TY 2013 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
AMDUR MAGGS SHORE, PO BOX 190OAKHURSTNJ07755	LEGAL	361,793
OrlovskyMoodySchaaffConlonGabry, 187 Hwy 36WEST LONG BRANCHNJ07764	LEGAL	392,819
ALLSCRIPTS HEALTHCARE LLC, 8529 SIX FORKS RDRALEIGHNJ27615	ELEC HEALTH RECORDS	490,000
Transpirus LLC, 13801 Reese Blvd West STE 160HUNTERSVILLESC28078	SUPPORT SERVICES	699,815
Widman Cooney Wilson McGann, 1803 State Route 35OAKHURSTNJ07755	LEGAL	308,831
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 6

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	0
12	Advertising and promotion ....	0
13	Office expenses .......	253,438	253,438
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	19,208	17,855	1,353
17	Travel ............	9,668	8,987	681
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	0
23	Insurance ..............	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PURCHASED SERVICES	1,074,680	1,044,279	30,401	0
b	CONSULTING	1,000,000	1,000,000
c	MEDICATION DISPENSING TESTING	300,000	300,000
d	EHR/CLINICAL INTEGRATION:MHA	164,300	164,300
e	All other expenses	2,648	2,463	185
25	Total functional expenses. Add lines 1 through 24e	2,823,942	2,791,322	32,620	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	0	1	246,325
2	Savings and temporary cash investments .........	135,459	2	210,322
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	0	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	10,410	7	0
8	Inventories for sale or use ..............	0	8	0
9	Prepaid expenses and deferred charges ..........	0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	838,450
b	Less: accumulated depreciation .....	10b	610,806	268,833	10c	227,644
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	233,052	12	1,049,010
13	Investments—program-related. See Part IV, line 11 .....	23,819,641	13	22,212,958
14	Intangible assets ...............	99,519	14	99,519
15	Other assets. See Part IV, line 11 ...........	-1,240,828	15	-1,101,945
16	Total assets. Add lines 1 through 15 (must equal line 34)......	23,326,086	16	22,943,833
	17	Accounts payable and accrued expenses .........	1,247,260	17	1,579,488
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	645,000	23	645,000
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	0	25	956,464
26	Total liabilities. Add lines 17 through 25.........	1,892,260	26	3,180,952
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	21,232,487	27	19,561,542
28	Temporarily restricted net assets ...........	201,339	28	201,339
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	21,433,826	33	19,762,881
34	Total liabilities and net assets/fund balances ........	23,326,086	34	22,943,833

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

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

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

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

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

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

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

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

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

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support
(A) MERIDIAN HOSPITALS CORPORATION	223471515	03	Yes						0
(B) MERIDIAN NURSING & REHABILITATION INC	521772578	04	Yes						0
(C) MERIDIAN PRACTICE INSTITUTE INC	061755235	04	Yes						0
(D) MERIDIAN HOME CARE SERVICES INC	222731440	04	Yes						0
(E) JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION INC	222342452	03	Yes						0
(F) OCEAN MEDICAL CENTER FOUNDATION INC	222361311	03	Yes						0
(G) RIVERVIEW MEDICAL CENTER FOUNDATION INC	222333524	03	Yes						0
(H) MERIDIAN HEALTH FOUNDATION INC	300107825	03	Yes						0
(I) SOUTHERN OCEAN MEDICAL CENTER FOUNDATION INC	222666099	03	Yes						900,000
(J) BAYSHORE COMMUNITY HOSPITAL FOUNDATION INC	222367109	03	Yes						300,000
(K) MERIDIAN HEALTH REALTY CORPORATION	223200147	03	Yes						0
(L) MERIDIAN HEALTH PARTNERS INC	461227706	03	Yes						0
Total									1,200,000

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

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

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

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back
1a	Beginning of year balance ....	201,339	201,339	201,339	0
b	Contributions ........				201,339
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	201,339	201,339	201,339	201,339

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

100.000 %

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................		85,700		85,700
b	Buildings ................	0	752,750	610,806	141,944
c	Leasehold improvements ............
d	Equipment ................
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					227,644

Schedule D (Form 990) 2013

Page 3

Part VII

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

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) INVESTMENT IN AFFILIATES	22,212,958	F








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	22,212,958

Part IX

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

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability		(b) Book value
Federal income taxes		0
DUE TO AFFILIATES		956,464








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		956,464
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference	Explanation
SCHEDULE D, PART V
SCHEDULE D, PART X	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE MERIDIAN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS PREPARED BY PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT CPA FIRM, WHICH INCLUDE ALL RELATED ENTITIES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 (ASC 740) DISCLOSURE BELOW IS FROM THE SYSTEM'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF ITS 2013 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. 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.

Return Reference

Explanation

SCHEDULE D, PART V

SCHEDULE D, PART X

THE ORGANIZATION IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE MERIDIAN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS PREPARED BY PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT CPA FIRM, WHICH INCLUDE ALL RELATED ENTITIES. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 (ASC 740) DISCLOSURE BELOW IS FROM THE SYSTEM'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF ITS 2013 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. 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.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	20,106,180
















3a	Sub-total .....		20,106,180
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		20,106,180

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
PART IV, FOREIGN FORMS	Meridian Health System, Inc. (EIN 22-3474145) is the sole member of Meridian Hospitals Corporation (EIN 22-3471515) and Coastal Medical Insurance Limited (EIN 98-0166769). Pursuant to an alternative risk financing arrangement, Meridian Hospitals Corporation made payments to Coastal Medical Insurance Limited that did not qualify as insurance premiums for federal tax purposes. In accordance with federal tax principles, such payments were treated as constructive dividends by Meridian Hospitals Corporation to Meridian Health System, Inc. followed by constructive capital contributions by Meridian Health System, Inc. to Coastal Medical Insurance Limited under Code Section 351.

Schedule F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)John K Lloyd FACHETrustee; Ex-Officio-Pres/CEO	(i) (ii)	1,017,209	700,000	76,845	632,102	33,725	2,459,881
(2)John GantnerExec VP/CFO (TERM 12/31/13)	(i) (ii)	695,961	255,000	1,442,548	117,214	13,809	2,524,532	1,394,866
(3)Marc H LoryEVP - HOSPITALS OPERATIONS	(i) (ii)	541,133	90,000	131,892	102,982	33,388	899,395	68,444
(4)SALVATORE INCIARDIASSISTANT SECRETARY	(i) (ii)	320,920	160,000	181,602	81,014	21,848	765,384	154,760

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 1, AS TAXABLE WAGES: SALVATORE INCIARDI, $154,760; JOHN GANTNER, $1,394,866 AND MARC H. LORY, $68,444. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR THE FOLLOWING INDIVIDUALS INCLUDE INTEREST CREDITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, AS TAXABLE WAGES: JOHN LLOYD, $573,540; MARC H. LORY, $69,594; JOHN GANTNER, $86,952; AND SALVATORE INCIARDI $44,066.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOXES 1 AND 5, AS TAXABLE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN F	THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2013 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2013 FORM W-2, BOX 1, AS TAXABLE WAGES: SALVATORE INCIARDI, $154,760; JOHN GANTNER, $1,394,866 AND MARC H. LORY, $68,444.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Part I

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

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

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

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

Part II

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

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






Total ...... $

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) AMDUR MAGGS SHORE	TRUSTEE/OFFICER - AMDUR	361,793	LEGAL - SEE PART V		No

Part V

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

Return Reference	Explanation
SCHEDULE L, PART IV	Richard A. Amdur, Esq. is a partner WITH Amdur, Maggs & Shore. Meridian Health System, Inc. utilized the services of Amdur, Maggs & Shore during 2013. Total fees paid to Amdur, Maggs & Shore IN 2013 were $361,793. Services were rendered at fair market value rates pursuant to arm's length negotiations comparable to other firms providing similar services to Meridian Health System, Inc.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Return Reference	Explanation
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Meridians vision and foresight since its inception has created a comprehensive full continuum of care that is a model in the health care industry. By providing integrated services every step of the way, we ensure that our patients receive coordinated and seamless care from diagnosis to treatment to rehabilitation. The following updates demonstrate how we are tuned into the changing health care environment and remain committed to the optimal health and wellness of those we serve. Maintaining a Strong Beat Through Meridian CardioVascular Network ----------------------------------------------------------------- Meridian CardioVascular Network provides the most comprehensive heart and vascular services in the region. Its an overarching umbrella coordinating all aspects of heart and vascular care from research and education to diagnosis and treatment to rehabilitation and post-hospital care. Meridian became the only health care system in New Jersey to receive the highest designated Chest Pain Center Accreditation by the Society of Cardiovascular Patient Care (SCPC), distinguishing itself by providing the best care available for patients who present with symptoms of a heart attack. The accreditation was received after each of Meridians five hospitals successfully met stringent SCPC criteria, and verifies that Meridian CardioVascular Network provides a seamless, coordinated approach to cardiovascular care, which ensures the best outcomes for our patients. Several other areas of distinction were earned throughout the year, including: Heart Failure Accreditation by the Society of Cardiovascular Patient Care for Jersey Shore, Ocean and Riverview Medical Centers; three-star quality designation by the Society of Thoracic Surgeons for cardiac surgery at Jersey Shore University Medical Center; Get with the Guidelines Heart Failure Gold Quality Achievement Award from the American Heart Association for Jersey Shore; Lifeline Silver Quality Achievement Award by the American Heart Association for Riverview Medical Center; and distinction for Jersey Shore as one of only a handful of hospitals around the country performing the FDA-approved LARIAT(TM) Suture Delivery Device procedure. In 2013, Meridian continued its 365 Days of Heart campaign with engaging programs and services that brought increased attention to critical topics in cardiac and vascular health. Creative initiatives such as the Meridian Health Heart and Sole Cup reached experienced and novice athletes through a series of three 5K races in Monmouth and Ocean counties. More than 1,000 community members participated in the 2013 races, a significant milestone for this annual event. Fighting and Surviving With Meridian Cancer Care ------------------------------------------------ From the beginning, decisions about cancer treatment can be overwhelming for patients and their families. To help patients get back to the life and people they love, Meridian Cancer Care offers every medical advantage through the collaboration of dedicated specialists and a unique multidisciplinary approach to diagnosis, treatment, and recovery. This proactive approach to cancer treatment results in comprehensive, coordinated care throughout all Meridians hospitals, and the first and only "System Partner" of the Rutgers Cancer Institute of New Jersey, Meridians patient-oriented approach provides opportunities for both state-of-the-art care and research trials. In 2013, Xofigo became a new treatment option offered at Ocean Medical Center for men who have been diagnosed with advanced prostate cancer. Recently approved by the FDA and offered at a handful of community hospitals in the United States, this intravenous injection treats metastatic prostate cancer that is resistant to medical or surgical treatments, offering an increase in the patients life expectancy and improving quality of life. Big Care for Little Patients Through Meridian Pediatric Network --------------------------------------------------------------- Meridian Pediatric Network continues addressing and meeting the needs of our youngest patients and their families. In addition to providing access to more than 100 pediatric specialists and the full continuum of care for children in Monmouth and Ocean counties, enhanced services and programs keep the network evolving. Two brand new Pediatric Care Centers at Southern Ocean Medical Center and Ocean Medical Center were opened and provide a new care environment and guest experience for children and their parents. The Pawsitive Action Team, a team of characters from K. Hovnanian Childrens Hospital at Jersey Shore University Medical Center, was introduced in 2008 as a fun and memorable way to educate children about making healthy choices. Since that time, over 50,000 children have been taught to eat right, stay fit, be safe and act responsibly. The Pawsitive Action team includes: Doctor Bernard, the director of Fun and Good Health at K. Hovnanian Childrens Hospital; Hopscotch, Doctor Bernard's bouncy buddy who's always on the move; and Picatso, Doctor Bernard's furry pal who keeps his mind healthy and strong through learning and creativity. Mind Matters at Meridian Neuroscience ------------------------------------- With 15 neurosurgeons on staff, Meridian continues to be among the states largest neuroscience programs. Jersey Shore University Medical Center is the only stroke rescue center in the region, performing advanced endovascular neurosurgery (1 of 13 in New Jersey). Illness or injury can happen at any time, and having an exceptional team of specialists available for life changing moments is critical. Thanks to Meridian Neuroscience, programs and services are close to home and available to diagnose and treat a range of conditions such as stroke, brain tumors, spine injuries, epilepsy, movement and memory disorders, and even sleep disorders. Meridians facilities continue their focus on excellence in neuroscience, as demonstrated by the following accomplishments throughout the year: Jersey Shore, Riverview and Ocean medical centers received the Gold Plus Performance Award from the American Heart Association (AHA)/American Stroke Association (ASA); and the Target Stroke Award from AHA/ASA and Joint Commission recertification as a primary stroke center was granted to Riverview Medical Center and Jersey Shore University Medical Center. Harry Carson, Hall of Famer and former New York Giant, continues to be the spokesperson for Meridian Neuroscience. Harry writes a monthly blog that can be viewed at MeridianHealth.com/HarryCarson. Online Appointments Help Patients Manage Their Health ----------------------------------------------------- In todays digital world, patients are constantly in search of new and better ways to manage their health, let alone their busy lives. Meridian Health Resources introduced a new service - ZocDoc instant online appointment scheduling which provides access to 95 of Meridians primary care, OB/GYN, and Ear, Nose and Throat physicians. Patients can utilize their computers, tablets, or mobile devices to use this free service and schedule appointments in the same manner they are accustomed to making restaurant and airline reservations. In its first few months, nearly 3,000 appointments were made with participating Meridian physicians. ZocDoc offers patients the opportunity to easily manage their care while better meeting their access and convenience expectations. Convenient Care, After Hours ---------------------------- Providing the right level of care, at the right time, are key elements that led Meridian and Ocean Medical Center to pilot a new service called AfterHours. Designed to offer a quick and convenient health care solution for non-emergent health needs, AfterHours locations were opened in Toms River in November 2013 and in Brick in March 2014. The model utilizes a nurse practitioner to treat patients of all ages during nights, weekends, and holidays. This new service creates enhanced access to after-hours care for patients with non-life threatening needs, while providing an option for physicians burdened by on-call demands. AfterHours is part of a larger strategy to improve access to care, which will include the development of Meridian Urgent Care sites in Monmouth and Ocean counties. Lighting the Shore After Superstorm Sandy ----------------------------------------- Hundreds of team members gathered in Jersey Shores Kurr Atrium to "Light the Shore" a year after Superstorm Sandy, to remember the fortitude and compassion that unified us, and to reflect on our communities continuing journey toward a brighter future. The event featured New Jersey Health Commissioner Mary E. ODowd, who spoke about the great partnership the Department had with Meridian during the storm. What Women Want --------------- As the primary health care decision makers for their families, women look for resources that are credible, accessible, and can deliver on "whats in it for me?" With that in mind, Mer
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Meridian Health Village at Jackson Offers One-Stop Access --------------------------------------------------------- Meridian Health created a revolutionary concept that will lead the way for health care delivery in the future with the Meridian Health Village at Jackson. The new 150,000 square-foot facility brings experienced clinicians, medical services, and a world-class fitness center close to home in a modern facility that combines elegant design and old-world charm. This state-of-the-art medical facility is a "one-stop shop" designed to offer both private health care services and services that are traditionally limited to locations within hospitals all under one roof in an easily accessible environment. Physician practices include pediatrics, internal medicine, family care, ob/gyn and womens services. As more components of the health village are added, community members will have access to cardiac diagnostic and rehab services, physical therapy, ambulatory surgery, pharmacy, diagnostic laboratory, and a conference center. There are also plans for comprehensive cancer services in the future. Residents of Jackson and the surrounding communities now have a convenient way to stay healthy, have access to Meridians continuum, and can fill most medical and wellness needs in one location. Jersey Shore University Medical Center -------------------------------------- New CardioVascular Intensive Care Unit Unveiled ----------------------------------------------- Jersey Shore opened a new CardioVascular Intensive Care Unit (CVICU) a 12-bed critical care unit providing post-operative care for cardiac surgery patients, including those who receive traditional open heart surgery and newer, complex interventional cardiovascular procedures. Jersey Shore is among the three largest programs in the state for cardiac surgery, cath and electrophysiology. Jersey Shore is among less then 100 hospitals in the country performing innovative TAVR surgery. The cardiac surgery program consistently ranks amongst the best in the Northeast and the team performed 831 cases last year. Jersey Shores new CVICU delivers the most advanced care available for cardiovascular patients requiring intensive monitoring, with an emphasis on patient comfort and convenience. Inpatient Diabetes Care & The Stroke Center Get The Gold! --------------------------------------------------------- Jersey Shore earned The Joint Commissions Gold Seal of Approval for its inpatient diabetes program by providing the best care available for patients with diabetes, and successfully meeting The Joint Commissions national standards for health care excellence and safety. Jersey Shore is the first hospital in central New Jersey to receive accreditation, a testament to the quality of Jersey Shores comprehensive approach towards inpatient diabetes care. The Stroke Center at Jersey Shore also continued to earn top honors a reflection of the programs commitment to excellence. The Stroke Center received reaccreditation of its Joint Commission Advanced Primary Stroke Certification, and was honored with The American Heart/American Stroke Association 2013 Get with the Guidelines Gold Plus Quality Achievement Award and the Honor Role Target Stroke Award. Recognitions from The American College of Surgeons -------------------------------------------------- The Commission on Cancer (CoC) of the American College of Surgeons accreditation recognizes Jersey Shores multidisciplinary team approach to diagnosing, treating, and rehabilitating patients with cancer. Only 30 percent of hospitals in the United States have received this designation, marking Jersey Shore as a center of excellence for cancer care. Additionally, Jersey Shores Trauma Center was recertified by The American College of Surgeons Committee on Trauma as a Level II Trauma Center. This achievement, first received by Jersey Shore in 1991, distinguishes the hospital as the only trauma center in Monmouth and Ocean counties to provide advanced trauma care. Research Advancements --------------------- As the home of Meridian Health Research Services, Jersey Shore conducts innovative research through clinical trials dedicated to advancing tomorrows medical breakthroughs. Jersey Shore was one of the few institutions in the state to participate in groundbreaking vaccine studies focused on eliminating hospital-acquired infection. In collaboration with the Center for Thyroid, Adrenal and Parathyroid Disease at Jersey Shore, the medical center was an international leader in trials investigating genetic changes in patients with endocrine cancers, such as thyroid and pancreatic cancer. Through programs in oncology, cardiology, neuroscience and pediatrics, researchers at Jersey Shore and Meridian provide our community with access to novel therapies, cutting-edge treatment, and new diagnostic possibilities. K. Hovnanian Childrens Hospital -------------------------------- Pediatric Intensive Care Unit Expansion --------------------------------------- Since 2007, K. Hovnanian Childrens Hospital has experienced tremendous growth in the demand for pediatric intensive care services. The recently expanded Pediatric Intensive Care Unit (PICU), which includes ten private rooms, enables the hospital to provide the most advanced health services for the regions sickest children, close to home. The unit sports a fun, shore-themed look, with state-of-the-art technology and spacious rooms. Emphasizing the importance of family support, each room features a convertible couch/bed for parents. Convient amenities, such as a conference room and pantry, are also available. With access to more than 100 pediatric specialists, the PICUs new home provides a healing space for caregivers to ensure that the critical needs of children are met. The Newest Arrival: Center for Breastfeeding -------------------------------------------- With the Center for Breastfeeding, Jersey Shore became the first hospital in the state to open an outpatient center providing lactation consultation and education services. As a Baby-Friendly designated hospital, Jersey Shore is recognized by the World Health Organization as providing optimal care for mothers and babies, and remains a leading state advocate in promoting and supporting mother-infant bonding practices as evidenced-based medicine with proven health benefits. A Sign of More Great Things to Come ----------------------------------- Bright, new K. Hovnanian Childrens Hospital signs welcome guests, and hint at big things happening for the smallest patients. So whats next for the childrens hospital? A completed expansion that includes more private rooms for kids and their families, a growing pediatric specialty care center, a continued expansion of intensive care services...and more eye-catching signs to match. We now have 44 pediatric beds, 10 pediatric intensive care unit beds and 21 neonatal intensive care unit beds - making us among the largest in the state. In terms of inpatient volume K. Hovnanian Childrens Hospital is the fourth largest in the state. As the first and most comprehensive provider of health care for kids in Monmouth and Ocean counties, K. Hovnanian Childrens Hospital continues to grow with the community, and the new campus look is a "sign" of more great things to come!
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Ocean Medical Center -------------------- Improving Access to Care ------------------------ As we work towards helping the population better manage their health, Ocean Medical Center ("OCEAN") achieved several milestones that are focused on providing easier and earlier access to care. The launch of two AfterHours sites now offers local residents a convenient place to get health care during evenings and weekends, with locations in Toms River and Brick. This new service creates enhanced access to after-hours care for patients with non-life threatening needs, and avoids unnecessary visits to the Emergency Department. For those patients with true emergencies, the opening of the Hirair and Anna Hovnanian Emergency Care Center established a new environment of care based upon tranquility, comfort, privacy and efficiency. This $82 million project tripled the footprint of the Center, increasing from 12,075 square feet to 44,300 square feet, featuring 49 large private emergency bays, a Pediatric Care Center with eight bays in a private observation area, and dedicated Emergency Behavioral Health and Express Care areas. This helps Ocean better meet current and projected patient demand, which is expected to increase with population aging and more residents acquiring health insurance through reform. Likewise, as health reform increases the need for primary care physicians (PCP) to manage an individuals health and wellness, Ocean successfully recruited 16 new PCPs for its service area. Surgical Services Expansion, Excellence --------------------------------------- Several new surgical services were introduced at Ocean Medical Center in 2013. Early in the year, cardiac services were expanded when a pacemaker program was introduced, providing a critical service at a very local level for community members. By mid-year, Ocean implemented a bariatric surgery program, where experienced experts perform gastric banding, sleeve gastrectomy, and gastric bypass surgeries for patients seeking surgical weight loss solutions. And, at the end of the year, Ocean acquired the daVinci Si Surgical System, adding the newest robotic technology for surgery to the medical centers robust services. These new services build upon a comprehensive surgical services program that has a keen focus on quality. In fact, Ocean was named one of the top four hospitals in New Jersey for surgical excellence in Consumer Reports magazine in 2013. Imaging Excellence Across All Modalities ---------------------------------------- With more than 143,000 imaging procedures performed, Ocean Medical Center earned the elite status of being accredited by the American College of Radiology (ACR) in all nine modalities, the only hospital in Ocean and Monmouth counties to achieve such an accomplishment in 2013. The breast MRI accreditation at Ocean completed the spectrum of ACR accreditations that an imaging facility can earn, with other modalities including breast ultrasound, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), mammography, nuclear medicine, Positron Emission Tomography (PET), stereotactic breast biopsy, and ultrasound. This level of recognition is synonymous with exceptional performance, quality, and patient care delivered by Oceans entire team of board-certified radiologists, qualified technical staff, and management. Riverview Medical Center ------------------------ Surgical Renaissance -------------------- The investment in bringing the very best in surgery continues at Riverview Medical Center ("RIVERVIEW"). Upon the successful completion of the Life.Changing. Campaign for Surgical Excellence, which raised $20 million to support the construction of Riverviews new 22,000 square foot center for surgical excellence, Riverview has also recently added the da Vinci Si Surgical System. The Meridian Center for Robotic Surgery at Riverview now provides even more options for minimally invasive surgery, allowing physicians to use the small incisions associated with traditional laparoscopic surgery, but with improved visualization and range of motion through robotically-assisted surgery. Today, more than 200 surgeons choose to perform their surgical procedures at Riverview. Imaging Makeover for Service and Technology ------------------------------------------- The Diagnostic Imaging Department at Riverview recently finished the complete renovation and installation of a new interventional radiology suite, along with reconstruction and expansion of the patient preparation and recovery area, providing better service for patients. This enhanced service is one of the many imaging modalities offered at our comprehensive and fully ACR-accredited Center. A new, state-of-the-art interventional suite will allow the Riverview Medical Center Diagnostic Imaging team to expand access to a wide range of diagnostic and therapeutic procedures such as: embolizations, paracentesis, thoracentesis, biopsies and arthrograms. A New Vision for Womens Health at Riverview and Bayshore --------------------------------------------------------- Bayshore and Riverview continue to enhance and coordinate services for the residents of Northern Monmouth County region. Over the past year, we introduced a new regional approach for care provided at the Womens Centers at Riverview Medical Center and Bayshore Community Hospital. Today, both Centers share clinical protocols, offer the latest technology, including Tomosynthesis or 3D mammography, as well as a fully fellowship-trained team of radiologists that cover both hospitals. This model, led by medical director, Bokran Won, M.D., provides consistent and exceptional care and evening and weekend hours that accommodate the varying lifestyles of women in our community. Bayshore Community Hospital --------------------------- Bayshores Heart Continues to Grow ---------------------------------- Incredible things are happening in the heart of Holmdel. In October of 2013, Bayshore qualified as a Primary Percutaneous Coronary Intervention hospital and is now approved to provide primary angioplasty procedures to patients experiencing a heart attack. Even more impressive, our team members and physicians have worked hard to maintain a door-to-balloon time well below the national average. As part of the Meridian CardioVascular Network, Bayshore joined the other hospitals of Meridian Health as an Accredited Chest Pain Center. Finally, as part of an effort to significantly improve Bayshores service capabilities, work is currently underway on the construction of two state-of-the-art OR-compatible labs that will perform complex endovascular, cardiovascular intervention, and interventional radiology procedures. An Awakening for Sleep and Wound Healing Services ------------------------------------------------- In 2013, Bayshore Community Hospital made significant additions to its array of services by opening the Center for Wound Healing and the Center for Sleep Medicine. As an outpatient wound management program, the Center for Wound Healing provides a larger and more modern healing environment that includes hyperbaric oxygen (HBO) treatment to better meet the needs of patients suffering from chronic and non-healing wounds. Lauding a wound healing rate consistently over 95 percent, the Center received the Center of Distinction Award. Additionally, a new six-bed Center for Sleep Medicine was opened and provides enhanced sleep medicine services in a larger, home-like environment that better meets the needs of adults and children. The Center is led by board-certified sleep medicine physicians and staffed by a team of trained sleep technologists who employ a comprehensive approach to diagnosing and treating sleep disorders. Southern Ocean Medical Center ----------------------------- A New Era of Emergency Care --------------------------- August 2013 marked the opening of a new, expanded Emergency Department at Southern Ocean Medical Center. This $22 million project expanded the facility to triple the size of the former Emergency Department and is the largest building project in the history of the medical center. The Center features 22 large and private emergency bays, raising emergency care to a new level with a renewed focus on privacy, convenience, and the guest experience. The facility includes space designed for behavioral health patients that is discreet, separate, and secure, and children have their own area within the Martin Truex, Jr. Pediatric Care Center. Expanded triage and fast track areas provide better care and better service, thus improving the emergency experience for patients and family members, as well as for the doctors and nurses who deliver care. Hometown Hero Dedicates Pediatric Care Center --------------------------------------------- NASCAR driver and hometown hero Martin Truex, Jr. joined with hospital team members and friends of the medical center to officially dedicate the Martin Truex, Jr. Pediatric Care Center at Southern Ocean Medical Center in September 201
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Partner Companies ----------------- Meridians partner companies continue to distinguish Meridians unique continuum of care that extends beyond the reach of our six hospitals. By integrating care across different geographic sites, Meridian succeeds in delivering multiple clinical services that are coordinated seamlessly for our patients. Meridian partner companies include ambulatory services, physician primary care network, Alert Ambulance, Meridian At Home, Meridian Nursing and Rehabilitation, Shore Rehabilitation Institute, Meridian Occupational Health, and more. A Strong Move With Meridian Fitness & Wellness ---------------------------------------------- It is Meridians goal to have a fitness and wellness center within a reasonable distance to every resident in Monmouth and Ocean counties. In December 2013, Meridian expanded its partnership with Tilton Fitness Management, a regional leader in health club operation, putting us well on our way to achieving our goal. The current partnership includes a network of five fitness centers in Manahawkin, Hazlet, Northfield, Galloway and Jackson. The Jackson location is the newest of the sites, featuring a 32,000 square foot state-of-the-art facility in the new Meridian Health Village. The center was so anticipated that it opened with over 2,000 members. Plans are now under way for a brand new facility in Brick. Care in the Comfort of Home --------------------------- In 2013, Meridian At Home continued its leadership as the largest provider of home health services in Monmouth and Ocean counties. Over 150,000 home health visits were made last year providing care, rehabilitation, and therapy to over 17,000 patients and their families allowing them to receive care in the comfort of their home. Meridian At Homes care team includes over 380 certified home health aides, 140 skilled nursing professionals, 80 licensed therapists, and 14 social workers. Meridian Hospice provided care and comfort to over 2,300 patients and their families. Strengthening Meridians Provider Network and Infrastructure ------------------------------------------------------------ Meridian continues to grow its physician enterprise, which now includes more than 300 employed doctors, including our faculty physicians at Jersey Shore University Medical Center. Meridian is recruiting additional primary care physicians to further build upon our extensive reach in Monmouth and Ocean counties to provide access to care in light of the shortage of primary care physicians. New infrastructure requirements for advanced quality and access initiatives were developed to support Patient Centered Medical Homes (PCMH) and achieved the highest level of National Committee for Quality Assurance (NCQA) PCMH Recognition for two practice locations. The Patient Centered Medical Home standards emphasize the use of systematic, patient-centered, coordinated care that supports access, communication, and patient involvement. Additionally, 17 clinicians received National Committee for Quality Assurance Diabetes Recognition for providing high quality care, bringing the total number of NCQA recognized clinicians to 24. Meridian Nursing & Rehab is Seeing Stars ---------------------------------------- Every day, families across the country are faced with the difficult decision of finding a nursing home to care for their loved one. Area residents can rest assure knowing that they have quality facilities close by with Meridian Nursing & Rehab. U.S. News & World Report, with data collected from the Centers for Medicare & Medicaid Services, awarded Meridian Nursing and Rehab facilities at Brick, Shrewsbury, Manor By the Sea in Ocean Grove, and Wall with the highest possible overall rating of five stars in their 2014 Best Nursing Homes report. Meridian Nursing and Rehab at Brick Awarded Advanced Certification in Heart Failure --------------------------------------------------------------------- The Joint Commission, in conjunction with The American Heart Association, recognized Meridian Nursing and Rehab at Brick as the only skilled nursing facility in New Jersey to receive the Advanced Certification in Heart Failure. Achievement of this certification signifies an organizations dedication to fostering better outcomes for patients in its heart failure program. The Advanced Certification in Heart Failure has demonstrated that Meridian Nursing and Rehab at Bricks services have met critical elements of performance to achieve long term success in improving outcomes for patients diagnosed with and being treated for heart failure. Shore Rehab among the Best in the Country ----------------------------------------- Shore Rehabilitation Institute, located on the campus of Ocean Medical Center, was named among the Best of 2013 Rehab Hospitals, Institutions, & Facilities in the nation by Rehab Management, which annually profiles the industrys top rehab hospitals and facilities based on the nominees recognized excellence in rehabilitation care and service to the community they serve. As one of the largest providers of inpatient and outpatient rehabilitation in the state, Meridian continues to deliver the best patient experience while helping individuals with disability attain optimal function. Foundation ---------- Exemplary Performance in Fundraising ------------------------------------ Meridian Health Affiliated Foundations was honored by the Association for Healthcare Philanthropy (AHP) for its exemplary performance in raising funds for its local communities health care needs. Meridian Health is one of 12 organizations throughout the United States and Canada that have received this designation of a sustaining high performer for three or more years over a six-year period. In fact, for the past five years, Meridian Health Affiliated Foundations has contributed to about 20 percent of Meridians bottom line. Some of the most recent significant contributions were aligned with the emergency department projects at Southern Ocean and Ocean Medical Centers. The campaign at Southern Ocean Medical Center raised more than $7.6 million for the new Emergency Department. At Ocean Medical Center, the foundation completed the matching gift from a donor, propelling Ocean to raise more than $10 million for the emergency department expansion. The generosity of the communities we serve allows Meridian Health Affiliated Foundations to ensure that everyone Meridian serves receives the highest level of care. Donor support enables us to raise funds that create and maintain new services and facilities, including advanced medical treatments, technologies, and environments that provide the best medical care in the region. Awards ------ Five in a Row! Meridian Makes FORTUNEs "100 Best Places to Work For" List --------------------------------------------------------------------- Meridian has been given the "high five" by FORTUNE Magazine, earning a coveted spot on the leading industry publications "100 Best Companies to Work For" list for an incredible five years in a row. Coming in at number 62 on FORTUNEs 2014 best companies list, Meridian continues to earn FORTUNE 100 acclaim for accomplishments that include low staff turnover and a remarkable 15 years or more of service for more than twenty percent of our team members. Meridian is also one of only ten health care organizations across the country to make this prestigious list. Meridian Health Among the Top New Jersey Employers 10 Years Running ------------------------------------------------------------------- The NJBiz "Best Places to Work in New Jersey" program was designed to identify, recognize, and honor the best places of employment in New Jersey who show a dedication to employee growth and quality of life. Meridian Health was recently honored for the tenth consecutive year as one of the few organizations in the state to be consistently recognized as an outstanding employer. Most Wired for the 14th Consecutive Year ---------------------------------------- Meridian Health was named to the 2013 "Most Wired" survey for the 14th year in a row, an honor that Meridian has received more times than any other existing health system in the state of New Jersey. Having received this award for 14 years is a reflection on the Meridians commitment to make the necessary investments to be at the leading edge of health care technology and care delivery. Meridian Health Ranked #1 on the Healthcare IT News List of Where to Work: Best Hospital IT Departments -------------------------------------------------------------------- Meridians IT Department recently received recognition for their collaborative work environment. The more than 200 members Demonstrated their excellence by ranking first in this years Healthcare IT News Where to Work: Best Large Hospital IT Departments. Were "Exemplar" at Caring for Older Patients --------------------------------------------- Meridian has achieved "Exemplar" status for our NICHE (Nurses Improving Care for Healthsystem Elders
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION, MERIDIAN HEALTH, IS THE PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY OF THIS ORGANIZATION. THE PROCESS FOR REVIEWING THE FORM 990 IS AS FOLLOWS: MERIDIAN HEALTH RETAINED A FIRM OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS WITH EXPERIENCE AND EXPERTISE IN HEALTHCARE AND NOT FOR PROFIT TAX RETURN PREPARATION ("CPA FIRM") TO REVIEW AND FILE THE FORM 990. Meridian PREPARED A DRAFT OF THE FORM 990, WHICH WAS THEN REVIEWED BY OTHER APPROPRIATE INTERNAL STAFF FOR ACCURACY, GENERAL COUNSEL AND OUTSIDE TAX COUNSEL. THE DRAFT WAS THEN REVIEWED BY THE CPA FIRM AND PRESENTED TO THE GOVERNING BODY'S COMPLIANCE AND AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE GOVERNING BODY. AFTER THE COMPLIANCE AND AUDIT COMMITTEE MEETING, ANY SUGGESTED REVISIONS TO THE FORM 990 WERE MADE, AND THE REVISED FORM 990, IN Final FORM, WAS PROVIDED TO EACH voting MEMBER OF THE ORGANIZATION'S GOVERNING BODY FOR REVIEW AT A MEETING PRIOR TO FILING OF THE FORM 990 WITH THE IRS.
CORE FORM 990; PART VI, SECTION B; QUESTION 12	THE ORGANIZATION, MERIDIAN HEALTH, IS THE PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). MERIDIAN HEALTH HAS ADOPTED A CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE WITH RESPECT TO ANY APPLICABLE TRANSACTIONS AND RELATIONSHIPS. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S SENIOR VICE PRESIDENT AND GENERAL COUNSEL FOR REVIEW. THE SENIOR VICE PRESENT AND GENERAL COUNSEL THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO THE SYSTEM'S EXECUTIVE COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). DURING THE YEAR, THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL ALSO MONITORS ON-GOING TRANSACTIONS IN LIGHT OF THE SUMMARY TO ENSURE THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE APPROPRIATELY HANDLED IN COMPLIANCE WITH THE POLICY.
CORE FORM 990; PART VI, SECTION B; QUESTION 15	THIS ORGANIZATION IS THE PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") OF THIS ORGANIZATION IS RESPONSIBLE FOR REVIEWING THE EXECUTIVE COMPENSATION OF THE PRESIDENT AND KEY EMPLOYEES (SENIOR MANAGEMENT) OF THIS ORGANIZATION. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY, APPROVED BY THE EXECUTIVE COMMITTEE AND GOVERNING BODY, WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES COMPENSATION AND BENEFITS. THE EXECUTIVE COMPENSATION PHILOSOPHY RECOGNIZES THE SIZE AND COMPLEXITY OF THE HEALTHCARE SYSTEM AND THE CRITICAL NEED TO HAVE AND RETAIN EXECUTIVES THAT CONSISTENTLY DEMONSTRATE SUPERIOR LEVELS OF PERFORMANCE SO THAT THE HEALTH SYSTEM CAN FULFILL ITS CHARITABLE MISSION. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS, INCLUDING BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED ON AT LEAST AN ANNUAL BASIS TO ENSURE THAT THE "TOTAL COMPENSATION" OF THE PRESIDENT AND EACH SENIOR MANAGEMENT KEY EMPLOYEE IS REASONABLE. TO ASSIST WITH THE REVIEW, THE COMMITTEE ENGAGES THE SERVICES OF A NATIONALLY RECOGNIZED INDEPENDENT CONSULTING FIRM SPECIALIZING IN EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS, AND RECEIVES REGIONAL MARKET DATA FOR COMPARABLE ORGANIZATIONS, A REPORT SUMMARIZING SUCH DATA, AND AN OPINION LETTER RELATING TO THE REASONABLENESS OF EACH EXECUTIVE'S TOTAL COMPENSATION AND BENEFITS. ADDITIONALLY, A SENIOR MEMBER OF THE CONSULTING FIRM ATTENDS THE COMMITTEE'S MEETINGS TO PROVIDE INFORMATION AND TO RESPOND TO QUESTIONS BY THE MEMBERS OF THE COMMITTEE. THE INDEPENDENT COMMITTEE UTILIZES THE OUTSIDE MARKET DATA COMPARABILITY AND BASED UPON THE ORGANIZATION'S PERFORMANCE, BUSINESS JUDGMENT CONSIDERATIONS, AND THE INDIVIDUAL'S PERFORMANCE ESTABLISHES COMPENSATION FOR EACH INDIVIDUAL. THE COMPREHENSIVE REVIEW PROCESS UTILIZED BY THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX EXEMPT ORGANIZATION, WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF THE REGULATIONS UNDER SECTION 4958; 2. THE AUTHORIZED BODY OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION, WHICH COMPARABILITY DATA IS PROVIDED AND ANALYZED BY SULLIVAN COTTER AND ASSOCIATES, INC., A WELL-REGARDED EXPERT IN THE AREA OF NOT-FOR-PROFIT HEALTHCARE COMPENSATION; AND 3. THE AUTHORIZED BODY ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS REQUIRED IN THE REGULATIONS. AS APPROPRIATE, THE AUTHORIZED BODY SUPPLEMENTS THE COMPARABILITY DATA WITH OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THE REASONABLENESS OF THE COMPENSATION PAID, INCLUDING AN ANALYSIS OF INDIVIDUAL GOALS AND OBJECTIVES, ORGANIZATIONAL PERFORMANCE, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS, AND WRITTEN OFFERS FROM COMPETING ORGANIZATIONS. THE APPROVED COMPENSATION ARRANGEMENTS BY THE EXECUTIVE COMMITTEE ARE REPORTED IN EXECUTIVE SESSION TO THE GOVERNING BOARD BY THE SENIOR MEMBER OF THE CONSULTING FIRM.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. IN ADDITION, THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC VIA ITS WEBSITE, WWW.MERIDIANHEALTH.COM, ITS CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN INDIVIDUALS, JOHN K. LLOYD, FACHE, John Gantner, Marc H. Lory AND SALVATORE INCIARDI, WHO ARE PART OF THE SENIOR MANAGEMENT TEAM AT MERIDIAN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THESE INDIVIDUALS WORK FULL-TIME FOR MERIDIAN HEALTH SYSTEM AND RECEIVE COMPENSATION AND BENEFITS FROM MERIDIAN HOSPITALS CORPORATION, A TAX-EXEMPT HOSPITAL WITHIN THE SYSTEM. THEIR REMUNERATION WAS FOR SERVICES RENDERED AS FULL TIME EMPLOYEES OF THE HEALTHCARE SYSTEM AND FOR SERVICES RENDERED TO THE ENTIRE MERIDIAN HEALTH SYSTEM, NOT SOLELY FOR THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THE BOARD OR OFFICER OF THIS ORGANIZATION. PLEASE NOTE THAT THIS FORM 990 REFLECTS THE FINANCIAL ACTIVITY AND OTHER INFORMATION OF THE PARENT ORGANIZATION ONLY.
CORE FORM, PART VII, SECTION A, COLUMN B	Meridian Health System, Inc. is the parent of MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS and/or OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH more than one ORGANIZATION WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY three to five HOURs. THE HOURS REFLECTED ON PART VII OF THIS FORM 990 FOR PAID OFFICERS REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF MERIDIAN HEALTH; NOT SOLELY THe ORGANIZATION included in this return.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET TRANSFERS TO SOUTHERN OCEAN MEDICAL CENTER FOUNDATION; ($900,000) - NET TRANSFERS TO BAYSHORE COMMUNITY HOSPITAL FOUNDATION; ($300,000) - NET TRANSFERS TO MERIDIAN HEALTH REALTY CORPORATION; ($1,570,000) - NET TRANSFERS FROM MERIDIAN HOSPITALS CORPORATION; $7,200,000 THE ENTITIES ABOVE ARE RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS.
CORE FORM, PART XII; QUESTION 2	PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM, AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF MERIDIAN HEALTH SYSTEM, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. PRICEWATERHOUSE COOPERS, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE MERIDIAN HEALTH SYSTEM, INC. COMPLIANCE AND AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART IV, QUESTION 5	PLEASE NOTE THAT THE ORGANIZATION IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) ORGANIZATION AND QUESTION 5 IS NOT APPLICABLE.
STATEMENT PURSUANT TO REGULATION SECTION 1.351-3(A)	BY MERIDIAN HEALTH SYSTEM, INC. (EIN: 22-3474145), A SIGNIFICANT TRANSFEROR This statement is pursuant to Regulation Section 1.351-3(a) by the following entity, a significant transferor: Meridian Health System, Inc. ("MHSI") 22-3474145 1350 Campus Parkway, Neptune, NJ 07753 MHSI (EIN: 22-3474145), a U.S. tax-exempt corporation and a significant transferor, made constructive transfers of cash on the following dates to Coastal Meridian Insurance Limited (EIN: 98-0166769), its wholly-owned subsidiary formed in Bermuda (the "Transferee"): 1/18/2013: $1,102,750 2/18/2013: $7,519,000 2/25/2013: $6,642,150 7/15/2013: $ 242,959 The good faith estimate of the aggregate fair market value of the assets transferred by MHSI (as determined immediately before the exchanges) was $15,506,859. The good faith estimate of the aggregate tax basis of the assets transferred by MHSI (as determined immediately before the exchanges) was $15,506,859. No private letter rulings were issued by the Internal Revenue Service in connection with the Section 351 exchanges.
CORE FORM PART X BEGINNING BALANCE	BEGINNING BALANCES WERE ADJUSTED TO REFLECT A BOOK TRANSFER. THERE WAS NO IMPACT ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS AS A RESULT OF THE BOOK TRANSFER.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MERIDIAN ACCOUNTABLE CARE ORGANIZATION 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 45-5440670	HEALTH SVCS	NJ	140	100,000	MH SYSTEM
(2) COASTAL DATA SOLUTIONS 1350 CAMPUS PKWY NEPTUNE,NJ07753 45-2441857	HEALTH IT	NJ	463,027	219,121	MH SYSTEM

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MERIDIAN HOSPITALS CORPORATION 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-3471515	HEALTH SVCS.	NJ	501(C)(3)	509(a)(1)	MH SYSTEM	Yes
(2) MERIDIAN HOME CARE SERVICES INC 103 EAST FRONT STREET RED BANK,NJ07701 22-2731440	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(3) JERSEY SHORE UNIVERSITY MEDICAL CNTR FDN 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2342452	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(4) RIVERVIEW MEDICAL CENTER FDN INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2333524	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(5) OCEAN MEDICAL CENTER FOUNDATION INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2361311	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(6) MERIDIAN NURSING & REHABILITATION INC 3349 HIGHWAY 138 BUILDING C SUITE WALL,NJ07719 52-1772578	NURSING LTC	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(7) MERIDIAN HEALTH FOUNDATION INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 30-0107825	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(8) MERIDIAN PRACTICE INSTITUTE INC 1200 JUMPING BROOK RD BLDG 5 NEPTUNE,NJ07753 06-1755235	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(9) MERIDIAN HEALTH REALTY CORPORATION 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-3200147	TITLE HLDING	NJ	501(C)(3)	509(A)(3)	MH SYSTEM	Yes
(10) HEALTH INNOVATIONS UNLIMITED INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2581430	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	HOMECARE		No
(11) MERIDIAN SURGICAL ASSOCIATES PC 1945 STATE ROUTE 33 NEPTUNE,NJ07753 06-1755228	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(12) MERIDIAN PEDIATRIC ASSOCIATES PC 1945 STATE ROUTE 33 NEPTUNE,NJ07753 06-1755230	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(13) MERIDIAN MEDICAL ASSOCIATES PC 1945 STATE ROUTE 33 NEPTUNE,NJ07753 06-1755233	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(14) NORTHERN OCEAN CTY MEDICAL ASSOC PC 1945 STATE ROUTE 33 NEPTUNE,NJ07753 14-1981653	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(15) NORTHERN MONMOUTH CTY MED ASSOC PC 1945 STATE ROUTE 33 NEPTUNE,NJ07753 14-1981647	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(16) MERIDIAN TRAUMA ASSOCIATES PC 1945 STATE ROUTE 33 NEPTUNE,NJ07753 14-1981651	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(17) MERIDIAN OBST & GYN ASSOCIATES PC 1945 STATE ROUTE 33 NEPTUNE,NJ07753 06-1755239	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(18) MERIDIAN PEDIATRIC SURGICAL ASSOC PC 1200 JUMPING BROOK ROAD BLDG 5 S NEPTUNE,NJ07753 77-0720131	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(19) SHORE REHABILITATION INSTITUTE INC 425 JACK MARTIN BLVD BRICK,NJ08724 22-3274755	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MHC		No
(20) SOUTHERN OCEAN MEDICAL CENTER FOUNDATION 1140 ROUTE 72 WEST MANAHAWKIN,NJ08050 22-2666099	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(21) BAYSHORE COMMUNITY HOSPITAL FOUNDATION 727 NO BEERS ST HOLMDEL,NJ07733 22-2367109	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(22) SOMC MEDICAL GROUP PC 1140 RT 72 WEST MANAHAWKIN,NJ08050 27-1412183	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(23) MERIDIAN OCCUPATIONAL HEALTH PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 27-2377326	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(24) BAYSHORE COMMUNITY HOSPITAL 727 NO BEERS ST HOLMDEL,NJ07753 21-0744668	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	MHC		No
(25) BAYSHORE HEALTH CARE CENTER INC 715 NO BEERS ST HOLMDEL,NJ07733 22-2715789	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MNR		No
(26) SOCH PROPERTIES INC 1140 ROUTE 72 WEST MANAHAWKIN,NJ08050 22-3846197	TITLE HLDG.	NJ	501(C)(3)	509(A)(3)	MH REALTY		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) COASTAL CO-OP OF NJ 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-3603146	PURCHASING	NJ	NA

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) COASTAL MEDICAL INSURANCE LTD 44 CHURCH STREET 3RD FLOOR HAMILTON,BERMUDAHA 12 BD 98-0166769	FINANCIAL VEHICLE	BD	MH SYSTEM	FOREIGN CORP.	-1,242,361	68,616,022	100.000 %	Yes
(2) MERIDIAN HEALTH VENTURES INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2550716	HEALTHCARE SVCS	NJ	MH SYSTEM	C CORP.	2,074,000	47,743,000	100.000 %	Yes
(3) HCMC Inc 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2620595	HEALTHCARE SVCS	NJ	NA	C CORP.					No
(4) ASSISTED LIVING AT COLTS NECK INC 3349 HIGHWAY 138 BLDG C SUITE A WALL,NJ07719 22-2567119	INACTIVE	NJ	NA	C CORP.					No
(5) MERIDIAN HEALTH MANAGEMENT INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2519699	HEALTHCARE SVCS	NJ	MH SYSTEM	C CORP.	40,133		100.000 %	Yes
(6) MERIDIAN HEALTHWARES BRICK 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-3571926	HEALTHCARE SVCS	NJ	NA	C CORP.					No
(7) MERIDIAN HEALTHWARES WEST LONG BRANCH 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-3571931	INACTIVE	NJ	MH SYSTEM	C CORP			100.000 %	Yes
(8) COMPASS HEALTHCARE INC 1140 ROUTE 72 WEST MANAHAWKIN,NJ08050 22-3357958	HEALTHCARE SVCS	NJ	MH SYSTEM	C CORP.			100.000 %	Yes
(9) BAYSHORE CENTR FOR REHAB & PHYS THERAPY 1 BETHANY ROAD SUITE 43 HAZLET,NJ07730 22-3116637	INACTIVE	NJ	NA	C CORP.					No

Schedule R (Form 990) 2013

Page 3

Part V

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

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

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Yes

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

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MERIDIAN HEALTH REALTY CORPORATION	R	1,570,000	COST
(2) SOUTHERN OCEAN MEDICAL CENTER FOUNDATION	R	900,000	COST
(3) BAYSHORE COMMUNITY HOSPITAL FOUNDATION	R	300,000	COST
(4) MERIDIAN HOSPITALS CORPORATION	S	7,200,000	COST

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

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

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

2013 MERGERS

_____________________________________________________________________ ON APRIL 1, 2013 BAYSHORE COMMUNITY HOSPITAL (EIN 21-0744668) MERGED INTO MERIDIAN HOSPITALS CORPORATION (EIN 22-3471515) AND BAYSHORE HEALTH CARE CENTER, INC. (EIN 22-2715789) MERGED INTO MERIDIAN NURSING & REHABILITATION, INC. (EIN 52-1772578). ON JULY 29, 2013 COMPASS HEALTHCARE, INC. (EIN 22-3357958) MERGED INTO NEW COMPASS HEALTHCARE, INC. (EIN 46-3315778). NEW COMPASS HEALTHCARE, INC. (EIN 46-3315778) MERGED INTO COMPASS NEWCO, INC. (EIN 46-3308111). ON JULY 30, 2013 COMPASS NEWCO, INC. (EIN 46-3308111) MERGED INTO MERIDIAN HEALTH MANAGEMENT, INC. (EIN 22-2519699). ON AUGUST 1, 2013 THE FOLLOWING ENITIES MERGED: - MERIDIAN HEALTH MANAGEMENT, INC. (EIN 22-2519699) MERGED INTO HCMC, INC. (EIN 22-2620595). HCMC, INC. (EIN 22-2620595) CHANGED ITS NAME TO MERIDIAN HEALTH MANAGEMENT, INC. - MERIDIAN HEALTHWARES, BRICK (EIN 22-3571926) MERGED INTO BAYSHORE HEALTHCARE MANAGEMENT CORPORATION (EIN 22-2550716). BAYSHORE HEALTHCARE MANAGEMENT CORPORATION (EIN 22-2550716) CHANGED ITS NAME TO MERIDIAN HEALTH VENTURES, INC. - SOCH PROPERTIES, INC. (EIN 22-3846197) MERGED INTO MERIDIAN HEALTH REALTY CORPORATION (EIN 22-3200147)

2013 DISSOLUTIONS

______________________________________________________________________ THE FOLLOWING ENTITIES WERE DISSOLVED IN 2013: - BAYSHORE CENTER FOR REHAB & PHYS THERAPY (EIN 22-3116637) ON JUNE 10, 2013 - ASSISTED LIVING IN COLTS NECK, INC. (EIN 22-2567119) ON JULY 25, 2013 - MERIDIAN HEALTHWARES, WEST LONG BRANCH (EIN 22-3571931) ON DECEMBER 5, 2013

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION IS THE PARENT ENTITY of a TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION COORDINATES AND SUPPORTS THE CHARITABLE ACTIVITIES OF THE SYSTEM.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	32,620
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-22,591

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	8,629	14,446
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,281,698	-3,754,476
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	463,027
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,290,327	-3,277,003
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,166,366	2,823,942
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,166,366	2,823,942
19	Revenue less expenses. Subtract line 18 from line 12.......	123,961	-6,100,945
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	23,326,086	22,943,833
21	Total liabilities (Part X, line 26).............	1,892,260	3,180,952
22	Net assets or fund balances. Subtract line 21 from line 20.....	21,433,826	19,762,881

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,468,769 including grants of $ ) (Revenue $ 14,446 )
	THE ORGANIZATION IS THE PARENT ENTITY OF THE MERIDIAN HEALTH SYSTEM, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM 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. IN ITS ROLE, THE ORGANIZATION COORDINATES AND SUPPORTS THE CHARITABLE ACTIVITIES OF THE SYSTEM. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 430,407 including grants of $ ) (Revenue $ 463,027 )
	EXPENSES INCURRED IN PROVIDING IT CONSULTING AND PROCESS IMPROVEMENT SERVICES FOR THE AFFILIATES OF MERIDIAN HEALTH SYSTEM, INC.

4c	(Code: ) (Expenses $ 892,146 including grants of $ ) (Revenue $ )
	PROMOTE EVIDENCE-BASED MEDICINE, PATIENT ENGAGEMENT, CARE COORDINATION, AND THE DEVELOPMENT OF AN INFRASTRUCTURE FOR ACCOUNTABLE CARE ORGANIZATION PROVIDERS TO INTERNALLY REPORT ON QUALITY AND COST METRICS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,791,322

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) Gordon N Litwin Esq........................................................................ Chairperson - Trustee	5.0 .......................	X	X
(2) Kenneth W Hitchner III........................................................................ Vice Chairperson - Trustee	5.0 .......................	X	X
(3) Richard A Amdur Esq........................................................................ Secretary - Trustee	5.0 .......................	X	X
(4) Peter S Reinhart Esq........................................................................ Treasurer - Trustee	5.0 .......................	X	X
(5) Peter Amenta MD........................................................................ Trustee; Ex-Officio	3.0 .......................	X
(6) Raymond M Masterson MD........................................................................ Trustee; Ex-Officio	3.0 .......................	X			11,623
(7) Ivan Brown........................................................................ Trustee	3.0 .......................	X
(8) Norman V Buttaci........................................................................ Trustee; Ex-Officio	3.0 .......................	X
(9) John Ford........................................................................ Trustee	3.0 .......................	X
(10) Paul G Gaffney II........................................................................ Trustee	3.0 .......................	X
(11) Luke Kealy Esq........................................................................ Trustee	3.0 .......................	X
(12) Joseph P Lattanzi MD........................................................................ Trustee; Ex-Officio	3.0 .......................	X		0	0	27,083
(13) Peter S Goldman........................................................................ Trustee	3.0 .......................	X
(14) John K Lloyd FACHE........................................................................ Trustee; Ex-Officio-Pres/CEO	60.0 .......................	X	X		1,794,054	665,827
(15) Peter H Wegener Esq........................................................................ Immed Past Chair/Ex-Officio	5.0 .......................	X	X
(16) John Garbarino........................................................................ Trustee	3.0 .......................	X
(17) Gregg Azcuy........................................................................ Trustee	3.0 .......................	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Alfred J Schiavetti Jr........................................................................ Trustee	3.0 .......................	X
(19) Joseph Cauda MD........................................................................ Trustee; Ex-Officio	3.0 .......................	X		30,000
(20) Edward Rittweger MD........................................................................ Trustee; Ex-Officio	3.0 .......................	X		30,000
(21) Thomas White DO........................................................................ Trustee; Ex-Officio	3.0 .......................	X
(22) John Gantner........................................................................ Exec VP/CFO (TERM 12/31/13)	60.0 .......................		X	2,393,509	131,023
(23) Marc H Lory........................................................................ EVP - HOSPITALS OPERATIONS	60.0 .......................		X	763,025	136,370
(24) SALVATORE INCIARDI........................................................................ ASSISTANT SECRETARY	55.0 .......................		X	662,522	102,862

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	0	5,684,733	1,063,165

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	PATRONAGE REBATE		900099	14,446	14,446
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			14,446
3	Investment income (including dividends, interest, and other similar amounts).......			-3,754,476			-3,754,476
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	120,096
b	Less: rental expenses	120,096
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CONSULTING REVENUE		541519	463,027	430,407	32,620
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			463,027
12	Total revenue. See Instructions......			-3,277,003	444,853	32,620	-3,754,476


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			0	1	246,325
2	Savings and temporary cash investments .........			135,459	2	210,322
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			0	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			10,410	7	0
8	Inventories for sale or use ..............			0	8	0
9	Prepaid expenses and deferred charges ..........			0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	838,450
b	Less: accumulated depreciation .....	10b	610,806	268,833	10c	227,644
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			233,052	12	1,049,010
13	Investments—program-related. See Part IV, line 11 .....			23,819,641	13	22,212,958
14	Intangible assets ...............			99,519	14	99,519
15	Other assets. See Part IV, line 11 ...........			-1,240,828	15	-1,101,945
16	Total assets. Add lines 1 through 15 (must equal line 34)......			23,326,086	16	22,943,833
17	Accounts payable and accrued expenses .........			1,247,260	17	1,579,488
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			645,000	23	645,000
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			0	25	956,464
26	Total liabilities. Add lines 17 through 25.........			1,892,260	26	3,180,952
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			21,232,487	27	19,561,542
28	Temporarily restricted net assets ...........			201,339	28	201,339
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			21,433,826	33	19,762,881
34	Total liabilities and net assets/fund balances ........			23,326,086	34	22,943,833

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No