TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Gordon N Litwin Esq...................................................................... Chairperson - Trustee	5.0 ................. 0.0	X	X	0	0
(2) Peter Reinhart Esq...................................................................... Vice Chairperson - Trustee	5.0 ................. 0.0	X	X	0	0
(3) Richard A Amdur Esq...................................................................... Secretary - Trustee	5.0 ................. 0.0	X	X	0	0
(4) Alfred J Schiavetti...................................................................... Treasurer - Trustee	5.0 ................. 0.0	X	X	0	0
(5) John K Lloyd FACHE...................................................................... Trustee; Ex-Officio-Pres/CEO	5.0 ................. 55.0	X	X	2,013,124	1,136,528
(6) Peter H Wegener Esq...................................................................... Imm. Past Chair/Ex-Officio	3.0 ................. 0.0	X	X	0	0
(7) Ivan Brown...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(8) Luke Kealy Esq...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(9) Thomas Dolan...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(10) Gregg Azcuy...................................................................... Trustee	3.0 ................. 0.0	X		0	0
(11) Norman V Buttaci...................................................................... Trustee; Ex-Officio	3.0 ................. 0.0	X		0	0
(12) Steven Lisser MD...................................................................... Trustee; Ex-Officio	3.0 ................. 0.0	X		0	0
(13) Thomas Yu MD...................................................................... Trustee; Ex-Officio	3.0 ................. 0.0	X		30,000	0
(14) Michael F Lospinuso MD...................................................................... Trustee; Ex-Officio	3.0 ................. 0.0	X		0	0
(15) Bonnie Robinson-Gallaro MD...................................................................... Trustee; Ex-Officio	3.0 ................. 0.0	X		0	0
(16) Cornelius Gallagher MD...................................................................... Trustee; Ex-Officio	3.0 ................. 0.0	X		0	0
(17) Steven G Littleson...................................................................... President MHC	5.0 ................. 55.0		X	1,217,636	199,108

(A) Name and business address	(B) Description of services	(C) Compensation
DRINKER BIDDLE REALTH LLP, ONE LOGAN SQUARE STE 2000 PHILADELPHIA,PA181036996	LEGAL	1,158,212
REED SMITH LLP, PO BOX 360110 PITTSBURGH,PA152516110	LEGAL	1,148,821
AMDUR MAGGS SHORE PC, PO BOX 190 OAKHURST,NJ07755	LEGAL	564,625
AVANTAS LLC, 11128 JOHN GALT BLVD STE 400 OMAHA,NE68137	CONSULTING	504,759
ERNST YOUNG LLP, PO BOX 640382 PITTSBURGH,PA152640382	ACCOUNITNG/AUDITING	130,487
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

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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

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

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

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

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

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

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

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

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

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

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

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

Enter the number of supported organizations .............. 10

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 (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) MERIDIAN HOSPITALS CORPORATION	223471515	3	Yes		0	0
(B) MERIDIAN NURSING & REHABILITATION INC	521772578	9	Yes		0	0
(C) MERIDIAN PRACTICE INSTITUTE INC	061755235	9	Yes		4,798,649	0
(D) MERIDIAN HOME CARE SERVICES INC	222731440	9	Yes		0	0
(E) JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION INC	222342452	7	Yes		0	0
(F) OCEAN MEDICAL CENTER FOUNDATION INC	222361311	7	Yes		300,000	0
(G) RIVERVIEW MEDICAL CENTER FOUNDATION INC	222333524	7	Yes		0	0
(H) MERIDIAN HEALTH FOUNDATION INC	300107825	7	Yes		0	0
(I) SOUTHERN OCEAN MEDICAL CENTER FOUNDATION INC	222666099	7	Yes		2,000,000	0
(J) BAYSHORE COMMUNITY HOSPITAL FOUNDATION INC	222367109	7	Yes		200,000	0
Total 10					7,298,649	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 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.

Section B. Total Support

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...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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) 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......
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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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

Yes

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

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

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

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

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

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

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

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

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

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

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

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

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

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

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

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

10a

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

10a

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

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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

11a

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

11b

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

11c

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

Yes

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

Yes

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

Yes

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

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

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

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

Yes

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

Yes

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

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

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

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

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

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

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

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

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

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 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)
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.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART I, QUESTION 11G	IN ADDITION TO THE FINANCIAL SUPPORT DESCRIBED IN ATTACHMENT 1, MERIDIAN HEALTH SYSTEM, INC. PROVIDES CENTRALIZED SERVICES SUCH AS: STRATEGIC PLANNING, BOARD GOVERNANCE, FINANCE AND COMPLIANCE AND AUDIT TO EACH OF ITS SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION D; QUESTION 3	By virtue of the relationship outlined in Part IV, Section D, Question #2, the supported organizations have a significant voice in this organizations investment policies and in directing the use of this organizations income or assets since they are all affiliates within Meridian Health; a tax-exempt integrated healthcare delivery system. Meridian Health System, Inc. is the tax-exempt parent entity of Meridian Health and, in this role, coordinates, oversees and supports the charitable activities of Meridian Health. All organizations, in keeping with the charitable mission of Meridian Health and in furthering the continuum of care, work together to provide medically necessary healthcare services to all individuals in a nondiscriminatory manner regardless of race, color, creed, sex, national origin or ability to pay.
SCHEDULE A, PART IV, SECTION E, QUESTIONS 3A & 3B	IN ACCORDANCE WITH ITS GOVERNING DOCUMENTS AND STATED MISSION AND CHARITABLE PURPOSES, MERIDIAN HEALTH SYSTEM, INC. HAS THE POWER TO REGULARLY APPOINT OR ELECT THE OFFICERS, DIRECTORS, OR TRUSTEES OF EACH OF ITS SUPPORTED ORGANIZATIONS. MERIDIAN HEALTH SYSTEM, INC. HAS ALSO EXERCISED A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. MERIDIAN HEALTH SYSTEM, INC. COORDINATES AND SETS THE STRATEGIC PLANS AND GOALS AND FURTHERS THE CHARITABLE PURPOSES AND MISSION OF ALL OF ITS SUPPORTED ORGANIZATIONS THROUGH COMMITTEES OF ITS GOVERNING BODY THAT FUNCTION AS COMMITTEES OF MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM OF WHICH MERIDIAN HEALTH SYSTEM, INC. IS THE TAX-EXEMPT PARENT. ADDITIONALLY, THE ORGANIZATION'S GOVERNANCE STRUCTURE, THROUGH ITS BOARD COMMITTEES, PROVIDES DIRECTION AND OVERSIGHT AS IT RELATES TO STRATEGIC PLANNING, BOARD GOVERNANCE, FINANCE AND COMPLIANCE AND AUDIT.

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

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

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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

Yes No

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

Part V

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

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

1a	Beginning of year balance ....	201,339	201,339	201,339	201,339
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	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

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land ...	85,700		85,700
b	Buildings	752,750	685,574	67,176
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).)..				152,876

Schedule D (Form 990) 2015

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) LIMITED USE	5,418,367	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	5,418,367

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO AFFILIATES	3,174,295
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,174,295
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) 2015

Page 4

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

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

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	ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. THE FOUNDATIONS OF MERIDIAN HEALTH HAVE A PRACTICE OF APPROPRIATING FOR DISTRIBUTION EACH YEAR THE FIRST 5% OF THE CURRENT EARNINGS ON ENDOWMENT FUNDS. IN ESTABLISHING THIS PRACTICE, THE FOUNDATIONS CONSIDERED THE DURATION AND PRESERVATION OF THE FUNDS; THE PURPOSES OF BOTH THE FUND AND MERIDIAN; THE GENERAL ECONOMIC CONDITIONS INCLUDING THE EFFECTS OF INFLATION OR DEFLATION; THE INVESTMENT POLICY AND EXPECTED TOTAL INCOME RETURN AND APPRECIATION ON THE INVESTMENTS; AND OTHER RESOURCES OF MERIDIAN. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATIONS EXPECT THE CURRENT SPENDING PRACTICE TO ALLOW ITS ENDOWMENTS TO GROW AT AN ANTICIPATED RATE OF 3% ANNUALLY.
SCHEDULE D, PART X	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE MERIDIAN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS PREPARED BY PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT CPA FIRM, WHICH INCLUDE ALL RELATED ENTITIES. THE AUDITED CONSOLIDATED 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 2015 AUDITED CONSOLIDATED 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

ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. THE FOUNDATIONS OF MERIDIAN HEALTH HAVE A PRACTICE OF APPROPRIATING FOR DISTRIBUTION EACH YEAR THE FIRST 5% OF THE CURRENT EARNINGS ON ENDOWMENT FUNDS. IN ESTABLISHING THIS PRACTICE, THE FOUNDATIONS CONSIDERED THE DURATION AND PRESERVATION OF THE FUNDS; THE PURPOSES OF BOTH THE FUND AND MERIDIAN; THE GENERAL ECONOMIC CONDITIONS INCLUDING THE EFFECTS OF INFLATION OR DEFLATION; THE INVESTMENT POLICY AND EXPECTED TOTAL INCOME RETURN AND APPRECIATION ON THE INVESTMENTS; AND OTHER RESOURCES OF MERIDIAN. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATIONS EXPECT THE CURRENT SPENDING PRACTICE TO ALLOW ITS ENDOWMENTS TO GROW AT AN ANTICIPATED RATE OF 3% ANNUALLY.

SCHEDULE D, PART X

THE ORGANIZATION IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE MERIDIAN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS PREPARED BY PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT CPA FIRM, WHICH INCLUDE ALL RELATED ENTITIES. THE AUDITED CONSOLIDATED 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 2015 AUDITED CONSOLIDATED 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) 2015

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

2015

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	23,425,178
















3a	Sub-total .....		23,425,178
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		23,425,178

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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)	(a)(c) Region	(b)(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)

2	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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

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
SCHEDULE F, 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 Internal Revenue Code Section 351.

Schedule F (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

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 on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

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

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

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

Any related organization?

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

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

The organization?

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1John K Lloyd FACHETrustee; Ex-Officio-Pres/CEO	(i) (ii)	0 ------------- 1,140,835	0 ------------- 800,000	0 ------------- 72,289	0 ------------- 1,082,972	0 ------------- 53,556	0 ------------- 3,149,652	0 ------------- 0
2Steven G LittlesonPresident MHC	(i) (ii)	0 ------------- 689,432	0 ------------- 280,000	0 ------------- 248,204	0 ------------- 166,302	0 ------------- 32,806	0 ------------- 1,416,744	0 ------------- 228,197
3Joseph M LemaireExecutive VP/PARTNER CO OPS	(i) (ii)	0 ------------- 787,587	0 ------------- 200,000	0 ------------- 209,440	0 ------------- 386,113	0 ------------- 34,751	0 ------------- 1,617,891	0 ------------- 0
4Salvatore InciardiAssistant Secretary	(i) (ii)	0 ------------- 356,817	0 ------------- 180,000	0 ------------- 156,377	0 ------------- 108,951	0 ------------- 23,358	0 ------------- 825,503	0 ------------- 146,625

Schedule J (Form 990) 2015

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 2015 FORM W-2, BOX 1, AS TAXABLE WAGES: STEVEN G. LITTLESON, $228,197 AND SALVATORE INCIARDI, $146,625. The amount reflected in Schedule J, Part II, Column B(iii) for the following individual includes an amount of compensation that was provided to the individual in accordance with his employment contract and terms of employment at Meridian Health and in accordance with Meridian Health's compensation review and approval process described in our response to Core Form, Part VI, Question 15 to ensure compensation is reasonable and at fair market value rates. The amount outlined herein was included in the individual's 2015 form W-2, Boxes 1 and 5, as taxable wages: Joseph M. Lemaire, $170,000. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR JOHN K. LLOYD, FACHE INCLUDES A RETENTION BONUS IN THE AMOUNT OF $350,000 WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, MR. LLOYD MAY NEVER RECEIVE THIS BENEFIT. THIS AMOUNT WAS NOT INCLUDED IN HIS 2015 FORM W-2, AS TAXABLE WAGES. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR JOSEPH M. LEMAIRE INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") IN THE AMOUNT OF $348,103 WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, MR. LEMAIRE MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THIS AMOUNT WAS NOT INCLUDED IN HIS 2015 FORM W-2, AS TAXABLE WAGES. 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 2015 FORM W-2, AS TAXABLE WAGES: JOHN K. LLOYD, FACHE, $668,977; STEVEN G. LITTLESON, $131,654; JOSEPH M. LEMAIRE, $30,210 AND SALVATORE INCIARDI $65,149.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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 2015 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 2015 FORM W-2, BOX 1, AS TAXABLE WAGES: STEVEN G. LITTLESON, $228,197 AND SALVATORE INCIARDI, $146,625.

Schedule J (Form 990) 2015

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

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

OMB No. 1545-0047

2015

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

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

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

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

Part II

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

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










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

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

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 PC	TRUSTEE/OFFICER - AMDUR	564,625	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, PC. Meridian Health System, Inc. utilized the services of Amdur, Maggs & Shore, PC during 2015. Total fees paid to Amdur, Maggs & Shore, PC in 2015 were $524,625. 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MERIDIAN HEALTH SYSTEM INC

Employer identification number

22-3474145

Return Reference	Explanation
CORE FORM, PART III; STMT OF PROGRAM SERVICE ACCOMPLISHMENTS	Meridian Health System, Inc. is a not-for-profit health care organization and is the sole corporate member of various health care-related organizations, the majority of which are tax-exempt entities. The internal revenue service ("IRS") has recognized Meridian Health System, Inc. as being a tax-exempt organization under internal revenue code ("IRC") section 501(c)(3). As the parent organization of a tax-exempt integrated health care delivery system, meridian health system, inc. strives to continually develop and operate a multi-hospital integrated health care delivery system which provides a comprehensive spectrum of medically necessary health care services to the residents of new jersey. Meridian health system, inc. ensures that its system provides medically necessary health care services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Meridian Hospitals Corporation ("MHC"), A TAX-EXEMPT AFFILIATE IN MERIDIAN HEALTH, INCLUDES THE FOLLOWING HOSPITALS: - JERSEY SHORE UNIVERSITY MEDICAL CENTER - RIVERVIEW MEDICAL CENTER - OCEAN MEDICAL CENTER - SOUTHERN OCEAN MEDICAL CENTER - BAYSHORE COMMUNITY HOSPITAL - K. HOVNANIAN CHILDREN'S HOSPITAL ALL OF THESE HOSPITALS ARE RECOGNIZED BY THE IRS AS IRC SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. PURSUANT TO THEIR CHARITABLE PURPOSES, THE HOSPITALS PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN RELIGION OR ABILITY TO PAY. MOREOVER, THE HOSPITALS OPERATE CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) EACH HOSPITAL PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) EACH HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) EACH HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF EACH HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. Meridian's Continuum of Care ---------------------------- Meridian Health offers its communities convenient care close to home. From preventative screenings to diagnostic medicine, inpatient to in-home care, fitness to rehab...Meridian offers it all across one seamless continuum. Were there with you every step of your wellness journey. Thats Meridian Health. Thats Taking Care of New Jersey. Population Health as a Priority ------------------------------- Population Health looks at health care from a different perspective. Instead of treating patients when theyre sick, Population Health allows us to improve patient health and prevent sickness from occurring or worsening. Population Health at Meridian grew significantly in 2015 adding team members, growing its clinically integrated network, and expanding its number of payor partnerships. Population Health also implemented new online, data-driven tools, enhancing patient care and providing physicians with a new level of insight. Partners in Good Health ----------------------- Meridian Health Partners, Meridian Healths clinically integrated network, is growing rapidly, boasting more than 1,500 participating physicians, which has expanded the network by nearly 50 percent between November 2015 and February 2016. Meridian Health Partners provides administrative support for clinical data analysis and reporting, enabling its members to focus on delivering the best coordinated care. By giving physicians a more holistic view of their patients health, patients are guaranteed treatment and care plans that best suit their individual needs, resulting in improved quality and satisfaction. Strength in Numbers ------------------- As Meridians Accountable Care Organization (ACO) enters its fourth year, it has grown to 700 participating providers and more than 44,000 beneficiaries. In 2014, Meridians ACO experienced another successful year, meeting key benchmarks and achieving a Quality Score of 86.45 percent. Meridians ACO submitted for a three-year renewal and was approved. The renewal period will last from 2016 until 2018. Keeping Care Affordable ----------------------- Meridian Health Partners strengthened its affordable health care offerings through contract signings with Aetna, AmeriHealth New Jersey, and Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Aetna will be rolling out Aetna Whole Health-Meridian Health, a co-branded product with Meridian Health that gives Aetna members cost-effective access to highly coordinated care through Meridian Health Partners and Meridian Healths hospitals. With Horizon BCBSNJs OMNIA plan and AmeriHealth New Jerseys Advantage plan, participants save on out-of-pocket costs by utilizing each plans Tier 1 network featuring Meridian Health. These contracts are a culmination of Meridian Healths effort to develop programs that integrate patient care while simultaneously reducing costs and increasing quality. Getting Connected ----------------- Meridian Health is leveraging its Cerner HealtheIntent platform to improve patient care and engagement across its more than 100 locations. The multi-purpose solution enables Meridian Health to collect patient data across its continuum of care, helping improve outcomes and lower costs. Meridian Health has already implemented 13 disease and wellness registries and is in the process of executing 10 additional registries, giving physicians better insight into their patients and helping proactively expose gaps in care. Meridian Health is also using Crimson Population Risk Management Platform in order to manage cost and quality, putting Meridians vast clinical data to work. Putting Care First ------------------ Meridian Health is dedicated to delivering the best care to its patients and that is why were redesigning the current care management model across the continuum of care. A successful care management program will work seamlessly across Meridian from hospital to home care, benefitting both Meridian patients and team members by ensuring patient care is delivered safely, effectively, and efficiently. Team members and team leaders have been meeting regularly in order to gain a deeper understanding of todays current care model, uncover areas of improvement, and identify where care can be streamlined. Meridian CardioVascular Network ------------------------------- Meridian CardioVascular Network provides the regions most complete, most coordinated heart and vascular care. Our heart and vascular experts, who tout years of professional service, offer highly advanced and personalized care others simply cannot. From breakthrough treatments, such as the Watchman Left Atrial Appendage Closure Implant procedure, to milestones in achievements, including more than 100 annual Transcatheter Aortic Valve Replacement (TAVR) procedures and a bounty of awards, Meridians CardioVascular Network certainly has a heart of gold when it comes to the heart of the matter: our cardiovascular patients. In 2015, Jersey Shore performed 790 cardiac surgeries and 13,846 procedures in our cardiac catheterization and electrophysiology labs. Meridian never skips a beat when it comes to the highest quality cardiovascular care. Although Meridian Health was formed in 1997, its cardiac surgery program began at Jersey Shore in 1990 with humble beginnings and cardiology roots dating back over 100 years. Those humble beginnings would later grow into remarkable achievements and impressive volumes across Meridian. With over 150 specialists now involved in cardiovascular care, Meridian CardioVascular Network has grown into a top-tier quality program in New Jersey, rivaling programs in New York City and Philadelphia. Meridian CardioVascular Network is one of the largest programs in the state with Jersey Shore among the top three largest programs in New Jersey for angioplasty, electrophysiology, and cardiac surgery. In a time when, nationally, cardiac surgery has declined significantly, Meridian continues to grow its volumes and provide the highest-quality service available in the area. In fact, there have been nearly 20,000 surgeries since the inception of the program.
CORE FORM, PART III - CONTINUED	While our cardiac surgery patient volumes speak volumes about our program, weve also had some great things said about us. -------------------------------------------------------------- Meridian Healths Community of LifeSavers Program received The New Jersey Hospital Associations 2015 Health, Research, and Educational Trust (HRET) Community Outreach Award. Meridian Health received a 3-Star Designation for Coronary Artery Bypass Grafting by the Society of Thoracic Surgeons (STS). Meridian Health was the first and only New Jersey health care system recognized as a center of excellence in treating patients with chest pain by the Society of Cardiovascular Patient Care (SCPC). Jersey Shore University Medical Center: - Get With The Guidelines Heart Failure Gold-Plus Quality Achievement Award - American College of Cardiologys NCDR ACTION Registry Get With The Guidelines Platinum Performance Achievement Award - American Heart Associations Mission: Lifeline Heart Attack Receiving Center Accreditation - American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) - Healthgrades Cardiac Surgery Excellence Award - U.S. News & World Report rated Jersey Shore high-performing for heart bypass surgery and heart failure procedures - Intersocietal Commission Accreditation for ECHO Laboratories Ocean Medical Center: - Get With The Guidelines Heart Failure Gold Quality Achievement Award - American College of Cardiology Foundations NCDR ACTION Registry Get With The Guidelines Gold Performance Achievement Award - American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) Bayshore Community Hospital: - Get With The Guidelines Heart Failure Silver-Plus Quality Achievement Award - Mission: Lifeline Silver Receiving Center Award - American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) Riverview Medical Center: - American Heart Associations Mission: Lifeline Heart Attack Receiving Center Accreditation - American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) - Intersocietal Commission Accreditation for ECHO Laboratories Southern Ocean Medical Center: - American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) A Breakthrough Treatment for Atrial Fibrillation: The experts of Meridian CardioVascular Network are committed to the active advancement of cardiovascular research, treatment, and patient care. Jersey Shore University Medical Center became the first hospital in New Jersey to perform the newly approved Watchman Left Atrial Appendage Closure Implant procedure, providing patients with non-valvular atrial fibrillation an alternative to long-term "blood-thinning" warfarin medication. By targeting the place in the heart that produces blood clots which can cause a stroke, the new Watchman technology provides an exciting alternative to warfarin a medication with many lifestyle and diet implications. For this program specifically, Meridian ranks among the leaders in the state and top tier nationally. A TAVR Milestone: 100 Procedures and Counting: Jersey Shore recently marked the success of its Transcatheter Aortic Valve Replacement (TAVR) program by completing the 100th procedure in 2015 and is on pace to do more than 150 in 2016. TAVR is a minimally invasive treatment for patients with critical aortic stenosis, giving new hope to patients who are inoperable due to other co-existing medical conditions. For most patients with severe aortic stenosis, traditional treatment meant a surgical procedure known as Aortic Valve Replacement, but now more than 100 patients with severe aortic stenosis that were once considered too high risk for traditional surgery have received this innovative treatment option. Meridian Cancer Care -------------------- With a $128 million investment, Meridian Health is improving cancer care for the communities we serve with six expansion projects. By upgrading our facilities, providing even more advanced cancer treatment technology, investing in new cancer specialists, and perfecting a multi-disciplinary approach to care, we are elevating cancer services and truly BuildingHope. Meridians plan began with a brand new cancer center at Meridian Health Village at Jackson, which opened last April. Shortly after, Meridian broke ground on a 29,000-square-foot expansion at Riverview Medical Center that will feature physical, visual, and technical upgrades. In November, Bayshore Community Hospital celebrated the opening of its new multi-disciplinary cancer clinic that is enhancing cancer services for the residents of Holmdel and the surrounding community. Jersey Shore University Medical Center also broke ground on its HOPE Tower Project a $265 million building development on the hospitals east campus that will provide a new healing outpatient experience for the community and will include a dedicated cancer center and clinical academic center. Earlier this year, Southern Ocean Medical Center marked a milestone in its cancer expansion as the new infusion suite opened to patients. And, most recently, Ocean Medical Center kicked off their construction project to mark the beginning of their new cancer clinic expansion which will include a 22,200-square-foot renovation on campus, and 6,500-square-foot addition off campus, and will provide a state-of-the-art healing environment for outpatient treatment and services. With these investments, Meridian is well positioned to provide a personal and compassionate experience to each and every patient we have the privilege of caring for. But dont just take our word for it. In 2015, The Commission on Cancer of the American College of Surgeons granted three-year accreditation to the cancer program at Meridian Health, making it the first health system in New Jersey to be recognized as an Integrated Network Cancer Program. This elite recognition further acknowledges the high-quality cancer care we provide. Meridian Neuroscience --------------------- Life can change in the blink of an eye, which is why Meridian Health offers the regions most complete lineup of neuroscience services for stroke, spine injuries, concussion, epilepsy, brain tumors, movement, memory disorders, and more including the regions only Stroke Rescue Center and medical innovations that are reshaping lives. Jersey Shores Stroke Rescue Center Reaches a Milestone Last fall, Jersey Shore University Medical Center celebrated the 10th Anniversary of its Stroke Rescue Center, a truly innovative and progressive program that has saved countless lives in our community. When stroke symptoms occur, every minute counts. Effective treatment delivered within the first three hours is critical to limiting the damaging effects of stroke. Jersey Shore's Stroke Rescue Center and board-certified neurologists are available 24 hours a day, seven days a week. Jersey Shore is also the only hospital in the region to be both a state-designated Comprehensive Stroke Center and a nationally accredited Primary Stroke Center. This means Jersey Shore meets the highest national standards for safety and quality. Recognizing the Best Jersey Shore was recognized as a Best Hospital for 2015-16 in New Jersey and the New York metro area by U.S. News & World Report for neurology and neuroscience. Jersey Shore ranked number five in New Jersey and number 10 in the New York metro area. This means that Jersey Shore was ranked in the top 10 percent in the country in these specialties! Meridian Health also received the 2015 Get With The Guidelines Stroke Gold Plus Quality Achievement Awards from the American Heart Association for the stroke programs at Jersey Shore, Ocean, and Riverview. Additionally, Bayshore and Southern Ocean Medical Center have received the Get With The Guidelines Stroke Silver Plus Quality Achievement Award. The Get With The Guidelines awards recognize the facilities commitment and success in implementing a higher standard of care by ensuring that stroke patients receive treatment according to nationally accepted guidelines. Meridian Orthopedics -------------------- Meridian continued its exciting relationship with womens professional soccer team Sky Blue FC as the title sponsor for the teams 2015 season. Meridians orthopedic and rehabilitation staff provides the players, including Christie Rampone, Olympic gold medalist and K. Hovnanian Children's Hospital spokesperson, with high-quality evaluation and treatment as an extension of the great care provided to the community at large. Partnering with Sky Blue also helps Meridian to educate families and fans across the state about the importance of health and wellness and the potential that exist in young girls who are determined and work hard.
CORE FORM, PART III - CONTINUED	Research -------- An academic medical center provides patients and the community with health care for everyday needs and the most specialized services for complex diseases, illnesses and injuries; teaches generations of health care professionals with an eye on training the right mix of providers for tomorrows needs; and engages in research that improves lives. Between making headlines and publishing works in esteemed journals, to leading the way in clinical trials, the academic team has certainly been making waves on the research and education scene. Examples of notable feats and achievements include: - Rachael Polis, D.O., an Obstetrics and Gynecology resident graduate, was the lead author of "Yoga in Pregnancy," an article published last November. Her research was conducted while she was a resident at Jersey Shore University Medical Center and has been featured on National Public Radio and promoted by Reuters, USA Today, WebMD, and other major media outlets. It was also published in Obstetrics and Gynecology, the most influential journal in the field. - Research projects and related publications by Alexander Shifrin, M.D., regarding the diagnosis and treatment of medullary thyroid cancer, led to revised guidelines by the American Thyroid Association, as well as development and acceptance of a standardized test for genetic testing. - Ashish Patel, M.D., and the clinical research team at Jersey Shore were one of the top five sites nationally for enrollment to study the FLEXION catheter for atrial flutter ablation. Dr. Patel successfully treated the first non-research patient shortly after FDA approval, making Jersey Shore the third hospital in the U.S. to make this technology available. As a progressive organization, Meridian is also working to bring even more clinical trials to the communities we serve. In 2015, Meridian Health enrolled more than 2,000 patients in clinical trials. Finally, Ocean Medical Center has received approval to establish a Graduate Medical Education (GME) program. It will require a few years to implement, but it puts Ocean on a track to create a future training ground for family medicine and psychiatric physicians. These are specialties that are in short supply and will be new areas of focus to complement the GME programs at Jersey Shore, as well as the relationship with Seton Hall Medical School. First Lady Mary Pat Christie and former Health Commissioner Mary E. ODowd were welcomed to Jersey Shore University Medical Center last June where they announced $4.4 million in grants to establish Autism Medical Homes and to advance research in the understanding, prevention, evaluation, and treatment of the biologically-based disorder. Jersey Shore was a fortunate grant recipient and will receive approximately $400,000 over two years. Funding will be used to launch an Autism Care Coordination Program at K. Hovnanian Childrens Hospital. The Autism Medical Homes pilot project is designed to improve health outcomes for children with Autism Spectrum Disorder (ASD) by bringing together primary care providers, subspecialists, and ASD providers to treat the whole person. Were hopeful that the implementation of medical homes for autism will alleviate some of the challenges faced each day by families caring for children with autism and provide tangible improvements in the health care setting. New Jersey is a national leader in early intervention and education of children with autism which affects about one in 45 children across the Garden State. Home is Where Your Care Is -------------------------- Meridian At Home continued its leadership in providing a full continuum of exceptional home care services, programs, and products, as well as being an innovator in supporting new models of care to reduce readmissions, population health initiatives, and participating in national demonstration projects. As part of a collaborative effort with Meridian Healths ACO and efforts to reduce readmissions, Meridian At Home introduced a program that allowed patients discharged from the hospital to leave for home with the Meridian Care on Call Now medical alert and assistance technology. This pilot program put medical assistance just a click away by using their pendant, provided follow-up phone calls, and led to costs savings and reductions in readmissions during the initial weeks after release from the hospital. Meridian At Home also introduced a specialty Orthopedic Program for same-day surgery and joint replacement patients to coordinate home rehabilitation therapy. This specialized program allows patients to receive therapy immediately after surgery in the comfort of their home, and return to daily activities sooner and at lower cost. Meridian Hospice continued its commitment to advancing hospice care, and was selected as one of only 140 hospice organizations across the country to participate in the Medicare Care Choices Model demonstration project. The project, which will include Meridian Hospice participation in 2017, will allow patients facing advanced illness to continue to be actively treated by their physicians, while also receiving palliative care from hospice providers. This Centers for Medicare & Medicaid Services (CMS) demonstration project, and Meridians involvement, may revolutionize how medical treatment and hospice care can work interdependently. iMPak Health Forms Collaborative Agreement with HP -------------------------------------------------- One of the greatest opportunities to improve clinical outcomes is thought to exist in the period of time "in between" care...in between doctors visits, Emergency Room visits, and hospital stays. The emergence of mobile health has been based on leveraging mobile technology to fill in the gaps that have historically existed as a result of the disconnectedness between providers and patients during the "in between" period. iMPak Health recently announced that it entered into a collaborative agreement with Hewlett-Packard to leverage the HP Pro Slate 10 EE G1 Healthcare Tablet as a part of its mobile strategy. The immediate value to iMPak Health is the great performance and rugged features of the HP Pro Slate 10 EE G1 adds to the Kraken medication management and journal symptom management solutions. In addition, it delivers powerful computing capability enabling it to offer patient-tailored "solutions" for tracking health and providing timely and responsive health-related content. The initial projects have focused around pediatric patients suffering from asthma, end-stage renal disease, and patients being discharged from the hospital after open-heart procedures. Integrative Health and Medicine Program Comes to Life with $10 Million in Donations -------------------------------------------------------------- In mid-2015, Meridian Health announced two substantial gifts totaling $10 million. $5 million was donated to Riverview Medical Center Foundation to support the launch of an integrative health and medicine program. Inspired by the gift, and with the program underway, an additional $5 million was donated toward the initiative as well. Integrative medicine is not just a philosophy or approach around whole-person care - it's about additional interventions that focus on looking at a person's emotional, mental, and spiritual status along with the physiology of the disease or illness. The Meridian Integrative Health and Medicine Program will come to life this year to provide wellness and preventive medicine to our communities through outreach events and a new Center of Integrative Health & Medicine in Meridian Health Village at Jackson. Our program will focus on incorporating evidence-based medicine and multi-disciplinary collaboration in the delivery of world-class, integrative patient-centered care, and will address five pillars of wellness (nutrition, activity, resilience, purpose, and sleep) by providing care for patients with conditions such as sleep disorders, chronic pain, cancer, depression, anxiety, stress, cardiovascular disease, and womens health-related conditions. Community Benefit Report ======================== At Meridian Health, our mission to improve the health status of the communities we serve is at the heart of our charitable roots. Providing the community support for managing chronic conditions and access to reliable health information, as well as opportunities to participate in health promotion activities, are central to our goal of improving community health and well-being. To this end, our hospitals actively collaborate with community partners such as: schools, senior centers, places of worship, local non-profit organizations, health departments, employers, and others on a variety of health initiatives.
CORE FORM, PART III - CONTINUED	In 2015, Meridian devoted more than $128 million in community benefits. An estimated 100,000 community members participate in a health promotion activity each year. These programs include: preventive health screenings, support groups, health education seminars, and presentations, as well as health awareness events. They are all delivered by a dedicated team of health care professionals and physicians, many of whom volunteer their time to educate our community on health topics focused on preventing disease, managing chronic conditions, and improving overall quality of life. Many of our programs can be delivered in both English and Spanish, and language interpreters are made available as needed. Meridians Community Outreach team has received special training in health literacy as well as cultural competence. Identifying Community Health Needs ---------------------------------- Meridian Health plays a lead role in working with many different organizations throughout Monmouth and Ocean counties to identify and address the health issues that impact our community the most. This collaborative effort is referred to as a Community Health Needs Assessment and is available online. In 2015, Meridian Health embarked on a strategic process of reassessing the areas health care needs. We surveyed over 1,000 households in Monmouth and Ocean counties to gather local residents views of their communitys most critical health needs. In addition, we invited input from public health experts, physicians, and community and business leaders, as well as analyzed public health data. Findings from the assessment highlighted several health concerns for our community including: access to health care services, as well as: cancer, diabetes, heart disease and stroke, injury and violence, mental health, nutrition, physical activity and weight, respiratory diseases, and substance abuse. With the Community Health Needs Assessment as our guide, Meridian prepares its annual community benefits plan, part of our overall strategic plan, aligning activities and resources toward those priority health needs as well as engaging a variety of community organizations for collaboration on interventions. Each hospital has prepared an implementation strategy that contains the specific programs and resources that will be deployed against each health priority. Community Advisory Committees ----------------------------- Meridian convenes several Community Advisory Committees whose mission is to assist us in identifying and addressing local health care needs, including health care disparities affecting communities of color, the underserved, and those with special needs. Committee members represent a cross section of the community in terms of age, gender, religion, ethnicity, interests, and professional status. Currently, more than 150 people from the surrounding area serve as members of Meridians Community Advisory Committees. Preventing Disease Through Early Detection ------------------------------------------ Nearly 40,000 preventive health screenings were performed in our community in 2015, including; AngioScreen stroke risk assessments, blood pressure, cholesterol, glucose, BMI, memory, hearing, diabetic retinopathy, breast, colon-rectal cancer, skin cancer, and more. Participants receive individualized testing from medical professionals and are counseled by nurse educators who provide information about their results and referrals for follow-up care when necessary. Partners in Cancer Control -------------------------- Meridian partners with several community organizations who share the mission of reducing New Jerseys cancer burden and improving health outcomes. Of all cancer cases in New Jersey, female breast cancer accounts for 15 percent, lung 12.6 percent, colorectal 8.7 percent, and skin 5 percent, according to the American Cancer Society. Knowing your risk and early detection are two of the best ways to reduce your risk for cancer. Meridians Every Woman Counts Program, in partnership with Susan G. Komen, will increase annual mammography screenings for low-income, uninsured, and underinsured women in Monmouth and Ocean counties by collaborating with local nonprofit organizations that are successful in engaging hard-to-reach communities such as: the elderly, Hispanic, black, LGBT, undocumented immigrants, and the homeless. Through this collaborative program, culturally and linguistically appropriate breast health education will be provided to 1,400 women, 75 percent of whom will demonstrate an increase in knowledge about breast health. All women will be referred for mammograms and connected with NJCEED, Meridians Pink Fund, or Komen grant funds. A total of 400 mammogram vouchers will be distributed and 150 diagnostic screenings will be provided for women who require additional testing due to screening abnormalities. Transportation assistance for mammogram appointments and navigation throughout the continuum of care will also be provided, as needed. Colon cancer is one of the most preventable and, if detected early, the most treatable forms of cancer. The Ocean Monmouth Health Alliance (OMHA) has set a goal for New Jersey to reach an 80 percent screening rate by 2018 and Meridian is actively participating in this challenge. In 2015, over 1,000 community members attended a seminar, 530 accepted a take-home stool test kit, and, of those, 63 resulted in a positive screening. These at-risk individuals were contacted by a nurse navigator who arranged for follow-up care. The OMHA is a regional chronic disease prevention coalition funded by the Office of Cancer Control and Prevention, part of the New Jersey Department of Health. Meridian partners with OMHA on their annual Choose Your Cover skin cancer screening at the beach. In 2015, we performed 398 screenings at beaches and other sites in Monmouth and Ocean counties. Since 2008, the program has screened over 7,000 people throughout the state and is a national model. Managing Chronic Disease ------------------------ Take Control of Your Health is an evidence-based chronic disease self-management program. Complementing a physicians plan of care, this educational program offers participants tools, resources and support to live a healthier life. Studies have shown that participants who complete the training report improved health status and quality of life, had greater energy and fewer social limitations, as well as reduced hospitalizations and fewer emergency room visits. Providing Opportunities to Learn -------------------------------- Over 10,000 children were educated on how to eat right, stay fit, be safe, and act responsibly through our Pawsitive Action Program. Our childrens health education programs include classroom-based presentations from The Pawsitive Action Team, including Doctor Bernard, Hopscotch, and Picatso, who are mascots for the K. Hovnanian Childrens Hospital at Jersey Shore University Medical Center. Other programs include: Hands-only CPR training, SafeSitter babysitting certification, asthma awareness and management, injury prevention programs, distracted driving, and sports and concussion injury prevention, among others. Providing broad CPR training to the community has been part of Meridians educational offerings for years. In 2015, Meridian taught nearly 20,000 individuals, which includes students, health care workers, fire fighters, police, teachers, EMTs, and community members. The Community of LifeSavers program trained nearly 5,000 students from 21 schools. Our community now has an army of rescuers who are ready, willing, and able to put their skills in action in the event of an emergency. In addition, Meridian is proud to offer support through charitable donations to a host of worthy, local not-for-profit organizations who share in our mission to improve the health status of the community. Meridian also encourages our leaders, physicians, and team members to serve on a variety of boards and community groups dedicated to improving the quality of life in our neighborhoods. As a socially conscious member of the community, Meridian focuses its charitable giving on the areas that support or are aligned with our charitable mission. In 2015, Meridian provided $600,000 in cash and in-kind support.
CORE FORM, PART III - CONTINUED	Training the Next Generation of Health Care Providers ----------------------------------------------------- Training the next generation of health care providers is vital to providing a foundation for sound health in our community. Meridian encourages the development of physicians, nurses, medical technologists, and those entering allied health professions by supporting their education and offering clinical experience in our hospitals. Through our extensive Community Outreach Program, medical students and residents also regularly participate in health promotion activities where they learn to recognize and identify community needs and health disparities, improve health literacy communication skills and cultural sensitivity, and foster an appreciation for population health management. In 2015, Meridian provided $27.1 million in benefits, which helps support medical training. Caring for All Members of the Community --------------------------------------- As a not-for-profit health care provider, Meridian Health is the regional leader in providing innovative and accessible health care programs and services to individuals, families, and communities throughout Monmouth and Ocean counties. Everyone deserves access to quality care regardless of their ability to pay. In 2015, Meridian provided $21.3 million in charity care and other uncompensated care, serving as a health care safety net for our communitys most vulnerable populations. In addition, Meridian dedicated $1.2 million in subsidizing vital health services such as outpatient dialysis, behavioral health services, and family health clinics. Through a grant in partnership with the FoodBank of Monmouth and Ocean counties, Meridian Health employs 24 certified application counselors help to improve access to care through health insurance and financial counseling. Over 16,000 individuals were provided with navigation services for financial assistance including charity care, family care, and financial counseling. Staying Connected ----------------- Its never been easier to connect with Meridian. Opportunities to learn can be found at our hospitals, conference centers, and Meridian Fitness & Wellness locations, as well as right in your own community the local library, senior center, school, employer, and now even at the shopping mall. In fact, more than 47,000 people attended an educational seminar in 2015. Meridian regularly publishes two free consumer magazines HealthViews and KidViews to educate and inform residents of Monmouth and Ocean counties on timely and relevant health topics. The magazines contain Meridians calendar of events where residents can find free community education and screening programs, as well as a variety of health and wellness tips. Meridians family of Web sites offer an extensive, free health library (in English and Spanish) and attract nearly 2 million people each year. Online visitors can take a health assessment quiz, learn about diagnostic and surgical procedures, find a doctor, and register for a class or health screening and more. Finally, Meridian provides free 24/7 call center services to the community to locate physicians, health care services, and support groups, as well as to register for health education and screening programs. In 2015, the call center handled nearly 35,000 calls. Jersey Shore University Medical Center ====================================== Jersey Shore University Medical Center is the regional provider of cardiac surgery and is home to the only trauma center and stroke rescue center in the region. Through the hospitals clinical research program, and its affiliation with Rutgers Robert Wood Johnson Medical School, Jersey Shore serves as an academic center dedicated to advancing medical knowledge, training future physicians and providing the community with access to promising medical breakthroughs. HOPE Tower: A Thoughtful and Accessible Health Care Experience -------------------------------------------------------------- Jersey Shore broke ground last November on HOPE Tower a $265 million dollar building development on the hospitals east campus that will provide a new healing outpatient experience for the community. HOPE Towers expected date of completion is early 2018. Guided by a patient-centered approach towards care and informed by the latest medical breakthroughs, HOPE Tower expands upon Jersey Shores comprehensive services by providing a thoughtful and accessible health care experience. The development includes HOPE Tower a ten-story medical office building housing a dedicated cancer center, outpatient imaging services, a clinical academic center, an innovative simulation laboratory, and a nine-level parking garage building with more than 1,500 new parking spaces for patients, guests, and team members. HOPE Tower will allow us to expand our services in a modern, healing environment with access to leading clinicians and the latest medical breakthroughs. A Sound So Sweet ---------------- Jersey Shore introduced a cochlear implant surgery program in Monmouth and Ocean counties, providing new hope for children and adults, whether theyre born deaf or experience hearing loss later in life, to talk on the phone, listen to music, and hear the voices of their friends and loved ones. There are currently 36 million Americans who are living with some degree of hearing loss which is expected to double by 2030. An Endoscopy First ------------------ Jersey Shore now performs endoscopic surgery with the new AXIOS stent for the treatment of pancreatic pseudocysts, fluid and tissue filled cavities that form in the pancreas. This is the first stent that is specifically designed for drainage of a pancreatic pseudocyst and provides a minimally invasive option for patients who may suffer from this painful and potentially serious condition. K. Hovnanian Childrens Hospital and Meridian Pediatric Network =============================================================== K. Hovnanian Childrens Hospital is the first childrens hospital in Monmouth and Ocean counties. As the regions first and most comprehensive pediatric program, K. Hovnanian Childrens Hospital is committed to advancing pediatric care. Most recently, it introduced NICVIEW to its Neonatal Intensive Care Unit - an innovative video streaming technology designed for parents and families to enjoy virtual visits with their babies receiving care in the Neonatal Intensive Care Unit (NICU) when they cant be there. An Expanded Home for the NICU and Maternity ------------------------------------------- The hospital unveiled an expanded Neonatal Intensive Care Unit, along with a dedicated antepartum unit for women with high-risk pregnancies, ensuring the critical needs of the communitys most vulnerable newborns are met, and providing the best care available for women experiencing high-risk pregnancies. The 8,168 square foot NICU provides nine new private NICU patient rooms and two twin rooms for a total of 13 new NICU bassinets. The NICU also features Michaels Feat Family Room a dedicated space where NICU parents and families can relax in a calm and peaceful setting with convenient access to amenities, including a sitting area, a shower, and a washer/dryer. Jersey Shore also renovated six private labor and delivery rooms for a total of 32 private maternity rooms. The rooms feature soothing decor, a sleeper chair for parents, and private bathrooms offering mothers a more comfortable environment as they welcome their newborns into the world. Generous Gift Supports the Child Life Program --------------------------------------------- K. Hovnanian Childrens Hospital received a $250,000 donation that will help fund the Child Life Program at K. Hovnanian Childrens Hospital, which focuses on supporting the emotional well-being of young patients and their families during a hospital stay. The gift allows the Childrens Hospital to make upgrades to the hospitals playrooms, enhance the music therapy program, and expand Child Life services to the Pediatric Emergency Department and Neonatal Intensive Care Unit.
CORE FORM, PART III - CONTINUED	Donor Support Propels Pediatric Palliative Care Program ------------------------------------------------------- There is nothing more tragic than a child suffering from a serious illness. Thanks to support from donors, K. Hovnanian Childrens Hospital is implementing a pediatric palliative care initiative to provide better care for children suffering from chronic, potentially life-limiting conditions and their families. Funding will support the creation of a physical space (Liams Room) that will serve as a "home away from home" for children and families during any period of care at K. Hovnanian Childrens Hospital. In addition, funding will support clinical education for team members in the key components and implementation of leading pediatric palliative care practices. The goal of Meridians Pediatric Palliative Care Program is to add life to the childs years, not simply years to the childs life. Ocean Medical Center ==================== Ocean Medical Center experienced yet another exciting year that was filled with change and accomplishments. Outstanding financial performance paved the way for future growth plans, due in large part to a record number of people served and strong relationships with physicians. Paired with an exceptional team of clinicians and support staff, quality care and a memorable patient experience were at the forefront of all guest interactions and made Ocean a destination for outstanding care. Dynamic Growth Leads to Big Plans --------------------------------- One of the most notable accomplishments of 2015 was Oceans financial performance. At a time when many other hospitals are struggling, high inpatient and emergency volumes, as well as higher acuity patients, contributed to a record-setting financial year for the facility. Emergency Department visits at Ocean and Ocean Care Center reached an all-time high of more than 86,000 and growth in admissions neared 15,000. Construction was approved for a new 36-bed patient care unit with private rooms in the third floor shell over the Emergency Department, and funding for renovations to existing patient rooms. Additionally, the medical center added more staffing to accommodate volume demands and support a high-quality patient experience. Physician Support Strengthens Resources for the Community --------------------------------------------------------- Physician collaboration continues to be one of the unique features of Oceans culture. 2015 was the first full year collaborating with Jersey Coast Vascular Institute, where they now accept an expanded base of payors and have opened access to a tremendous volume of patients. Oceans robotic surgery volume continued to accelerate, and has even surpassed volumes at other hospitals in the region. Physicians from surrounding hospitals joined Oceans medical staff and are helping to grow the Orthopedic Surgery Program, and a new anesthesia practice and OB/GYN practice are enhancing specialty services for the local community. A Relentless Quest for Quality and Service Excellence ----------------------------------------------------- Behind all these services and programs is an exceptional team, which is to be commended for all their efforts to achieve such great outcomes. Quality care is at the heart of their efforts, and Ocean received a grade "A" in 2015 from The Leapfrog Group for quality outcomes, and saw a reduction in hospital-acquired infections. There is always room for improvement, and the team is up to the task. In fact, their focus and commitment to the organization was evident as our 2015 team member engagement score ranked Ocean Medical Center in the top two percent nationally, and over 125 team members participated in Simulation Lab activities to learn techniques to improve upon interpersonal skills and enhance the patient experience. Riverview Medical Center ======================== Riverview Medical Center had an outstanding year, which included the groundbreaking of its new cancer care facility. Recognition of key programs and the growth of many service areas helped lead the hospital to a banner year. Riverview continues to attract renowned physicians, and with the assistance of many caring clinicians and team members, has performed complex medical cases with great outcomes, making it a destination of choice for emergent and planned visits. Unique and New at Riverview --------------------------- With the help of its talented physicians, Riverviews surgical services saw significant growth in 2015. One procedure that was introduced is called Combined Endoscopic and Laparoscopic Surgery, or CELS. This procedure combines the expertise of a gastroenterologist, as well as a surgeon, to remove large or hard-to-reach polyps without the need to remove part of the colon. It is an innovative procedure that is performed by only a few medical centers in the country. Riverview additionally introduced a life-changing device for acid reflux sufferers called LINX, which is a small, flexible band of interlinked titanium beads with magnetic cores, which prevent reflux from the stomach into the esophagus. Also launched in 2015 was BARRXX, which consists of radio frequency ablation to treat chronic heartburn or Gastroesophageal Reflux Disease, commonly known as GERD. With the implementation of LINX and BARRXX, combined with the dramatic increase of esophageal cancers across the county, Riverview is uniquely positioned to become an expert in the field of esophageal diseases. Beautiful Inside and Out ------------------------ In 2015, Riverview was honored to be recognized by several organizations. For the first year ever, Riverview placed within the Top 20 on Soliant Healths "Most Beautiful Hospital in the U.S." list. Additionally, the hospital was recognized as a "Best Hospital for Hip and Knee Replacement" by U.S. News & World Report, placing number nine in New Jersey and number 18 in the New York metro area. Furthermore, Riverview achieved a safety score within the top 10 in New Jersey, outranking national major teaching hospitals. Equipment, Experience, Excellence --------------------------------- Since mammography became common place in the 1980s, the mortality rate from breast cancer among American women has decreased by 35 percent. This is largely due to early detection and improved treatment. In 2015, Riverview proudly played a large part in helping women in the surrounding communities stay healthy. Beyond its spa-like amenities, the Womens Center utilizes Tomosynthesis, the most advanced mammography screening technology available, and highly trained radiologists to read results and perform biopsies. This combination of equipment and experience means that in 2015, Riverview diagnosed 371 women with breast cancer. Of those, 88 percent fell into the "early, localized, or operable" category, which means that a diagnosed woman would have to undergo less extensive surgery, less frequent or aggressive chemotherapy, and that the rate of mastectomies would be reduced. Southern Ocean Medical Center ============================= Despite industry trends, Southern Ocean Medical Center experienced strong financial performance throughout the past year and succeeded in adding private patient rooms and additional staff to improve the delivery of care. The extraordinary efforts of the team didnt go unnoticed, as several programs received accolades for their quality outcomes, and relationships with members of the medical staff continued to be a critical component to success. Enhanced Resources for Booming Demands -------------------------------------- With an increase of 7.5 percent in admissions and 17 percent inpatient surgeries over the prior year, strong financial performance throughout 2015 enabled Southern Ocean Medical Center to make significant changes to care delivery. The medical center opened the second floor Medical/Surgical Unit, which created 18 private rooms. This contributed to great results in throughput for patients being admitted and a decrease in Emergency Department wait times as well as patients who would have left without treatment. Additionally, through special recruitment efforts, Southern Ocean welcomed 57 nurses and 51 support team members, which truly improved the delivery of care and helped to improve the patient experience. Recognition for Extraordinary Efforts ------------------------------------- Receiving third-party endorsements is always a nice reminder of the great care that is delivered. Southern Ocean received accolades including the American Heart Association Get With The Guidelines Silver Award for Stroke, recertification of the Cardiac Rehabilitation Program, accreditation for the Center for Sleep Disorders in Toms River, and a deficiency-free annual survey of the Transitional Care Unit.
CORE FORM, PART III - CONTINUED	Physician Contributions a Key Factor to Success ----------------------------------------------- In addition to having an amazing hospital team, Southern Oceans medical staff is a critical component to success. In 2015, the Medical Executive Committee implemented computerized physician order entry (CPOE) and reached record utilization rates. Medical expertise such as that of orthopedic surgeon Stanley Michael, M.D., resulted in his appointment as medical director of the Center for Joint Health, and brought new attention to the anterior approach for hip replacement. The medical center expanded its footprint in the Toms River area with the opening of a new Bariatric Weight Loss Center, furthering the reach of Southern Oceans skilled surgeons and one of the premier service offerings. Building HOPE at Southern Ocean ------------------------------- In September of 2016, Southern Ocean Medical Center will expand its cancer care program to accommodate multi-disciplinary care and technological capabilities that will better serve our oncology patients and their families. Meridian Cancer Care at Southern Ocean Medical Center will provide a state-of-the-art healing environment of over 16,000 square feet for outpatient treatment and services, and will feature the newest radiation technologies (including a TrueBeam linear accelerator), 20 new infusion stations in a comfortable healing environment, and dedicated and experienced medical professionals. Bayshore Community Hospital =========================== With several programs and services receiving accreditations and praise from experts both in-state and on a national level, Bayshore Community Hospital continued to make a name for itself this year. With a focus on the patient experience, providing the highest level of care, and the implementation of industry best practices, Bayshore saw fantastic patient outcomes and, as a result, continues to be an incredible support for its community members. Foundation for the Future ------------------------- Throughout 2015, Bayshore invested in facility upgrades that are often invisible to patients and guests, but essential to maintaining a highly functioning hospital. Changes included renovations to Same-Day Surgery, the Operating Room, Intensive Care Unit patient rooms, and common areas such as public restrooms. Bayshore also upgraded and replaced equipment such as the chiller, air handler unit, and fire suppression system, as well as changed lighting to more energy-efficient bulbs. Additionally, the hospital expanded emergency power throughout the facility, purchased new lab analyzers, and added remote monitoring of room pressure for the OR and Sterilization Department. All of these changes set the foundation for bigger projects to come, including the construction of a state-of-the-art Emergency Department estimated to open in 2019. Time is Muscle -------------- When someone is experiencing a cardiac event such as a heart attack, every minute counts. The moment a patient arrives at the hospital, a clock is started to measure the amount of time it takes to get that patient to the catheterization lab to begin interventional treatment such as an angioplasty. This time is known as door-to-balloon time. Across the country, the average is 90 minutes. Thanks to the dedication of Bayshores physicians, nurses, security personnel, and others, Bayshore is beating that time with an average of 47 minutes. In fact, Bayshores time is so good that in 2015, the hospital received the American Heart Association Mission: Lifeline Silver Award for best-practice guidelines and data-based quality measures. Aiming High and Delivering -------------------------- Hospitals are judged by the public in a variety of ways. One such way is through patient satisfaction scores, called HCAHPS, which measures a patients perception of their hospital experience. Across the country, getting high scores is a challenge. Patients are more knowledgeable than ever about their care and expectations are high. Thats why its even more impressive that Bayshores results are above average for care in several departments, including the Emergency Department, Center for Wound Healing, and Womens Center.
CORE FORM, PART VI, SECTION B; QUESTION 11B	DURING 2015, MERIDIAN HEALTH SYSTEM, INC. ("MHS") WAS THE TAX-EXEMPT PARENT OF THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. IN MAY 2015, MHS SIGNED A DEFINITIVE AGREEMENT WITH HACKENSACK UNIVERSITY HEALTH NETWORK ("NETWORK") TO MERGE BOTH PARENT ORGANIZATIONS; CREATING ONE INTEGRATED HEALTHCARE DELIVERY SYSTEM KNOWN AS HACKENSACK MERIDIAN HEALTH, INC. ("HMH"), TO BETTER MEET THE NEEDS OF MANY NEW JERSEY COMMUNITIES. THE MERGER BECAME EFFECTIVE UPON THE RECEIPT OF REGULATORY APPROVALS ON JULY 1, 2016. THIS ORGANIZATIONS FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") FOLLOWING A REVIEW BY HMH'S COMPLIANCE AND AUDIT COMMITTEE. HMH'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE THIS FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. MHS RETAINED A FIRM OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS WITH EXPERIENCE AND EXPERTISE IN HEALTH CARE 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. THE DRAFT WAS THEN REVIEWED BY THE CPA FIRM AND PRESENTED TO THE MEMBERS OF HMH'S COMPLIANCE AND AUDIT COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12C	THE ORGANIZATION, MERIDIAN HEALTH SYSTEM, INC., IS THE TAX-EXEMPT PARENT OF A TAX-EXEMPT INTEGRATED HEALTH CARE 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, PART VI, SECTION B; QUESITON 15B	THIS ORGANIZATION IS THE TAX-EXEMPT PARENT OF A TAX-EXEMPT INTEGRATED HEALTH CARE 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 SYSTEM. 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 HEALTH CARE 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 HEALTH CARE 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 OF REASONABLENESS 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 INTERNAL REVENUE CODE 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 HEALTH CARE 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, JOSEPH M. LEMAIRE, STEVEN G. LITTLESON AND SALVATORE INCIARDI, WHO ARE PART OF THE SENIOR MANAGEMENT TEAM AT MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY SYSTEM. THESE INDIVIDUALS WORK FULL-TIME FOR MERIDIAN HEALTH AND RECEIVE COMPENSATION AND BENEFITS FROM MERIDIAN HOSPITALS CORPORATION, A TAX-EXEMPT HOSPITAL WITHIN THE SYSTEM. THEIR REMUNERATION IS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE HEALTH CARE SYSTEM AND FOR SERVICES RENDERED TO MERIDIAN HEALTH, 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 THIS TAX-EXEMPT PARENT ORGANIZATION ONLY.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET TRANSFERS TO MERIDIAN PRACTICE INSTITUTE - ($4,798,649); - NET TRANSFERS TO BAYSHORE COMMUNITY HOSPITAL FOUNDATION - ($200,000); - NET TRANSFERS TO OCEAN MEDICAL CENTER FOUNDATION - ($300,000); - NET TRANSFERS TO SOUTHERN OCEAN MEDICAL CENTER FOUNDATION - ($2,000,000); - NET TRANSFERS TO MERIDIAN HEALTH REALTY CORPORATION - ($5,647,860); AND - NET TRANSFERS FROM MERIDIAN HOSPITALS CORPORATION - $38,703,648. THE ENTITIES ABOVE ARE RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS. - NET INVESTMENT IN COASTAL MEDICAL INSURANCE, LTD - ($5,000,000); - NET INVESTMENT IN MERIDIAN HEALTH VENTURES, INC. - ($5,050,000); and - NET INVESTMENT IN MERIDIAN QUALITY CARE, LLC - ($2,100,000). THE ENTITIES ABOVE ARE RELATED TAXABLE ORGANIZATIONS. - NET TRANSFER FROM DISSOLUTION OF RARITAN BAY HEALTH SERVICES CORPORATION, AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION; $533,390.
STATEMENT PURSUANT TO REGULATION SECTION 1.351-3(A)	BY MERIDIAN HEALTH SYSTEM, INC. (EIN: 22-3474145), A SIGNIFICANT TRANSFEROR This statement is made pursuant to Regulation Section 1.351-3(a) by the following entity, a significant transferor: Meridian Health System, Inc. EIN: 22-3474145 1350 Campus Parkway, Neptune, NJ 07753 Meridian Health System, Inc. (EIN: 22-3474145), a U.S. tax-exempt corporation and a significant transferor, made constructive transfers of cash on the following dates to Coastal Medical Insurance Limited (EIN: 98-0166769), its wholly-owned subsidiary formed in Bermuda (the "Transferee"): 3/06/2015: $ 1,072,500 4/10/2015: $ 6,193,000 4/30/2015: $ 9,877,630 ----------- $17,143,130 =========== The good faith estimate of the aggregate fair market value and tax basis of the assets transferred by Meridian Health System, Inc. (as determined immediately before the exchanges) was $17,143,130. No private letter rulings were issued by the Internal Revenue Service in connection with these Internal Revenue Code Section 351 exchanges.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:2562916

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

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

OMB No. 1545-0047

2015

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	20,805	890,180	MH SYSTEM
(2) COASTAL DATA SOLUTIONS 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 45-2441857	HEALTH IT	NJ	476,388	94,211	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 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 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 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 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 1350 CAMPUS PARKWAY 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 MEDICAL GROUP-RETAIL CLINIC PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 06-1755228	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(12)MERIDIAN MED GROUP-FACULTY PRACTICE PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 06-1755230	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(13)MERIDIAN MEDICAL ASSOCIATES PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 06-1755233	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(14)MERIDIAN MEDICAL GROUP-PRIMARY CARE PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 14-1981653	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(15)MERIDIAN MEDICAL GROUP-SPECIALTY CAREPC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 14-1981647	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(16)MERIDIAN TRAUMA ASSOCIATES PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 14-1981651	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(17)MERIDIAN OBST & GYN ASSOCIATES PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 06-1755239	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes
(18)MERIDIAN PEDIATRIC SURGICAL ASSOC PC 1350 CAMPUS PARKWAY 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 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2666099	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(21)BAYSHORE COMMUNITY HOSPITAL FOUNDATION 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2367109	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	MH SYSTEM	Yes
(22)SOMC MEDICAL GROUP PC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 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)MERIDIAN AMBULATORY VENTURES INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 45-1227706	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	MH SYSTEM	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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.	-4,761,831	23,425,180	100.000 %	Yes
(2) MERIDIAN HEALTH VENTURES INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2550716	HEALTHCARE SVCS.	NJ	MH SYSTEM	C CORP.	861,957	7,238,425	100.000 %	Yes
(3) MERIDIAN HEALTH MANAGEMENT INC 1350 CAMPUS PARKWAY NEPTUNE,NJ07753 22-2620595	HEALTHCARE SVCS.	NJ	NA	C CORP.					No

Schedule R (Form 990) 2015

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) ...................

Yes

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

Yes

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

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

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SOUTHERN OCEAN MEDICAL CENTER FOUNDATION	R	2,000,000	COST
(2) BAYSHORE COMMUNITY HOSPITAL FOUNDATION	R	200,000	COST
(3) MERIDIAN PRACTICE INSTITUTE	R	4,798,649	COST
(4) OCEAN MEDICAL CENTER FOUNDATION	R	300,000	COST
(5) MERIDIAN HEALTH REALTY CORPORATION	R	5,647,860	COST
(6) MERIDIAN HOSPITALS CORPORATION	S	38,703,648	COST

Schedule R (Form 990) 2015

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) 2015

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2015

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	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2015 (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	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	8,305,535	822,221
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-2,839,066	1,742,546
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	451,723	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,918,192	2,564,767
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)....	8,777,428	8,207,551
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	8,777,428	8,207,551
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,859,236	-5,642,784
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,341,545	22,755,192
21	Total liabilities (Part X, line 26).............	4,169,080	13,735,302
22	Net assets or fund balances. Subtract line 21 from line 20.....	-827,535	9,019,890

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 5,727,195 including grants of $ 0 ) (Revenue $ 325,975 )
	THE ORGANIZATION IS THE TAX-EXEMPT 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 SYSTEM'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 2,003,968 including grants of $ 0 ) (Revenue $ 19,858 )
	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. PLEASE REFER TO SCHEDULE O FOR THE SYSTEM'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 476,388 including grants of $ 0 ) (Revenue $ 476,388 )
	EXPENSES INCURRED IN PROVIDING IT CONSULTING AND PROCESS IMPROVEMENT SERVICES FOR THE AFFILIATES OF MERIDIAN HEALTH SYSTEM, INC. PLEASE REFER TO SCHEDULE O FOR THE SYSTEM'S COMMUNITY BENEFIT STATEMENT.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses8,207,551

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Joseph M Lemaire........................................................................ Executive VP/PARTNER CO OPS	5.0 .......................55.0	X	0	1,197,027	420,864
(19) Salvatore Inciardi........................................................................ Assistant Secretary	3.0 .......................52.0	X	0	693,194	132,309

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	5,150,981	1,888,809

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

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

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

			Business Code
2a	CONSULTING REVENUE	541519	476,388	476,388
b	PATRONAGE REVENUE	900099	325,975	325,975
c	ACCOUNTABLE CARE ORGANIZATION REVENUE	541900	19,858	19,858
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			822,221

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			-3,518,349			-3,518,349
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		101,012
b	Less: rental expenses		101,012
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		7,360,895
b	Less: cost or other basis and sales expenses		2,100,000
c	Gain or (loss)		5,260,895
d	Net gain or (loss).....			5,260,895			5,260,895
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
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			2,564,767	822,221		1,742,546

1	Grants and other assistance to domestic organizations and domestic governments. 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	0	0	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 .........	2,321,040	2,321,040
c	Accounting ...........	272,507	272,507
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)	2,562,916	2,562,916
12	Advertising and promotion ....	225	225
13	Office expenses .......	112,792	112,792
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	10,711	10,711
17	Travel ............	23,486	23,486
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,140	1,140
20	Interest ...........	0
21	Payments to affiliates .......	35,603	35,603
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	CONTRACTUAL EXPENSES	2,280,738	2,280,738	0	0
b	MERGER EXPENSES	572,106	572,106
c	PURCHASED SERVICES	2,976	2,976
d	MISCELLANEOUS EXPENSES	11,311	11,311
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	8,207,551	8,207,551	0	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			885,784	1	960,833
2	Savings and temporary cash investments .........			1,199,450	2	14,657,506
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			0	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			0	8	0
9	Prepaid expenses and deferred charges ......			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	685,574	186,634	10c	152,876
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			275,131	12	5,418,367
13	Investments—program-related. See Part IV, line 11 ..			764,385	13	730,748
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			30,161	15	834,862
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,341,545	16	22,755,192

17	Accounts payable and accrued expenses .....	930,480	17	6,484,450
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	3,431,557
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	2,593,600	25	3,174,295
26	Total liabilities. Add lines 17 through 25..	4,169,080	26	13,735,302

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-1,028,874	27	9,019,890
28	Temporarily restricted net assets ...........	201,339	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	-827,535	33	9,019,890
34	Total liabilities and net assets/fund balances ........	3,341,545	34	22,755,192

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 separately 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No