Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | 0 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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... | 0 | |||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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...... | 5,827,370 | 6,239,590 | 5,263,188 | 8,732,904 | 8,000,577 | 34,063,629 |
| 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. | 5,827,370 | 6,239,590 | 5,263,188 | 8,732,904 | 8,000,577 | 34,063,629 |
| 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.) | 34,063,629 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 5,827,370 | 6,239,590 | 5,263,188 | 8,732,904 | 8,000,577 | 34,063,629 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 34,063,629 | |||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 15000272 |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Other | FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSIONTHE ORGANIZATION WILL FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF MERIDIAN HEALTH SYSTEM, INC. AND ITS TAX-EXEMPT AFFILIATES DESCRIBED IN SECTION 501(C)(3) BY (1) PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES DIRECTLY TO PATIENTS THROUGH THE PHYSICIANS EMPLOYED BY THE CORPORATION AND (2) PROVIDING ADMINISTRATIVE, SUPERVISORY, TEACHING, COVERAGE AND RESEARCH SERVICES TO MERIDIAN HEALTH SYSTEM; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, IN FURTHERANCE OF ITS PRIMARY TAX-EXEMPT PURPOSE IN PROVIDING 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. ACCORDINGLY, THE ORGANIZATION IS AN INTEGRAL PART OF THE MERIDIAN HEALTH SYSTEM. |
| Other | MESSAGE TO THE COMMUNITYAT MERIDIAN HEALTH, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITALS, NURSING HOMES AND OTHER HEALTHCARE ENTITIES (E.G., MERIDIAN HOME CARE SERVICES, INC.) REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITIES. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. EVEN AS WE FACE GROWING ECONOMIC PRESSURES - THE GROWING NUMBER OF UNINSURED, THE LACK OF ADEQUATE STATE AND FEDERAL REIMBURSEMENT, AND INCREASING COSTS OF PHARMACEUTICALS AND TECHNOLOGY - WE REMAIN COMMITTED TO ENSURING THAT THE RESIDENTS OF MONMOUTH AND OCEAN COUNTIES STAY WELL THROUGH BETTER HEALTH AND EDUCATION. CARING FOR ALL MEMBERS OF THE COMMUNITY AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, MERIDIAN HEALTH IS THE REGIONAL LEADER IN PROVIDING INNOVATIVE AND ACCESSIBLE HEALTHCARE PROGRAMS AND SERVICES TO INDIVIDUALS, FAMILIES, AND COMMUNITIES THROUGHOUT MONMOUTH AND OCEAN COUNTIES. EVERYONE DESERVES ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF THEIR ABILITY TO PAY. FOR PEOPLE WHO ARE UNABLE TO PAY FOR MEDICAL CARE, MERIDIAN HEALTH PROVIDES FREE OR DISCOUNTED SERVICES. IN 2015, MERIDIAN HEALTH PROVIDED $97.3 MILLION DOLLARS IN CHARITY CARE AND OTHER UNCOMPENSATED CARE, SERVING AS THE HEALTH CARE SAFETY NET FOR OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. IN ADDITION, MERIDIAN HEALTH DEDICATED MORE THAN $1.2 MILLION IN SUBSIDIZING VITAL HEALTH SERVICES SUCH AS OUTPATIENT DIALYSIS, BEHAVIORAL HEALTH SERVICES, AND FAMILY HEALTH CLINICS. MERIDIAN HEALTH'S 2015 COMMUNITY BENEFIT REPORT CAN BE FOUND ONLINE AT WWW.MERIDIANHEALTH.COM OR UPON REQUEST THROUGH ANY OF MERIDIAN HEALTH'S FACILITIES. |
| Pt VI, Line 6 | CORE FORM, PART VI, SECTION A; QUESTION 6THERE EXISTS A SHAREHOLDER CONTROL AGREEMENT WHEREIN THE SHAREHOLDER OF THE ORGANIZATION HAS DELEGATED CERTAIN RESERVED POWERS TO MERIDIAN HEALTH SYSTEM, INC., A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM (WHICH INCLUDES THIS ORGANIZATION)INCLUDING ELECTING, APPOINTING AND REMOVAL OF THE DIRECTORS AND OFFICERS OF THE ORGANIZATION. |
| Pt VI, Line 7a | CORE FORM, PART VI, SECTION A; QUESTION 7ASEE RESPONSE TO PART VI, QUESTION 6 ABOVE. |
| Pt VI, Line 7b | CORE FORM, PART VI, SECTION A; QUESTION 7BSEE RESPONSE TO PART VI, QUESTION 6 ABOVE. |
| Pt VI, Line 11b | CORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE IN THE MERIDIAN HEALTH SYSTEM ("SYSTEM'); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FINANCE PERSONNEL PREPARED AND REVIEWED THE FEDERAL FORM 990. THE ORGANIZATION'S FEDERAL FORM 990 WAS THEN PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION'S GOVERNING BODY IS ITS BOARD OD DIRECTORS. THE ORGANIZATION'S BOARD OF DIRECTORS HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. |
| Pt VI, Line 12c | CORE FORM, PART VI, SECTION B; QUESTION 12CMERIDIAN HEALTH HAS ADOPTED A SYSTEM CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE THROUGHOUT THE HEALTH SYSTEM. THE ORGANIZATION HAS ADOPTED MERIDIAN HEALTH'S CONFLICT OF INTEREST POLICY AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. MERIDIAN HEALTH ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH MERIDIAN HEALTH'S CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES OF EACH ORGANIZATION ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE ON APPLICABLE TRANSACTIONS AND RELATIONSHIPS. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO MERIDIAN HEALTH'S SENIOR VICE PRESIDENT AND GENERAL COUNSEL FOR REVIEW. THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO MERIDIAN HEALTH'S EXECUTIVE COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). ANY ISSUES RELATING TO THE ORGANIZATION WOULD BE COMMUNICATED TO AND REVIEWED WITH THE ORGANIZATION'S BOARD OF DIRECTORS. DURING THE YEAR, THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL ALSO MONITORS ON-GOING TRANSACTIONS IN LIGHT OF THE COMPLETED QUESTIONNAIRE SUMMARY TO ENSURE THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE APPROPRIATELY HANDLED IN COMPLIANCE WITH THE POLICY. |
| Pt VI, Line 15a | CORE FORM, PART VI, SECTION B; QUESTION 15AREASONABLE COMPENSATION IS DETERMINED BY 1) A REVIEW OF THE PHYSICIAN'S BACKGROUND AND EXPERIENCE, INCLUDING EDUCATION, PROFESSIONAL AND ADMINISTRATIVE QUALIFICATIONS, RESEARCH PROJECTS, PUBLICATIONS, AND COMMUNITY ACTIVITIES; 2) ASSIGNED RESPONSIBILITIES AND ADMINISTRATIVE AND CLINICAL WORK VOLUMES INCLUDING OFF-HOURS ON-CALL COVERAGE; 3) THE RESULTS OF THE PHYSICIAN'S ANNUAL PERFORMANCE REVIEW, WHICH IS CONDUCTED BY THE CHAIR OF EACH PROFESSIONAL CORPORATION AND WHERE RELEVANT, THE PHYSICIAN'S SUPERVISOR; AND 4) MARKET DEMAND FOR THE PHYSICIANS IN THE PARTICULAR SPECIALTY. THEN, A NATIONAL COMPARISON OF PHYSICIAN COMPENSATION FOR PHYSICIANS IN SIMILAR POSITIONS IS DONE. COMPENSATION IS BENCHMARKED WITH WIDELY USED INDUSTRY STANDARDS AND SURVEYS, INCLUDING THOSE PUBLISHED BY MEDICAL GROUP MANAGEMENT ASSOCIATION, AMERICAN MEDICAL GROUP ASSOCIATION AND SULLIVAN COTTER AND ASSOCIATES. IF A PHYSICIAN'S RECOMMENDED ANNUAL TOTAL CASH COMPENSATION FALLS ABOVE THE 75TH PERCENTILE ON THE MERIDIAN PC'S INTERNAL BENCHMARK REVIEW OR IS $500,000 OR MORE, AN ADDITIONAL LEVEL OF REVIEW IS COMPLETED TO DETERMINE WHAT, IF ANY, ADDITIONAL FACTORS IN PARTICULAR A REVIEW OF CLINICAL PRODUCTIVITY AS MEASURED BY WORK RELATIVE VALUE UNITS, MAY JUSTIFY A HIGHER SALARY. THIS ADDITIONAL REVIEW PROCESS MAY INCLUDE RETAINING SULLIVAN COTTER AND ASSOCIATES, INC., A PROFESSIONAL COMPENSATION CONSULTANT, TO PROVIDE OPINIONS ON THE FAIRNESS AND REASONABLENESS OF SUCH COMPENSATION. EACH PHYSICIAN'S POSITION, THE COMPARABILITY DATA RELATING TO HIS OR HER MEDICAL SPECIALTY, OPINIONS FROM COMPENSATION CONSULTANTS, AND ANY OTHER INFORMATION DEEMED RELEVANT IS PROVIDED TO PRESIDENT AND CHAIRMAN OF THE ORGANIZATION, THE VICE PRESIDENT OF PHYSICIAN SERVICES OF MERIDIAN HEALTH RESOURCES, A DIVISION OF MERIDIAN HEALTH MANAGEMENT, INC. ("MHM"), AND THE SELECTIVE SENIOR MANAGEMENT OF MERIDIAN HEALTH FOR REVIEW AND DETERMINATION OF THE COMPENSATION. EACH PHYSICIAN'S COMPENSATION HAS FINAL APPROVAL BY THE PRESIDENT AND CHAIRMAN OF THE ORGANIZATION. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE OF MERIDIAN HEALTH'S BOARD OF TRUSTEES MUST APPROVE PHYSICIAN COMPENSATION FALLING OUTSIDE THE GUIDELINES NOTED ABOVE. THUS, THE EXEMPT ENTITY, MERIDIAN HEALTH SYSTEM, INC., CONTROLS THE COMPENSATION PAID TO PHYSICIANS PURSUANT TO THIS PROCESS. |
| Pt VI, Line 15b | CORE FORM, PART VI, SECTION B; QUESTION 15BSEE RESPONSE TO PART VI, QUESTION 15A ABOVE. |
| Pt VI, Line 19 | CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| Pt VII, Col (E) | CORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| Other | CORE FORM, PART IX, LINE 11GLEASED PRACTICE EXPENSE; $4,916,367 |
| Pt XII, Line 2c | CORE FORM, PART XII; QUESTION 2PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY, INCLUDING THIS ORGANIZATION. PRICEWATERHOUSE COOPERS, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED 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. |
| Software ID: | 15000272 |
| Software Version: |