skilled expertise to accurately assess injuries and disorders of the skeletal system, including degenerative diseases, orthopedic trauma, spine disorders, sports injuries and congenital conditions. An assortment of the corrective procedures includes: - total hip replacement - joint and ligament repair - full and partial knee replacement - shoulder reconstruction - back and spinal surgery - hand surgery - scoliosis treatment and surgery - elbow surgery - bone and tendon grafts - bunionectomy - spinal decompression - spinal fusion - cervical and lumbar epidurals - nerve blocks - arthroplasty joint replacement of finger and toe - arthroscopic surgeries of the knee, ankle, shoulder, wrist blood management program ------------------------ bayshore has the distinction of offering a blood management system, often referred to as a \"cell saver\" program, to patients undergoing more extensive orthopedic surgeries. During the operation, a patient's lost blood is recovered, then recycled and reinfused into the patient during the perioperative process. This technique is an appealing alternative for patients with objections to blood transfusions. Exceptional intraoperative monitoring ------------------------------------- using cutting-edge technology, bayshore's orthopedic spine surgery team is able to precisely track changes in the brain, spinal cord, and peripheral nerve function during major spine surgeries. Through the use of a neurophysiological monitoring system, managed by specially trained technicians, surgeons can ensure that delicate nerves are not damaged during extensive surgical procedures, all to obtain the optimum outcome for patients. Rehabilitation services ----------------------- types of therapy available: - physical therapy - vestibular rehabilitation - occupational therapy - speech therapy - audiology testing - neurodiagnostic testing - aquatic therapy - continence training respiratory care ---------------- range of services the skillful respiratory care practitioners perform a variety of therapies and diagnostic tests to aid physicians in determining proper treatment for conditions of the cardio-respiratory system. The following services are offered, all under the direction of a physician: - administering medical gases (air and oxygen), humidification, and aerosols - breathing exercises to improve lung function - bronchial hygiene techniques (postural drainage, percussion, and vibration) - arterial blood gas sampling and analysis to determine levels of oxygen, carbon dioxide and acidity (ph) in blood from an artery - pulmonary function test to measure overall lung function - airway management (insertion and maintenance of artificial airways) - mechanical ventilatory support - performance of cardio-pulmonary resuscitation (CPR) - bilevel and continuous positive airway pressure (bipap and cpap) therapy all licensed by the state of new jersey to practice respiratory therapy, the staff are part of bayshore's emergency response teams - code blue, stroke activation and rapid response - providing urgent medical care to patients. Long-term ventilator care for patients requiring prolonged mechanical ventilatory support, bayshore offers a long-term ventilator care unit on its campus in the bayshore health care center. One of the few operations of this type in monmouth county, the staff provides 24-hour respiratory and nursing care to the residents of this long-term ventilator unit. Sleep care center ----------------- sleep testing there are several types of evaluations that can be performed at the sleep care center at bayshore, which houses two private bedrooms furnished with queen-size beds and televisions for patients' comfort. Tests are generally performed at night, although daytime testing is available for patients who work night shifts. - polysomnogram (psg) - cpap/bipap titration study - multiple sleep latency test (mslt) - maintenance of wakefulness test (mwt) community benefit and operations ================================== community outreach ------------------ bayshore offers many community outreach programs including, but not limited to, the following: adult health initiatives - active adult health & wellness outreach - booker health sciences library - call center services - health education - health screenings - support groups children's health initiatives - doctor bernard and the pawsitive action team. - outreach, education, and screenings classes ------- bayshore also offers a variety of classes to the public including, but not limited to, the following: - driver safety program - achieving goals through exercise - controlling your cholesterol - treating pad - infant care 101 - childbirth prep - CPR AED heart savers - diabetes support group - mended hearts support group - big brothers/ big sisters - wellness screenings - rehabilitation and the stroke survivor - first aid - diabetes and kidney disease - smoking cessation other community benefit information =================================== caring for all members of the community --------------------------------------- people without health insurance coverage are more likely to forego preventive care and seek treatment only when their illnesses require visits to hospital emergency rooms. By that time, their illnesses typically are more advanced and more costly to treat. Bayshore's outreach efforts and programs have encouraged many to walk through its doors who might otherwise have gone without necessary health care. In 2010, bayshore provided $5.7 million in charity care to patients for which we received no payment. In addition, medicare and medicaid often do not cover all the costs associated with providing quality patient care. In 2010, bayshore spent more than $8.9 million in direct patient care that was not reimbursed by any of the federal or state health programs. Supporting local organizations ------------------------------ over the years, bayshore has been able to offer support through charitable donations to a host of worthy, local not-for-profit organizations. Bayshore also encourages our leaders, physicians, and team members to serve on a variety of boards and community groups dedicated to improving the quality of life in our neighborhoods. As a socially conscious member of the community, bayshore focuses its charitable giving on the areas that support or are aligned with bayshore's charitable mission. These include; groups that promote awareness of health-related issues; community associations that help those in need obtain basic necessities like food, clothing and shelter; organizations that encourage young people to achieve their potential, use their imagination, and keep them safe from harm; social services that provide relief and counseling to those suffering from abuse; and events that promote healthy activity and socialization such as community festivals and walks.\n\nCommunicating across the counties ---------------------------------- bayshore regularly published a free consumer magazine - changing your life - to educate and inform residents of monmouth county on timely and relevant health topics. Changing your life featured real-life patient stories that detail how individuals receive their diagnosis and make important treatment decisions in conjunction with their physicians. The magazine contains bayshore's calendar of events where residents can find free community education and screening programs as well as a variety of health and wellness tips. Following are highlights of bayshore's 2010 programs: bayshore has a long history of creating awareness, educating and conducting preventive screenings for the members of our community and in 2010 more than 3,500 adults took advantage of free health and wellness screenings and education programs. In 2010, bayshore conducted over 600 free preventive health screenings including taking blood pressure, checking cholesterol, measuring bmi, skin cancer screening, breast cancer screening, prostate cancer screening and colorectal cancer screenings among others. Disease awareness and prevention education programs reach over 3,500 people each year. These include physician led seminars on a plethora of health care topics including, but not limited to cardiovascular disease, stroke, cancer, diabetes, asthma, mental health, arthritis and osteoporosis, nutrition, healthy pregnancy and delivery, a variety of pediatric conditions (asthma, diabetes, autism, digestive disease, epilepsy and other chronic conditions) and more. In addition, these education programs include fitness programs and demonstrations and healthy cooking demonstrations as well. Free support groups are provided for patients, their families and community members dealing with chronic and other life altering diseases including cancer, heart disease, alzheimer's, bereavement and many, many more. Bayshore also coordinates a speaker's bureau where physicians, nurses or other health care professionals bring prevention and wellness education to local businesses, schools and universities, community groups, faith based organizations and underserved communities upon request. In addition, the hospital has established and coordinated a program that provides a referral system and assistance to senior citizens in completing forms for insurance submission and medicare and medicaid applications as well as other health-related paper work they may have. A senior dining program provides nutritionally balanced meals to local seniors at reduced rates.\n\nExpenses incurred in providing various other medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. 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PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":1036004,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":38030628,"cost_of_care_reimbursed_by_medicare":43607672,"medicare_surplus_or_shortfall":-5577044,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":4415845,"direct_offsetting_revenue":188145,"net_community_benefit_expense":4227700,"total_expense_percentage":0.043},"unreimbursed_medicaid":{"total_community_benefit_expense":5032902,"direct_offsetting_revenue":3515581,"net_community_benefit_expense":1717321,"total_expense_percentage":0.0175},"total_financial_assistance":{"total_community_benefit_expense":9448747,"direct_offsetting_revenue":3703726,"net_community_benefit_expense":5945021,"total_expense_percentage":0.0605},"community_health_services":{"total_community_benefit_expense":299489,"direct_offsetting_revenue":0,"net_community_benefit_expense":299489,"total_expense_percentage":0.0031},"total_other_benefits":{"total_community_benefit_expense":299489,"direct_offsetting_revenue":0,"net_community_benefit_expense":299489,"total_expense_percentage":0.0031},"total_community_benefits":{"total_community_benefit_expense":9748236,"direct_offsetting_revenue":3703726,"net_community_benefit_expense":6244510,"total_expense_percentage":0.0636}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"BAYSHORE COMMUNITY HOSPITAL","address_line1":"727 NORTH BEERS STREET","city":"HOLMDEL","state":"NJ","zip":"07733","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"BAYSHORE COMMUNITY HOSPITAL","address":"727 NORTH BEERS STREET, HOLMDEL, NJ, 07733"}],"facility_policies":[{"business_name_line1":"BAYSHORE COMMUNITY HOSPITAL","facility_number":1,"name":"BAYSHORE COMMUNITY HOSPITAL"}],"other_health_care_facility_count":4,"other_health_care_facilities":[{"business_name_line1":"HOLMDEL SLEEP CENTER","address_line1":"668 NORTH BEERS STREET","city":"HOLMDEL","state":"NJ","zip":"07733","facility_type":"SLEEP CENTER","name":"HOLMDEL SLEEP CENTER","address":"668 NORTH BEERS STREET, HOLMDEL, NJ, 07733"},{"business_name_line1":"BAYSHORE FITNESS & WELLNESS HAZLET","address_line1":"1420 HIGHWAY 36 AIRPORT PLAZA","city":"HAZLET","state":"NJ","zip":"07730","facility_type":"REHAB FACILITY","name":"BAYSHORE FITNESS & WELLNESS HAZLET","address":"1420 HIGHWAY 36 AIRPORT PLAZA, HAZLET, NJ, 07730"},{"business_name_line1":"BAYSHORE FITNESS & WELLNESS OLD BRIDGE","address_line1":"RT 9 ERNST ROAD","city":"OLD BRIDGE","state":"NJ","zip":"08857","facility_type":"REHAB FACILITY","name":"BAYSHORE FITNESS & WELLNESS OLD BRIDGE","address":"RT 9 ERNST ROAD, OLD BRIDGE, NJ, 08857"},{"business_name_line1":"FREEHOLD SLEEP CENTER","address_line1":"55 SCHANCK ROAD SUITE 7B","city":"FREEHOLD","state":"NJ","zip":"07728","facility_type":"SLEEP CENTER","name":"FREEHOLD SLEEP CENTER","address":"55 SCHANCK ROAD SUITE 7B, FREEHOLD, NJ, 07728"}],"supplemental_information":[{"form_and_line_reference":"SCHEDULE H, PART I, LINE 3C","explanation":"NOT APPLICABLE - THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE."},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 6A","explanation":"NOT APPLICABLE"},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 7","explanation":"THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,973,085."},{"form_and_line_reference":"SCHEDULE H, PART II","explanation":"AT BAYSHORE COMMUNITY HOSPITAL, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITAL REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITY. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. IN THIS NEW ERA OF HEALTH CARE REFORM, COMMUNITY BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. BAYSHORE REMAINS COMMITTED TO STRENGTHENING ITS MISSION AND IN 2010 DEVOTED MORE THAN $250,000 IN COMMUNITY BENEFITS. THE SUCCESS AND EFFECTIVENESS OF BAYSHORE'S COMMUNITY BENEFIT PROGRAMS ARE A DIRECT RESULT OF THE EFFORTS OF ITS COMMITTED STAFF OF PHYSICIANS, NURSES, HEALTHCARE SPECIALISTS AND COMMUNITY EDUCATORS ALONG WITH DEDICATED COMMUNITY MEMBERS WHO HELP IDENTIFY, DEVELOP AND IMPLEMENT INITIATIVES THAT POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 4","explanation":"BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE RESULT FROM HEALTH CARE SERVICES FOR WHICH THE COMPANY RECEIVES PAYMENT UNDER COST REIMBURSEMENT, PROSPECTIVE PAYMENT FORMULAE OR NEGOTIATED RATES, WHICH COVER THE MAJORITY OF PATIENT SERVICES, AND ARE STATED AT THE ESTIMATED NET AMOUNT RECEIVABLE FROM PAYORS, WHICH ARE GENERALLY LESS THAN THE ESTABLISHED BILLING RATES. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLES RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLES. CHARITY CARE THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES AND INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO EITHER DO NOT MEET THE DHSS CRITERIA OR FOR WHOM THE HOSPITAL WAS UNABLE TO OBTAIN SUFFICIENT DOCUMENTATION TO MAKE A CHARITY CARE DETERMINATION AND, ACCORDINGLY, THESE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CURRENT DHSS CHARITY CARE GUIDELINES REQUIRE A SIGNIFICANT LEVEL OF PARTICIPATION FROM THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. MANAGEMENT BELIEVES THAT THE PRESENT CHARITY CARE GUIDELINES CAUSE A SIGNIFICANT UNDERSTATEMENT OF THE HOSPITAL'S CHARITY CARE AMOUNTS AND AN OVERSTATEMENT OF THE BAD DEBTS REPORTED BECAUSE OF THE DIFFICULTIES WITH OBTAINING PATIENT COOPERATION. IN ADDITION, THE HOSPITAL PROVIDES DISCOUNTS TO PATIENTS WHO HAVE NO INSURANCE, BASING THESE DISCOUNTS ON RATES PAID BY MEDICARE OR OTHER PAYORS FOR IDENTICAL SERVICES. THE AMOUNT OF CHARITY CARE PROVIDED DURING THE YEAR ENDED DECEMBER 31, 2010, BASED ON THE CORPORATION'S ESTABLISHED CHARGES, WAS APPROXIMATELY $25,487,452."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 8","explanation":"MEDICARE COSTS WERE DERIVED FROM THE 2010 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION (\"AHA\") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION (\"MEDPAC\") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED \"DUAL ELIGIBLES.\" THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE (\"CBO\") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT \"THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE.\" - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS \"SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS\" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 9B","explanation":"ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE BAYSHORE COMMUNITY HOSPITAL BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE 'SELF-PAY\" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $200 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE BAYSHORE COMMUNITY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY FOR THOSE PATEINTS UNDER 500% OF FPG, AND PROVIDES ADDITIONAL COMPASSIONATE CARE DISCOUNTS FOR ALL OTHERS."},{"form_and_line_reference":"SCHEDULE H, PART V; SECTION B","explanation":"NOT APPLICABLE."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 2","explanation":"ASSESSING THE LOCAL HEALTH NEEDS -------------------------------- IN 2010, BAYSHORE PARTICIPATED IN THE MERIDIAN LED PROCESS OF STRATEGICALLY REASSESSING THE AREA'S HEALTHCARE NEEDS. AN INTERNAL COMMUNITY HEALTH STEERING COMMITTEE WAS ESTABLISHED UNDER THE LEADERSHIP OF THE SENIOR VICE PRESIDENT OF CLINICAL EFFECTIVENESS AND THE DIRECTOR OF COMMUNITY OUTREACH. THE STEERING COMMITTEE IS COMPRISED OF SENIOR LEADERS FROM EACH MERIDIAN HOSPITAL, PARTNER COMPANIES AND OTHER CORPORATE DEPARTMENTS AND EXISTS FOR CONTINUOUS ASSESSMENT, PLANNING AND IMPLEMENTATION OF COMMUNITY HEALTH NEEDS. THE COMMITTEE CONVENES ON A REGULAR BASIS, HAS DEVELOPED A WORK PLAN TO ENSURE GOALS AND DELIVERABLES ARE ACHIEVED, AND IS RESPONSIBLE FOR ENSURING COMPLIANCE WITH ALL APPLICABLE REGULATORY REQUIREMENTS WITH REGARD TO COMMUNITY BENEFITS. USING A NATIONALLY RENOWNED RESEARCH FIRM, MERIDIAN SURVEYED 1,000 HOUSEHOLDS VIA TELEPHONE IN MONMOUTH AND OCEAN COUNTIES TO GATHER LOCAL RESIDENTS' VIEWS OF THEIR COMMUNITY'S MOST CRITICAL HEALTH NEEDS. THIS COMMUNITY HEALTH ASSESSMENT, A FOLLOW-UP TO A SIMILAR STUDY CONDUCTED IN 2006, IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF OUR RESIDENTS AND WILL SERVE AS A TOOL TO REACHING THREE BASIC GOALS: TO IMPROVE RESIDENTS' HEALTH STATUS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE, TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS AND TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL RESIDENTS. THE SURVEY INSTRUMENT USED FOR THE STUDY IS LARGELY BASED ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK SURVEILLANCE SYSTEM AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION AS WELL AS OTHER RECOGNIZED HEALTH ISSUES. THE SAMPLE DESIGN FOR THIS EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 1,054 INDIVIDUALS AGE 18 AND OLDER AND WAS CONSTRUCTED TO INCLUDE MINIMUM SAMPLE THRESHOLDS FOR EACH HOSPITAL SERVICE AREA AS WELL AS AFRICAN AMERICAN AND LATINO RESPONDENTS. IN ADDITION, FIVE FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 32 KEY PERSONS IN THE COMMUNITY INCLUDING MEMBERS OF THE HOSPITALS' COMMUNITY ADVISORY COMMITTEES, LOCAL HEALTH DEPARTMENT OFFICIALS, AND OTHER COMMUNITY LEADERS. THESE FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE GROUPS WERE DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS OF THE AREA. A VARIETY OF SECONDARY DATA SOURCES WERE ALSO CONSULTED TO COMPLEMENT THE SURVEY AND FOCUS GROUP DATA AND INCLUDES; STATE OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES, NEW JERSEY UNIFORM CRIME REPORT, CENTERS FOR DISEASE CONTROL & PREVENTION, ESRI BIS DEMOGRAPHIC PORTFOLIO (PROJECTIONS BASED ON US CENSUS) AND NATIONAL CENTER FOR HEALTH STATISTICS. THESE SOURCES HAVE DATA AND INFORMATION ON PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF THE UNINSURED, LOW INCOME AND MINORITY GROUPS. ADDITIONALLY, THESE AND OTHER SECONDARY SOURCES WERE USED TO DEVELOP A LIST OF EXISTING RESOURCES OF HEALTH CARE SERVICES AT MERIDIAN AS WELL AS OTHER PROVIDERS IN THE AREA. MERIDIAN HAS IDENTIFIED FOUR SOURCES OF BENCHMARKING DATA THAT IT WILL USE THROUGHOUT THE ASSESSMENT PROCESS AND INCLUDES, TRENDING DATA FROM THE SIMILAR SURVEY CONDUCTED IN 2006, NEW JERSEY RISK FACTOR DATA FROM SECONDARY SOURCES LISTED PREVIOUSLY, NATIONWIDE RISK FACTOR DATA, ALSO FROM SECONDARY SOURCES AND FINALLY, HEALTHY PEOPLE 2020 TARGETS. HEALTHY PEOPLE PROVIDES SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. FINDINGS OF THE ASSESSMENT ARE REVIEWED TOGETHER WITH MERIDIAN'S COMMUNITY ADVISORY COMMITTEES, LOCAL HEALTH DEPARTMENT OFFICIALS, PHYSICIANS, OTHER AREA HOSPITALS AND COMMUNITY LEADERS, WITH THE GOAL OF SELECTING AND PRIORITIZING THE TOP HEALTH CONCERNS FOR MERIDIAN AND OTHERS TO ADDRESS OVER THE NEXT THREE YEARS. THIS COLLABORATIVE EFFORT WILL RESULT IN HOSPITAL-BASED, COMMUNITY HEALTH IMPLEMENTATION PLANS, WHICH WILL BE COMPLETE IN THE FIRST QUARTER OF 2012. MERIDIAN CONVENES SEVERAL HOSPITAL-BASED, COMMUNITY ADVISORY COMMITTEES (CAC) WHOSE MISSION IS TO ASSIST US IN IDENTIFYING AND ADDRESSING LOCAL HEALTH CARE NEEDS. COMMITTEE MEMBERS REPRESENT A CROSS-SECTION OF THE COMMUNITY IN TERMS OF AGE, GENDER, RELIGION, ETHNICITY, INTERESTS AND PROFESSIONAL STATUS. OUR PARTNERS IN HEALTH AND UNIDOS COMMITTEES ARE COMPRISED OF AFRICAN AMERICAN AND HISPANIC CIVIC AND COMMUNITY LEADERS RESPECTIVELY AND ARE FOCUSED ON ADDRESSING HEALTH ISSUES AND DISPARITIES AFFECTING COMMUNITIES OF COLOR. CURRENTLY, MORE THAN 100 PEOPLE FROM THE SURROUNDING AREA SERVE AS MEMBERS OF MERIDIAN'S COMMUNITY ADVISORY COMMITTEES. MERIDIAN PARTICIPATES IN MONMOUTH AND OCEAN COUNTIES' STRATEGIC PLANNING PROCESS CALLED, MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). STAKEHOLDERS FROM LOCAL HEALTH DEPARTMENTS, AREA AGENCIES AND COMMUNITY-BASED ORGANIZATIONS WORK TOGETHER TO IDENTIFY STRATEGIC HEALTH ISSUES AFFECTING THE COUNTIES. THESE ISSUES INCLUDED BARRIERS TO HEALTH CARE, COMPREHENSIVE HEALTH CARE DESPITE THE HIGH COST OF LIVING IN MONMOUTH COUNTY, TOBACCO, DRUGS AND ALCOHOL, TRANSPORTATION BARRIERS, CANCER MORBIDITY, AND THE GROWING OLDER ADULT POPULATION. THE PLANNING PROCESS RESULTED IN THE DEVELOPMENT OF A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR EACH COUNTY. IN 2010, MERIDIAN COMMITTED TO SHARE THE RESULTS OF ITS COMMISSIONED NEEDS ASSESSMENT RESEARCH TO FURTHER REFINE AND ADJUST THE EXISTING CHIPS FOR BOTH COUNTIES. IN ADDITION, MERIDIAN MAINTAINS PARTNERSHIPS AND COLLABORATES WITH A VARIETY OF COMMUNITY AND HEALTH CARE ORGANIZATIONS INCLUDING, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION, MONMOUTH COUNTY CANCER COALITION, OCEAN COUNTY CANCER COALITION, PEDIATRIC ASTHMA COALITION OF NJ, NJ DEPARTMENT OF HEALTH AND SENIOR SERVICES, AS WELL AS COUNTY AND LOCAL MUNICIPAL HEALTH DEPARTMENTS, SEVERAL AREA YMCAS AND OTHERS."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 3","explanation":"BAYSHORE HAS NOTICES POSTED IN ALL REGISTRATION AREAS, IN BOTH ENGLISH AND SPANISH, INFORMING PATIENTS TO INQUIRE ABOUT FINANCIAL ASSISTANCE. DURING THE INTERVIEW PROCESS, PATIENTS ARE VERBALLY GIVEN THE OPPORTUNITY TO INQUIRE ABOUT FINANCIAL ASSISTANCE. ALL STATEMENTS MAILED TO THE PATIENTS INCLUDE A FORM TO COMPLETE AND A PHONE NUMBER TO CALL, IF THEY WISH TO APPLY FOR FINANCIAL ASSISTANCE. IF PATIENTS CALL THE BUSINESS OFFICE, THEY ARE TOLD THEY MAY APPLY FOR FNANCIAL ASSISTANCE."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 4","explanation":"BAYSHORE OPERATES IN MONMOUTH, NEW JERSEY. The following information is based on recent CENSUS ESTIMATES: MONMOUTH COUNTY POPULATION, 2010 630,380 UNDER 5 YEARS OF AGE, 2009 5.7% UNDER 18 YEARS OF AGE, 2009 23.9% 65 YEARS OLD AND OVER, 2009 13.4% HOUSEHOLDS BELOW POVERTY LEVEL, 2009 6.9% MEDIAN HOUSEHOLD INCOME, 2009 $ 80,231 RACIAL COMPOSITION, 2010: WHITE 76.7% AFRICAN AMERICAN 7.4% ASIAN 5.0% HISPANIC OR LATINO ORIGIN 9.7% OTHER 1.2%"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 5","explanation":"THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 6","explanation":"MERIDIAN HEALTH SYSTEM, INC. ---------------------------- MERIDIAN HEALTH SYSTEM, INC. (\"MERIDIAN\") IS THE TAX-EXEMPT PARENT OF THE MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM (\"SYSTEM\"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER MERIDIAN OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY MERIDIAN. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT MONMOUTH AND OCEAN COUNTIES AND SURROUNDING AREAS. MERIDIAN HEALTH SYSTEM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF A LARGE TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY, MERIDIAN STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF MONMOUTH AND OCEAN COUNTIES AND SURROUNDING COMMUNITIES. MERIDIAN ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. SYSTEM ACTIVE HOSPITALS INCLUDE: JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, BAYSHORE COMMUNITY HOSPITAL AND K. HOVNANIAN CHILDREN'S HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOSPITALS CORPORATION ------------------------------ MERIDIAN HOSPITALS CORPORATION (\"HOSPITALS\") IS A NOT FOR-PROFIT CORPORATION THAT OPERATES AN ACUTE CARE HOSPITAL SYSTEM, WHICH PROVIDES PRIMARY AND TERTIARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HOSPITALS ALSO PROVIDES PROGRAMS FOR MEDICAL TRAINING, RESEARCH, EDUCATION AND CONDUCTS ACTIVITIES ESTABLISHED TO IMPROVE THE HEALTH OF ITS COMMUNITIES. HOSPITALS INCLUDES JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, BAYSHORE COMMUNITY HOSPITAL AND K. HOVNANIAN CHILDREN'S HOSPITAL. JERSEY SHORE UNIVERSITY MEDICAL CENTER -------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER (\"JSUMC\") IS A 661-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. JSUMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, JSUMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, JSUMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. RIVERVIEW MEDICAL CENTER ------------------------ RIVERVIEW MEDICAL CENTER (\"RMC\") IS A 492-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RED BANK, MONMOUTH COUNTY, NEW JERSEY. RMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, RMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, RMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. OCEAN MEDICAL CENTER -------------------- OCEAN MEDICAL CENTER (\"OMC\") IS A 303-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. OMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, OMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, OMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SOUTHERN OCEAN MEDICAL CENTER ----------------------------- SOUTHERN OCEAN MEDICAL CENTER (\"SOMC\") IS A 186-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN MANAHAWKIN, OCEAN COUNTY, NEW JERSEY. SOMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, SOMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SOMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BAYSHORE COMMUNITY HOSPITAL --------------------------- BAYSHORE COMMUNITY HOSPITAL (\"BCH\") IS A 238-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HOLMDEL, MONMOUTH COUNTY, NEW JERSEY. BCH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, BCH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, BCH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINES IN IRS REVENUE RULING 69-545. K. HOVNANIAN CHILDREN'S HOSPITAL -------------------------------- K. HOVNANIAN CHILDREN'S HOSPITAL (\"HOVNANIAN\") IS A NON-PROFIT ACUTE CARE CHILDREN'S HOSPITAL LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. HOVNANIAN OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, HOVNANIAN PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, HOVNANIAN OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SHORE REHABILITATION INSTITUTE, INC. ------------------------------------ SHORE REHABILITATION INSTITUTE, INC. (\"SRI\") IS AN 40-BED NON-PROFIT ACUTE REHABILITATION CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. SRI IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SRI PROVIDES MEDICALLY NECESSARY REHABILITATIVE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SRI OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOME CARE SERVICES, INC. --------------------------------- MERIDIAN HOME CARE SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION COORDINATES AND OPERATES HOME HEALTHCARE, HOME INFUSION AND HOSPICE SERVICES AND PROVIDES DURABLE MEDICAL EQUIPMENT TO ALL FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION ALSO SUPPORTS MERIDIAN HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES. HEALTH INNOVATIONS UNLIMITED, INC. ---------------------------------- HEALTH INNOVATIONS UNLIMITED, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2) WHOSE SOLE MEMBER IS MERIDIAN HOME CARE SERVICES, INC. THE ORGANIZATION PROVIDES THE DURABLE MEDICAL EQUIPMENT AND TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES ON BEHALF OF ITS SOLE MEMBER, MERIDIAN HOME CARE SERVICES, INC. JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF JERSEY SHORE UNIVERSITY MEDICAL CENTER; A DIVISION OF A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. OCEAN MEDICAL CENTER FOUNDATION, INC. ------------------------------------- OCEAN MEDICAL CENTER FOUNDATION"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 7","explanation":"NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. MERIDIAN HOSPITALS CORPORATION, AN ORGANIZATION INCLUDED IN THIS GROUP FORM 990, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IT MAKES AVAILABLE TO THE PUBLIC ON ITS WEBSITE: WWW.MERIDIANHEALTH.COM."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"MARC H LORY","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":150000,"compensation_based_on_related_orgs":528501,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":1015352,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":29460,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":25011,"other_compensation_filing_org":0,"other_compensation_related_orgs":1056306,"total_compensation_filing_org":0,"total_compensation_related_orgs":1789278,"name":"MARC H LORY"},{"person_name":"JOHN K LLOYD FACHE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":540000,"compensation_based_on_related_orgs":899129,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":252861,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":25150,"other_compensation_filing_org":0,"other_compensation_related_orgs":64608,"total_compensation_filing_org":0,"total_compensation_related_orgs":1781748,"name":"JOHN K LLOYD FACHE"},{"person_name":"JOHN E SINDONI SPHR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":112500,"compensation_based_on_related_orgs":330188,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":152522,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":39552,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":23224,"other_compensation_filing_org":0,"other_compensation_related_orgs":161179,"total_compensation_filing_org":0,"total_compensation_related_orgs":666643,"name":"JOHN E SINDONI SPHR"},{"person_name":"RAIMONDA A CLARK","base_compensation_filing_org":361230,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":288387,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4900,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":18071,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":733345,"other_compensation_related_orgs":0,"total_compensation_filing_org":1117546,"total_compensation_related_orgs":0,"name":"RAIMONDA A CLARK"},{"person_name":"MICHAEL KEEN","base_compensation_filing_org":290536,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":2022,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":18071,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":131245,"other_compensation_related_orgs":0,"total_compensation_filing_org":441874,"total_compensation_related_orgs":0,"name":"MICHAEL KEEN"},{"person_name":"JOHN GANTNER","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":215000,"compensation_based_on_related_orgs":576529,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":309864,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":23424,"other_compensation_filing_org":0,"other_compensation_related_orgs":31609,"total_compensation_filing_org":0,"total_compensation_related_orgs":1156426,"name":"JOHN GANTNER"},{"person_name":"KARL MEINERT","base_compensation_filing_org":282337,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":4154,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":24244,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":310735,"total_compensation_related_orgs":0,"name":"KARL MEINERT"},{"person_name":"L SCOTT 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WOOD","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":191007,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":798,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":18071,"other_compensation_filing_org":0,"other_compensation_related_orgs":71706,"total_compensation_filing_org":0,"total_compensation_related_orgs":281582,"name":"SUSAN R WOOD"},{"person_name":"EMRO KRASOVEC","base_compensation_filing_org":156553,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":70667,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3216,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13291,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":75876,"other_compensation_related_orgs":0,"total_compensation_filing_org":248936,"total_compensation_related_orgs":0,"name":"EMRO KRASOVEC"},{"person_name":"WENDY E BROWN","base_compensation_filing_org":177057,"bonus_filing_org":0,"bonus_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":3327,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":18071,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":198455,"total_compensation_related_orgs":0,"name":"WENDY E BROWN"},{"person_name":"ADRIAN M PRISTAS","base_compensation_filing_org":177525,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":9293,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":186818,"total_compensation_related_orgs":0,"name":"ADRIAN M PRISTAS"},{"person_name":"LINDA F QUINN","base_compensation_filing_org":96162,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":1138,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":24178,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":40813,"other_compensation_related_orgs":0,"total_compensation_filing_org":162291,"total_compensation_related_orgs":0,"name":"LINDA F QUINN"},{"person_name":"LINDA B WOODS","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":104793,"other_compensation_related_orgs":0,"total_compensation_filing_org":104793,"total_compensation_related_orgs":0,"name":"LINDA B WOODS"}],"supplemental_information":[{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"CORE FORM PART VII AND SCHEDULE J, PART I; QUESTION 4A","explanation":"THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING 2010. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RAIMONDA A. CLARK, $382,933; MICHAEL KEEN, $75,066; SUSAN R. WOOD, $58,130 AND LINDA B. WOODS, $104,793."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I; QUESTION 4B","explanation":"THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (\"SERP\"). THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $1,015,352; JOHN E. SINDONI, SPHR, $152,522; RAIMONDA A. CLARK, $288,387 AND EMRO KRASOVEC, $70,667. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (\"SERP\") FROM A RELATED ORGANIZATION WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, AS TAXABLE WAGES: JOHN GANTNER, $186,130. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A RETENTION AGREEMENT WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, AS TAXABLE WAGES: JOHN K. LLOYD, FACHE, $200,000 AND JOHN GANTNER, $100,000."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I; QUESTION 7","explanation":"THE FOLLOWING INDIVIDUALS RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH BONUS AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARC H. LORY, $150,000; JOHN K. LLOYD, FACHE, $540,000; JOHN E. SINDONI, SPHR, $112,500 AND JOHN GANTNER, $215,000."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART II, COLUMN F","explanation":"THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2010 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2010 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $1,015,352 AND JOHN E. SINDONI, SPHR, $152,522. THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2010 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE WAGES: RAIMONDA A. CLARK, $288,387 AND EMRO KRASOVEC, $70,667."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART II","explanation":"PLEASE NOTE THAT THE COMPENSATION REFLECTED IN CORE FORM, PART VII AND SCHEDULE J, PART II FOR THE FOLLOWING INDIVIDUALS INCLUDES SIX MONTHS OF AMOUNTS THAT WERE ALSO INCLUDED IN THE FINAL FORM 990, SCHEDULE J, PART II FOR SOUTHERN OCEAN MEDICAL CENTER (\"SOMC\") FOR THE SIX MONTH PERIOD ENDED JUNE 30, 2010: JOHN K. LLOYD, FACHE, MARC H. LORY, STEVEN KOERNER, D.O. AND JOHN E. SINDONI, SPHR. ON JULY 1, 2010, SOMC MERGED INTO ITS SOLE MEMBER MERIDIAN HOSPITALS CORPORATION (\"MHC\"). SOMC FILED A FINAL FORM 990 FOR THE SHORT SIX MONTH PERIOD ENDED JUNE 30, 2010. FOR THE SIX MONTH PERIOD JULY 1, 2010 THROUGH DECEMBER 31, 2010 SOMC IS INCLUDED AS A DIVISION OF MHC WITHIN THE MERIDIAN HEALTH SYSTEM - SUBS FORM 990 (FEIN 01-0649794). ON SEPTEMBER 1, 2010, BAYSHORE COMMUNITY HOSPITAL (\"BCH\") BECAME A WHOLLY OWNED SUBSIDIARY OF MHC. THIS OCCURRED AS A RESULT OF THE MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC., BCH'S SOLE CORPORATE MEMBER PRIOR TO THE MERGER, INTO MERIDIAN HEALTH SYSTEM, INC.; AN IRC 501(C)(3) TAX-EXEMPT ORGANIZATION AND PARENT ENTITY OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES MHC. BCH AND SOMC ARE RELATED ORGANIZATIONS AS THEY ARE BOTH AFFILIATES WITHIN MERIDIAN HEALTH SYSTEM."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"CORE FORM, PART VII AND SCHEDULE J","explanation":"MICHAEL SCHWARTZ DID NOT RECEIVE ANY COMPENSATION DIRECTLY FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING 2010 FOR HIS SERVICES AS ACTING PRESIDENT/CEO. AS REFLECTED IN OUR RESPONSE TO CORE FORM, PART VI, QUESTION #3, BAYSHORE COMMUNITY HOSPTIAL (\"BCH\") RETAINED THE SERVICES OF AN OUTSIDE, INDEPENDENT MANAGEMENT COMPANY TO MANAGE THE DAY-TO-DAY ACTIVITIES AND OPERATIONS OF THE ORGANIZATION UNTIL ALL THESE FUNCTIONS WERE TRANSITIONED TO MERIDIAN HEALTH SYSTEM, INC. PERSONNEL IN AUGUST OF 2011. MICHAEL SCHWARTZ IS THE REPRESENTATIVE OF THIS OUTSIDE MANAGEMENT COMPANY THAT PERFORMED THE DUTIES WITH RESPECT TO THE MANAGEMENT OF THE DAY-TO-DAY OPERATIONS AND ACTIVITIES OF THE ORGANIZATION. MERIDIAN HOSPITALS CORPORATION (\"MHC\"), BCH'S SOLE MEMBER AFTER THE STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND AFFILIATES INTO MERIDIAN HEALTH SYSTEM, INC., COMPENSATED THE OUTSIDE MANAGEMENT COMPANY DIRECTLY AND BCH REIMBURSED MHC FOR THESE EXPENSES."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":221987084,"business_name_line1":"NJ HEALTH CARE FACILITIES FINANCING AUTHORITY","cusip_number":"64579FCY7","date_issued":"2004-06-24T00:00:00","issue_price":8000000,"purpose":"MEDICAL OFFICE, EQUIP., RENOV.","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"NJ HEALTH CARE FACILITIES FINANCING 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the health and well-being of the residents of new jersey by providing quality, patient-centered health care services.","primary_activities":"Expenses incurred in providing medically necessary outpatient services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nExpenses incurred in providing medically necessary inpatient services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nExpenses incurred in providing medically necessary emergency department services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nBackground ========== bayshore community hospital (\"bayshore\") is a general medical and surgical hospital. Bayshore is recognized by the irs as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, bayshore provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, bayshore operates consistently with the criteria outlined in irs revenue ruling 69-545. Our history ----------- in 1963, community members identified the need for an acute care hospital in the bayshore area. In 1964, 17 acres of open land on north beers street in holmdel was acquired and ground was officially broken on april 29, 1970. Bayshore community hospital opened on time and under budget in 1972 with 158 acute care beds. The early medical staff, nurses, technicians and support staff deserve the credit for improving the health and well-being of our community. As the surrounding communities grew, so did the need for more medical services. The hospital implemented major construction programs from 1977 to 1984, starting with a 10,000-square-foot emergency room and general office expansion; the addition of a 10-bed surgical-respiratory intensive care unit; the construction of the hospital's north wing, adding 50 medical-surgical beds, along with renovation of all support services; all increased the hospital's bed complement to 218. Pleasant valley adult day care, an independent affiliate of bchs, opened in 1985, providing respite from one to five days per week for families caring for the elderly. Located on the bayshore hospital campus, the bayshore health care center opened in 1988 with 120 skilled care beds. Soon after, a second floor was added with an additional 60 residential beds. An 11-bed long-term care ventilator unit was added in 1996. A subacute care unit also provided a continuum of care for patients being discharged from the hospital following an acute illness who require intensive rehabilitative services to enable them to return home. In 1992, bayshore community hospital added seven intensive care beds, further increasing its licensed bed complement to 225. Internal renovations resulted in the relocation and upgrade of a 20-year-old intensive care unit, creating a new, 16-bed facility and a renovated and expanded operating room suite. A state-of-the-art cardiac catheterization and digital angiography suite opened in 1997, complementing the already expansive technological services of the hospital in the field of cardiology and interventional radiology. In july 1999, the willows at holmdel, an elegant 74-unit assisted living residence opened on the bayshore campus. The willows also offers the terrace, private suites in a safe and secure environment for alzheimer's residents. The john boyd and kathryn roberta mitchell pavilion for emergency and ambulatory care services opened in 2000. The new pavilion houses an expanded state-of-the-art emergency department and increased outpatient services for the community. A fast track unit expansion was added in 2003 for patients in need of treatment for minor illness or injury. Bayshore continued to address the needs of the community while expanding services throughout the area with two unique centers: the bayshore fitness and wellness center at hazlet, one of the first facilities in the nation to integrate fitness and wellness into one model focused on promoting a healthy lifestyle, and the sleepcare centers of bayshore (2000) and freehold (2001), which diagnose and treat sleep disorders. On may 1, 2002, bayshore community hospital celebrated its 30th anniversary. In june 2003, the $15 million ganz ambulatory imaging pavilion opened, providing the community with state-of-the-art diagnostics for outpatient services that include the picture archiving communication (pacs) and pet scans. The facility also houses the breast care center at bayshore offering digital mammography (2009), breast mri, bone densitometry. Accredited by the commission on cancer and the american college of surgeons, oncology services were implemented at bayshore in 2005 that allowed individuals with cancer to receive chemotherapy and other treatment services in an outpatient setting. A new infusion suite was also added. Bayshore was proud to announce the renovation of its operating rooms to a digital system in 2006, which aimed to help enhance patient care by providing surgeons with optimum control of the equipment and overall environment with the touch of a screen. In 2007, bayshore welcomed central jersey bariatrics, a team of board certified, new york fellowship trained surgeons as well as a bariatric program designed to offer options to people who are 100 pounds or more overweight. Bayshore community hospital announced that it is the first hospital in the nation to adopt spoken translation's product converser for healthcare, which is an english-to-spanish translation software. In 2009, the hospital received a gold seal accreditation from the joint commission. Bayshore was designated as a primary stroke center by the new jersey department of health and senior services. In september 2010, bayshore community hospital joined the meridian health family! In september 2010, bayshore became the sixth hospital in meridian's monmouth and ocean county system. With a strong focus on customer service, alignment with meridian health clinical best practices, a new leadership team, and countless new physicians, bayshore has begun to develop an exciting plan to create a destination hospital that will become the pride of the community. A number of exciting initiatives have been implemented since bayshore joined the meridian health family: - since september of 2010, 100+ new physicians have joined the medical staff - more than in the past five years combined! - cardiovascular services continue to be central to bayshore's future. Within the past year, the heart of bayshore has expanded with a new designation granted to the cardiac catheterization lab, expanded services, lab upgrades, and plans for expansion. - new services have been introduced, including a new center for bariatrics, developed under the leadership of nationally-recognized bariatric surgeon, karl strom, m.d. - several initiatives to promote nursing excellence have been introduced to encourage professional growth, additional training, and access to the latest clinical standards at meridian health. The new heart of bayshore in 2011, bayshore announced the cardiac catheterization laboratory was granted full-service adult diagnostic capabilities for all cardiac catheterization patients by the new jersey department of health. This designation allows bayshore to complete diagnostic procedures on high-risk patients, as well as the ability to continue performing these procedures on low-risk patients, without the need of transfers to outside facilities. In addition, the lab has also been upgraded with two intra aortic balloon pumps, a mechanical device that increases coronary blood flow and oxygen delivery to the heart. A comprehensive center for bariatrics bayshore is successfully helping patients deal with this major public health problem and announced a newly developed center for bariatrics. The new center takes a comprehensive approach on bariatric treatment including: counseling, nutrition, exercise and medical/surgical treatment. The center features the lap-band system, the only U.S... Fda approved, adjustable and completely reversible procedure, which requires less than a 24-hour hospital stay, has no stomach stapling or rerouting, and is 10 times safer than gastric bypass. Kid friendly! Bayshore community hospital recently opened a new pediatric care center, an affiliate of k. Hovnanian children's hospital at jersey shore university medical center. With the opening of the pediatric care center at bayshore, families in the surrounding communities will experience the difference in how bayshore approaches emergency care for children. The needs of children and their families in an emergency are unique, clinically and emotionally. Providing a special place, designed just for children, can help make a difficult time a little easier. Our mission ----------- meridian health is committed to improving the health and well-being of the residents of new jersey by providing quality, patient-centered health care services delivered in hospital, community and in-home settings, and to advancing medicine through clinical education and research. We foster a culture of excellence within a collaborative environment. We actively seek innovative solutions, technologies and partnerships to support sustainable financial growth and to ensure communities we serve have access to a comprehensive continuum of integrated services that meet their present and future health care needs.\n\nAwards and recognition ---------------------- bayshore was recognized as a \"top performer on key quality measures\" by the joint commission based on data reported about evidence-based clinical processes shown to improve care for certain conditions, including heart attack, heart failure, pneumonia, surgical care, and children's asthma. Bayshore is one of only 405 U.S... Hospitals and critical access hospitals earning the distinction of top performer on key quality measures for attaining and sustaining excellence in accountability measure performance. With our meridian partner hospitals, bayshore community hospital received the following awards: - fortune's \"100 best companies to work for\" in 2010 & 2011 - top 100 integrated health networks by modern healthcare magazine - \"best places to work in new jersey\" for seven consecutive years by njbiz - new jersey's outstanding employer of the year in 2003 and 2009 - one of the top 100 most wired health systems in the united states for 10 consecutive years - john m. Eisenberg award for patient safety, one of the highest recognitions in the nation for hospital quality. Centers of excellence ====================== balance and motion center ------------------------- this specialized team of medical practitioners will perform diagnostic tests on all aspects of a participant's balance system to identify the cause of dizziness or equilibrium related difficulties, and design an individualized treatment plan to restore mobility and function. Balance training program & vestibular rehabilitation through this customized program at bayshore, patients will partake in various types of physical rehabilitation therapy, with the goal of preventing unintentional falls in the future that could lead to life-altering health complications. This training methodology focuses on exercises designed to heighten each patient's kinesthetic body awareness, improve coordination, and increase strength and endurance. Techniques include: - flexibility training - trunk and lower extremity strengthening - gaze stabilization training - standing, dynamic, and ambulation balance training - movement safety tips - visual, vestibular, and musculoskeletal integration training breast care center ------------------ full service breast care right here at bayshore offering advanced technologies for breast health screenings, diagnosis and treatment, the breast care center at bayshore provides expert, yet personalized, service conveniently located for easy access by area residents, both women and men. Staff expertise the breast care team - led by fellowship trained, board certified radiologists - is among the finest in the central new jersey vicinity, with physicians hailing from top-rated medical programs at institutions that include harvard, cornell, columbia presbyterian, new york university and montefiore/albert einstein medical center. Bayshore's mammography coordinator recently received the designation of certified breast patient navigator by the national consortium of breast centers, inc. Through this certification, patients who turn to bayshore for their diagnostic breast imaging needs will have access to a knowledgeable and caring professional who can assist in ensuring timely exam results and scheduling of follow-up care. Accredited by the american college of radiology, the breast care center provides caring, individualized attention with a staff of registered mammography technologists. Range of services employing the latest technologies in breast care health, the breast care center furnishes the following diagnostic services: - digital mammography - ultrasound - breast mri - stereotactic biopsy - bone densitometry cancer care ----------- comprehensive care providing a continuum of cancer care, from diagnosis through treatment, is a top priority for the medical practitioners at bayshore, with these services being offered: - high-technology diagnostic testing, including pet/ct scan, digital mammography, mri, breast mri - biopsy procedures including stereotactic breast biopsy - team-based case management - cancer surgery - outpatient and inpatient chemotherapy - immunotherapy - brachytherapy - nutritional and genetic counseling - cancer rehabilitation services - at-home assistance through meridian-at-home services outpatient infusion services a breadth of treatment procedures are available to patients requiring frequent infusions of medications, all provided in the soothing, natural light-filled comfort of the infusion suite: - chemotherapy - blood and platelet transfusions - intravenous antibiotics - treatments for anemia and low calcium - anti-inflammatory medications - therapeutic phlebotomy - medications for various blood disorders as a member of the meridian health family, patients have access to the meridian cancer care patient navigator service where they will find comfort, compassion, and a wealth of knowledge in their dedicated nurse navigator should a cancer diagnosis be made. Cardiac services ---------------- cardiac diagnostics the first step in cardiac treatment is to properly evaluate and identify cardiovascular disease through the use of noninvasive diagnostic imaging services. Bayshore offers the following medical tests: - cardiac event monitoring - nuclear stress test electrocardiogram (ekg) - echocardiogram stress echocardiogram - exercise stress test - trans-esophageal echocardiogram (tee) - multiple gated acquisition (muga) scans - holter monitoring (ambulatory ecg monitoring) center for bariatrics --------------------- to help our patients succeed, we have built a program that ensures active participation of our patients in their weight-loss journey, which includes medical, nutritional, emotional, and exercise counseling. After surgery, we continue to be committed to our patients to ensure positive results by helping them maintain healthy habits. Our comprehensive approach to care is only one reason that sets us apart. In order to provide you with the best possible care, we offer access to a panel of dedicated specialists. Our bariatric surgery team includes cardiologists, gastroenterologists, pulmonologists, endocrinologists, surgeons, dietitians, exercise and behavioral health experts, all working together to develop a personalized care plan for you. This care plan includes extensive education and evaluation before surgery, and the lifetime follow-up care and support crucial to keeping the weight off and staying healthy. Center for wound healing ------------------------ lauding a wound healing rate consistently over 95%, the expert medical practitioners at the center for wound healing at bayshore, an outpatient wound care management program, provide treatment and care that not only heals wounds - it heals lives. Dealing with a wound can be personally frustrating, in addition to being restrictive to the performance of daily activities, and can possibly lead to more serious, life-changing health conditions. Using the most up-to-date approaches in the science of wound care, these health care professionals - comprised of board-certified surgeons, podiatrists and registered nurses - employ an interdisciplinary case management approach, with the goal of returning patients to an improved quality of life. Diabetes management ------------------- this comprehensive program teaches patients how to control, and healthfully live with, either type 1 or type 2 diabetes. The bayshore diabetes self-management education program has been recognized by the american diabetes association for quality self-management education. Monitoring for prevention of complications program participants learn how to become expert in the three basic skills for proper diabetes control: - detection - prevention - treatment diagnostic imaging ------------------ the medical practitioners in diagnostic imaging provide 24-hour report turnaround from the time a procedure is performed until the report is delivered to the patient's physician. Test services include: - pet/ct scan - mri - ct scan - mr angiography (mra) and ct angiography (cta) - ultrasound/sonography - breast imaging: digital mammography, ultrasound and mri - interventional radiology - general radiology emergency medicine ------------------ the emergency department at bayshore offers the expertise of a highly trained staff of medical professionals, all ready to respond to the immediate health care crises of area residents.\n\nExpert emergency medicine team critical members of the medical team include board-certified emergency medicine physicians, along with experienced mid-level providers - physician assistants and nurse practitioners - with clinical specialty training in emergency medicine. Providing crucial hands-on health care are accomplished registered nurses with trauma nursing core course training, in addition to certifications in basic life support, advanced cardiac life support and pediatric advanced life support. Patient care associates are on staff to perform a variety of diagnostic and monitoring services, while patient advocates are available 12 hours per day as a resource for patients and their families. Multi-need facilities housing 13 acute-care beds, in addition to ten fast track beds, the emergency department promptly evaluates a patient's condition via a skilled triage nurse, who determines the immediacy of treatment needed. A negative pressure room is available to accommodate patients with infectious disease, in addition to a specially outfitted room to handle eye and ear ailments. A locked room is on-hand, should a patient require crisis intervention and secure supervision. Fast track with its fast track program, the emergency department is able to quickly treat non-life threatening conditions, utilizing the skilled services of physician assistants and nurse practitioners. These medical professionals can often oversee basic diagnostic tests and procedures, such as x-rays, splinting and suturing, under the direction of a staff physician, allowing for improved patient flow and reduced treatment turnaround time. Primary stroke center bayshore hospital is a designated primary stroke center, indicating that its specially trained stroke team is prepared with the skills and equipment necessary to expeditiously assess stroke symptoms and determine the proper immediate treatment. Consisting of a physician, registered nurse, respiratory therapist and emergency department staff, the stroke team's quick response can dramatically impact a patient's successful recovery from a stroke. Endoscopy services ------------------ with a multi-disciplinary team that includes physicians specializing in gastroenterology, proctology, pulmonology, bariatrics and anesthesiology, the endoscopy department is rounded out with a team of highly trained registered nurses and certified technicians. Responsible for all its own pre- and post-procedure care, the endoscopy department is a convenient one-stop location for same-day procedures, receiving repeatedly recognized for its high level of patient satisfaction. Housing three procedure rooms - one is a special negative pressure bronchial room -the endoscopy department provides care for outpatients, in-house patients and emergency room admittances, handling a variety of medical procedures that include: - anorectal tests - bronchoscopy - colonoscopy - small bowel enteroscopy - small bowel capsule endoscopy - esophageal gastro duodenoscopy (egd) - percutaneous endoscopic gastrostomy (peg) - endoscopic retrograde cholangiopancreatography (ercp) minor surgery ------------- the minor surgery staff provides comprehensive pre- and post-operative care, including a thorough pre-op phone interview and continuous monitoring by a registered nurse throughout the procedure. Post-operative care is reviewed with each patient upon discharge, completing the cycle of fine medical service from the bayshore minor surgery team. Range of services - eye laser treatments for glaucoma and secondary cataracts. - excision and laser removal of skin abnormalities - arthroplasty of toes - skin grafts - epidural steroid injections - lumbar and cervical facet injections - radiofrequency procedures orthopedic services ------------------- comprehensive orthopedic services simple to complex, the bayshore orthopedic staff has the skilled expertise to accurately assess injuries and disorders of the skeletal system, including degenerative diseases, orthopedic trauma, spine disorders, sports injuries and congenital conditions. An assortment of the corrective procedures includes: - total hip replacement - joint and ligament repair - full and partial knee replacement - shoulder reconstruction - back and spinal surgery - hand surgery - scoliosis treatment and surgery - elbow surgery - bone and tendon grafts - bunionectomy - spinal decompression - spinal fusion - cervical and lumbar epidurals - nerve blocks - arthroplasty joint replacement of finger and toe - arthroscopic surgeries of the knee, ankle, shoulder, wrist blood management program ------------------------ bayshore has the distinction of offering a blood management system, often referred to as a \"cell saver\" program, to patients undergoing more extensive orthopedic surgeries. During the operation, a patient's lost blood is recovered, then recycled and reinfused into the patient during the perioperative process. This technique is an appealing alternative for patients with objections to blood transfusions. Exceptional intraoperative monitoring ------------------------------------- using cutting-edge technology, bayshore's orthopedic spine surgery team is able to precisely track changes in the brain, spinal cord, and peripheral nerve function during major spine surgeries. Through the use of a neurophysiological monitoring system, managed by specially trained technicians, surgeons can ensure that delicate nerves are not damaged during extensive surgical procedures, all to obtain the optimum outcome for patients. Rehabilitation services ----------------------- types of therapy available: - physical therapy - vestibular rehabilitation - occupational therapy - speech therapy - audiology testing - neurodiagnostic testing - aquatic therapy - continence training respiratory care ---------------- range of services the skillful respiratory care practitioners perform a variety of therapies and diagnostic tests to aid physicians in determining proper treatment for conditions of the cardio-respiratory system. The following services are offered, all under the direction of a physician: - administering medical gases (air and oxygen), humidification, and aerosols - breathing exercises to improve lung function - bronchial hygiene techniques (postural drainage, percussion, and vibration) - arterial blood gas sampling and analysis to determine levels of oxygen, carbon dioxide and acidity (ph) in blood from an artery - pulmonary function test to measure overall lung function - airway management (insertion and maintenance of artificial airways) - mechanical ventilatory support - performance of cardio-pulmonary resuscitation (CPR) - bilevel and continuous positive airway pressure (bipap and cpap) therapy all licensed by the state of new jersey to practice respiratory therapy, the staff are part of bayshore's emergency response teams - code blue, stroke activation and rapid response - providing urgent medical care to patients. Sleep care center ----------------- sleep testing there are several types of evaluations that can be performed at the sleep care center at bayshore, which houses two private bedrooms furnished with queen-size beds and televisions for patients' comfort. Tests are generally performed at night, although daytime testing is available for patients who work night shifts. - polysomnogram (psg) - cpap/bipap titration study - multiple sleep latency test (mslt) - maintenance of wakefulness test (mwt) community benefit and operations ================================ community outreach ------------------ bayshore offers many community outreach programs including, but not limited to, the following: adult health and wellness initiatives: - free health education lectures and seminars on a variety of topics - chronic disease self management program - free and low cost health screenings - support groups - active adult health & wellness outreach - booker health sciences library - call center services (physician referral, class registration) - health education - health screenings - support groups children's health initiatives: - doctor bernard and the pawsitive action team educates children on nutrition, fitness, staying safe and good citizenship. - asthma education and screening - safesitter babysiting training bayshore's community outreach programs are held at bayshore community hospital, meridian fitness and wellness center at hazlet as well as at various community based locations. Many of bayshore's community outreach programs are available in english as well as spanish.\n\nOther community benefit information =================================== caring for all members of the community --------------------------------------- people without health insurance coverage are more likely to forego preventive care and seek treatment only when their illnesses require visits to hospital emergency rooms. By that time, their illnesses typically are more advanced and more costly to treat. Bayshore's outreach efforts and programs have encouraged many to walk through its doors who might otherwise have gone without necessary health care. In 2011, bayshore provided $4.5 million in charity care to patients for which we received no payment. In addition, medicare and medicaid often do not cover all the costs associated with providing quality patient care. In 2011, bayshore spent more than $4.9 million in direct patient care that was not reimbursed by any of the federal or state health programs. Supporting local organizations ------------------------------ over the years, bayshore has been able to offer support through charitable donations to a host of worthy, local not-for-profit organizations. Bayshore also encourages our leaders, physicians, and team members to serve on a variety of boards and community groups dedicated to improving the quality of life in our neighborhoods. As a socially conscious member of the community, bayshore focuses its charitable giving on the areas that support or are aligned with bayshore's charitable mission. These include; groups that promote awareness of health-related issues; community associations that help those in need obtain basic necessities like food, clothing and shelter; organizations that encourage young people to achieve their potential, use their imagination, and keep them safe from harm; social services that provide relief and counseling to those suffering from abuse; and events that promote healthy activity and socialization such as community festivals and walks. Meridian regularly publishes two free consumer magazines - healthviews - and kidviews - to educate and inform residents of monmouth and ocean counties on timely and relevant health topics. Both publications feature real-life patient stories that detail how individuals receive their diagnosis and make important treatment decisions in conjunction with their physicians. The magazines contains meridian's calendar of events where residents can find free community education and screening programs as well as a variety of health and wellness tips. Bayshore's latest addition to its community outreach program is angioscreen. A revolutionary, new vascular screening designed to provide participants with information about their circulation and risk for cardiovascular disease and stroke. Data from the most recent community health needs assessment showed that the prevalence of stroke has doubled in our area in the past 5 years. This was the driving force behind developing this innovative screening for our community. Bayshore also coordinates a speaker's bureau where physicians, nurses or other health care professionals bring prevention and wellness education to local businesses, schools and universities, community groups, faith based organizations and underserved communities upon request. In addition, the hospital has established and coordinated a program that provides a referral system and assistance to senior citizens in completing forms for insurance submission and medicare and medicaid applications as well as other health-related paper work they may have. A senior dining program provides nutritionally balanced meals to local seniors at reduced rates.\n\nExpenses incurred in providing various other medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to the organization's community benefit statement included in schedule o.","year":2011,"name":"BAYSHORE COMMUNITY HOSPITAL","phone":"7327517500","website":"WWW.BCHS.COM","type":"990","foreign_countries":["Jersey"],"principal_officer":"JOHN K LLOYD FACHE","year_formation":1962,"state_legal_domicile":"NJ","total_volunteers":195,"tax_period_begin":"2011-01-01T00:00:00","tax_period_end":"2011-12-31T00:00:00","address":"727 NORTH BEERS STREET, HOLMDEL, NJ, 07733, USA","city":"HOLMDEL","state":"NJ","country":"USA","zip_code":"07733"},"Governance":{"501c3 determination":true,"Number of voting members":22,"Number of independent voting members":11,"Number of employees total":1241,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":1241,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":true,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":true,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":true,"Federal grant audit performed":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":117186978,"Contributions":{"value":180870,"Grant revenue":180870},"Program revenue":{"value":115267864,"Total revenue":{"value":115267864,"VARIOUS":115267864}},"Investment income":{"value":1204437,"Investment income total":1565438,"Net investment gain":-363873,"Income from invest bond proceeds":2872},"Other revenues":{"value":533807,"Other total":491864,"Royalties revenue":0,"Net rental income":41943,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":113873047,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":56033734,"Current officers":837140,"Disqualified persons":0,"Other salaries and wages":43900917,"Pension plan contributions":33814,"Other employee benefits":8006090,"Payroll taxes":3255773},"Other expenses":{"value":57839313,"Management services":0,"Legal":148299,"Accounting":165750,"Lobbying services":0,"Investment management fees":0,"Other services":7776278,"Advertising":128074,"Office expenses":21226636,"Information technology":18342,"Royalties":266464,"Occupancy":2564757,"Travel":2522,"Conferences and meetings":70170,"Interest":2098090,"Payments to affiliates":0,"Depreciation and depletion":6171399,"Insurance":608155,"Travel entertainment public officials":0,"Itemized Expenses":{"value":16594377,"VARIOUS":16594377}}},"Assets":{"value":125634634,"Non-interest bearing cash":3250,"Savings and temp cash investments":11740402,"Pledges and grants receivable":0,"Accounts receivable":8501871,"Receivables from officers":0,"Receivables from disqual persons":0,"Other net note and loans":8346462,"Inventories for sale or use":2749142,"Prepaid expenses deferred charges":707332,"Land, building, equipment":44340049,"Investments publicly traded":0,"Investments other":44091851,"Investments program related":0,"Intangible assets":1723000,"Other assets":3431275},"Liabilities":{"value":73477797,"Accounts payable, accrued":11315934,"Grants payable":0,"Deferred, revenue":0,"Tax exempt bond liabilities":40468298,"Escrow account liability":0,"Loans from officers, directors":0,"Secured mortgages and notes payable":0,"Unsecured notes loans payable":0,"Other liabilities":21693565},"Fund balance":{"value":52156837},"Form990Details":{"program_service_accomplishments":[{"description":"EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. 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ROAD SUITE 7B","city":"FREEHOLD","state":"NJ","zip":"07728","facility_type":"SLEEP CENTER UNTIL MARCH 2011","name":"FREEHOLD SLEEP CENTER","address":"55 SCHANCK ROAD SUITE 7B, FREEHOLD, NJ, 07728"}],"supplemental_information":[{"form_and_line_reference":"SCHEDULE H, PART I, LINE 3C","explanation":"NOT APPLICABLE - THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE."},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 6A","explanation":"NOT APPLICABLE"},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 7","explanation":"THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $12,110,411."},{"form_and_line_reference":"SCHEDULE H, PART II","explanation":"AT BAYSHORE COMMUNITY HOSPITAL, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITAL REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITY. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. IN THIS NEW ERA OF HEALTH CARE REFORM, COMMUNITY BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. BAYSHORE REMAINS COMMITTED TO STRENGTHENING ITS MISSION AND IN 2011 DEVOTED MORE THAN $200,000 IN COMMUNITY BENEFITS. THE SUCCESS AND EFFECTIVENESS OF BAYSHORE'S COMMUNITY BENEFIT PROGRAMS ARE A DIRECT RESULT OF THE EFFORTS OF ITS COMMITTED STAFF OF PHYSICIANS, NURSES, HEALTHCARE SPECIALISTS AND COMMUNITY EDUCATORS ALONG WITH DEDICATED COMMUNITY MEMBERS WHO HELP IDENTIFY, DEVELOP AND IMPLEMENT INITIATIVES THAT POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 4","explanation":"BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. PATIENT ACCOUNTS RECEIVABLE THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. THE HOSPITAL HAS IMPLEMENTED A MONTHLY STANDARDIZED APPROACH TO ESTIMATE AND REVIEW THE COLLECTABILITY OF RECEIVABLES BASED ON THE PAYOR CLASSIFICATION AND THE PERIOD FROM WHICH THE RECEIVABLES HAVE BEEN OUTSTANDING. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT FEELS IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYOR REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO RESERVES FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE HOSPITAL ASSESSES THE CURRENT STATE OF ITS BILLING FUNCTIONS IN ORDER TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES AND ASSESS THE IMPACT, IF ANY, ON RESERVE ESTIMATES. THE HOSPITAL BELIEVES THAT THE COLLECTABILITY OF ITS RECEIVABLES IS DIRECTLY LINKED TO THE QUALITY OF ITS BILLING PROCESSES, MOST NOTABLY THOSE RELATED TO OBTAINING THE CORRECT INFORMATION IN ORDER TO BILL EFFECTIVELY FOR THE SERVICES IT PROVIDES. REVISIONS IN RESERVE FOR DOUBTFUL ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO BAD DEBT EXPENSE. CHARITY CARE The Hospital provides care to patients who meet certain criteria defined by the New Jersey Department of Health and Senior Services without charge or at amounts less than its established rates. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished. The Hospital receives partial reimbursement for the uncompensated care it provides (Note 4). Of the Hospitals $114 million of total expenses reported for December 31, 2011, an estimated cost of $4,513,000 is attributable to providing services to charity patients. The estimated costs of providing charity services are based on a calculation which applies a ratio of cost to charges to the gross uncompensated charges associated with providing care to charity patients. The ratio of cost to charges is calculated based on the Hospitals total expenses, excluding bad debt expense, divided by gross patient service revenue."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 8","explanation":"MEDICARE COSTS WERE DERIVED FROM THE 2011 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION (\"AHA\") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION (\"MEDPAC\") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED \"DUAL ELIGIBLES.\" THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE (\"CBO\") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT \"THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE.\" - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS \"SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS\" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 9B","explanation":"ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. BAYSHORE COMMUNITY HOSPITAL BUSINESS OFFICE FUNCTIONS WERE CONSOLIDATED WITH MERIDIAN HOSPITALS CORPORATION IN 2011 MERIDIAN HANDLES ALL COLLECTION OF DEBT IN THE SAME FASHION REGARDLESS OF TYPE OF PAYER. MERIDIAN UTILIZES THE FAIR ISAAC BAD DEBT MANAGEMENT SYSTEM FOR ITS COLLECTION PRACTICES. MERIDIAN ALSO ROUTINELY REFERS UNPAID PATIENT ACCOUNTS TO VARIOUS COLLECTION AGENCIES WHEN THE ACCOUNTS REACH THE END OF THE DUNNING CYCLE. BELOW IS THE PROCESS FOR THE COLLECTION OF BAD DEBT: - ACCOUNTS UNDER $7,500 THAT REACH THE END OF THE DUNNING CYCLE AUTOMATICALLY TRANSFER TO THE FAIR ISAAC BAD DEBT MANAGEMENT SYSTEM. - ACCOUNTS OVER $25,000 ARE APPROVED BY THE VICE PRESIDENT OF PATIENT FINANCIAL SERVICES. - PAYMENTS AND FILES ARE RECONCILED THROUGH THE FAIR ISAAC BAD DEBT MANAGEMENT SYSTEM REPORT (RMSSMS REC TOTALS) WHICH IS SENT TO MERIDIAN'S FINANCE DEPARTMENT. - AUTOMATIC TRANSFER TO A SECONDARY COLLECTION AGENCY OCCURS 180 DAYS AFTER PRIMARY PLACEMENT. - AUTOMATIC TRANSFER TO A TERTIARY ATTORNEY OCCURS 180 DAYS AFTER SECONDARY ASSIGNMENT."},{"form_and_line_reference":"SCHEDULE H, PART V; SECTION B","explanation":"Financial Assistance Policy, Question 11h This organization exists to benefit our communities by promoting good health, healing, caring and comforting. The Hospital is proud of its not-for-profit public mission to provide quality care to all in need 24 hours a day, 365 days a year. The Hospital seeks ways of fulfilling our moral, ethical, and legal obligations to ensure that everyone gets the care they need regardless of ability to pay. To successfully provide this assistance, we ask that patients actively cooperate with us. The Hospital assists patients in obtaining financial assistance from public programs and other sources whenever appropriate. To remain viable as it fulfills its mission, the Hospital must meet its fiduciary responsibility to appropriately bill and collect for medical services provided to patients. The purpose of the Hospital's Financial Assistance Policy is to provide general guidelines to assure reasonable collection of accounts from all available sources and to recognize as soon as possible when an individual requires assistance and/or that an account may qualify for free care, uncompensated care or as bad debt. It is also intended to ensure that the Hospital complies with applicable state and federal requirements as well as those set forth in the Fair Debt Collections Practices Act. The Hospital must charge for services rendered. The exact charges will depend on the extent of the services rendered by the patients' physicians and clinical team. Some examples of this include but are not limited to: Blood work, Diagnostic Testing, MRI, CT Scan, Endoscopy, Biopsies, Pathology, and Surgery. We understand and appreciate how overwhelming it can be to deal with health issues and billing issues at the same time, particularly confusing medical bills and insurance details. We strive to make this process as easy as possible for our patients by inviting patients to call our Patient Accounts Department directly at 732-776-4380 if they have questions or if they need assistance, either while still as a patient or after they have returned home. A complete bill will be mailed to the patient. However, private room costs and insurance deductibles are due at the time of admission, and can be paid at the Admitting Department which is open 24 hours a day. If the patient does not have coverage with an insurance provider, we will contact them to determine eligibility for financial assistance and to make payment arrangements. Separate Billing Under federal law, certain services cannot be included in a hospital bill. Therefore, the patient will receive separate physician bills for each service rendered by the following: Anesthesiology Cardiology EEG EKG Emergency Physicians House Staff Psychiatry Nuclear Medicine Pathology Pulmonary Function Department Radiology (films and interpretations) Surgical Assistants Speech Therapy These physician fees are for professional services rendered and/or interpretation of studies performed, and any questions regarding them should be addressed directly to those physician offices. In addition, if a house staff physician treats a patient for a situation that arises when their own physician is not available, they will be billed directly by that physician. The charges will not appear on the hospital bill. Patients should submit any such bills to their insurance provider or make arrangements for payment directly with the physician. Surgical Patients In major surgical cases, it is mandatory to have a second qualified surgeon or surgeons available to assist the attending surgeon. Its purpose is to ensure the quality and safety of complex procedures. Traditionally, the cost of an assisting surgeon or surgeons was included in your hospital bill. Today, however, the Federal Tax Equity and Responsibility Act (TEFRA) does not allow such an inclusion, so the patient will receive a separate bill from the assisting surgeon or surgeons and are expected to pay for the services rendered by them. Insurance companies are familiar with this practice and should include the assisting surgeon or surgeons for payment, if it is an included benefit. These bills should be forwarded to the patient's insurance provider. Insurance Limitations Under Medicare, Medicaid, and other third-party regulations, only certain levels of care may be covered by the Hospitals. Insurance benefits may be discontinued if a patient's physician or Health Care Quality Strategies, Inc. (HQSI), decides that further care is not medically necessary. The patient may be held personally responsible for any non-covered services. It is the patient's responsibility to provide us with accurate information about their insurance (Medicaid, Medicare, Managed Medicaid) so that the insurance can be billed correctly. If patients don't have insurance or their insurance doesn't cover all of the costs, there are federal and state sources of financial assistance that may be available to them. Eligibility requirements and the application process may be different depending upon the program. Financial Assistance Representatives are available to discuss what the best plan is for the patient. When patients meet with our Financial Assistance Representatives, he/she will provide a detailed list of what they will need. We specialize in the five major programs that are available to help New Jersey residents. Eligibility for these programs is dependent on the New Jersey State income and assets. Income thresholds are based on the Federal Poverty Guidelines (FPG) issued each year in the Federal Register by the Department of Health and Human Services (HHS). The 2011 income and asset levels can be found at http://www.state.nj.us/health/cc/documents/ccfactsh.pdf MEDICAID The Hospital has contracted with a nationwide vendor, Century Business Services (CBIZ), to assist our patients who meet the eligibility criteria with the application process. There are many types of Medicaid available through the NJ Department of Health. CBIZ works with our patients to determine the program best suited for their circumstances. SSI - MEDICAID This is a program that supplements Medicaid benefits with a monthly income stipend that can help with basic needs such as food, clothing, or housing. The Hospitals have contracted with Chamberlin Edmonds and Century Business Solutions (CBIZ) to be onsite to assist inpatients and certain outpatients who meet the eligibility criteria with the application process. FAMILY CARE This program is designed to provide coverage for children. The Hospitals' Financial Assistance Team will assist you in completing the application. The application is then forwarded to the County Board of Social Services or the State vendor in Trenton for processing. The patient will hear directly from the processing agency regarding the status of their application. PRESUMPTIVE ELIGIBILITY - MEDICAID This program provides temporary coverage for persons who meet some basic eligibility criteria so that their health care costs can be covered while the formal Medicaid or Family Care application is processed. It provides 45 days of coverage from the initial date of the application. It is the patient's responsibility to complete the charity care documents and submit them to the Financial Assistance Office. Patients are to notify the registration team member when they have been approved for any service such as Charity Care or Medicaid. Patients who are not covered by insurance and do not qualify for Financial Assistance will be asked to pay an upfront reduced rate for any ancillary services that are needed. These fees are available upon request. Patients paying at the time of their visit will be charged a flat rate. This rate equals less than 50% of our actual charges. Any patients that qualify for Financial Assistance will have applicable fees refunded. CHARITY CARE Unlike Medicaid and Family Care, which provides ongoing coverage for health care services, including physician services and drugs, Charity Care is designed to provide assistance to cover the costs of hospital services only. In order to apply for Charity Care a patient must have a scheduled appointment in the hospital within 30 days or have received a hospital bill within the last 12 months. Patients should know that their immigration status doesn't matter when they apply for Charity Care - it will not affect eligibility. If no other options are available to the patient, the Hospitals' Financial Assistance Team will assist in completing a Charity Care application. Charity Care discounts are in compliance with regulations established in NJAC 8:31.B-4.38. Uninsured billing limits are in accordance with P.L.2008 c.60. Discounted rates are available for patients without insurance depending on financial need. Patients are asked to provide proof of income, family size, and asset information in order to be considered for discounted rates. Patients requesting financial assistance are referred to Entitlement for consideration. 1. Charity Care - Pati"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 2","explanation":"BUILDING HEALTHY COMMUNITIES OUTREACH HAS BEEN DEFINED AS AN ATTEMPT TO PROVIDE SERVICES BEYOND CONVENTIONAL LIMITS, OFTEN TO PARTICULAR SEGMENTS OF A COMMUNITY. AT BAYSHORE COMMUNITY HOSPITAL, NOTHING WE DO IS CONVENTIONAL, AS WE CONTINUOUSLY STRIVE TO PROVIDE OUTSTANDING CARE, SERVICE, AND SUPPORT TO OUR COMMUNITY MEMBERS. AS YOU WILL SEE, BAYSHORE IS EXTREMELY DEDICATED TO IMPROVING THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. AS THE LEADING PROVIDER OF HEALTH CARE SERVICES IN OUR AREA, OUR COMMUNITY IMPACT EXTENDS FAR BEYOND NUMBERS ON A PAPER. WE WALK THE TALK AND LIVE AND BREATHE OUR BRAND PROMISE OF PROVIDING THE BEST HEALTH CARE EXPERIENCE, WHETHER WITHIN THE WALLS OF OUR FACILITIES OR OUT IN OUR SURROUNDING COMMUNITIES. AT BAYSHORE COMMUNITY HOSPITAL, OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. BAYSHORE REMAINS COMMITTED TO STRENGTHENING ITS MISSION AND IN 2011, DEVOTED APPROXIMATELY $6.5 MILLION IN COMMUNITY BENEFITS. CARING FOR ALL MEMBERS OF THE COMMUNITY AS A NOT-FOR-PROFIT HEALTH CARE PROVIDER, MERIDIAN HEALTH IS THE REGIONAL LEADER IN PROVIDING INNOVATIVE AND ACCESSIBLE HEALTH CARE PROGRAMS AND SERVICES TO INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGHOUT MONMOUTH AND OCEAN COUNTIES. EVERYONE DESERVES ACCESS TO QUALITY CARE REGARDLESS OF THEIR ABILITY TO PAY. IN 2011, BAYSHORE COMMUNITY HOSPITAL PROVIDED APPROXIMATELY 14.7 MILLION DOLLARS IN CHARITY CARE AND OTHER UNCOMPENSATED CARE, SERVING AS A HEALTH CARE SAFETY NET FOR OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS COMMUNITY-BASED PREVENTION AND WELLNESS ACTIVITIES PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. THAT'S WHY MERIDIAN EMBARKED ON A STRATEGIC PROCESS OF REASSESSING THE AREA'S HEALTHCARE NEEDS. WORKING WITH A NATIONALLY RENOWNED RESEARCH FIRM, MERIDIAN SURVEYED OVER 1,000 HOUSEHOLDS VIA TELEPHONE IN MONMOUTH AND OCEAN COUNTIES TO GATHER LOCAL RESIDENTS' VIEWS OF THEIR COMMUNITY'S MOST CRITICAL HEALTH NEEDS. IN ADDITION, MERIDIAN INVITED COMMUNITY MEMBERS, COUNTY AND LOCAL HEALTH DEPARTMENT OFFICERS, AND OTHER COMMUNITY LEADERS TO PARTICIPATE IN FOCUS GROUPS TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS OF THE AREA. BAYSHORE COMMUNITY HOSPITAL WAS REPRESENTED AND INCLUDED IN THIS NEEDS ASSESSMENT PROCESS. FINDINGS OF THE ASSESSMENT ARE REVIEWED TOGETHER WITH MERIDIAN'S COMMUNITY ADVISORY COMMITTEES, LOCAL HEALTH DEPARTMENT OFFICIALS, PHYSICIANS, AND OTHER COMMUNITY LEADERS, WITH THE GOAL OF SELECTING AND PRIORITIZING THE TOP HEALTH CONCERNS FOR OUR COMMUNITY. THIS COLLABORATIVE EFFORT, WILL SERVE AS A TOOL TO REACHING THREE BASIC GOALS: TO IMPROVE RESIDENTS' HEALTH STATUS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE, TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS AND TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL RESIDENTS. DELIVERING ON COMMUNITY COMMITMENT COMMUNITY MEMBERS BOTH YOUNG AND OLD TOOK ADVANTAGE OF FREE HEALTH AND WELLNESS SCREENINGS, EDUCATION PROGRAMS, SUPPORT GROUPS AND OTHER HEALTH PROMOTION ACTIVITIES OFFERED THROUGHOUT BAYSHORE COMMUNITY HOSPITAL'S MARKET AREA. THESE SCREENINGS ARE CONDUCTED IN A VARIETY OF COMMUNITY LOCATIONS INCLUDING, HOUSES OF WORSHIP, SCHOOLS, ACTIVE ADULT COMMUNITIES, SENIOR HOUSING, LOW INCOME HOUSING DEVELOPMENTS, AS WELL AS WITHIN THE HOSPITAL FACILITY. 2011 ACCOMPLISHMENTS AT BAYSHORE COMMUNITY HOSPITAL INCLUDE: - SERVING SEVERAL THOUSAND PEOPLE THROUGH OUR COMMUNITY HEALTH EDUCATION PROGRAMS - PROVIDING FREE HEALTH SCREENINGS - EDUCATING CHILDREN ON HOW TO EAT RIGHT, STAY FIT AND BE SAFE MERIDIAN'S LATEST ADDITION TO ITS COMMUNITY OUTREACH PROGRAM IS ANGIOSCREEN. A REVOLUTIONARY, NEW VASCULAR SCREENING DESIGNED TO PROVIDE PARTICIPANTS WITH INFORMATION ABOUT THEIR CIRCULATION AND RISK FOR CARDIOVASCULAR DISEASE AND STROKE. DATA FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT SHOWED THAT THE PREVALENCE OF STROKE HAS DOUBLED IN OUR AREA IN THE PAST 5 YEARS. THIS WAS THE DRIVING FORCE BEHIND DEVELOPING THIS INNOVATIVE SCREENING FOR OUR COMMUNITY AND OFFERING IT IN THE BAYSHORE MARKET AREA. A SPIRIT OF COLLABORATION COLLABORATION IS WORKING TOGETHER TO ACHIEVE A GOAL. TO THAT END, MERIDIAN CONVENES SEVERAL COMMUNITY ADVISORY COMMITTEES WHOSE MISSION IT IS TO ASSIST US IN IDENTIFYING AND ADDRESSING LOCAL HEALTH CARE NEEDS. COMMITTEE MEMBERS REPRESENT A CROSS-SECTION OF THE COMMUNITY IN TERMS OF AGE, GENDER, RELIGION, ETHNICITY, INTERESTS AND PROFESSIONAL STATUS. OUR PARTNERS IN HEALTH AND UNIDOS COMMITTEES ARE COMPRISED OF AFRICAN AMERICAN AND HISPANIC CIVIC AND COMMUNITY LEADERS RESPECTIVELY AND ARE FOCUSED ON ADDRESSING HEALTH ISSUES AND DISPARITIES AFFECTING COMMUNITIES OF COLOR. CURRENTLY, MORE THAN 150 PEOPLE FROM THE SURROUNDING AREA SERVE AS MEMBERS OF MERIDIAN'S COMMUNITY ADVISORY COMMITTEES. MERIDIAN MAINTAINS LEADERSHIP ROLES IN BOTH THE MONMOUTH COUNTY HEALTH IMPROVEMENT COALITION AND THE OCEAN COUNTY HEALTH ADVISORY GROUP. BOTH COALITIONS REPRESENT COLLABORATION BETWEEN COUNTY AND LOCAL HEALTH DEPARTMENTS AS WELL AS A VARIETY OF SOCIAL SERVICE, HEALTH CARE, HIGHER EDUCATION AND OTHER INTERESTED ORGANIZATIONS THAT WORK TOGETHER TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. STAYING CONNECTED MERIDIAN REGULARLY PUBLISHES TWO FREE CONSUMER MAGAZINES - HEALTHVIEWS - AND KIDVIEWS - TO EDUCATE AND INFORM RESIDENTS OF MONMOUTH AND OCEAN COUNTIES ON TIMELY AND RELEVANT HEALTH TOPICS. BOTH PUBLICATIONS FEATURE REAL-LIFE PATIENT STORIES THAT DETAIL HOW INDIVIDUALS RECEIVE THEIR DIAGNOSIS AND MAKE IMPORTANT TREATMENT DECISIONS IN CONJUNCTION WITH THEIR PHYSICIANS. THE MAGAZINES CONTAINS MERIDIAN'S CALENDAR OF EVENTS WHERE RESIDENTS CAN FIND FREE COMMUNITY EDUCATION AND SCREENING PROGRAMS AS WELL AS A VARIETY OF HEALTH AND WELLNESS TIPS. MERIDIAN ALSO PUBLISHES SEVERAL MONTHLY E-NEWSLETTERS - HEALTH-E HEART, MERIDIAN WOMEN'S HEART CONNECTION AND HEALTH-E CHILD - THESE ARE DISTRIBUTED FREE TO RESIDENTS WHO REQUEST THE PUBLICATION AND PROVIDE THEIR EMAIL ADDRESS. ALL PUBLICATIONS PROVIDE TIPS FOR MAINTAINING A HEALTHIER LIFESTYLE, PLUS INFORMATION ON THE LATEST PROCEDURES, SCREENINGS AND CLASSES OFFERED AT MERIDIAN. MERIDIAN'S MULTIPLE WEBSITES OFFER AN EXTENSIVE, FREE HEALTH LIBRARY (IN ENGLISH AND SPANISH) AND ATTRACT OVER 1.5 MILLION PEOPLE EACH YEAR. ONLINE VISITORS CAN TAKE A HEALTH ASSESSMENT QUIZ, LEARN ABOUT DIAGNOSTIC AND SURGICAL PROCEDURES, FIND A DOCTOR, AND REGISTER FOR A FREE CLASS OR HEALTH SCREENING AND MORE. IN ADDITION, MERIDIAN PROVIDES FREE 24/7 CALL CENTER SERVICES TO THE COMMUNITY TO LOCATE PHYSICIANS, HEALTHCARE SERVICES AND SUPPORT GROUPS, AS WELL AS TO REGISTER FOR HEALTH EDUCATION AND SCREENING PROGRAMS. IN 2011, THE CALL CENTER HANDLED MORE THAN 37,000 CALLS. THE SUCCESS AND EFFECTIVENESS OF BAYSHORE'S COMMUNITY BENEFIT PROGRAMS IS DERIVED FROM A COMMITTED STAFF OF PHYSICIANS, NURSES, HEALTH CARE SPECIALISTS AND COMMUNITY EDUCATORS ALONG WITH DEDICATED COMMUNITY MEMBERS WHO HELP BAYSHORE IDENTIFY, STRATEGIZE AND IMPLEMENT INITIATIVES THAT POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 3","explanation":"BAYSHORE HAS NOTICES POSTED IN ALL REGISTRATION AREAS, IN BOTH ENGLISH AND SPANISH, INFORMING PATIENTS TO INQUIRE ABOUT FINANCIAL ASSISTANCE. DURING THE INTERVIEW PROCESS, PATIENTS ARE VERBALLY GIVEN THE OPPORTUNITY TO INQUIRE ABOUT FINANCIAL ASSISTANCE. ALL STATEMENTS MAILED TO THE PATIENTS INCLUDE A FORM TO COMPLETE AND A PHONE NUMBER TO CALL, IF THEY WISH TO APPLY FOR FINANCIAL ASSISTANCE. IF PATIENTS CALL THE BUSINESS OFFICE, THEY ARE TOLD THEY MAY APPLY FOR FNANCIAL ASSISTANCE."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 4","explanation":"BAYSHORE OPERATES IN MONMOUTH COUNTY, NEW JERSEY. The following information is based on recent CENSUS ESTIMATES: MONMOUTH COUNTY =============== POPULATION, 2010 630,380 UNDER 5 YEARS OF AGE, 2010 5.5% UNDER 18 YEARS OF AGE, 2010 23.8% 65 YEARS OLD AND OVER, 2010 13.8% PERSONS BELOW POVERTY LEVEL, 2006-2010 6.3% MEDIAN HOUSEHOLD INCOME, 2006-2010 $ 82,265 RACIAL COMPOSITION, 2010: WHITE 76.7% AFRICAN AMERICAN 7.4% ASIAN 5.0% HISPANIC OR LATINO ORIGIN 9.7% OTHER 1.2%"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 5","explanation":"THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 6","explanation":"MERIDIAN HEALTH SYSTEM, INC. ---------------------------- MERIDIAN HEALTH SYSTEM, INC. (\"MERIDIAN\") IS THE TAX-EXEMPT PARENT OF THE MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM (\"SYSTEM\"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER MERIDIAN OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY MERIDIAN. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT MONMOUTH AND OCEAN COUNTIES AND SURROUNDING AREAS. MERIDIAN IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF A LARGE TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY, MERIDIAN STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF MONMOUTH AND OCEAN COUNTIES AND SURROUNDING COMMUNITIES. MERIDIAN ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. THE SYSTEM'S ACTIVE HOSPITALS INCLUDE: JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, BAYSHORE COMMUNITY HOSPITAL AND K. HOVNANIAN CHILDREN'S HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOSPITALS CORPORATION ------------------------------ MERIDIAN HOSPITALS CORPORATION (\"HOSPITALS\") IS A NOT FOR-PROFIT CORPORATION THAT OPERATES AN ACUTE CARE HOSPITAL SYSTEM, WHICH PROVIDES PRIMARY AND TERTIARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HOSPITALS ALSO PROVIDES PROGRAMS FOR MEDICAL TRAINING, RESEARCH, EDUCATION AND CONDUCTS ACTIVITIES ESTABLISHED TO IMPROVE THE HEALTH OF ITS COMMUNITIES. HOSPITALS INCLUDES JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, K. HOVNANIAN CHILDREN'S HOSPITAL AND BAYSHORE COMMUNITY HOSPITAL, A WHOLLY OWNED SUBSIDIARY OF HOSPITALS AND NOT INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. JERSEY SHORE UNIVERSITY MEDICAL CENTER -------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER (\"JSUMC\") IS A 661-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. JSUMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, JSUMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, JSUMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. RIVERVIEW MEDICAL CENTER ------------------------ RIVERVIEW MEDICAL CENTER (\"RMC\") IS A 492-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RED BANK, MONMOUTH COUNTY, NEW JERSEY. RMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, RMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, RMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. OCEAN MEDICAL CENTER -------------------- OCEAN MEDICAL CENTER (\"OMC\") IS A 303-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. OMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, OMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, OMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SOUTHERN OCEAN MEDICAL CENTER ----------------------------- SOUTHERN OCEAN MEDICAL CENTER (\"SOMC\") IS A 186-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN MANAHAWKIN, OCEAN COUNTY, NEW JERSEY. SOMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, SOMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SOMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BAYSHORE COMMUNITY HOSPITAL --------------------------- BAYSHORE COMMUNITY HOSPITAL (\"BCH\") IS A 238-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HOLMDEL, MONMOUTH COUNTY, NEW JERSEY. BCH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, BCH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, BCH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. K. HOVNANIAN CHILDREN'S HOSPITAL -------------------------------- K. HOVNANIAN CHILDREN'S HOSPITAL (\"HOVNANIAN\") IS A NON-PROFIT ACUTE CARE CHILDREN'S HOSPITAL LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. HOVNANIAN OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, HOVNANIAN PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, HOVNANIAN OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SHORE REHABILITATION INSTITUTE, INC. ------------------------------------ SHORE REHABILITATION INSTITUTE, INC. (\"SRI\") IS A 40-BED NON-PROFIT ACUTE REHABILITATION CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. SRI IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SRI PROVIDES MEDICALLY NECESSARY REHABILITATIVE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SRI OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOME CARE SERVICES, INC. --------------------------------- MERIDIAN HOME CARE SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION COORDINATES AND OPERATES HOME HEALTHCARE, HOME INFUSION AND HOSPICE SERVICES AND PROVIDES DURABLE MEDICAL EQUIPMENT TO ALL FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION ALSO SUPPORTS MERIDIAN HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES. HEALTH INNOVATIONS UNLIMITED, INC. ---------------------------------- HEALTH INNOVATIONS UNLIMITED, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2) WHOSE SOLE MEMBER IS MERIDIAN HOME CARE SERVICES, INC. THE ORGANIZATION PROVIDES THE DURABLE MEDICAL EQUIPMENT AND TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES ON BEHALF OF ITS SOLE MEMBER, MERIDIAN HOME CARE SERVICES, INC. JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF JERSEY SHORE UNIVERSITY MEDICAL CENTER; A DIVISION OF A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. OCEAN MEDICAL CENTE"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 7","explanation":"NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. MERIDIAN HOSPITALS CORPORATION, AN ORGANIZATION INCLUDED IN THIS GROUP FORM 990, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IT MAKES AVAILABLE TO THE PUBLIC ON ITS WEBSITE: WWW.MERIDIANHEALTH.COM."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"MARC H LORY","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":170000,"compensation_based_on_related_orgs":504014,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":268707,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":30288,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":26794,"other_compensation_filing_org":0,"other_compensation_related_orgs":309960,"total_compensation_filing_org":0,"total_compensation_related_orgs":1041056,"name":"MARC H LORY"},{"person_name":"JOHN K LLOYD FACHE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":558000,"compensation_based_on_related_orgs":927782,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":200000,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":23275,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":26867,"other_compensation_filing_org":0,"other_compensation_related_orgs":688082,"total_compensation_filing_org":0,"total_compensation_related_orgs":2224006,"name":"JOHN K LLOYD FACHE"},{"person_name":"JOHN GANTNER","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":245000,"compensation_based_on_related_orgs":586091,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":100000,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":216359,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":22688,"other_compensation_filing_org":0,"other_compensation_related_orgs":341771,"total_compensation_filing_org":0,"total_compensation_related_orgs":1411909,"name":"JOHN GANTNER"},{"person_name":"KARL MEINERT","base_compensation_filing_org":41788,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":789,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":6495,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":299401,"other_compensation_related_orgs":0,"total_compensation_filing_org":348473,"total_compensation_related_orgs":0,"name":"KARL MEINERT"},{"person_name":"L SCOTT LARSEN MD","base_compensation_filing_org":194008,"bonus_filing_org":92593,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":896,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":16947,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4750,"other_compensation_related_orgs":0,"total_compensation_filing_org":309194,"total_compensation_related_orgs":0,"name":"L SCOTT LARSEN MD"},{"person_name":"ADRIAN M PRISTAS MD","base_compensation_filing_org":177554,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":9126,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":78,"other_compensation_related_orgs":0,"total_compensation_filing_org":186758,"total_compensation_related_orgs":0,"name":"ADRIAN M PRISTAS MD"},{"person_name":"RAIMONDA A CLARK","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":753005,"other_compensation_related_orgs":0,"total_compensation_filing_org":753005,"total_compensation_related_orgs":0,"name":"RAIMONDA A CLARK"},{"person_name":"MICHAEL KEEN","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":358489,"other_compensation_related_orgs":0,"total_compensation_filing_org":358489,"total_compensation_related_orgs":0,"name":"MICHAEL KEEN"},{"person_name":"EMRO KRASOVEC","base_compensation_filing_org":2887,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":62,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":103,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":219223,"other_compensation_related_orgs":0,"total_compensation_filing_org":222275,"total_compensation_related_orgs":0,"name":"EMRO KRASOVEC"},{"person_name":"WENDY BROWN","base_compensation_filing_org":3010,"bonus_filing_org":16173,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":64,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":184,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":180997,"other_compensation_related_orgs":0,"total_compensation_filing_org":200428,"total_compensation_related_orgs":0,"name":"WENDY BROWN"}],"supplemental_information":[{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"CORE FORM PART VII AND SCHEDULE J, PART I; QUESTION 4A","explanation":"THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING 2011. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RAIMONDA A. CLARK, $750,298; MICHAEL KEEN, $358,489; KARL MEINERT, $272,739; EMRO KRASOVEC, $197,679; WENDY BROWN, $162,904; DONNA M. ANGELUCCI, $52,303 AND JANET SCHEURMAN, $66,407."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I; QUESTION 4B","explanation":"THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (\"SERP\"). THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $268,707. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A RETENTION AGREEMENT WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOXES 1 AND 5 AS TAXABLE WAGES: JOHN GANTNER, $300,000 AND JOHN K. LLOYD, FACHE, $600,000. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, AS TAXABLE WAGES: JOHN GANTNER, $191,906."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I; QUESTION 7","explanation":"CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 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."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART II, COLUMN F","explanation":"THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) FOR THE FOLLOWING INDIVIDUAL REPRESENTS UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2011 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2011 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $268,707. THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A RETENTION AGREEEMENT THAT BECAME TAXABLE IN 2011 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2011 FORM W-2, BOXES 1 AND 5, AS TAXABLE WAGES: JOHN K. LLOYD, FACHE, $200,000 AND JOHN GANTNER, $100,000."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"CORE FORM, PART VII AND SCHEDULE J","explanation":"MICHAEL SCHWARTZ DID NOT RECEIVE ANY COMPENSATION DIRECTLY FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING 2011 FOR HIS SERVICES AS ACTING PRESIDENT/CEO. AS REFLECTED IN OUR RESPONSE TO CORE FORM, PART VI, QUESTION #3, BAYSHORE COMMUNITY HOSPTIAL (\"BCH\") RETAINED THE SERVICES OF AN OUTSIDE, INDEPENDENT MANAGEMENT COMPANY TO MANAGE THE DAY-TO-DAY ACTIVITIES AND OPERATIONS OF THE ORGANIZATION UNTIL ALL THESE FUNCTIONS WERE TRANSITIONED TO MERIDIAN HEALTH SYSTEM, INC. PERSONNEL IN AUGUST OF 2011. MICHAEL SCHWARTZ IS THE REPRESENTATIVE OF THIS OUTSIDE MANAGEMENT COMPANY THAT PERFORMED THE DUTIES WITH RESPECT TO THE MANAGEMENT OF THE DAY-TO-DAY OPERATIONS AND ACTIVITIES OF THE ORGANIZATION. MERIDIAN HOSPITALS CORPORATION (\"MHC\"), BCH'S SOLE MEMBER AFTER THE STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND AFFILIATES INTO MERIDIAN HEALTH SYSTEM, INC., COMPENSATED THE OUTSIDE MANAGEMENT COMPANY DIRECTLY AND BCH REIMBURSED MHC FOR THESE EXPENSES."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":221987084,"business_name_line1":"NJ HEALTH CARE FACILITIES FINANCING AUTHORITY","cusip_number":"64579FCY7","date_issued":"2004-06-24T00:00:00","issue_price":8000000,"purpose":"MEDICAL OFFICE, EQUIPMENT AND RENO","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"NJ HEALTH CARE FACILITIES FINANCING AUTHORITY"}],"bond_proceeds":[{"total_proceeds":8000000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":130451,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":7869549,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":4520000,"amount_unspent":0,"substantial_completion_year":2006,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"private_business_use_by_others_percentage":0.0163,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0163,"post_issuance_compliance_procedures":true,"management_contract":false,"research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false}],"arbitrage":[{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"gic_provider_business_name_line1":"0","hedge_identified_in_books_and_records":false,"hedge_provider_business_name_line1":"0","variable_rate_issue":true,"exception_to_rebate":false,"form_8038t_filed":false}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"person_name":"EMERGENCY MEDICAL ASSOCIATES INC","relationship":"OFFICER - LARSEN","description":"HOUSE PHYSICIAN SERVICES","amount":343994,"sharing_of_revenues":false,"name":"EMERGENCY MEDICAL ASSOCIATES INC"}],"supplemental_information":[{"identifier":"BUSINESS TRANSACTIONS WITH INT. PERSONS","form_and_line_reference":"SCHEDULE L, PART IV","explanation":"L. SCOTT LARSEN, M.D. is the Vice President of the Medical Staff. The hospital pays Emergency Medical Associates, Inc. (\"EMA\") for services. Total fees paid to EMA in 2011 were $343,994. Services were rendered at fair market value rates pursuant to arm's length negotiations. PLEASE NOTE THAT THE TOTAL FEES PAID ARE COMPARABLE TO OTHER FIRMS PROVIDING SIMILAR TYPE SERVICES TO AFFILIATES WITHIN THE MERIDIAN HEALTH SYSTEM."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":223471515,"business_name_line1":"MERIDIAN HOSPITALS CORPORATION","primary_activities":"HEALTH SVCS.","exempt_code_section":"501(C)(3)","public_charity_status":"509(A)(1)","controlled_organization":false,"legal_domicile_state":"NJ","direct_controlling_business_name_line1":"MH SYSTEM","address_line1":"1350 CAMPUS PARKWAY","city":"NEPTUNE","state":"NJ","zip":"07753","name":"MERIDIAN HOSPITALS CORPORATION","address":"1350 CAMPUS PARKWAY, NEPTUNE, NJ, 07753"},{"ein":222731440,"business_name_line1":"MERIDIAN HOME CARE SERVICES INC","primary_activities":"HEALTH SVCS.","exempt_code_section":"501(C)(3)","public_charity_status":"509(A)(2)","controlled_organization":false,"legal_domicile_state":"NJ","direct_controlling_business_name_line1":"MH SYSTEM","address_line1":"103 EAST FRONT 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NJ, 07730"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":true,"loans_or_guarantees_to_other_org":true,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":true,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false}},"source_xml":"201310249349300821_public.xml"}],"Latest":{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"This organization is committed to improving the health and well-being of the residents of new jersey by providing quality, patient-centered health care services.","primary_activities":"Expenses incurred in providing medically necessary outpatient services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nExpenses incurred in providing medically necessary inpatient services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nExpenses incurred in providing medically necessary emergency department services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Please refer to schedule o for the organization's community benefit statement.\n\nBackground ========== bayshore community hospital (\"bayshore\") is a general medical and surgical hospital. Bayshore is recognized by the irs as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, bayshore provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, bayshore operates consistently with the criteria outlined in irs revenue ruling 69-545. Our history ----------- in 1963, community members identified the need for an acute care hospital in the bayshore area. In 1964, 17 acres of open land on north beers street in holmdel was acquired and ground was officially broken on april 29, 1970. Bayshore community hospital opened on time and under budget in 1972 with 158 acute care beds. The early medical staff, nurses, technicians and support staff deserve the credit for improving the health and well-being of our community. As the surrounding communities grew, so did the need for more medical services. The hospital implemented major construction programs from 1977 to 1984, starting with a 10,000-square-foot emergency room and general office expansion; the addition of a 10-bed surgical-respiratory intensive care unit; the construction of the hospital's north wing, adding 50 medical-surgical beds, along with renovation of all support services; all increased the hospital's bed complement to 218. Pleasant valley adult day care, an independent affiliate of bchs, opened in 1985, providing respite from one to five days per week for families caring for the elderly. Located on the bayshore hospital campus, the bayshore health care center opened in 1988 with 120 skilled care beds. Soon after, a second floor was added with an additional 60 residential beds. An 11-bed long-term care ventilator unit was added in 1996. A subacute care unit also provided a continuum of care for patients being discharged from the hospital following an acute illness who require intensive rehabilitative services to enable them to return home. In 1992, bayshore community hospital added seven intensive care beds, further increasing its licensed bed complement to 225. Internal renovations resulted in the relocation and upgrade of a 20-year-old intensive care unit, creating a new, 16-bed facility and a renovated and expanded operating room suite. A state-of-the-art cardiac catheterization and digital angiography suite opened in 1997, complementing the already expansive technological services of the hospital in the field of cardiology and interventional radiology. In july 1999, the willows at holmdel, an elegant 74-unit assisted living residence opened on the bayshore campus. The willows also offers the terrace, private suites in a safe and secure environment for alzheimer's residents. The john boyd and kathryn roberta mitchell pavilion for emergency and ambulatory care services opened in 2000. The new pavilion houses an expanded state-of-the-art emergency department and increased outpatient services for the community. A fast track unit expansion was added in 2003 for patients in need of treatment for minor illness or injury. Bayshore continued to address the needs of the community while expanding services throughout the area with two unique centers: the bayshore fitness and wellness center at hazlet, one of the first facilities in the nation to integrate fitness and wellness into one model focused on promoting a healthy lifestyle, and the sleepcare centers of bayshore (2000) and freehold (2001), which diagnose and treat sleep disorders. On may 1, 2002, bayshore community hospital celebrated its 30th anniversary. In june 2003, the $15 million ganz ambulatory imaging pavilion opened, providing the community with state-of-the-art diagnostics for outpatient services that include the picture archiving communication (pacs) and pet scans. The facility also houses the breast care center at bayshore offering digital mammography (2009), breast mri, bone densitometry. Accredited by the commission on cancer and the american college of surgeons, oncology services were implemented at bayshore in 2005 that allowed individuals with cancer to receive chemotherapy and other treatment services in an outpatient setting. A new infusion suite was also added. Bayshore was proud to announce the renovation of its operating rooms to a digital system in 2006, which aimed to help enhance patient care by providing surgeons with optimum control of the equipment and overall environment with the touch of a screen. In 2007, bayshore welcomed central jersey bariatrics, a team of board certified, new york fellowship trained surgeons as well as a bariatric program designed to offer options to people who are 100 pounds or more overweight. Bayshore community hospital announced that it is the first hospital in the nation to adopt spoken translation's product converser for healthcare, which is an english-to-spanish translation software. In 2009, the hospital received a gold seal accreditation from the joint commission. Bayshore was designated as a primary stroke center by the new jersey department of health and senior services. In september 2010, bayshore community hospital joined the meridian health family! In september 2010, bayshore became the sixth hospital in meridian's monmouth and ocean county system. With a strong focus on customer service, alignment with meridian health clinical best practices, a new leadership team, and countless new physicians, bayshore has begun to develop an exciting plan to create a destination hospital that will become the pride of the community. A number of exciting initiatives have been implemented since bayshore joined the meridian health family: - since september of 2010, 100+ new physicians have joined the medical staff - more than in the past five years combined! - cardiovascular services continue to be central to bayshore's future. Within the past year, the heart of bayshore has expanded with a new designation granted to the cardiac catheterization lab, expanded services, lab upgrades, and plans for expansion. - new services have been introduced, including a new center for bariatrics, developed under the leadership of nationally-recognized bariatric surgeon, karl strom, m.d. - several initiatives to promote nursing excellence have been introduced to encourage professional growth, additional training, and access to the latest clinical standards at meridian health. The new heart of bayshore in 2011, bayshore announced the cardiac catheterization laboratory was granted full-service adult diagnostic capabilities for all cardiac catheterization patients by the new jersey department of health. This designation allows bayshore to complete diagnostic procedures on high-risk patients, as well as the ability to continue performing these procedures on low-risk patients, without the need of transfers to outside facilities. In addition, the lab has also been upgraded with two intra aortic balloon pumps, a mechanical device that increases coronary blood flow and oxygen delivery to the heart. A comprehensive center for bariatrics bayshore is successfully helping patients deal with this major public health problem and announced a newly developed center for bariatrics. The new center takes a comprehensive approach on bariatric treatment including: counseling, nutrition, exercise and medical/surgical treatment. The center features the lap-band system, the only U.S... Fda approved, adjustable and completely reversible procedure, which requires less than a 24-hour hospital stay, has no stomach stapling or rerouting, and is 10 times safer than gastric bypass. Kid friendly! Bayshore community hospital recently opened a new pediatric care center, an affiliate of k. Hovnanian children's hospital at jersey shore university medical center. With the opening of the pediatric care center at bayshore, families in the surrounding communities will experience the difference in how bayshore approaches emergency care for children. The needs of children and their families in an emergency are unique, clinically and emotionally. Providing a special place, designed just for children, can help make a difficult time a little easier. Our mission ----------- meridian health is committed to improving the health and well-being of the residents of new jersey by providing quality, patient-centered health care services delivered in hospital, community and in-home settings, and to advancing medicine through clinical education and research. We foster a culture of excellence within a collaborative environment. We actively seek innovative solutions, technologies and partnerships to support sustainable financial growth and to ensure communities we serve have access to a comprehensive continuum of integrated services that meet their present and future health care needs.\n\nAwards and recognition ---------------------- bayshore was recognized as a \"top performer on key quality measures\" by the joint commission based on data reported about evidence-based clinical processes shown to improve care for certain conditions, including heart attack, heart failure, pneumonia, surgical care, and children's asthma. Bayshore is one of only 405 U.S... Hospitals and critical access hospitals earning the distinction of top performer on key quality measures for attaining and sustaining excellence in accountability measure performance. With our meridian partner hospitals, bayshore community hospital received the following awards: - fortune's \"100 best companies to work for\" in 2010 & 2011 - top 100 integrated health networks by modern healthcare magazine - \"best places to work in new jersey\" for seven consecutive years by njbiz - new jersey's outstanding employer of the year in 2003 and 2009 - one of the top 100 most wired health systems in the united states for 10 consecutive years - john m. Eisenberg award for patient safety, one of the highest recognitions in the nation for hospital quality. Centers of excellence ====================== balance and motion center ------------------------- this specialized team of medical practitioners will perform diagnostic tests on all aspects of a participant's balance system to identify the cause of dizziness or equilibrium related difficulties, and design an individualized treatment plan to restore mobility and function. Balance training program & vestibular rehabilitation through this customized program at bayshore, patients will partake in various types of physical rehabilitation therapy, with the goal of preventing unintentional falls in the future that could lead to life-altering health complications. This training methodology focuses on exercises designed to heighten each patient's kinesthetic body awareness, improve coordination, and increase strength and endurance. Techniques include: - flexibility training - trunk and lower extremity strengthening - gaze stabilization training - standing, dynamic, and ambulation balance training - movement safety tips - visual, vestibular, and musculoskeletal integration training breast care center ------------------ full service breast care right here at bayshore offering advanced technologies for breast health screenings, diagnosis and treatment, the breast care center at bayshore provides expert, yet personalized, service conveniently located for easy access by area residents, both women and men. Staff expertise the breast care team - led by fellowship trained, board certified radiologists - is among the finest in the central new jersey vicinity, with physicians hailing from top-rated medical programs at institutions that include harvard, cornell, columbia presbyterian, new york university and montefiore/albert einstein medical center. Bayshore's mammography coordinator recently received the designation of certified breast patient navigator by the national consortium of breast centers, inc. Through this certification, patients who turn to bayshore for their diagnostic breast imaging needs will have access to a knowledgeable and caring professional who can assist in ensuring timely exam results and scheduling of follow-up care. Accredited by the american college of radiology, the breast care center provides caring, individualized attention with a staff of registered mammography technologists. Range of services employing the latest technologies in breast care health, the breast care center furnishes the following diagnostic services: - digital mammography - ultrasound - breast mri - stereotactic biopsy - bone densitometry cancer care ----------- comprehensive care providing a continuum of cancer care, from diagnosis through treatment, is a top priority for the medical practitioners at bayshore, with these services being offered: - high-technology diagnostic testing, including pet/ct scan, digital mammography, mri, breast mri - biopsy procedures including stereotactic breast biopsy - team-based case management - cancer surgery - outpatient and inpatient chemotherapy - immunotherapy - brachytherapy - nutritional and genetic counseling - cancer rehabilitation services - at-home assistance through meridian-at-home services outpatient infusion services a breadth of treatment procedures are available to patients requiring frequent infusions of medications, all provided in the soothing, natural light-filled comfort of the infusion suite: - chemotherapy - blood and platelet transfusions - intravenous antibiotics - treatments for anemia and low calcium - anti-inflammatory medications - therapeutic phlebotomy - medications for various blood disorders as a member of the meridian health family, patients have access to the meridian cancer care patient navigator service where they will find comfort, compassion, and a wealth of knowledge in their dedicated nurse navigator should a cancer diagnosis be made. Cardiac services ---------------- cardiac diagnostics the first step in cardiac treatment is to properly evaluate and identify cardiovascular disease through the use of noninvasive diagnostic imaging services. Bayshore offers the following medical tests: - cardiac event monitoring - nuclear stress test electrocardiogram (ekg) - echocardiogram stress echocardiogram - exercise stress test - trans-esophageal echocardiogram (tee) - multiple gated acquisition (muga) scans - holter monitoring (ambulatory ecg monitoring) center for bariatrics --------------------- to help our patients succeed, we have built a program that ensures active participation of our patients in their weight-loss journey, which includes medical, nutritional, emotional, and exercise counseling. After surgery, we continue to be committed to our patients to ensure positive results by helping them maintain healthy habits. Our comprehensive approach to care is only one reason that sets us apart. In order to provide you with the best possible care, we offer access to a panel of dedicated specialists. Our bariatric surgery team includes cardiologists, gastroenterologists, pulmonologists, endocrinologists, surgeons, dietitians, exercise and behavioral health experts, all working together to develop a personalized care plan for you. This care plan includes extensive education and evaluation before surgery, and the lifetime follow-up care and support crucial to keeping the weight off and staying healthy. Center for wound healing ------------------------ lauding a wound healing rate consistently over 95%, the expert medical practitioners at the center for wound healing at bayshore, an outpatient wound care management program, provide treatment and care that not only heals wounds - it heals lives. Dealing with a wound can be personally frustrating, in addition to being restrictive to the performance of daily activities, and can possibly lead to more serious, life-changing health conditions. Using the most up-to-date approaches in the science of wound care, these health care professionals - comprised of board-certified surgeons, podiatrists and registered nurses - employ an interdisciplinary case management approach, with the goal of returning patients to an improved quality of life. Diabetes management ------------------- this comprehensive program teaches patients how to control, and healthfully live with, either type 1 or type 2 diabetes. The bayshore diabetes self-management education program has been recognized by the american diabetes association for quality self-management education. Monitoring for prevention of complications program participants learn how to become expert in the three basic skills for proper diabetes control: - detection - prevention - treatment diagnostic imaging ------------------ the medical practitioners in diagnostic imaging provide 24-hour report turnaround from the time a procedure is performed until the report is delivered to the patient's physician. Test services include: - pet/ct scan - mri - ct scan - mr angiography (mra) and ct angiography (cta) - ultrasound/sonography - breast imaging: digital mammography, ultrasound and mri - interventional radiology - general radiology emergency medicine ------------------ the emergency department at bayshore offers the expertise of a highly trained staff of medical professionals, all ready to respond to the immediate health care crises of area residents.\n\nExpert emergency medicine team critical members of the medical team include board-certified emergency medicine physicians, along with experienced mid-level providers - physician assistants and nurse practitioners - with clinical specialty training in emergency medicine. Providing crucial hands-on health care are accomplished registered nurses with trauma nursing core course training, in addition to certifications in basic life support, advanced cardiac life support and pediatric advanced life support. Patient care associates are on staff to perform a variety of diagnostic and monitoring services, while patient advocates are available 12 hours per day as a resource for patients and their families. Multi-need facilities housing 13 acute-care beds, in addition to ten fast track beds, the emergency department promptly evaluates a patient's condition via a skilled triage nurse, who determines the immediacy of treatment needed. A negative pressure room is available to accommodate patients with infectious disease, in addition to a specially outfitted room to handle eye and ear ailments. A locked room is on-hand, should a patient require crisis intervention and secure supervision. Fast track with its fast track program, the emergency department is able to quickly treat non-life threatening conditions, utilizing the skilled services of physician assistants and nurse practitioners. These medical professionals can often oversee basic diagnostic tests and procedures, such as x-rays, splinting and suturing, under the direction of a staff physician, allowing for improved patient flow and reduced treatment turnaround time. Primary stroke center bayshore hospital is a designated primary stroke center, indicating that its specially trained stroke team is prepared with the skills and equipment necessary to expeditiously assess stroke symptoms and determine the proper immediate treatment. Consisting of a physician, registered nurse, respiratory therapist and emergency department staff, the stroke team's quick response can dramatically impact a patient's successful recovery from a stroke. Endoscopy services ------------------ with a multi-disciplinary team that includes physicians specializing in gastroenterology, proctology, pulmonology, bariatrics and anesthesiology, the endoscopy department is rounded out with a team of highly trained registered nurses and certified technicians. Responsible for all its own pre- and post-procedure care, the endoscopy department is a convenient one-stop location for same-day procedures, receiving repeatedly recognized for its high level of patient satisfaction. Housing three procedure rooms - one is a special negative pressure bronchial room -the endoscopy department provides care for outpatients, in-house patients and emergency room admittances, handling a variety of medical procedures that include: - anorectal tests - bronchoscopy - colonoscopy - small bowel enteroscopy - small bowel capsule endoscopy - esophageal gastro duodenoscopy (egd) - percutaneous endoscopic gastrostomy (peg) - endoscopic retrograde cholangiopancreatography (ercp) minor surgery ------------- the minor surgery staff provides comprehensive pre- and post-operative care, including a thorough pre-op phone interview and continuous monitoring by a registered nurse throughout the procedure. Post-operative care is reviewed with each patient upon discharge, completing the cycle of fine medical service from the bayshore minor surgery team. Range of services - eye laser treatments for glaucoma and secondary cataracts. - excision and laser removal of skin abnormalities - arthroplasty of toes - skin grafts - epidural steroid injections - lumbar and cervical facet injections - radiofrequency procedures orthopedic services ------------------- comprehensive orthopedic services simple to complex, the bayshore orthopedic staff has the skilled expertise to accurately assess injuries and disorders of the skeletal system, including degenerative diseases, orthopedic trauma, spine disorders, sports injuries and congenital conditions. An assortment of the corrective procedures includes: - total hip replacement - joint and ligament repair - full and partial knee replacement - shoulder reconstruction - back and spinal surgery - hand surgery - scoliosis treatment and surgery - elbow surgery - bone and tendon grafts - bunionectomy - spinal decompression - spinal fusion - cervical and lumbar epidurals - nerve blocks - arthroplasty joint replacement of finger and toe - arthroscopic surgeries of the knee, ankle, shoulder, wrist blood management program ------------------------ bayshore has the distinction of offering a blood management system, often referred to as a \"cell saver\" program, to patients undergoing more extensive orthopedic surgeries. During the operation, a patient's lost blood is recovered, then recycled and reinfused into the patient during the perioperative process. This technique is an appealing alternative for patients with objections to blood transfusions. Exceptional intraoperative monitoring ------------------------------------- using cutting-edge technology, bayshore's orthopedic spine surgery team is able to precisely track changes in the brain, spinal cord, and peripheral nerve function during major spine surgeries. Through the use of a neurophysiological monitoring system, managed by specially trained technicians, surgeons can ensure that delicate nerves are not damaged during extensive surgical procedures, all to obtain the optimum outcome for patients. Rehabilitation services ----------------------- types of therapy available: - physical therapy - vestibular rehabilitation - occupational therapy - speech therapy - audiology testing - neurodiagnostic testing - aquatic therapy - continence training respiratory care ---------------- range of services the skillful respiratory care practitioners perform a variety of therapies and diagnostic tests to aid physicians in determining proper treatment for conditions of the cardio-respiratory system. The following services are offered, all under the direction of a physician: - administering medical gases (air and oxygen), humidification, and aerosols - breathing exercises to improve lung function - bronchial hygiene techniques (postural drainage, percussion, and vibration) - arterial blood gas sampling and analysis to determine levels of oxygen, carbon dioxide and acidity (ph) in blood from an artery - pulmonary function test to measure overall lung function - airway management (insertion and maintenance of artificial airways) - mechanical ventilatory support - performance of cardio-pulmonary resuscitation (CPR) - bilevel and continuous positive airway pressure (bipap and cpap) therapy all licensed by the state of new jersey to practice respiratory therapy, the staff are part of bayshore's emergency response teams - code blue, stroke activation and rapid response - providing urgent medical care to patients. Sleep care center ----------------- sleep testing there are several types of evaluations that can be performed at the sleep care center at bayshore, which houses two private bedrooms furnished with queen-size beds and televisions for patients' comfort. Tests are generally performed at night, although daytime testing is available for patients who work night shifts. - polysomnogram (psg) - cpap/bipap titration study - multiple sleep latency test (mslt) - maintenance of wakefulness test (mwt) community benefit and operations ================================ community outreach ------------------ bayshore offers many community outreach programs including, but not limited to, the following: adult health and wellness initiatives: - free health education lectures and seminars on a variety of topics - chronic disease self management program - free and low cost health screenings - support groups - active adult health & wellness outreach - booker health sciences library - call center services (physician referral, class registration) - health education - health screenings - support groups children's health initiatives: - doctor bernard and the pawsitive action team educates children on nutrition, fitness, staying safe and good citizenship. - asthma education and screening - safesitter babysiting training bayshore's community outreach programs are held at bayshore community hospital, meridian fitness and wellness center at hazlet as well as at various community based locations. Many of bayshore's community outreach programs are available in english as well as spanish.\n\nOther community benefit information =================================== caring for all members of the community --------------------------------------- people without health insurance coverage are more likely to forego preventive care and seek treatment only when their illnesses require visits to hospital emergency rooms. By that time, their illnesses typically are more advanced and more costly to treat. Bayshore's outreach efforts and programs have encouraged many to walk through its doors who might otherwise have gone without necessary health care. In 2011, bayshore provided $4.5 million in charity care to patients for which we received no payment. In addition, medicare and medicaid often do not cover all the costs associated with providing quality patient care. In 2011, bayshore spent more than $4.9 million in direct patient care that was not reimbursed by any of the federal or state health programs. Supporting local organizations ------------------------------ over the years, bayshore has been able to offer support through charitable donations to a host of worthy, local not-for-profit organizations. Bayshore also encourages our leaders, physicians, and team members to serve on a variety of boards and community groups dedicated to improving the quality of life in our neighborhoods. As a socially conscious member of the community, bayshore focuses its charitable giving on the areas that support or are aligned with bayshore's charitable mission. These include; groups that promote awareness of health-related issues; community associations that help those in need obtain basic necessities like food, clothing and shelter; organizations that encourage young people to achieve their potential, use their imagination, and keep them safe from harm; social services that provide relief and counseling to those suffering from abuse; and events that promote healthy activity and socialization such as community festivals and walks. Meridian regularly publishes two free consumer magazines - healthviews - and kidviews - to educate and inform residents of monmouth and ocean counties on timely and relevant health topics. Both publications feature real-life patient stories that detail how individuals receive their diagnosis and make important treatment decisions in conjunction with their physicians. The magazines contains meridian's calendar of events where residents can find free community education and screening programs as well as a variety of health and wellness tips. Bayshore's latest addition to its community outreach program is angioscreen. A revolutionary, new vascular screening designed to provide participants with information about their circulation and risk for cardiovascular disease and stroke. Data from the most recent community health needs assessment showed that the prevalence of stroke has doubled in our area in the past 5 years. This was the driving force behind developing this innovative screening for our community. Bayshore also coordinates a speaker's bureau where physicians, nurses or other health care professionals bring prevention and wellness education to local businesses, schools and universities, community groups, faith based organizations and underserved communities upon request. In addition, the hospital has established and coordinated a program that provides a referral system and assistance to senior citizens in completing forms for insurance submission and medicare and medicaid applications as well as other health-related paper work they may have. A senior dining program provides nutritionally balanced meals to local seniors at reduced rates.\n\nExpenses incurred in providing various other medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. 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THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 DISCLOSURE BELOW IS FROM THE SYSTEM'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF ITS 2011 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. ALL OF THE NOT-FOR-PROFIT ENTITIES INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS ARE CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (\"CODE\") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE EXCEPT FOR COMPASS WHICH QUALIFIES AS A TAXABLE NOT-FOR-PROFIT. THESE ENTITIES ARE ALSO EXEMPT FROM STATE INCOME TAXES. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED."},{"identifier":"OTHER CHANGES IN NET ASSETS","form_and_line_reference":"SCHEDULE D, PART XI, LINE 8","explanation":"OTHER CHANGES IN NET ASSETS INCLUDE: - OTHER CHANGES IN BENEFITS AND PLAN ASSETS - ($1,740,000) - DECREASES IN INTEREST IN AFFILIATED FUNDRAISING ORGANIZATIONS - ($60,000)"}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":12110411,"reimbursed_by_medicare":43187835,"cost_of_care_reimbursed_by_medicare":51631249,"medicare_surplus_or_shortfall":-8443414,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":4875475,"direct_offsetting_revenue":333688,"net_community_benefit_expense":4541787,"total_expense_percentage":0.0446},"unreimbursed_medicaid":{"total_community_benefit_expense":4939610,"direct_offsetting_revenue":3194256,"net_community_benefit_expense":1745354,"total_expense_percentage":0.0172},"total_financial_assistance":{"total_community_benefit_expense":9815085,"direct_offsetting_revenue":3527944,"net_community_benefit_expense":6287141,"total_expense_percentage":0.0618},"community_health_services":{"total_community_benefit_expense":200791,"net_community_benefit_expense":200791,"total_expense_percentage":0.002},"total_other_benefits":{"total_community_benefit_expense":200791,"net_community_benefit_expense":200791,"total_expense_percentage":0.002},"total_community_benefits":{"total_community_benefit_expense":10015876,"direct_offsetting_revenue":3527944,"net_community_benefit_expense":6487932,"total_expense_percentage":0.0638}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"BAYSHORE COMMUNITY HOSPITAL","address_line1":"727 NORTH BEERS STREET","city":"HOLMDEL","state":"NJ","zip":"07733","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"BAYSHORE COMMUNITY HOSPITAL","address":"727 NORTH BEERS STREET, HOLMDEL, NJ, 07733"}],"facility_policies":[{"business_name_line1":"BAYSHORE COMMUNITY HOSPITAL","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":500.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"other_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"other_publicity":true,"fap_actions_on_nonpayment":true,"attached_to_invoice":true,"posted_in_admission_office":true,"posted_in_emergency_room":true,"provided_on_admission":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"other_actions_taken":true,"nondiscriminatory_emergency_care_policy":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"BAYSHORE COMMUNITY HOSPITAL"}],"other_health_care_facility_count":4,"other_health_care_facilities":[{"business_name_line1":"HOLMDEL SLEEP CENTER","address_line1":"668 NORTH BEERS STREET","city":"HOLMDEL","state":"NJ","zip":"07733","facility_type":"SLEEP CENTER","name":"HOLMDEL SLEEP CENTER","address":"668 NORTH BEERS STREET, HOLMDEL, NJ, 07733"},{"business_name_line1":"BAYSHORE FITNESS & WELLNESS HAZLET","address_line1":"1420 HIGHWAY 36 AIRPORT PLAZA","city":"HAZLET","state":"NJ","zip":"07730","facility_type":"REHAB FACILITY","name":"BAYSHORE FITNESS & WELLNESS HAZLET","address":"1420 HIGHWAY 36 AIRPORT PLAZA, HAZLET, NJ, 07730"},{"business_name_line1":"BAYSHORE FITNESS & WELLNESS OLD BRIDGE","address_line1":"RT 9 ERNST ROAD","city":"OLD BRIDGE","state":"NJ","zip":"08857","facility_type":"REHAB FACILITY UNTIL MARCH 2011","name":"BAYSHORE FITNESS & WELLNESS OLD BRIDGE","address":"RT 9 ERNST ROAD, OLD BRIDGE, NJ, 08857"},{"business_name_line1":"FREEHOLD SLEEP CENTER","address_line1":"55 SCHANCK ROAD SUITE 7B","city":"FREEHOLD","state":"NJ","zip":"07728","facility_type":"SLEEP CENTER UNTIL MARCH 2011","name":"FREEHOLD SLEEP CENTER","address":"55 SCHANCK ROAD SUITE 7B, FREEHOLD, NJ, 07728"}],"supplemental_information":[{"form_and_line_reference":"SCHEDULE H, PART I, LINE 3C","explanation":"NOT APPLICABLE - THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE AND DISCOUNTED CARE."},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 6A","explanation":"NOT APPLICABLE"},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 7","explanation":"THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $12,110,411."},{"form_and_line_reference":"SCHEDULE H, PART II","explanation":"AT BAYSHORE COMMUNITY HOSPITAL, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITAL REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITY. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. IN THIS NEW ERA OF HEALTH CARE REFORM, COMMUNITY BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. BAYSHORE REMAINS COMMITTED TO STRENGTHENING ITS MISSION AND IN 2011 DEVOTED MORE THAN $200,000 IN COMMUNITY BENEFITS. THE SUCCESS AND EFFECTIVENESS OF BAYSHORE'S COMMUNITY BENEFIT PROGRAMS ARE A DIRECT RESULT OF THE EFFORTS OF ITS COMMITTED STAFF OF PHYSICIANS, NURSES, HEALTHCARE SPECIALISTS AND COMMUNITY EDUCATORS ALONG WITH DEDICATED COMMUNITY MEMBERS WHO HELP IDENTIFY, DEVELOP AND IMPLEMENT INITIATIVES THAT POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 4","explanation":"BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. PATIENT ACCOUNTS RECEIVABLE THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. THE HOSPITAL HAS IMPLEMENTED A MONTHLY STANDARDIZED APPROACH TO ESTIMATE AND REVIEW THE COLLECTABILITY OF RECEIVABLES BASED ON THE PAYOR CLASSIFICATION AND THE PERIOD FROM WHICH THE RECEIVABLES HAVE BEEN OUTSTANDING. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT FEELS IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYOR REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO RESERVES FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE HOSPITAL ASSESSES THE CURRENT STATE OF ITS BILLING FUNCTIONS IN ORDER TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES AND ASSESS THE IMPACT, IF ANY, ON RESERVE ESTIMATES. THE HOSPITAL BELIEVES THAT THE COLLECTABILITY OF ITS RECEIVABLES IS DIRECTLY LINKED TO THE QUALITY OF ITS BILLING PROCESSES, MOST NOTABLY THOSE RELATED TO OBTAINING THE CORRECT INFORMATION IN ORDER TO BILL EFFECTIVELY FOR THE SERVICES IT PROVIDES. REVISIONS IN RESERVE FOR DOUBTFUL ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO BAD DEBT EXPENSE. CHARITY CARE The Hospital provides care to patients who meet certain criteria defined by the New Jersey Department of Health and Senior Services without charge or at amounts less than its established rates. The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished. The Hospital receives partial reimbursement for the uncompensated care it provides (Note 4). Of the Hospitals $114 million of total expenses reported for December 31, 2011, an estimated cost of $4,513,000 is attributable to providing services to charity patients. The estimated costs of providing charity services are based on a calculation which applies a ratio of cost to charges to the gross uncompensated charges associated with providing care to charity patients. The ratio of cost to charges is calculated based on the Hospitals total expenses, excluding bad debt expense, divided by gross patient service revenue."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 8","explanation":"MEDICARE COSTS WERE DERIVED FROM THE 2011 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION (\"AHA\") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION (\"MEDPAC\") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED \"DUAL ELIGIBLES.\" THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE (\"CBO\") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT \"THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE.\" - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS \"SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS\" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 9B","explanation":"ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. BAYSHORE COMMUNITY HOSPITAL BUSINESS OFFICE FUNCTIONS WERE CONSOLIDATED WITH MERIDIAN HOSPITALS CORPORATION IN 2011 MERIDIAN HANDLES ALL COLLECTION OF DEBT IN THE SAME FASHION REGARDLESS OF TYPE OF PAYER. MERIDIAN UTILIZES THE FAIR ISAAC BAD DEBT MANAGEMENT SYSTEM FOR ITS COLLECTION PRACTICES. MERIDIAN ALSO ROUTINELY REFERS UNPAID PATIENT ACCOUNTS TO VARIOUS COLLECTION AGENCIES WHEN THE ACCOUNTS REACH THE END OF THE DUNNING CYCLE. BELOW IS THE PROCESS FOR THE COLLECTION OF BAD DEBT: - ACCOUNTS UNDER $7,500 THAT REACH THE END OF THE DUNNING CYCLE AUTOMATICALLY TRANSFER TO THE FAIR ISAAC BAD DEBT MANAGEMENT SYSTEM. - ACCOUNTS OVER $25,000 ARE APPROVED BY THE VICE PRESIDENT OF PATIENT FINANCIAL SERVICES. - PAYMENTS AND FILES ARE RECONCILED THROUGH THE FAIR ISAAC BAD DEBT MANAGEMENT SYSTEM REPORT (RMSSMS REC TOTALS) WHICH IS SENT TO MERIDIAN'S FINANCE DEPARTMENT. - AUTOMATIC TRANSFER TO A SECONDARY COLLECTION AGENCY OCCURS 180 DAYS AFTER PRIMARY PLACEMENT. - AUTOMATIC TRANSFER TO A TERTIARY ATTORNEY OCCURS 180 DAYS AFTER SECONDARY ASSIGNMENT."},{"form_and_line_reference":"SCHEDULE H, PART V; SECTION B","explanation":"Financial Assistance Policy, Question 11h This organization exists to benefit our communities by promoting good health, healing, caring and comforting. The Hospital is proud of its not-for-profit public mission to provide quality care to all in need 24 hours a day, 365 days a year. The Hospital seeks ways of fulfilling our moral, ethical, and legal obligations to ensure that everyone gets the care they need regardless of ability to pay. To successfully provide this assistance, we ask that patients actively cooperate with us. The Hospital assists patients in obtaining financial assistance from public programs and other sources whenever appropriate. To remain viable as it fulfills its mission, the Hospital must meet its fiduciary responsibility to appropriately bill and collect for medical services provided to patients. The purpose of the Hospital's Financial Assistance Policy is to provide general guidelines to assure reasonable collection of accounts from all available sources and to recognize as soon as possible when an individual requires assistance and/or that an account may qualify for free care, uncompensated care or as bad debt. It is also intended to ensure that the Hospital complies with applicable state and federal requirements as well as those set forth in the Fair Debt Collections Practices Act. The Hospital must charge for services rendered. The exact charges will depend on the extent of the services rendered by the patients' physicians and clinical team. Some examples of this include but are not limited to: Blood work, Diagnostic Testing, MRI, CT Scan, Endoscopy, Biopsies, Pathology, and Surgery. We understand and appreciate how overwhelming it can be to deal with health issues and billing issues at the same time, particularly confusing medical bills and insurance details. We strive to make this process as easy as possible for our patients by inviting patients to call our Patient Accounts Department directly at 732-776-4380 if they have questions or if they need assistance, either while still as a patient or after they have returned home. A complete bill will be mailed to the patient. However, private room costs and insurance deductibles are due at the time of admission, and can be paid at the Admitting Department which is open 24 hours a day. If the patient does not have coverage with an insurance provider, we will contact them to determine eligibility for financial assistance and to make payment arrangements. Separate Billing Under federal law, certain services cannot be included in a hospital bill. Therefore, the patient will receive separate physician bills for each service rendered by the following: Anesthesiology Cardiology EEG EKG Emergency Physicians House Staff Psychiatry Nuclear Medicine Pathology Pulmonary Function Department Radiology (films and interpretations) Surgical Assistants Speech Therapy These physician fees are for professional services rendered and/or interpretation of studies performed, and any questions regarding them should be addressed directly to those physician offices. In addition, if a house staff physician treats a patient for a situation that arises when their own physician is not available, they will be billed directly by that physician. The charges will not appear on the hospital bill. Patients should submit any such bills to their insurance provider or make arrangements for payment directly with the physician. Surgical Patients In major surgical cases, it is mandatory to have a second qualified surgeon or surgeons available to assist the attending surgeon. Its purpose is to ensure the quality and safety of complex procedures. Traditionally, the cost of an assisting surgeon or surgeons was included in your hospital bill. Today, however, the Federal Tax Equity and Responsibility Act (TEFRA) does not allow such an inclusion, so the patient will receive a separate bill from the assisting surgeon or surgeons and are expected to pay for the services rendered by them. Insurance companies are familiar with this practice and should include the assisting surgeon or surgeons for payment, if it is an included benefit. These bills should be forwarded to the patient's insurance provider. Insurance Limitations Under Medicare, Medicaid, and other third-party regulations, only certain levels of care may be covered by the Hospitals. Insurance benefits may be discontinued if a patient's physician or Health Care Quality Strategies, Inc. (HQSI), decides that further care is not medically necessary. The patient may be held personally responsible for any non-covered services. It is the patient's responsibility to provide us with accurate information about their insurance (Medicaid, Medicare, Managed Medicaid) so that the insurance can be billed correctly. If patients don't have insurance or their insurance doesn't cover all of the costs, there are federal and state sources of financial assistance that may be available to them. Eligibility requirements and the application process may be different depending upon the program. Financial Assistance Representatives are available to discuss what the best plan is for the patient. When patients meet with our Financial Assistance Representatives, he/she will provide a detailed list of what they will need. We specialize in the five major programs that are available to help New Jersey residents. Eligibility for these programs is dependent on the New Jersey State income and assets. Income thresholds are based on the Federal Poverty Guidelines (FPG) issued each year in the Federal Register by the Department of Health and Human Services (HHS). The 2011 income and asset levels can be found at http://www.state.nj.us/health/cc/documents/ccfactsh.pdf MEDICAID The Hospital has contracted with a nationwide vendor, Century Business Services (CBIZ), to assist our patients who meet the eligibility criteria with the application process. There are many types of Medicaid available through the NJ Department of Health. CBIZ works with our patients to determine the program best suited for their circumstances. SSI - MEDICAID This is a program that supplements Medicaid benefits with a monthly income stipend that can help with basic needs such as food, clothing, or housing. The Hospitals have contracted with Chamberlin Edmonds and Century Business Solutions (CBIZ) to be onsite to assist inpatients and certain outpatients who meet the eligibility criteria with the application process. FAMILY CARE This program is designed to provide coverage for children. The Hospitals' Financial Assistance Team will assist you in completing the application. The application is then forwarded to the County Board of Social Services or the State vendor in Trenton for processing. The patient will hear directly from the processing agency regarding the status of their application. PRESUMPTIVE ELIGIBILITY - MEDICAID This program provides temporary coverage for persons who meet some basic eligibility criteria so that their health care costs can be covered while the formal Medicaid or Family Care application is processed. It provides 45 days of coverage from the initial date of the application. It is the patient's responsibility to complete the charity care documents and submit them to the Financial Assistance Office. Patients are to notify the registration team member when they have been approved for any service such as Charity Care or Medicaid. Patients who are not covered by insurance and do not qualify for Financial Assistance will be asked to pay an upfront reduced rate for any ancillary services that are needed. These fees are available upon request. Patients paying at the time of their visit will be charged a flat rate. This rate equals less than 50% of our actual charges. Any patients that qualify for Financial Assistance will have applicable fees refunded. CHARITY CARE Unlike Medicaid and Family Care, which provides ongoing coverage for health care services, including physician services and drugs, Charity Care is designed to provide assistance to cover the costs of hospital services only. In order to apply for Charity Care a patient must have a scheduled appointment in the hospital within 30 days or have received a hospital bill within the last 12 months. Patients should know that their immigration status doesn't matter when they apply for Charity Care - it will not affect eligibility. If no other options are available to the patient, the Hospitals' Financial Assistance Team will assist in completing a Charity Care application. Charity Care discounts are in compliance with regulations established in NJAC 8:31.B-4.38. Uninsured billing limits are in accordance with P.L.2008 c.60. Discounted rates are available for patients without insurance depending on financial need. Patients are asked to provide proof of income, family size, and asset information in order to be considered for discounted rates. Patients requesting financial assistance are referred to Entitlement for consideration. 1. Charity Care - Pati"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 2","explanation":"BUILDING HEALTHY COMMUNITIES OUTREACH HAS BEEN DEFINED AS AN ATTEMPT TO PROVIDE SERVICES BEYOND CONVENTIONAL LIMITS, OFTEN TO PARTICULAR SEGMENTS OF A COMMUNITY. AT BAYSHORE COMMUNITY HOSPITAL, NOTHING WE DO IS CONVENTIONAL, AS WE CONTINUOUSLY STRIVE TO PROVIDE OUTSTANDING CARE, SERVICE, AND SUPPORT TO OUR COMMUNITY MEMBERS. AS YOU WILL SEE, BAYSHORE IS EXTREMELY DEDICATED TO IMPROVING THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. AS THE LEADING PROVIDER OF HEALTH CARE SERVICES IN OUR AREA, OUR COMMUNITY IMPACT EXTENDS FAR BEYOND NUMBERS ON A PAPER. WE WALK THE TALK AND LIVE AND BREATHE OUR BRAND PROMISE OF PROVIDING THE BEST HEALTH CARE EXPERIENCE, WHETHER WITHIN THE WALLS OF OUR FACILITIES OR OUT IN OUR SURROUNDING COMMUNITIES. AT BAYSHORE COMMUNITY HOSPITAL, OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. BAYSHORE REMAINS COMMITTED TO STRENGTHENING ITS MISSION AND IN 2011, DEVOTED APPROXIMATELY $6.5 MILLION IN COMMUNITY BENEFITS. CARING FOR ALL MEMBERS OF THE COMMUNITY AS A NOT-FOR-PROFIT HEALTH CARE PROVIDER, MERIDIAN HEALTH IS THE REGIONAL LEADER IN PROVIDING INNOVATIVE AND ACCESSIBLE HEALTH CARE PROGRAMS AND SERVICES TO INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGHOUT MONMOUTH AND OCEAN COUNTIES. EVERYONE DESERVES ACCESS TO QUALITY CARE REGARDLESS OF THEIR ABILITY TO PAY. IN 2011, BAYSHORE COMMUNITY HOSPITAL PROVIDED APPROXIMATELY 14.7 MILLION DOLLARS IN CHARITY CARE AND OTHER UNCOMPENSATED CARE, SERVING AS A HEALTH CARE SAFETY NET FOR OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS COMMUNITY-BASED PREVENTION AND WELLNESS ACTIVITIES PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. THAT'S WHY MERIDIAN EMBARKED ON A STRATEGIC PROCESS OF REASSESSING THE AREA'S HEALTHCARE NEEDS. WORKING WITH A NATIONALLY RENOWNED RESEARCH FIRM, MERIDIAN SURVEYED OVER 1,000 HOUSEHOLDS VIA TELEPHONE IN MONMOUTH AND OCEAN COUNTIES TO GATHER LOCAL RESIDENTS' VIEWS OF THEIR COMMUNITY'S MOST CRITICAL HEALTH NEEDS. IN ADDITION, MERIDIAN INVITED COMMUNITY MEMBERS, COUNTY AND LOCAL HEALTH DEPARTMENT OFFICERS, AND OTHER COMMUNITY LEADERS TO PARTICIPATE IN FOCUS GROUPS TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS OF THE AREA. BAYSHORE COMMUNITY HOSPITAL WAS REPRESENTED AND INCLUDED IN THIS NEEDS ASSESSMENT PROCESS. FINDINGS OF THE ASSESSMENT ARE REVIEWED TOGETHER WITH MERIDIAN'S COMMUNITY ADVISORY COMMITTEES, LOCAL HEALTH DEPARTMENT OFFICIALS, PHYSICIANS, AND OTHER COMMUNITY LEADERS, WITH THE GOAL OF SELECTING AND PRIORITIZING THE TOP HEALTH CONCERNS FOR OUR COMMUNITY. THIS COLLABORATIVE EFFORT, WILL SERVE AS A TOOL TO REACHING THREE BASIC GOALS: TO IMPROVE RESIDENTS' HEALTH STATUS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE, TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS AND TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL RESIDENTS. DELIVERING ON COMMUNITY COMMITMENT COMMUNITY MEMBERS BOTH YOUNG AND OLD TOOK ADVANTAGE OF FREE HEALTH AND WELLNESS SCREENINGS, EDUCATION PROGRAMS, SUPPORT GROUPS AND OTHER HEALTH PROMOTION ACTIVITIES OFFERED THROUGHOUT BAYSHORE COMMUNITY HOSPITAL'S MARKET AREA. THESE SCREENINGS ARE CONDUCTED IN A VARIETY OF COMMUNITY LOCATIONS INCLUDING, HOUSES OF WORSHIP, SCHOOLS, ACTIVE ADULT COMMUNITIES, SENIOR HOUSING, LOW INCOME HOUSING DEVELOPMENTS, AS WELL AS WITHIN THE HOSPITAL FACILITY. 2011 ACCOMPLISHMENTS AT BAYSHORE COMMUNITY HOSPITAL INCLUDE: - SERVING SEVERAL THOUSAND PEOPLE THROUGH OUR COMMUNITY HEALTH EDUCATION PROGRAMS - PROVIDING FREE HEALTH SCREENINGS - EDUCATING CHILDREN ON HOW TO EAT RIGHT, STAY FIT AND BE SAFE MERIDIAN'S LATEST ADDITION TO ITS COMMUNITY OUTREACH PROGRAM IS ANGIOSCREEN. A REVOLUTIONARY, NEW VASCULAR SCREENING DESIGNED TO PROVIDE PARTICIPANTS WITH INFORMATION ABOUT THEIR CIRCULATION AND RISK FOR CARDIOVASCULAR DISEASE AND STROKE. DATA FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT SHOWED THAT THE PREVALENCE OF STROKE HAS DOUBLED IN OUR AREA IN THE PAST 5 YEARS. THIS WAS THE DRIVING FORCE BEHIND DEVELOPING THIS INNOVATIVE SCREENING FOR OUR COMMUNITY AND OFFERING IT IN THE BAYSHORE MARKET AREA. A SPIRIT OF COLLABORATION COLLABORATION IS WORKING TOGETHER TO ACHIEVE A GOAL. TO THAT END, MERIDIAN CONVENES SEVERAL COMMUNITY ADVISORY COMMITTEES WHOSE MISSION IT IS TO ASSIST US IN IDENTIFYING AND ADDRESSING LOCAL HEALTH CARE NEEDS. COMMITTEE MEMBERS REPRESENT A CROSS-SECTION OF THE COMMUNITY IN TERMS OF AGE, GENDER, RELIGION, ETHNICITY, INTERESTS AND PROFESSIONAL STATUS. OUR PARTNERS IN HEALTH AND UNIDOS COMMITTEES ARE COMPRISED OF AFRICAN AMERICAN AND HISPANIC CIVIC AND COMMUNITY LEADERS RESPECTIVELY AND ARE FOCUSED ON ADDRESSING HEALTH ISSUES AND DISPARITIES AFFECTING COMMUNITIES OF COLOR. CURRENTLY, MORE THAN 150 PEOPLE FROM THE SURROUNDING AREA SERVE AS MEMBERS OF MERIDIAN'S COMMUNITY ADVISORY COMMITTEES. MERIDIAN MAINTAINS LEADERSHIP ROLES IN BOTH THE MONMOUTH COUNTY HEALTH IMPROVEMENT COALITION AND THE OCEAN COUNTY HEALTH ADVISORY GROUP. BOTH COALITIONS REPRESENT COLLABORATION BETWEEN COUNTY AND LOCAL HEALTH DEPARTMENTS AS WELL AS A VARIETY OF SOCIAL SERVICE, HEALTH CARE, HIGHER EDUCATION AND OTHER INTERESTED ORGANIZATIONS THAT WORK TOGETHER TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. STAYING CONNECTED MERIDIAN REGULARLY PUBLISHES TWO FREE CONSUMER MAGAZINES - HEALTHVIEWS - AND KIDVIEWS - TO EDUCATE AND INFORM RESIDENTS OF MONMOUTH AND OCEAN COUNTIES ON TIMELY AND RELEVANT HEALTH TOPICS. BOTH PUBLICATIONS FEATURE REAL-LIFE PATIENT STORIES THAT DETAIL HOW INDIVIDUALS RECEIVE THEIR DIAGNOSIS AND MAKE IMPORTANT TREATMENT DECISIONS IN CONJUNCTION WITH THEIR PHYSICIANS. THE MAGAZINES CONTAINS MERIDIAN'S CALENDAR OF EVENTS WHERE RESIDENTS CAN FIND FREE COMMUNITY EDUCATION AND SCREENING PROGRAMS AS WELL AS A VARIETY OF HEALTH AND WELLNESS TIPS. MERIDIAN ALSO PUBLISHES SEVERAL MONTHLY E-NEWSLETTERS - HEALTH-E HEART, MERIDIAN WOMEN'S HEART CONNECTION AND HEALTH-E CHILD - THESE ARE DISTRIBUTED FREE TO RESIDENTS WHO REQUEST THE PUBLICATION AND PROVIDE THEIR EMAIL ADDRESS. ALL PUBLICATIONS PROVIDE TIPS FOR MAINTAINING A HEALTHIER LIFESTYLE, PLUS INFORMATION ON THE LATEST PROCEDURES, SCREENINGS AND CLASSES OFFERED AT MERIDIAN. MERIDIAN'S MULTIPLE WEBSITES OFFER AN EXTENSIVE, FREE HEALTH LIBRARY (IN ENGLISH AND SPANISH) AND ATTRACT OVER 1.5 MILLION PEOPLE EACH YEAR. ONLINE VISITORS CAN TAKE A HEALTH ASSESSMENT QUIZ, LEARN ABOUT DIAGNOSTIC AND SURGICAL PROCEDURES, FIND A DOCTOR, AND REGISTER FOR A FREE CLASS OR HEALTH SCREENING AND MORE. IN ADDITION, MERIDIAN PROVIDES FREE 24/7 CALL CENTER SERVICES TO THE COMMUNITY TO LOCATE PHYSICIANS, HEALTHCARE SERVICES AND SUPPORT GROUPS, AS WELL AS TO REGISTER FOR HEALTH EDUCATION AND SCREENING PROGRAMS. IN 2011, THE CALL CENTER HANDLED MORE THAN 37,000 CALLS. THE SUCCESS AND EFFECTIVENESS OF BAYSHORE'S COMMUNITY BENEFIT PROGRAMS IS DERIVED FROM A COMMITTED STAFF OF PHYSICIANS, NURSES, HEALTH CARE SPECIALISTS AND COMMUNITY EDUCATORS ALONG WITH DEDICATED COMMUNITY MEMBERS WHO HELP BAYSHORE IDENTIFY, STRATEGIZE AND IMPLEMENT INITIATIVES THAT POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 3","explanation":"BAYSHORE HAS NOTICES POSTED IN ALL REGISTRATION AREAS, IN BOTH ENGLISH AND SPANISH, INFORMING PATIENTS TO INQUIRE ABOUT FINANCIAL ASSISTANCE. DURING THE INTERVIEW PROCESS, PATIENTS ARE VERBALLY GIVEN THE OPPORTUNITY TO INQUIRE ABOUT FINANCIAL ASSISTANCE. ALL STATEMENTS MAILED TO THE PATIENTS INCLUDE A FORM TO COMPLETE AND A PHONE NUMBER TO CALL, IF THEY WISH TO APPLY FOR FINANCIAL ASSISTANCE. IF PATIENTS CALL THE BUSINESS OFFICE, THEY ARE TOLD THEY MAY APPLY FOR FNANCIAL ASSISTANCE."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 4","explanation":"BAYSHORE OPERATES IN MONMOUTH COUNTY, NEW JERSEY. The following information is based on recent CENSUS ESTIMATES: MONMOUTH COUNTY =============== POPULATION, 2010 630,380 UNDER 5 YEARS OF AGE, 2010 5.5% UNDER 18 YEARS OF AGE, 2010 23.8% 65 YEARS OLD AND OVER, 2010 13.8% PERSONS BELOW POVERTY LEVEL, 2006-2010 6.3% MEDIAN HOUSEHOLD INCOME, 2006-2010 $ 82,265 RACIAL COMPOSITION, 2010: WHITE 76.7% AFRICAN AMERICAN 7.4% ASIAN 5.0% HISPANIC OR LATINO ORIGIN 9.7% OTHER 1.2%"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 5","explanation":"THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES."},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 6","explanation":"MERIDIAN HEALTH SYSTEM, INC. ---------------------------- MERIDIAN HEALTH SYSTEM, INC. (\"MERIDIAN\") IS THE TAX-EXEMPT PARENT OF THE MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM (\"SYSTEM\"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER MERIDIAN OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY MERIDIAN. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT MONMOUTH AND OCEAN COUNTIES AND SURROUNDING AREAS. MERIDIAN IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF A LARGE TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY, MERIDIAN STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF MONMOUTH AND OCEAN COUNTIES AND SURROUNDING COMMUNITIES. MERIDIAN ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. THE SYSTEM'S ACTIVE HOSPITALS INCLUDE: JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, BAYSHORE COMMUNITY HOSPITAL AND K. HOVNANIAN CHILDREN'S HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOSPITALS CORPORATION ------------------------------ MERIDIAN HOSPITALS CORPORATION (\"HOSPITALS\") IS A NOT FOR-PROFIT CORPORATION THAT OPERATES AN ACUTE CARE HOSPITAL SYSTEM, WHICH PROVIDES PRIMARY AND TERTIARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HOSPITALS ALSO PROVIDES PROGRAMS FOR MEDICAL TRAINING, RESEARCH, EDUCATION AND CONDUCTS ACTIVITIES ESTABLISHED TO IMPROVE THE HEALTH OF ITS COMMUNITIES. HOSPITALS INCLUDES JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, K. HOVNANIAN CHILDREN'S HOSPITAL AND BAYSHORE COMMUNITY HOSPITAL, A WHOLLY OWNED SUBSIDIARY OF HOSPITALS AND NOT INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. JERSEY SHORE UNIVERSITY MEDICAL CENTER -------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER (\"JSUMC\") IS A 661-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. JSUMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, JSUMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, JSUMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. RIVERVIEW MEDICAL CENTER ------------------------ RIVERVIEW MEDICAL CENTER (\"RMC\") IS A 492-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RED BANK, MONMOUTH COUNTY, NEW JERSEY. RMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, RMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, RMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. OCEAN MEDICAL CENTER -------------------- OCEAN MEDICAL CENTER (\"OMC\") IS A 303-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. OMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, OMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, OMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SOUTHERN OCEAN MEDICAL CENTER ----------------------------- SOUTHERN OCEAN MEDICAL CENTER (\"SOMC\") IS A 186-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN MANAHAWKIN, OCEAN COUNTY, NEW JERSEY. SOMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, SOMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SOMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BAYSHORE COMMUNITY HOSPITAL --------------------------- BAYSHORE COMMUNITY HOSPITAL (\"BCH\") IS A 238-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HOLMDEL, MONMOUTH COUNTY, NEW JERSEY. BCH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, BCH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, BCH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. K. HOVNANIAN CHILDREN'S HOSPITAL -------------------------------- K. HOVNANIAN CHILDREN'S HOSPITAL (\"HOVNANIAN\") IS A NON-PROFIT ACUTE CARE CHILDREN'S HOSPITAL LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. HOVNANIAN OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, HOVNANIAN PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, HOVNANIAN OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SHORE REHABILITATION INSTITUTE, INC. ------------------------------------ SHORE REHABILITATION INSTITUTE, INC. (\"SRI\") IS A 40-BED NON-PROFIT ACUTE REHABILITATION CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. SRI IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SRI PROVIDES MEDICALLY NECESSARY REHABILITATIVE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SRI OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOME CARE SERVICES, INC. --------------------------------- MERIDIAN HOME CARE SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION COORDINATES AND OPERATES HOME HEALTHCARE, HOME INFUSION AND HOSPICE SERVICES AND PROVIDES DURABLE MEDICAL EQUIPMENT TO ALL FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION ALSO SUPPORTS MERIDIAN HEALTH SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES. HEALTH INNOVATIONS UNLIMITED, INC. ---------------------------------- HEALTH INNOVATIONS UNLIMITED, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2) WHOSE SOLE MEMBER IS MERIDIAN HOME CARE SERVICES, INC. THE ORGANIZATION PROVIDES THE DURABLE MEDICAL EQUIPMENT AND TEMPORARY STAFFING SERVICES TO VARIOUS MERIDIAN HEALTH SYSTEM AFFILIATES ON BEHALF OF ITS SOLE MEMBER, MERIDIAN HOME CARE SERVICES, INC. JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF JERSEY SHORE UNIVERSITY MEDICAL CENTER; A DIVISION OF A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. OCEAN MEDICAL CENTE"},{"form_and_line_reference":"SCHEDULE H, PART VI; QUESTION 7","explanation":"NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. MERIDIAN HOSPITALS CORPORATION, AN ORGANIZATION INCLUDED IN THIS GROUP FORM 990, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IT MAKES AVAILABLE TO THE PUBLIC ON ITS WEBSITE: WWW.MERIDIANHEALTH.COM."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"MARC H LORY","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":170000,"compensation_based_on_related_orgs":504014,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":268707,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":30288,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":26794,"other_compensation_filing_org":0,"other_compensation_related_orgs":309960,"total_compensation_filing_org":0,"total_compensation_related_orgs":1041056,"name":"MARC H LORY"},{"person_name":"JOHN K LLOYD FACHE","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":558000,"compensation_based_on_related_orgs":927782,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":200000,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":23275,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":26867,"other_compensation_filing_org":0,"other_compensation_related_orgs":688082,"total_compensation_filing_org":0,"total_compensation_related_orgs":2224006,"name":"JOHN K LLOYD FACHE"},{"person_name":"JOHN GANTNER","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":245000,"compensation_based_on_related_orgs":586091,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":100000,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":216359,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":22688,"other_compensation_filing_org":0,"other_compensation_related_orgs":341771,"total_compensation_filing_org":0,"total_compensation_related_orgs":1411909,"name":"JOHN GANTNER"},{"person_name":"KARL MEINERT","base_compensation_filing_org":41788,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":789,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":6495,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":299401,"other_compensation_related_orgs":0,"total_compensation_filing_org":348473,"total_compensation_related_orgs":0,"name":"KARL MEINERT"},{"person_name":"L SCOTT LARSEN MD","base_compensation_filing_org":194008,"bonus_filing_org":92593,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":896,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":16947,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4750,"other_compensation_related_orgs":0,"total_compensation_filing_org":309194,"total_compensation_related_orgs":0,"name":"L SCOTT LARSEN MD"},{"person_name":"ADRIAN M PRISTAS 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THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RAIMONDA A. CLARK, $750,298; MICHAEL KEEN, $358,489; KARL MEINERT, $272,739; EMRO KRASOVEC, $197,679; WENDY BROWN, $162,904; DONNA M. ANGELUCCI, $52,303 AND JANET SCHEURMAN, $66,407."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I; QUESTION 4B","explanation":"THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (\"SERP\"). THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $268,707. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A RETENTION AGREEMENT WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOXES 1 AND 5 AS TAXABLE WAGES: JOHN GANTNER, $300,000 AND JOHN K. LLOYD, FACHE, $600,000. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, AS TAXABLE WAGES: JOHN GANTNER, $191,906."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I; QUESTION 7","explanation":"CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 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."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART II, COLUMN F","explanation":"THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) FOR THE FOLLOWING INDIVIDUAL REPRESENTS UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2011 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2011 FORM W-2, BOX 1, AS TAXABLE WAGES: MARC H. LORY, $268,707. THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A RETENTION AGREEEMENT THAT BECAME TAXABLE IN 2011 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS AN ACCRUED BENEFIT ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2011 FORM W-2, BOXES 1 AND 5, AS TAXABLE WAGES: JOHN K. LLOYD, FACHE, $200,000 AND JOHN GANTNER, $100,000."},{"identifier":"COMPENSATION INFORMATION","form_and_line_reference":"CORE FORM, PART VII AND SCHEDULE J","explanation":"MICHAEL SCHWARTZ DID NOT RECEIVE ANY COMPENSATION DIRECTLY FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING 2011 FOR HIS SERVICES AS ACTING PRESIDENT/CEO. AS REFLECTED IN OUR RESPONSE TO CORE FORM, PART VI, QUESTION #3, BAYSHORE COMMUNITY HOSPTIAL (\"BCH\") RETAINED THE SERVICES OF AN OUTSIDE, INDEPENDENT MANAGEMENT COMPANY TO MANAGE THE DAY-TO-DAY ACTIVITIES AND OPERATIONS OF THE ORGANIZATION UNTIL ALL THESE FUNCTIONS WERE TRANSITIONED TO MERIDIAN HEALTH SYSTEM, INC. PERSONNEL IN AUGUST OF 2011. MICHAEL SCHWARTZ IS THE REPRESENTATIVE OF THIS OUTSIDE MANAGEMENT COMPANY THAT PERFORMED THE DUTIES WITH RESPECT TO THE MANAGEMENT OF THE DAY-TO-DAY OPERATIONS AND ACTIVITIES OF THE ORGANIZATION. MERIDIAN HOSPITALS CORPORATION (\"MHC\"), BCH'S SOLE MEMBER AFTER THE STATUTORY MERGER OF BAYSHORE COMMUNITY HEALTH SERVICES, INC. AND AFFILIATES INTO MERIDIAN HEALTH SYSTEM, INC., COMPENSATED THE OUTSIDE MANAGEMENT COMPANY DIRECTLY AND BCH REIMBURSED MHC FOR THESE EXPENSES."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":221987084,"business_name_line1":"NJ HEALTH CARE FACILITIES FINANCING AUTHORITY","cusip_number":"64579FCY7","date_issued":"2004-06-24T00:00:00","issue_price":8000000,"purpose":"MEDICAL OFFICE, EQUIPMENT AND RENO","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"NJ HEALTH CARE FACILITIES FINANCING AUTHORITY"}],"bond_proceeds":[{"total_proceeds":8000000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":130451,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":7869549,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":4520000,"amount_unspent":0,"substantial_completion_year":2006,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"private_business_use_by_others_percentage":0.0163,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0163,"post_issuance_compliance_procedures":true,"management_contract":false,"research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false}],"arbitrage":[{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"gic_provider_business_name_line1":"0","hedge_identified_in_books_and_records":false,"hedge_provider_business_name_line1":"0","variable_rate_issue":true,"exception_to_rebate":false,"form_8038t_filed":false}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"person_name":"EMERGENCY MEDICAL ASSOCIATES INC","relationship":"OFFICER - LARSEN","description":"HOUSE PHYSICIAN SERVICES","amount":343994,"sharing_of_revenues":false,"name":"EMERGENCY MEDICAL ASSOCIATES INC"}],"supplemental_information":[{"identifier":"BUSINESS TRANSACTIONS WITH INT. PERSONS","form_and_line_reference":"SCHEDULE L, PART IV","explanation":"L. SCOTT LARSEN, M.D. is the Vice President of the Medical Staff. The hospital pays Emergency Medical Associates, Inc. (\"EMA\") for services. Total fees paid to EMA in 2011 were $343,994. Services were rendered at fair market value rates pursuant to arm's length negotiations. PLEASE NOTE THAT THE TOTAL FEES PAID ARE COMPARABLE TO OTHER FIRMS PROVIDING SIMILAR TYPE SERVICES TO AFFILIATES WITHIN THE MERIDIAN HEALTH SYSTEM."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":223471515,"business_name_line1":"MERIDIAN HOSPITALS CORPORATION","primary_activities":"HEALTH SVCS.","exempt_code_section":"501(C)(3)","public_charity_status":"509(A)(1)","controlled_organization":false,"legal_domicile_state":"NJ","direct_controlling_business_name_line1":"MH SYSTEM","address_line1":"1350 CAMPUS PARKWAY","city":"NEPTUNE","state":"NJ","zip":"07753","name":"MERIDIAN HOSPITALS CORPORATION","address":"1350 CAMPUS PARKWAY, NEPTUNE, NJ, 07753"},{"ein":222731440,"business_name_line1":"MERIDIAN HOME CARE SERVICES INC","primary_activities":"HEALTH SVCS.","exempt_code_section":"501(C)(3)","public_charity_status":"509(A)(2)","controlled_organization":false,"legal_domicile_state":"NJ","direct_controlling_business_name_line1":"MH SYSTEM","address_line1":"103 EAST FRONT 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