Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
HMH HOSPITALS CORPORATION |
221487576 | 3 | Yes | 0 | 0 | |
| (B)
HMH PHYSICIAN SERVICES INC |
061755235 | 10 | Yes | 0 | 0 | |
| (C)
HMH RESIDENTIAL CARE INC |
222731440 | 10 | Yes | 0 | 0 | |
| (D)
JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION INC |
222342452 | 7 | Yes | 0 | 0 | |
| (E)
OCEAN MEDICAL CENTER FOUNDATION INC |
222361311 | 7 | Yes | 0 | 0 | |
| (F)
RIVERVIEW MEDICAL CENTER FOUNDATION INC |
222333524 | 7 | Yes | 0 | 0 | |
| (G)
MERIDIAN HEALTH FOUNDATION INC |
300107825 | 7 | Yes | 0 | 0 | |
| (H)
SOUTHERN OCEAN MEDICAL CENTER FOUNDATION INC |
222666099 | 7 | Yes | 0 | 0 | |
| (I)
BAYSHORE MEDICAL CENTER FOUNDATION INC |
222367109 | 7 | Yes | 0 | 0 | |
| (J)
HEALTH INNOVATIONS UNLIMITED INC |
222581430 | 10 | Yes | 0 | 0 | |
| (K)
HACKENSACK MERIDIAN AMBULATORY VENTURES INC |
461227706 | 10 | Yes | 0 | 0 | |
| (L)
BERGEN HEALTH MANAGEMENT SYSTEM INC |
222989731 | 2 | Yes | 0 | 0 | |
| (M)
HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION INC |
222339534 | 7 | Yes | 0 | 0 | |
| (N)
RARITAN BAY HEALTHCARE FOUNDATION INC |
222656665 | 7 | Yes | 0 | 0 | |
| (O)
PALISADES MEDICAL CENTER FOUNDATION INC |
223693169 | 7 | Yes | 0 | 0 | |
| (P)
THE COMMUNITY HOSPITAL GROUP INC |
226019101 | 3 | Yes | 0 | 0 | |
| (Q)
JOHN F KENNEDY MEDICAL CENTER FOUNDATION INC |
222315044 | 7 | Yes | 0 | 0 | |
| (R)
MUHLENBERG REGIONAL MEDICAL CENTER FOUNDATION INC |
510212678 | 7 | Yes | 0 | 0 | |
| (S)
HARTWYCK AT OAK TREE INC |
222666023 | 10 | Yes | 0 | 0 | |
| (T)
ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC |
222421433 | 10 | Yes | 0 | 0 | |
| (U)
HMH CARRIER CLINIC INC |
221714106 | 3 | Yes | 0 | 0 | |
| (V)
MUHLENBERG REGIONAL MEDICAL CENTER INC |
221487258 | 10 | Yes | 0 | 0 | |
|
Total 22
|
0 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 14,841,416 | 27,335,985 | 29,784,319 | 35,738,775 | 26,372,338 | 134,072,833 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 14,841,416 | 27,335,985 | 29,784,319 | 35,738,775 | 26,372,338 | 134,072,833 |
| 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).. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 134,072,833 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 14,841,416 | 27,335,985 | 29,784,319 | 35,738,775 | 26,372,338 | 134,072,833 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,362,272 | 2,315,015 | 3,407,677 | 7,851,015 | 8,099,714 | 23,035,693 |
| 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.).. | 31,700 | 239,233 | 223,126 | 1,130,549 | 85,082 | 1,709,690 |
| 11 | Total support. Add lines 7 through 10 | 158,818,216 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 74,822 | 156,395 | 54,126 | 120,269 | 0 | 405,612 |
| 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 | 267,797,572 | 320,074,688 | 296,920,451 | 309,230,266 | 294,499,080 | 1,488,522,057 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | |||||
| 6 | Total. Add lines 1 through 5 | 267,872,394 | 320,231,083 | 296,974,577 | 309,350,535 | 294,499,080 | 1,488,927,669 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 1,488,927,669 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 267,872,394 | 320,231,083 | 296,974,577 | 309,350,535 | 294,499,080 | 1,488,927,669 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 7,982,658 | 9,231,380 | 18,905,547 | 19,828,026 | 21,170,947 | 77,118,558 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 93,317 | 122,612 | 628,308 | 585,503 | 521,525 | 1,951,265 |
| c | Add lines 10a and 10b. | 8,075,975 | 9,353,992 | 19,533,855 | 20,413,529 | 21,692,472 | 79,069,823 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 532,998 | 650,476 | 1,104,215 | 991,503 | 99,730,481 | 103,009,673 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 276,481,367 | 330,235,551 | 317,612,647 | 330,755,567 | 415,922,033 | 1,671,007,165 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | 0 | |||
| 2 | Recoveries of prior-year distributions | 2 | 0 | |||
| 3 | Other gross income (see instructions) | 3 | 0 | |||
| 4 | Add lines 1 through 3 | 4 | 0 | |||
| 5 | Depreciation and depletion | 5 | 0 | |||
| 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 | 0 | |||
| 7 | Other expenses (see instructions) | 7 | 0 | |||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | 0 | |||
| 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 | 0 | |||
| b | Average monthly cash balances | 1b | 0 | |||
| c | Fair market value of other non-exempt-use assets | 1c | 0 | |||
| d | Total (add lines 1a, 1b, and 1c) | 1d | 0 | |||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): 0 |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | 0 | |||
| 3 | Subtract line 2 from line 1d | 3 | 0 | |||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | 0 | |||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | 0 | |||
| 6 | Multiply line 5 by .035 | 6 | 0 | |||
| 7 | Recoveries of prior-year distributions | 7 | 0 | |||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | 0 | |||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | 0 | |||
| 2 | Enter 85% of line 1 | 2 | 0 | |||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | 0 | |||
| 4 | Enter greater of line 2 or line 3 | 4 | 0 | |||
| 5 | Income tax imposed in prior year | 5 | 0 | |||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | 0 | |||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 0 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
0 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 0 | |
| 4 Amounts paid to acquire exempt-use assets | 0 | |
| 5 Qualified set-aside amounts (prior IRS approval required) | 0 | |
| 6 Other distributions (describe in Part VI). See instructions | 0 | |
| 7Total annual distributions. Add lines 1 through 6. | 0 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
0 | |
| 9 Distributable amount for 2019 from Section C, line 6 | 0 | |
| 10 Line 8 amount divided by Line 9 amount | 0 % | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | 0 | |||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
0 | |||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014.......0 | ||||
| b From 2015.......0 | ||||
| c From 2016.......0 | ||||
| d From 2017.......0 | ||||
| e From 2018.......0 | ||||
| fTotal of lines 3a through e | 0 | |||
| g Applied to underdistributions of prior years | 0 | |||
| h Applied to 2019 distributable amount | 0 | |||
|
i
Carryover from 2014 not applied (see instructions) |
0 | |||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | 0 | |||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ 0 | ||||
| a Applied to underdistributions of prior years | 0 | |||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | 0 | |||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
0 | |||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015.....0 | ||||
| b Excess from 2016.....0 | ||||
| c Excess from 2017.....0 | ||||
| d Excess from 2018.....0 | ||||
| e Excess from 2019.....0 | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A; PART I | THE PUBLIC CHARITY STATUS REFLECTED ON SCHEDULE A, PART I IS FOR THE ELEVEN FOUNDATIONS INCLUDED IN THIS GROUP FORM 990 AS THEY REPRESENT THE LARGEST NUMBER OF SUBORDINATES IN A SPECIFIC PUBLIC CHARITY STATUS. THESE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(VI) AND INCLUDED IN THE GROUP EXEMPTION RULING ARE MERIDIAN HEALTH FOUNDATION, INC., HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC., JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC., RIVERVIEW MEDICAL CENTER FOUNDATION, INC., OCEAN MEDICAL CENTER FOUNDATION, INC., SOUTHERN OCEAN MEDICAL CENTER FOUNDATION, INC., BAYSHORE MEDICAL CENTER FOUNDATION, INC., RARITAN BAY HEALTHCARE FOUNDATION, INC., PALISADES MEDICAL CENTER FOUNDATION, INC., JOHN F. KENNEDY MEDICAL CENTER FOUNDATION, INC., AND MUHLENBERG FOUNDATION, INC. OUTLINED BELOW IS THE PUBLIC CHARITY STATUS FOR ALL OTHER SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990: HMH HOSPITALS CORPORATION; SCHEDULE A, PART I, LINE 3, INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(III) ORGANIZATION; THE COMMUNITY HOSPITAL GROUP, INC.; SCHEDULE A, PART I, LINE 3, INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(III) ORGANIZATION; HEALTH INNOVATIONS UNLIMITED, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION; HACKENSACK MERIDIAN HEALTH REALTY CORPORATION; SCHEDULE A, PART I, LINE 12C, INTERNAL REVENUE CODE SECTION 509(a)(3) ORGANIZATION; HMH RESIDENTIAL CARE, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION; HMH PHYSICIAN SERVICES, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION; HACKENSACK MERIDIAN AMBULATORY VENTURES, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION; BERGEN HEALTH MANAGEMENT SYSTEM, INC.; SCHEDULE A, PART I, LINE 2, INTERNAL REVENUE CODE SECTION 509(a)(1) ORGANIZATION; MUHLENBERG REGIONAL MEDICAL CENTER, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION; HARTWYCK AT OAK TREE, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION; HARTWYCK AT JFK, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION; ROBERT WOOD JOHNSON, JR., LIFESTYLE INSTITUTE, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 509(a)(2) ORGANIZATION. HMH CARRIER CLINIC, INC.; SCHEDULE A, PART I, LINE 10, INTERNAL REVENUE CODE SECTION 170(b)(1)(A)(III) ORGANIZATION. |
| SCHEDULE A, PART II, SECTION A, LINE 1 | UNUSUAL GRANTS EXCLUDED FROM SCHEDULE A, PART II, SECTION A, LINE 1 INCLUDE: 2015: $5,000,000 2016: $5,000,000 AND $2,500,000 2017: $15,000,000; $5,000,000 AND $2,500,000 2018: $4,900,000; $1,000,000 and $1,000,000 2019: $5,000,000 and $3,006,000 |
| SCHEDULE A, PART II, LINE 10 | OTHER INCOME INCLUDES GAMING NET INCOME AND SALE OF INVENTORY NET INCOME. |
| SCHEDULE A, PART II, LINE 12 | OTHER INCOME INCLUDES MISCELLANEOUS INCOME, MANAGEMENT FEES, AND SALE OF INVENTORY NET INCOME. |
| SCHEDULE A, PART IV, SECTION A, QUESTION 1 | HACKENSACK MERIDIAN HEALTH REALTY CORPORATION'S GOVERNING DOCUMENTS STATE THAT IT SUPPORTS HACKENSACK MERIDIAN HEALTH AND ITS AFFILIATES. THE AFFILIATES ARE THOSE ORGANIZATIONS LISTED IN SCHEDULE A, PART I, LINE 12G. THERE IS A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THESE ORGANIZATIONS IN WHICH HACKENSACK MERIDIAN HEALTH REALTY CORPORATION HOLDS THE TITLE OF THE PROPERTY ON BEHALF OF THESE AFFILIATES. |
| SCHEDULE A, PART IV, SECTION A, QUESTION 5A | UNDER THE AUTHORITY OF THE BOARD OF TRUSTEES THROUGH AN AMENDED CERTIFICATE OF INCORPOARTION, DUE TO MERGER ACTIVITY, THE FOLLOWING ORGANIZATIONS WERE REMOVED AS SUPPORTING ORGANIZATIONS: JFK HEALTH SYSTEM, INC. (EIN: 22-2421432) HARTWYCK WEST NURSING HOME, INC. (EIN: 22-1802017) JFK ASSISTED LIVING, INC. (EIN: 22-3715324) UNDER THE AUTHORITY OF THE BOARD OF TRUSTEES THROUGH AN AMENDED CERTIFICATE OF INCORPOARTION, DUE TO MERGER ACTIVITY, THE FOLLOWING ORGANIZATION WAS ADDED AS SUPPORTED ORGANIZATIONS: HMH CARRIER CLINIC (EIN: 22-1714106) |
| SCHEDULE A, PART IV, SECTION D, QUESTION 3 | The supported organizations have a significant voice in this organization's investment policies and in directing the use of this organization's income or assets since they are all affiliates within Hackensack Meridian Health, a tax-exempt integrated healthcare delivery system. All organizations, in keeping with the charitable mission of Hackensack 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, QUESTION 2A | IN ACCORDANCE WITH ITS STATED MISSION AND CHARITABLE PURPOSES, HACKENSACK MERIDIAN HEALTH REALTY CORPORATION FURTHERS THE EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS BY ACQUIRING, CONSTRUCTING, FINANCING, OPERATING AND OWNING OR LEASING PROPERTY FOR THEIR BENEFIT. |
| SCHEDULE A, PART IV, SECTION E, QUESTION 2B | THE ACTIVITIES OF HACKENSACK MERIDIAN HEALTH REALTY CORPORATION DESCRIBED ABOVE IN OUR RESPONSE TO PART IV, SECTION E, QUESTION 2A CONSTITUTE ACTIVITIES THAT, BUT FOR HACKENSACK MERIDIAN HEALTH REALTY CORPORATION'S INVOLVEMENT, THE SUPPORTED ORGANIZATIONS WOULD NORMALLY BE INVOLVED AS IT IS NECESSARY FOR THEM TO CONSTRUCT, FINANCE, OPERATE, OWN OR LEASE PROPERTY IN ORDER TO FURTHER THEIR EXEMPT PURPOSES AND PROVIDE THE BEST HEALTH CARE SERVICES TO THE COMMUNITY. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| SCHEDULE E; QUESTION 3 | BERGEN HEALTH MANAGEMENT SYSTEM, INC. LISTED ITS NON-DISCRIMINATORY POLICY IN ITS BROCHURE AND ALSO PLACED AN ADVERTISEMENT IN A NEWSPAPER. |
| SCHEDULE E; QUESTION 6A | THE ORGANIZATION RECEIVED A TUITION SUBSIDY FROM THE NJ CARES FOR KIDS PROGRAM THORUGH THE OFFICE FOR CHILDREN IN HACKENSACK, NJ. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| CORE FORM, PART I; SUMMARY | OUTLINED BELOW IS THE VOTING AND INDEPENDENT VOTING DISCLOSURE INFORMATION FOR EACH SUBORDINATE ORGANIZATION INCLUDED IN THE GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990 (SOME BOARD MEMBERS SERVE ON MULTIPLE BOARDS AS INDICATED IN THE PART VII DISCLOSURE INCLUDED IN SCHEDULE O): - HMH HOSPITALS CORPORATION; 35 VOTING, 24 INDEPENDENT; - THE COMMUNITY HOSPITAL GROUP, INC.; 14 VOTING, 13 INDEPENDENT; - HMH PHYSICIAN SERVICES, INC.; 3 VOTING, 1 INDEPENDENT; - HMH RESIDENTIAL CARE, INC.; 10 VOTING, 6 INDEPENDENT; - HEALTH INNOVATIONS UNLIMITED, INC.; 10 VOTING, 6 INDEPENDENT; - MERIDIAN HEALTH FOUNDATION, INC.; 16 VOTING, 10 INDEPENDENT; - HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC.; 80 VOTING, 65 INDEPENDENT; - JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC.; 22 VOTING, 13 INDEPENDENT; - RIVERVIEW MEDICAL CENTER FOUNDATION, INC.; 22 VOTING, 15 INDEPENDENT; - OCEAN MEDICAL CENTER FOUNDATION, INC.; 17 VOTING, 13 INDEPENDENT; - SOUTHERN OCEAN MEDICAL CENTER FOUNDATION, INC.; 26 VOTING; 19 INDEPENDENT; - BAYSHORE MEDICAL CENTER FOUNDATION, INC.; 21 VOTING; 14 INDEPENDENT; - RARITAN BAY HEALTHCARE FOUNDATION, INC.; 12 VOTING, 3 INDEPENDENT; - PALISADES MEDICAL CENTER FOUNDATION, INC.; 14 VOTING, 11 INDEPENDENT; - JOHN F. KENNEDY MEDICAL CENTER FOUNDATION, INC.; 17 VOTING, 15 INDEPENDENT; - MUHLENBERG FOUNDATION, INC.; 3 VOTING, 2 INDEPENDENT; - HACKENSACK MERIDIAN HEALTH REALTY CORPORATION; 13 VOTING, 8 INDEPENDENT; - BERGEN HEALTH MANAGEMENT SYSTEM, INC.; 3 VOTING, 0 INDEPENDENT; - HACKENSACK MERIDIAN AMBULATORY VENTURES, INC.; 13 VOTING, 8 INDEPENDENT; - MUHLENBERG REGIONAL MEDICAL CENTER FOUNDATION, INC.; 6 VOTING, 4 INDEPENDENT; - HARTWYCK AT OAK TREE, INC.; 10 VOTING, 6 INDEPENDENT; - HARTWYCK AT JFK, INC.; 10 VOTING, 6 INDEPENDENT; - ROBERT WOOD JOHNSON, JR., LIFESTYLE INSTITUTE, INC.; 4 VOTING, 3 INDEPENDENT; AND -HMH CARRIER CLINIC, INC.; 12 VOTING, 9 INDEPENDENT. |
| CORE FORM, PART III; LINE 4D | PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES, SUCH AS EMERGENCY DEPARTMENT, OBSTETRICS & NEWBORNS, CHEMOTHERAPY, ONCOLOGY, BEHAVIORAL HEALTH, ETC., TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | - PETER C. GERHARD AND KRISTEN GERHARD - FAMILY RELATIONSHIP; - SAMUEL P. TOSCANO, JR. AND SANDRA KEARY - FAMILY RELATIONSHIP; AND - GEORGE T. CROONQUIST AND G. THOMAS CROONQUIST, JR. - FAMILY RELATIONSHIP. |
| CORE FORM, PART VI, SECTION A; QUESTION 4 | The certificate of incorporation of HMH Hospitals Corporation was amended effective October 1, 2019 to reflect the merger of Shore Rehabilitation Institute, Inc. into HMH Hospitals Corporation. The Certificates of Incorporation for THE COMMUNITY HOSPITAL GROUP, INC., MUHLENBERG REGIONAL MEDICAL CENTER, INC., HARTWYCK AT OAK TREE, INC., HARTWYCK AT JFK, INC., were amended effective January 1, 2019 to reflect the merger of JFK Health System, Inc. into Hackensack Meridian Health, Inc. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | HACKENSACK MERIDIAN HEALTH, INC. ("HMH") IS THE SOLE MEMBER OF ALL SUBORDINATE ORGANIZATIONS INCLUDED IN THE HACKENSACK MERIDIAN HEALTH, INC. GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990 OTHER THAN HEALTH INNOVATIONS UNLIMITED, INC. ("HIU"). HMH HAS THE RIGHT TO ELECT THE MEMBERS OF EACH SUBORDINATE ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN EACH SUBORDINATE ORGANIZATION'S BYLAWS. HMH RESIDENTIAL CARE, INC., A SUBORDINATE INCLUDED IN THE HACKENSACK MERIDIAN HEALTH, INC. GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990, HAS THE RIGHT TO ELECT THE MEMBERS OF HIU'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN HIU'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | These organizations are subsidiaries of Hackensack Meridian Health, Inc. ("HMH"); a tax-exempt integrated healthcare delivery network. HMH's finance personnel prepared the Federal Form 990, which was then reviewed by other appropriate internal staff for accuracy. HMH retained a firm of independent certified public accountants with experience and expertise in health care and not-for-profit tax return preparation to review and file the Form 990. HMH's Board of Trustees designated the Audit and Compliance Committee ("ACC") to review the Form 990 of HMH's subsidiaries. The Form 990 was provided to the members of the ACC for review. The Form 990 was then provided to each voting member of HMH's governing body, its Board of Trustees, prior to filing with the Internal Revenue Service. The HMH Board of Trustees has the final governing authority over the subsidiaries of HMH. |
| CORE FORM, PART VI, SECTION B; QUESTION 12C | HACKENSACK MERIDIAN HEALTH, INC., THE TAX-EXEMPT PARENT ORGANIZATION OF HACKENSACK MERIDIAN HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK, HAS ADOPTED A NETWORK-WIDE CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF ITS SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH THE NETWORK'S CONFLICT OF INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND KEY EMPLOYEES OF EACH 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 NETWORK'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THE CHIEF COMPLIANCE OFFICER THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO THE NETWORK'S GOVERNANCE AND BOARD DEVELOPMENT COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). DURING THE YEAR, THE CHIEF COMPLIANCE OFFICER IN CONJUNCTION WITH THE 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; QUESTION 15B | THE ORGANIZATIONS ARE AFFILIATES WITHIN A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK IN WHICH HACKENSACK MERIDIAN HEALTH, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION. THE EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE ("COMMITTEE") OF HACKENSACK MERIDIAN HEALTH, INC. IS RESPONSIBLE FOR REVIEWING THE EXECUTIVE COMPENSATION OF THE PRESIDENT AND KEY EMPLOYEES (SENIOR MANAGEMENT) OF THE PARENT AND ALL OF THE SUBSIDIARY ORGANIZATIONS. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY, APPROVED BY THE 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 NETWORK AND THE CRITICAL NEED TO HAVE AND RETAIN EXECUTIVES THAT CONSISTENTLY DEMONSTRATE SUPERIOR LEVELS OF PERFORMANCE SO THAT THE HEALTH NETWORK CAN FULFILL ITS CHARITABLE MISSION AND STRATEGIC OBJECTIVES. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION", 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 CHIEF EXECUTIVE OFFICER(S), OTHER OFFICERS 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 NATIONAL AND 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 EXECUTIVE COMPENSATION PHILOSOPHY, THE ORGANIZATION'S PERFORMANCE, BUSINESS JUDGMENT CONSIDERATIONS, AND THE INDIVIDUAL'S PERFORMANCE, REVIEWS AND APPROVES COMPENSATION FOR EACH INDIVIDUAL. GUIDED AT EACH MEETING BY OUTSIDE COUNSEL TO THE COMMITTEE, THE COMPREHENSIVE REVIEW PROCESS UTILIZED BY THE COMMITTEE IS INTENTIONALLY STRUCTURED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY THE COMMITTEE, WHICH IS AN "AUTHORIZED BODY" OF THE ORGANIZATION COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF THE IRS REGULATIONS UNDER SECTION 4958; 2. THE COMMITTEE OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" (FOR COMPARABLE POSITIONS AT SIMILAR HEALTHCARE ORGANIZATIONS) PRIOR TO MAKING ITS DETERMINATION, WHICH COMPARABILITY DATA IS PROVIDED AND ANALYZED BY THE COMMITTEE'S INDEPENDENT CONSULTING FIRM WITH EXPERTISE IN THE AREA OF NOT-FOR-PROFIT HEALTH CARE EXECUTIVE COMPENSATION; AND 3. THE COMMITTEE THOROUGHLY DOCUMENTS ITS REVIEW AND APPROVAL PROCESS, AS WELL AS THE BASIS FOR ITS APPROVALS, CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS DESCRIBED IN THE REGULATIONS. AS APPROPRIATE, THE COMMITTEE 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 COMPENSATION ARRANGEMENTS APPROVED BY THE COMMITTEE ARE REPORTED IN EXECUTIVE SESSION TO THE FULL BOARD BY THE CO-CHAIRS OF THE COMMITTEE. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE HACKENSACK MERIDIAN HEALTH, INC. GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990 ARE AFFILIATES WITHIN HACKENSACK MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY NETWORK ("NETWORK"). CERTAIN SUBORDINATE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990 HAVE ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE NETWORK'S FINANCIAL STATEMENTS WERE INCLUDED WITH EACH TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. ALSO, EACH SUBORDINATE 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 SUBORDINATE ORGANIZATIONS MAKE AVAILABLE TO THE PUBLIC VIA THEIR WEBSITE, WWW.HACKENSACKMERIDIANHEALTH.ORG, THEIR CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN INDIVIDUALS WHO WORKED FULL-TIME FOR HACKENSACK MERIDIAN HEALTH AND RECEIVED COMPENSATION AND BENEFITS FOR SERVICES RENDERED TO HACKENSACK MERIDIAN HEALTH. PLEASE NOTE THAT THIS FORM 990 REFLECTS THE FINANCIAL ACTIVITY AND OTHER INFORMATION OF THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE HACKENSACK MERIDIAN HEALTH, INC. GROUP EXEMPTION RULING BUT DOES NOT INCLUDE ALL RELATED ORGANIZATIONS. PART VII INCLUDES, AS OF DECEMBER 31, 2019, THE MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES OF EACH OF THE ORGANIZATIONS INCLUDED IN THIS CONSOLIDATED GROUP FORM 990. IN ADDITION, PART VII INCLUDES THE REMAINING TOP FIVE HIGHEST PAID EMPLOYEES AMONGST ALL ENTITIES COMBINED AFTER OFFICERS AND KEY EMPLOYEES OF ALL ORGANIZATIONS INCLUDED IN THE HACKENSACK MERIDIAN HEALTH, INC. GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990. THESE TRUSTEES, OFFICERS, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES ARE LISTED IN ORDER FROM HIGHEST TO LOWEST COMPENSATION. OUTLINED BELOW IS A SUMMARY OF THE BOARD OF TRUSTEES BY ORGANIZATION. [* INDICATES THE MEMBER SERVES ON MORE THAN ONE BOARD REPORTED ON THIS GROUP RETURN]: HMH Hospitals Corporation ====================== Richard W. Henning Thomas J. Kononowitz* Marvin Goldstein, Esq. Peter S. Reinhart, Esq. Rosemarie J. Sorce* Robert C. Garrett* Gordon Litwin, Esq. William Lawless, Ph.D. Christopher Maher* Gloria Martini* Robert E O'Hara, III* Meredyth Armitage Aida Capo, M.D. Peter S. Falvo, Jr., Esq.* Gregorio Guillen, M.D. Peter O. Hanson Susan Hassmiller, Ph.D., RN Peter Hetzler, M.D. Joseph Jankowski Luke Kealy, Esq. Thomas R. Lake, III MD Steven P. Lisser, MD* William J. Murray* James R. Napolitano, Esq.* Massimo Napolitano, M.D. Edward V. Piccinich Shawn Reynolds* Edward P. Salzano Anthony Scardino Andria Schneiderman Samuel Toscano, Jr.* Pranaychandra Vaidya, M.D. Frank J. Vuono* John Wilcha Walter Wynkoop, M.D. Joseph Simunovich* (Deceased 6/2019) Richard A. Amdur, Esq. (Termed 4/2019) HMH Residential Care, Inc. ===================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Gordon N. Litwin, Esq.* Robert C. Garrett* Joseph Simunovich* (Deceased 6/2019) HMH Carrier Clinic, Inc. =========================== Lawrence Inserra Thomas Amato Ann Damsgaard Caryl Kourgelis Donald Parker Donna Simon Gordon N. Litwin, Esq.* Gordon Pingicer Jaime Robertson-Lavalle Lauren Wright* Mary Christie Susan Hassmiller Health Innovations Unlimited, Inc. =========================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Gordon N. Litwin, Esq.* Robert C. Garrett* Joseph Simunovich* (Deceased 6/2019) HMH Physician Services, Inc. ======================= Robert C. Garrett* Joseph M. Lemaire* Thomas J. Kononowitz* Meridian Health Foundation, Inc. =========================== Robert G. Harms* Andrew Citron, MD* John A. Giunco, Esq. Steven M. Scopellite* Joseph Stampe Carol Stillwell* Heidi Maggs Robert Garrett* Serena DiMaso, Esq.* Thomas J. Dolan* Louis John Dughi, Esq.* Walter R. Earle, II David Lee Hernandez, Jr.* Deborah Mathis* Nancy Mulheren* Evaristo Stanziale* Hackensack University Medical Center Foundation, Inc. ============================================ Lawrence R. Inserra, Jr. Richard Henning Gloria Martini* Robert C. Garrett* Ihor Sawczuk, MD Mark D. Sparta, MD Helen A. Cunning Ulises E. Diaz William McLaughlin Lauren Wright* Jill Joyce* Amy Peene James P. Andersen John Apovian, MD Mitchell Baker James R. Beattie, Esq. Stephen T. Boswell, Ph.D., P.E, SECB Nick Cangialosi Heather Choi Kevin J. Collins, Esq. George T. Croonquist* G. Thomas Croonquist, Jr. William Cunningham Vincent Curatola Donald N. Dinallo Michael Geary Kristen Gerhard Peter C. Gerhard Matthew A. Golson Gail Gordon, Esq. Michael Gross, MD Peter A. Gross, MD William C. Hanson Robert S. Hekemian, Jr. Tim Hodges Frank C. Holtham, Jr. Richard Hubschman, Jr., Esq. Dante A. Implicito, MD Michelle Jung, Esq. Martin W. Kafafian, Esq. Sandra Keary* Sandra Kissler John H. Klein Thomas Langbein Jerrold Langer Patricia K. Low Michael S. McGeary Brian McLaughlin John C. Meditz* Nicholas Minicucci, Jr. William J. Murray* James R. Napolitano, Esq.* Robert E. O'Hara, III Samuel S. Raia Julia Recaman Joseph P. Riccardo Joseph A. Rizzi, Esq. David T. Robertson, Esq. Christopher A. Rotio Andrew Rubenstein, MD Ann Marie Saccaro Thomas Salazer, M.D. David Sanzari* Anthony Scardino, Jr. Carol D. Schaefer Charles V. Schaefer, III Elyssa Schecter John A. Schepisi, Esq. Mark D. Schlesinger, MD Charles H. Shotmeyer Phil Simms Rosemarie J. Sorce* Deborah A. Stone Anthony C. Taccetta, Jr.* Scott Tarriff Sarah L. Timmapuri, MD Samuel Toscano, Jr.* Christopher Turner Frank J. Vuono* Joanne Wexler Jack K. Murray (Termed 9/2019) Joseph Simunovich* (Deceased 6/2019) Bruce G. Bohuny (Deceased 9/2019) Jersey Shore University Medical Center Foundation, Inc. ============================================= John A. Giunco, Jr., Esq.* Walter R. Earle II John F. Reinhardt Eric M. Kirsch, CFA Joseph E. Stampe* Karen Goldblatt Philip Scaduto Robert Garrett* Paul Huegel T. Burt Barham Suzanne Citron Thomas DeFelice Sandra Keary* Stephan C. Lowy Robert W. Mullen Kenneth D. Nahum, DO Richard M. Neibart, MD Philip L. Perricone Kenneth N. Sable, MD Robert Smith Robert L. Sweeney, DO Marilyn G. Trapani Riverview Medical Center Foundation, Inc. ================================== Steven M. Scopellite* Nancy Mulheren* Peter T. Roselle Jonathan B. Schultz Joseph E. Stampe* Robert Garrett* Jennifer L. Smith* Hilary DiPiero Negin Noorchashm Griffith, MD Leslie Hitchner Charles E. Komar Steven P. Lisser, MD* Robert Morris Brian N. Nelson, Esq. Shawn Reynolds* Margaret Riker John D. Royall, MD Siran Sahakian Richard J. Saker Danielle Sherwood-Schultz Benedict J. Torcivia, Jr. Michael Walker Robert M. Rechnitz (Deceased 10/2019) Mary V. Eisenstadt (Termed 11/2019) |
| CORE FORM, PART VII AND SCHEDULE J (CONTINUED) | Ocean Medical Center Foundation, Inc. =============================== Robert Garrett* Robert G. Harms* Matthew Lang Joseph E. Stampe* Holly R. Hubbell Lonsdale Gary Pieringer Louis John Dughi, Esq.* Ali Moosvi, MD Edward J. Dimon, Esq. Frank DiTullio Harriet Donnelly Jereme Kokes John Visceglia Joseph Mignon Joseph P. Bogdan, MD Kenneth Sable* Peter Mencel, MD Southern Ocean Medical Center Foundation, Inc. ======================================= Thomas J. Dolan* Deborah Mathis* Joan M. Hart Joseph E. Stampe* Barbara Bordoni Jackie Hillman Jeremy DeFilippis Joseph Rulli Kenneth Sable* Matcene Kubler Phyllis Buttermark Regina Foley Robert Garrett* Robert Stohrer James Young Michael Aaron, DO Paul Chung, MD Skye Gibson John Imperato Sean Kauffman Joseph P. Lattanzi, MD Angela Ominski Karl W. Strom, MD Thomas Yu, MD Edward Walters, Jr. David Wyrsch, Jr. Joseph T. O'Donnell Bayshore Medical Center Foundation, Inc. ================================== Serena DiMaso, Esq.* Evaristo Stanziale* Carol Stillwell* Vincent Hager Joseph E. Stampe* Robert Garrett* Catherine Ainora* Glen Dalakin Jennifer L. Smith* Gaurav Baveja Gregory A. Buontempo Angelo DeRosa Mollie Giamanco John DeLiso Rajiv Prasad Richard Kolber AdrIan M. Pristas, MD Andrij Rudko Asaad Hani Samra, MD Jason Savarese Christopher M. Striano Raritan Bay Healthcare Foundation, Inc. ================================ Robert Garrett* Andrew Citron, MD* Linda Hill Joseph E. Stampe* Surender M. Grover, MD Jessica Smith David Lee Hernandez, Jr.* Catherine Ainora* Dominick A. Cama Jeanette Corris Leonard Somarriba Steven Rogers Raymond F. Fredericks* (Termed 6/30/19) Palisades Medical Center Foundation, Inc. ================================== John C. Meditz* Joseph Burt Anthony J Passannante, Jr, MD Alexander Duran Thomas M. Eastwick Patricia Fuller Leonard Lauricella Blanca N. Mankiewicz Mario Marghella Alejandra Pazmino Suri Ponamgi, MD Howard Shiffman Lillian Sonnenschein Thomas M Venino, Jr. Hackensack Meridian Health Realty Corporation ======================================= Martin M. Barger, Esq. Joseph Basralian Richard Branca Joseph M. Lemaire* Barry Weshnak Joanne Gentilesco Peter S. Falvo, Jr., Esq.* Jill Joyce* John A. Giunco, Jr., Esq.* David Sanzari* J Fletcher Creamer, Jr. Gordon N. Litwin, Esq.* Robert C. Garrett* Joseph Simunovich* (Deceased 6/2019) Bergen Health Management Services, Inc. ================================== Mark Stauder* Nancy Corcoran-Davidoff Robert Glenning Joseph M. Sanzari (Termed 11/2019) Anthony C. Taccetta, Jr.* (Termed 11/2019) William J. Montgoris (Termed 11/2019) Robert C. Garrett* (Termed 11/2019) George T. Croonquist* (Termed 11/2019) J. Fletcher Creamer, Jr. (Termed 11/2019) Richard M. Winters, M.D. (Termed 11/2019) Hackensack Meridian Ambulatory Ventures, Inc. ======================================= Alfred J Schiavetti, Jr. Thomas Kononowitz William Crane Gordon N. Litwin, Esq.* Robert C. Garrett* Richard Smith* James Renna William Hickey Robert E O'Hara, III* James Kirkos Kristen Bunnell James M. Bollerman Mark Stauder* Joseph Simunovich* (Deceased 6/2019) Hartwyck at JFK, Inc. ================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Gordon N. Litwin, Esq.* Robert Garrett* Jay M. Jeney* (Termed 11/2019) David A. Belowich* (Termed 11/2019) John O. Grun* (Termed 11/2019) Helen J. Paterniti* (Termed 11/2019) Raymond F. Fredericks* (Termed 6/30/19) Michael A. Kleiman, DMD* (Termed 11/2019) The Community Hospital Group, Inc. ============================= Robert C. Garrett* Michael A. Kleiman, DMD* John Kolaya James J. Galeota Douglas Nordstrom Praful Raja* Frank Fekete James Bollerman John McDonough Joseph Yewaisis Franklin Spirn, MD David A. Belowich* Lawrence Zagarola Patricia Christian Raymond F. Fredericks* (Termed 6/30/19) Hartwyck at Oak Tree, Inc. ===================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Gordon N. Litwin, Esq.* Robert Garrett* Jay M. Jeney* (Termed 10/2019) David A. Belowich* (Termed 10/2019) John O. Grun* (Termed 10/2019) Helen J. Paterniti* (Termed 10/2019) Raymond F. Fredericks* (Termed 10/2019) Robin O. Winter, MD (Termed 10/2019) Fran Yorey (Termed 10/2019) Michael A. Kleiman, DMD* (Termed 10/2019) Robert Wood Johnson Lifestyle Institute, Inc. ==================================== John G. McDonough, DMD* Jay M. Jeney* Richard Smith* Michael A. Kleiman, DMD* Raymond F. Fredericks* (Termed 6/30/19) Muhlenberg Regional Medical Center, Inc. ================================== Douglas A. Nordstrom Mari Bonini Charles K. Anastasiou Richard Smith* William Oser, MD Michael A. Kleiman, DMD* Raymond F. Fredericks* (Termed 6/30/19) J. Scott Gebhard John F. Kennedy Medical Center Foundation, Inc. ======================================= Robert Garrett* Joseph W. Yewaisis A. Joyce Busch Steven Rothman Ankit Gupta Claudia R. Mastrapasqua* Denise Marra Depekary, Esq Donna Meade* Jason Cheng John F. Kwasnik, Esq John G. McDonough, DMD* Lorraine Mulligan Michael A. Kleiman, DMD* Peter Visceglia, Esq Praful Raja* Sheila Ruegger Vincent Amabile James J. Keane (Termed 6/2019) Mary Anne Hale (Deceased 7/2019) Raymond F. Fredericks* (Termed 6/30/19) Steven C. Fleischer (Termed 11/2019) Muhlenberg Foundation, Inc. ======================= Donna Meade* Robert J. Goellner O. Oliver Anderson Raymond F. Fredericks* (Termed 6/30/19) |
| CORE FORM, PART X; LINE 20 | In accordance with the organization's audited financial statements, the tax-exempt bond values were reported on the books of Hackensack Meridian Health, Inc., the parent organization of this tax-exempt integrated healthcare delivery network. As such, the tax-exempt bonds are reported on Schedule K of the Hackensack Meridian Health, Inc. Form 990. |
| CORE FORM, PART XI; QUESTION 9 | OTHER INCREASE (DECREASE)IN NET ASSETS OR FUND BALANCE INCLUDE: - NET TRANSFERS TO/FROM RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS - $71,681,192; - EQUITY TRANSFER - $52,203,717; - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ACQUISITION - $32,533,972; - CHANGES IN PENSION RELATED ADJUSTMENTS - $24,566,662; - EARLY EXTINGUISHMENT OF DEBT - ($29,878); - LOSSES ON UNCOLLECTIBLE PLEDGES - ($12,796,484); - OTHER CHANGES IN UNRESTRICTED NET ASSETS - ($4,451,677); - HMH PROGRAM SERVICE REVENUE RECLASS - $2,983,021 - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ACQUISITION; TEMPORARILY RESTRICTED - ($13,218,493); - NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATING ACTIVITIES; TEMPORARILY RESTRICTED - ($1,609,770); - BENEFICIAL INTEREST IN FOUNDATIONS; TEMPORARILY RESTRICTED - $7,828,184; AND - BEGINNING NET ASSETS OF ENTITIES NEW TO THE GROUP EXEMPTION RULING - $36,879,881. |
| CORE FORM, PART XII; QUESTION 2 | PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, INCLUDING THIS ORGANIZATION. PRICEWATERHOUSE COOPERS, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE HACKENSACK MERIDIAN HEALTH, INC. AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE ORGANIZATIONS IN THIS CONSOLIDATED GROUP FORM 990, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| SCHEDULE J, PART II, COLUMN B(III) | Listed individual John K. Lloyd, FACHE, during prior years of employment with the organization and a predecessor organization, became vested in certain forms of supplemental retirement benefits earned over 35 years of employment. The vested amounts were fully reported on prior Form 990 returns as part of taxable, W-2 (Box 1) wage income. These vested amounts are being reported on a Form W-2 again in 2019, but only as Box 5 wage income, solely for the purpose of paying the Hospital Insurance portion of FICA tax. Because these amounts were already fully reported on previous Form 990s as W-2 Box 1 wage income (intended as the final disclosure of deferred compensation on Form 990), they are not being reported again as W-2 Box 5 wage income for the current year. |
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