Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
A For the 2020 calendar year, or tax year beginning 01-01-2020 , and ending 12-31-2020
BCheck if applicable:
CName of organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
% ROBERT L GLENNING
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
C/O TAX DEPT 343 THORNALL ST 8TH FL
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
EDISON, NJ08837
D Employer identification number

01-0649794
E Telephone number

G Gross receipts $ 5,883,689,337
F Name and address of principal officer:
ROBERT C GARRETT
C/O TAX DEPT 343 THORNHALL ST
EDISON,NJ08837
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HACKENSACKMERIDIANHEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet3827
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE ORGANIZATIONS ARE COMMITTED TO PROVIDING THE FULL SPECTRUM OF LIFE-ENHANCING CARE AND SERVICES TO CREATE AND SUSTAIN HEALTHY, VIBRANT COMMUNITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 259
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 226
5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) ...... 5 39,055
6 Total number of volunteers (estimate if necessary) ............. 6 3,459
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 49,690,137
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 117,309,490 666,429,604
9 Program service revenue (Part VIII, line 2g) ......... 5,256,434,720 5,008,702,580
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 47,148,847 32,568,854
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 144,796,105 174,776,803
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 5,565,689,162 5,882,477,841
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 251,404,621 286,748,269
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) 2,687,180,739 3,015,916,678
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet14,217,981    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,288,158,455 2,453,980,147
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 5,226,743,815 5,756,645,094
19 Revenue less expenses. Subtract line 18 from line 12....... 338,945,347 125,832,747
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 6,912,290,355 7,707,680,041
21 Total liabilities (Part X, line 26)............. 3,075,683,450 3,842,084,007
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,836,606,905 3,865,596,034
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2020)
Form 990 (2020)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE ORGANIZATIONS ARE COMMITTED TO PROVIDING THE FULL SPECTRUM OF LIFE-ENHANCING CARE AND SERVICES TO CREATE AND SUSTAIN HEALTHY, VIBRANT COMMUNITIES. PLEASE REFER TO SCHEDULE H, PART VI, QUESTION 5 FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 923,971,757 including grants of $ 0 ) (Revenue $ 1,192,868,196 )
ACUTE CARE: PROVIDING MEDICALLY NECESSARY ACUTE CARE SERVICES, INCLUDING INPATIENT AND OUTPATIENT CARDIAC, PLASTIC SURGERY, TRAUMA AND PEDIATRIC AND AMBULATORY SURGERY TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2020, THERE WERE 96,507 ACUTE CARE CASES RESULTING IN 548,026 PATIENT DAYS.
4b (Code:   ) (Expenses $ 669,026,390 including grants of $ 0 ) (Revenue $ 498,201,973 )
PHARMACEUTICAL: PROVIDING MEDICALLY NECESSARY PHARMACEUTICAL SERVICES, INCLUDING INPATIENT AND OUTPATIENT CARDIAC, PLASTIC SURGERY, TRAUMA AND PEDIATRIC AND AMBULATORY SURGERY TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2020, THERE WERE 1,593,779 PHARMACEUTICAL CASES RESULTING IN 2,499,621 PATIENT DAYS.
4c (Code:   ) (Expenses $ 312,622,025 including grants of $ 0 ) (Revenue $ 283,261,713 )
OPERATING ROOM: PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES, INCLUDING INPATIENT AND OUTPATIENT CARDIAC, PLASTIC SURGERY, TRAUMA AND PEDIATRIC AND AMBULATORY SURGERY TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2020, THERE WERE 112,319 OPERATING ROOM CASES RESULTING IN 357,816 PATIENT DAYS.
4d Other program services (Describe in Schedule O.)
(Expenses $ 2,488,451,041 including grants of $   ) (Revenue $ 3,159,933,049 )
4e Total program service expensesMediumBullet4,394,071,213
Form 990 (2020)
Form 990 (2020)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule EClick to see attachment
13
Yes
 
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
4
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
4
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
39,055
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ , BD
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2020)
Form 990 (2020)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
259
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
226
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletROBERT L GLENNING343 THORNALL STREET   EDISON,NJ08837 (848) 888-4405
Form 990 (2020)
Form 990 (2020)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Robert C Garrett FACHE......................................................................
CEO/Trustee
 57.0
.................
3.0 		X   X       6,532,806 0 338,911
(2) Robert L Glenning......................................................................
Pres, Fin & IT Svcs Div, CFO
 52.0
.................
3.0 		X   X       2,998,298 0 43,840
(3) Mark Stauder......................................................................
Chairperson/COO
 55.0
.................
0.0 		X   X       2,593,599 0 36,824
(4) Patrick Young......................................................................
Pres, Population Health
 55.0
.................
0.0 		      X     2,101,823 0 383,619
(5) Ihor Sawczuk MD......................................................................
Trustee/Reg. Pres, Hospitals
 55.0
.................
0.0 		X   X       2,356,256 0 90,874
(6) Joseph M Lemaire......................................................................
Pres., Diversified Ventures
 55.0
.................
0.0 		X   X       2,251,676 0 37,544
(7) Nancy Corcoran-Davidoff......................................................................
Vice Chair/EVP, Chf Exp&HR Off
 55.0
.................
0.0 		X   X       2,078,388 0 93,077
(8) Audrey C Murphy ESQ MSN RN......................................................................
EVP, Chf Legal Officer, Oper
 55.0
.................
0.0 		      X     1,819,596 0 203,517
(9) James Blazar......................................................................
EVP, Chief Strategy Officer
 55.0
.................
0.0 		      X     1,823,896 0 36,424
(10) Kenneth N Sable MD......................................................................
Reg Pres, Hospitals
 28.0
.................
27.0 		      X     1,641,415 0 206,169
(11) Ann B Gavzy Esq......................................................................
EVP, Chief Legal Off, T&C Svcs
 55.0
.................
0.0 		      X     1,767,022 0 47,994
(12) Catherine A Ainora......................................................................
EVP, Chief Integration Officer
 55.0
.................
0.0 		      X     1,581,545 0 26,682
(13) Joseph Parrillo MD......................................................................
Chairman, HVH
 52.0
.................
3.0 		        X   1,500,116 0 34,684
(14) Timothy J Hogan......................................................................
President, CTS
 55.0
.................
0.0 		        X   1,469,885 0 27,665
(15) Mark D Sparta MD......................................................................
President, CHE, HUMC, EVP Pop
 55.0
.................
0.0 		X   X       1,351,304 0 128,134
(16) Raymond F Fredericks......................................................................
Reg Pres,Hosp. (Termed 6/2019)
 0.0
.................
0.0 		          X 1,222,299 0 0
(17) Jeffrey R Boscamp......................................................................
SVP, SCH OF MED DVLPMNT/CO-CAO
 55.0
.................
0.0 		        X   1,050,757 0 74,023
Form 990 (2020)
Form 990 (2020)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DANIEL VARGA MD........................................................................
CHIEF PHYSICIAN EXECUTIVE
 55.0
.......................0.0 		      X     1,043,556 0 42,671
(19) Todd Way........................................................................
REG PRESIDENT, HOSPITALS
 55.0
.......................0.0 		X   X       920,751 0 148,082
(20) Manuel Alvarez MD........................................................................
Staff Physician
 52.0
.......................3.0 		        X   590,990 369,750 97,274
(21) Joseph E Stampe........................................................................
Regional Pres, Foundations
 55.0
.......................0.0 		X           860,924 0 81,668
(22) Paul Chung MD........................................................................
Trustee/Physician, SOMC
 3.0
.......................52.0 		X           822,989 0 42,897
(23) Donna Snider CFA........................................................................
SVP, Chief Investment Officer
 55.0
.......................0.0 		      X     743,187 0 100,675
(24) Gusta A Pritchett........................................................................
SVP, Revenue Cycle Operations
 55.0
.......................0.0 		        X   807,297 0 18,132
(25) John K Lloyd FACHE........................................................................
Former Co-CEO (Termed 12/2018)
 0.0
.......................0.0 		          X 806,128 0 0
(26) Richard C Smith........................................................................
SVP, Finance (TERMED 12/2020)
 55.0
.......................0.0 		X   X       754,468 0 31,570
(27) Pranaychandra Vaidya MD........................................................................
Trustee/Chief, Cath Lab
 3.0
.......................52.0 		X           754,632 0 27,779
(28) Helen A Cunning........................................................................
Regional Pres, Foundations
 55.0
.......................0.0 		X   X       661,379 0 94,244
(29) William Oser MD........................................................................
Trustee/CMO, JFKMC
 52.0
.......................3.0 		X           694,680 0 44,680
(30) Andrew L Pecora MD........................................................................
Pres, Phys Div(Termed 5/2019)
 0.0
.......................0.0 		          X 712,963 0 0
(31) Donald Parker........................................................................
Trustee/Pres, Carrier Clinic
 55.0
.......................0.0 		X           604,219 0 37,894
(32) Thomas Salazer MD........................................................................
Trustee/chief, nephrology
 3.0
.......................52.0 		X           114,232 479,393 18,309
(33) Harpreet Pall MD........................................................................
Trustee/CHAIRMAN, GASTRO
 3.0
.......................52.0 		X           576,117 0 27,306
(34) Richard M Neibart MD........................................................................
Trustee/Srvc Line Medical Dir.
 55.0
.......................0.0 		X           584,569 0 14,250
(35) Amie Thornton........................................................................
Trustee/CHF HOSP EXEC, JFK
 55.0
.......................0.0 		X           515,092 0 58,832
(36) John D Royall MD........................................................................
Trustee/Physician, SOMC
 3.0
.......................52.0 		X           457,582 0 16,120
(37) Aida Capo MD........................................................................
Trustee/Medical Director, PMA
 3.0
.......................52.0 		X           36,425 330,695 39,549
(38) Joyce Hendricks........................................................................
Chief Devel Officer
 55.0
.......................0.0 		X   X       365,606 0 16,647
(39) Sarah L Timmapuri MD........................................................................
Trustee/Physician, HUMC
 55.0
.......................0.0 		X           267,440 11,242 33,721
(40) Surender M Grover MD........................................................................
Secretary/Chairman, MD Dept
 55.0
.......................0.0 		X   X       273,001 0 15,458
(41) Suri Ponamgi MD........................................................................
Trustee/Chairman, Surgery, PMA
 3.0
.......................52.0 		X           210,006 0 28,252
(42) Mark D Schlesinger MD........................................................................
Trustee/Chair, Anesthesiology
 55.0
.......................0.0 		X           173,686 0 15,505
(43) AdrIan M Pristas MD........................................................................
Trustee/Corp. Medical Director
 55.0
.......................0.0 		X           154,304 0 23,130
(44) Linda Hill........................................................................
Ex Dir, Fndtn (Termed 11/2020)
 55.0
.......................0.0 		X   X       153,719 0 20,145
(45) Steven P Lisser MD........................................................................
Trustee
 55.0
.......................0.0 		X           149,997 0 0
(46) Donna Meade........................................................................
Ex Dir, JFKF (Retired 3/2020)
 55.0
.......................0.0 		X           60,334 0 2,761
(47) Lauren Wright........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(48) Robert Smith........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(49) James J Galeota........................................................................
Treasurer
 3.0
.......................3.0 		X   X       0 0 0
(50) Andrew Rubenstein MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(51) A Joyce Busch........................................................................
Secretary/Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(52) Alejandra Pazmino........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(53) Alexander Duran........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(54) Alexander Taylor........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(55) Alfred J Schiavetti Jr........................................................................
Chairperson
 3.0
.......................3.0 		X   X       0 0 0
(56) Ali Moosvi MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(57) Amy Peene........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(58) Andrew Citron MD........................................................................
Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(59) Andria Schneiderman........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(60) Angela Ominski........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(61) Angelo DeRosa........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(62) Ankit Gupta........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(63) Ann Damsgaard........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(64) Ann Marie Saccaro........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(65) Anthony C Taccetta Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(66) Anthony Scardino Jr........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(67) Asaad Hani Samra MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(68) Barry Weshnak........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(69) Benedict J Torcivia Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(70) Blanca N Mankiewicz........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(71) Brian McLaughlin........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(72) Brian N Nelson Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(73) Camille Doronin........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(74) Carol D Schaefer........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(75) Carol Stillwell........................................................................
Secretary
 6.0
.......................0.0 		X   X       0 0 0
(76) Caryl Kourgelis........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(77) Charles H Shotmeyer........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(78) Charles K Anastasiou........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(79) Charles V Schaefer III........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(80) Christopher A Rotio........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(81) Christopher Fritz........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(82) Christopher M Striano........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(83) Christopher Maher........................................................................
Trustee
 12.0
.......................0.0 		X           0 0 0
(84) Christopher Turner........................................................................
Trustee (Termed 2/2020)
 3.0
.......................0.0 		X           0 0 0
(85) Claudia R Mastrapasqua........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(86) Dante A Implicito MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(87) David A Belowich........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(88) David Epstein Esq........................................................................
Chairperson
 15.0
.......................0.0 		X   X       0 0 0
(89) David Lee Hernandez Jr........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(90) David Sanzari........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(91) David T Robertson Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(92) David Wyrsch Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(93) Deborah A Stone........................................................................
Trustee (Termed 2/2020)
 3.0
.......................0.0 		X           0 0 0
(94) Deborah Mathis........................................................................
Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(95) Denise Marra Depekary Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(96) Dennis Robinson........................................................................
Trustee
 12.0
.......................0.0 		X           0 0 0
(97) Dominick A Cama........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(98) Donald N Dinallo........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(99) Donna Simon........................................................................
Trustee (Resigned 8/2020)
 3.0
.......................0.0 		X           0 0 0
(100) Douglas Nordstrom........................................................................
Vice Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(101) Douglas Schwarz........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(102) Edward J Dimon Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(103) Edward V Piccinich........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(104) Edward Walters Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(105) Elyssa Schecter........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(106) Eric M Kirsch CFA........................................................................
Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(107) Evaristo Stanziale........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(108) Frank C Holtham Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(109) Frank DiTullio........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(110) Frank J Vuono........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(111) Frank L Fekete CPA........................................................................
Trustee
 24.0
.......................3.0 		X           0 0 0
(112) Franklin Spirn MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(113) G Thomas Croonquist Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(114) Gail Gordon Esq........................................................................
Trustee
 3.0
.......................3.0 		X           0 0 0
(115) Gary Pieringer........................................................................
Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(116) Gary Tolchin........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(117) Gaurav Baveja........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(118) George T Croonquist........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(119) Glen Dalakin........................................................................
Trustee (Termed 8/2020)
 3.0
.......................0.0 		X           0 0 0
(120) Gloria Martini........................................................................
Trustee
 18.0
.......................0.0 		X           0 0 0
(121) Gordon N Litwin Esq........................................................................
Trustee (Deceased 4/2020)
 24.0
.......................3.0 		X           0 0 0
(122) Gordon Pingicer........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(123) Gregorio Guillen MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(124) Gregory A Buontempo........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(125) Harriet Donnelly........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(126) Heather Choi........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(127) Heidi Maggs........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(128) Hilary DiPiero........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(129) Holly R Hubbell Lonsdale........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(130) Howard Shiffman........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(131) J Fletcher Creamer Jr........................................................................
Trustee
 3.0
.......................3.0 		X           0 0 0
(132) Jackie Hillman........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(133) Jaime Robertson-Lavalle........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(134) James Bollerman........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(135) James Kirkos........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(136) James P Andersen........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(137) James R Beattie Esq........................................................................
Trustee (Termed 6/2020)
 3.0
.......................0.0 		X           0 0 0
(138) James R Napolitano Esq........................................................................
Trustee (Termed 4/2020)
 3.0
.......................0.0 		X           0 0 0
(139) James Renna........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(140) Jane Mueller........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(141) Jason Cheng........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(142) Jason Savarese........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(143) Jay M Jeney........................................................................
Vice Chairperson
 3.0
.......................0.0 		X   X       0 0 0
(144) Jeannine Ali........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(145) Jereme Kokes........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(146) Jeremy DeFilippis........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(147) Jeremy Grunin........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(148) Jerrold Langer........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(149) Jessica Smith........................................................................
Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(150) Jill Joyce........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(151) Joan M Hart........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(152) Joanne Gentilesco........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(153) Joanne Wexler........................................................................
Trustee
 3.0
.......................3.0 		X           0 0 0
(154) John A Giunco Jr Esq........................................................................
Chairman
 9.0
.......................0.0 		X   X       0 0 0
(155) John A Schepisi Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(156) John Apovian MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(157) John C Meditz........................................................................
Trustee
 6.0
.......................3.0 		X           0 0 0
(158) John DeLiso........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(159) John F Kwasnik Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(160) John F Reinhardt........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(161) John G McDonough DMD........................................................................
Chairperson
 9.0
.......................0.0 		X   X       0 0 0
(162) John H Klein........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(163) John Imperato........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(164) John Kolaya........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(165) John Visceglia........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(166) John Wilcha........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(167) Jonathan B Schultz........................................................................
Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(168) Joseph A Rizzi Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(169) Joseph Basralian........................................................................
Vice Chairperson
 3.0
.......................0.0 		X   X       0 0 0
(170) Joseph Mignon........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(171) Joseph P Bogdan MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(172) Joseph P Lattanzi MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(173) Joseph P Riccardo........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(174) Joseph Rulli........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(175) Joseph W Yewaisis........................................................................
Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(176) Judith Brophy........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(177) Julia Recaman........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(178) Karen Goldblatt........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(179) Karl W Strom MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(180) Katherine York........................................................................
Trustee
 12.0
.......................0.0 		X           0 0 0
(181) Kenneth D Nahum DO........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(182) Kevin J Collins Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(183) Kimberly Guadagno........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(184) Kristen Bunnell........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(185) Kristen Gerhard........................................................................
Trustee (Termed 2/2020)
 3.0
.......................0.0 		X           0 0 0
(186) Laura Bianchini........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(187) Lawrence R Inserra Jr........................................................................
Chairperson
 6.0
.......................3.0 		X   X       0 0 0
(188) Lawrence Zagarola........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(189) Leonard Lauricella........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(190) Leonard Somarriba........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(191) Leslie Hitchner........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(192) Lillian Sonnenschein........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(193) Lori Ann Davidson........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(194) Lorraine Mulligan........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(195) Louis John Dughi Esq........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(196) Luke Kealy Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(197) Margaret Riker........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(198) Mari Bonini........................................................................
Secretary/Treasurer (Board rec
 3.0
.......................0.0 		X   X       0 0 0
(199) Maria Maher........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(200) Marilyn G Trapani........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(201) Mario Marghella........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(202) Maris Lown........................................................................
Trustee
 12.0
.......................0.0 		X           0 0 0
(203) Martin M Barger Esq........................................................................
Chairperson
 3.0
.......................0.0 		X   X       0 0 0
(204) Martin W Kafafian Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(205) Marvin Goldstein Esq........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(206) Mary Christie........................................................................
Trustee
 3.0
.......................0.0 		X   X       0 0 0
(207) Matthew A Golson........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(208) Matthew Matey........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(209) Michael A Kleiman DMD........................................................................
Chairperson
 9.0
.......................3.0 		X   X       0 0 0
(210) Michael Aaron DO........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(211) Michael Geary........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(212) Michael Gross MD........................................................................
Trustee (Termed 2/2020)
 3.0
.......................0.0 		X           0 0 0
(213) Michael S McGeary........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(214) Michael Walker........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(215) Michelle Jung Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(216) Mitchell Baker........................................................................
Trustee (Termed 2/2020)
 3.0
.......................0.0 		X           0 0 0
(217) Mollie Giamanco........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(218) Nancy Mulheren........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(219) Negin Noorchashm Griffith MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(220) Nicholas Minicucci Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(221) Nick Cangialosi........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(222) O Oliver Anderson........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(223) Patricia K Low........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(224) Peter A Gross MD........................................................................
Trustee (Termed 3/2020)
 3.0
.......................0.0 		X           0 0 0
(225) Peter C Gerhard........................................................................
Trustee
 3.0
.......................3.0 		X           0 0 0
(226) Peter Mencel MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(227) Peter S Falvo Jr Esq........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(228) Peter T Roselle........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(229) Peter Visceglia Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(230) Phil Simms........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(231) Philip L Perricone........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(232) Philip Scaduto........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(233) Phyllis Buttermark........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(234) Praful Raja........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(235) Rajiv Prasad........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(236) Richard Branca........................................................................
Secretary/Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(237) Richard W Henning........................................................................
Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(238) Richard Hubschman Jr Esq........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(239) Richard J Saker........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(240) Richard Kolber........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(241) Richard Loshiavo........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(242) Robert DiVincent........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(243) Robert E O'Hara III........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(244) Robert G Harms........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(245) Robert J Goellner........................................................................
Secretary
 3.0
.......................0.0 		X   X       0 0 0
(246) Robert L Sweeney DO........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(247) Robert Morris........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(248) Robert S Hekemian Jr........................................................................
Trustee (Termed 3/2020)
 3.0
.......................0.0 		X           0 0 0
(249) Robert Stohrer........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(250) Robert W Mullen........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(251) Robin Klein........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(252) Rosemarie J Sorce........................................................................
Vice Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(253) Samuel S Raia........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(254) Samuel Toscano Jr........................................................................
Trustee (Deceased 3/2020)
 3.0
.......................0.0 		X           0 0 0
(255) Sandra Keary........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(256) Sandra Kissler........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(257) Scott Tarriff........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(258) Sean Kauffman........................................................................
Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(259) Serena DiMaso Esq........................................................................
Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(260) Shawn Reynolds........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(261) Sheila Ruegger........................................................................
Trustee (Termed 11/29/2020)
 3.0
.......................0.0 		X           0 0 0
(262) Siran Sahakian........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(263) Skye Gibson........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(264) Stephan C Lowy........................................................................
TRUSTEE
 3.0
.......................0.0 		X           0 0 0
(265) Stephen Martinez........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(266) Stephen T BoswellPhD PE SECB........................................................................
Trustee
 3.0
.......................3.0 		X           0 0 0
(267) Steven M Scopellite........................................................................
Trustee (Termed 11/2020)
 6.0
.......................0.0 		X   X       0 0 0
(268) Steven Rogers........................................................................
Trustee (Termed 9/2020)
 3.0
.......................0.0 		X           0 0 0
(269) Steven Rothman........................................................................
Vice Chairperson
 3.0
.......................0.0 		X   X       0 0 0
(270) Susan Hassmiller PhD RN........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(271) T Burt Barham........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(272) Thomas Amato........................................................................
Co-Chairperson
 3.0
.......................0.0 		X   X       0 0 0
(273) Thomas DeFelice........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(274) Thomas Evans........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(275) Thomas J Dolan........................................................................
Trustee
 3.0
.......................3.0 		X           0 0 0
(276) Thomas J Kononowitz........................................................................
President
 3.0
.......................3.0 		X   X       0 0 0
(277) Thomas Langbein........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(278) Thomas M Venino Jr........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(279) Thomas M Eastwick........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(280) Thomas R Lake III MD........................................................................
Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(281) Thomas Yu MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(282) Tim Hodges........................................................................
Trustee (Termed 1/2020)
 3.0
.......................0.0 		X           0 0 0
(283) Ulises Diaz........................................................................
Vice Chairperson
 15.0
.......................0.0 		X   X       0 0 0
(284) Vincent Amabile........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(285) Vincent Curatola........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(286) Vincent Hager........................................................................
Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(287) Walter R Earle II........................................................................
Vice Chairperson
 6.0
.......................0.0 		X   X       0 0 0
(288) Walter Wynkoop MD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(289) William C Hanson........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(290) William Crane........................................................................
Secretary/Treasurer
 3.0
.......................0.0 		X   X       0 0 0
(291) William Cunningham........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(292) William Hickey........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(293) William J Murray........................................................................
Trustee
 6.0
.......................0.0 		X           0 0 0
(294) William Lawless PhD........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
(295) William McLaughlin........................................................................
Trustee
 3.0
.......................0.0 		X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 42,736,503 369,750 2,341,380
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet6,923
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2020)
Form 990 (2020)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 1,735,138
d Related organizations1d 26,805,328
e Government grants (contributions)1e 595,529,285
f All other contributions, gifts, grants, and similar amounts not included above1f 42,359,853
g Noncash contributions included in lines 1a - 1f:$ 1g 4,409,606
h Total. Add lines 1a-1f.......MediumBullet 666,429,604
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 622110 4,919,989,589 4,919,989,589    
b LABORATORY REVENUE 621500 46,775,239   46,775,239  
c TUITION 611710 19,119,929 19,119,929    
d RESIDENTIAL CARE REVENUE 531190 9,791,283 9,791,283    
e NET PROGRAM RENTAL INCOME 531190 9,602,780 9,602,780    
f All other program service revenue. 3,423,760 3,415,572 8,188  
g Total. Add lines 2a–2f .....MediumBullet 5,008,702,580
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 32,313,788   -239,505 32,553,293
4 Income from investment of tax-exempt bond proceedsMediumBullet 79,242     79,242
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   8,646,246 6a
b Less: rental expenses     6b
c Rental income or (loss) 0 8,646,246 6c
d Net rental income or (loss).......MediumBullet 8,646,246     8,646,246
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 161,539 346,644 7a
b Less: cost or other basis and sales expenses   332,359 7b
c Gain or (loss) 161,539 14,285 7c
d Net gain or (loss).........MediumBullet 175,824     175,824
8a Gross income from fundraising events (not including $ 1,735,138of contributions reported on line 1c). See Part IV, line 18 ....
8a 557,661
b Less: direct expenses ... 8b 616,009
c Net income or (loss) from fundraising events..MediumBullet -58,348   -58,348
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 366,850
b Less: direct expenses ... 9b 229,976
c Net income or (loss) from gaming activities..MediumBullet 136,874     136,874
10a Gross sales of inventory, less
returns and allowances ..
10a 725,751
b Less: cost of goods sold .. 10b 33,152
c Net income or (loss) from sales of inventory..MediumBullet 692,599     692,599
Business Code Miscellaneous Revenue
11a MANAGEMENT FEE INCOME 900099 136,629,467 125,698,756 266,042 10,664,669
b PHARMACY REVENUE 900099 16,433,420   647,842 15,785,578
c CAFETERIA 722210 6,775,665     6,775,665
d All other revenue .... 5,520,880   2,232,331 3,288,549
e Total. Add lines 11a–11d ...... MediumBullet 165,359,432
12 Total revenue. See instructions.....MediumBullet 5,882,477,841 5,087,617,909 49,690,137 78,740,191
Form 990 (2020)
Form 990 (2020)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 286,022,472 286,022,472
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 725,797 725,797
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ........... 37,691,936 33,922,742 3,769,194  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 12,294,278 11,064,850 1,229,428  
7 Other salaries and wages........ 2,412,572,519 1,985,167,039 419,595,399 7,810,081
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 119,296,724 71,241,704 47,798,520 256,500
9 Other employee benefits ....... 272,158,514 271,528,325   630,189
10 Payroll taxes ........... 161,902,707 29,091,402 132,523,522 287,783
11 Fees for services (non-employees):        
a Management ...... 17,562,123 3,013,789 14,520,534 27,800
b Legal ......... 16,262,848 386,071 15,876,777  
c Accounting ........... 67,460,381 2,291,265 65,146,660 22,456
d Lobbying ........... 761,510   761,510  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 419,445   419,445  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 79,283,816 31,650,747 46,417,812 1,215,257
12 Advertising and promotion .... 40,083,412 870,519 38,563,076 649,817
13 Office expenses ....... 53,272,399 52,576,840   695,559
14 Information technology ...... 8,306,439 4,963,111 3,332,722 10,606
15 Royalties .. 0      
16 Occupancy ........... 108,886,984 68,660,125 39,308,543 918,316
17 Travel ............ 4,357,891 1,824,382 2,445,963 87,546
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 6,094,677 3,381,453 2,710,162 3,062
20 Interest ........... 83,788,719 67,916,314 15,872,405  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 251,319,257 195,146,375 56,063,322 109,560
23 Insurance ... 57,391,677 717,039 56,674,638  
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 MEDICAL SUPPLIES 683,825,406 572,792,397 111,033,009  
b PHARMACEUTICAL SUPPLIES 469,282,230 456,278,783 13,003,447  
c PURCHASED SERVICES 199,221,222 132,939,420 65,524,805 756,997
d CORPORATE ALLOCATION 4,880,761 1,073,642 3,545,688 261,431
e All other expenses 301,518,950 108,824,610 192,219,319 475,021
25 Total functional expenses. Add lines 1 through 24e 5,756,645,094 4,394,071,213 1,348,355,900 14,217,981
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2020)
Form 990 (2020)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 166,353 1 1,782,897
2 Savings and temporary cash investments ......... 120,725,985 2 88,784,890
3 Pledges and grants receivable, net ...... 62,907,302 3 38,635,888
4 Accounts receivable, net ............. 586,097,241 4 565,087,500
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 2,613,325
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 111,393,521 8 183,081,184
9 Prepaid expenses and deferred charges ...... 42,425,785 9 51,901,370
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,424,758,402
b Less: accumulated depreciation 10b 2,203,463,246 3,032,455,706 10c 3,221,295,156
11 Investments—publicly traded securities . 719,613,939 11 749,441,912
12 Investments—other securities. See Part IV, line 11 ..... 73,102,827 12 73,867,431
13 Investments—program-related. See Part IV, line 11 .. 452,686,388 13 451,517,039
14 Intangible assets ............... 25,139,970 14 20,734,222
15 Other assets. See Part IV, line 11 ........... 1,685,575,338 15 2,258,937,227
16 Total assets. Add lines 1 through 15 (must equal line 33)... 6,912,290,355 16 7,707,680,041
Liabilities 17 Accounts payable and accrued expenses ..... 611,175,160 17 639,197,495
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 32,823,143 19 116,709,847
20 Tax-exempt bond liabilities ......... 7,173,596 20 4,592,947
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 348,552,106 23 364,355,964
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 2,075,959,445 25 2,717,227,754
26 Total liabilities. Add lines 17 through 25.. 3,075,683,450 26 3,842,084,007
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 3,439,054,237 27 3,763,660,325
28 Net assets with donor restrictions ........... 397,552,668 28 101,935,709
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 3,836,606,905 32 3,865,596,034
33 Total liabilities and net assets/fund balances ........ 6,912,290,355 33 7,707,680,041
Form 990 (2020)
Form 990 (2020)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
5,882,477,841
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
5,756,645,094
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
125,832,747
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
3,836,606,905
5
Net unrealized gains (losses) on investments ...............
5
1,328,662
6
Donated services and use of facilities .................
6
200,228
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-98,372,508
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
3,865,596,034
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2020)
Form 990 (2020)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................23
g
Provide the following information about the supported organization(s).
(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 RESIDENTIAL CARE INC
  		222731440 10 Yes   0 0
(C) JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION INC
  		222342452 7 Yes   0 0
(D) OCEAN MEDICAL CENTER FOUNDATION INC
  		222361311 7 Yes   0 0
(E) RIVERVIEW MEDICAL CENTER FOUNDATION INC
  		222333524 7 Yes   0 0
(F) HACKENSACK MERIDIAN HEALTH FOUNDATION INC
  		300107825 7 Yes   0 0
(G) SOUTHERN OCEAN MEDICAL CENTER FOUNDATION INC
  		222666099 7 Yes   0 0
(H) BAYSHORE MEDICAL CENTER FOUNDATION INC
  		222367109 7 Yes   0 0
(I) HEALTH INNOVATIONS UNLIMITED INC
  		222581430 10 Yes   0 0
(J) HACKENSACK MERIDIAN AMBULATORY VENTURES INC
  		461227706 10 Yes   0 0
(K) BERGEN HEALTH MANAGEMENT SYSTEM INC
  		222989731 2 Yes   0 0
(L) HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION INC
  		222339534 7 Yes   0 0
(M) RARITAN BAY HEALTHCARE FOUNDATION INC
  		222656665 7 Yes   0 0
(N) PALISADES MEDICAL CENTER FOUNDATION INC
  		223693169 7 Yes   0 0
(O) THE COMMUNITY HOSPITAL GROUP INC
  		226019101 3 Yes   0 0
(P) JOHN F KENNEDY MEDICAL CENTER FOUNDATION INC
  		222315044 7 Yes   0 0
(Q) MUHLENBERG REGIONAL MEDICAL CENTER FOUNDATION INC
  		510212678 7 Yes   0 0
(R) HARTWYCK AT OAK TREE INC
  		222666023 10 Yes   0 0
(S) ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC
  		222421433 10 Yes   0 0
(T) HMH CARRIER CLINIC INC
  		221714106 3 Yes   0 0
(U) MUHLENBERG REGIONAL MEDICAL CENTER INC
  		221487258 10 Yes   0 0
(V) CENTER FOR DISCOVERY AND INNOVATION INC
  		352662866 4 Yes   0 0
(W) HARTWYCK AT JFK INC
  		204144804 10 Yes   0 0
Total
23
    
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 27,335,985 29,784,319 35,738,775 26,372,338 28,857,675 148,089,092
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 27,335,985 29,784,319 35,738,775 26,372,338 28,857,675 148,089,092
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. 148,089,092
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
7 Amounts from line 4.. 27,335,985 29,784,319 35,738,775 26,372,338 28,857,675 148,089,092
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 2,315,015 3,407,677 7,851,015 8,099,714 9,475,198 31,148,619
9 Net income from unrelated business activities, whether or not the business is regularly carried on..           0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 239,233 223,126 1,130,549 85,082 797,090 2,475,080
11 Total support. Add lines 7 through 10 181,712,791
12
12
961,318
13
First 5 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
14
14
81.496 %
15
15
84.419 %
16a
b
17a
b
18
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) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 156,395 54,126 120,269 0 39,674,936 40,005,726
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 320,074,688 296,920,451 309,230,266 294,499,080 282,187,377 1,502,911,862
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 5 320,231,083 296,974,577 309,350,535 294,499,080 321,862,313 1,542,917,588
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.) 1,542,917,588
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
9 Amounts from line 6... 320,231,083 296,974,577 309,350,535 294,499,080 321,862,313 1,542,917,588
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 9,231,380 18,905,547 19,828,026 21,170,947 8,704,357 77,840,257
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. 122,612 628,308 585,503 521,525 8,208 1,866,156
c Add lines 10a and 10b. 9,353,992 19,533,855 20,413,529 21,692,472 8,712,565 79,706,413
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.) .. 650,476 1,104,215 991,503 99,730,481 10,094,471 112,571,146
13 Total support. (Add lines 9, 10c, 11, and 12.).. 330,235,551 317,612,647 330,755,567 415,922,033 340,669,349 1,735,195,147
14
Section C. Computation of Public Support Percentage
15
15
88.919 %
16
16
89.104 %
Section D. Computation of Investment Income Percentage
17
17
4.593 %
18
18
4.732 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c 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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in 11a above?
11b
 
 
c
A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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.
1
 
No
2
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.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
Yes
 
2
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).
2
Yes
 
3
By reason of the relationship described in line 2 above, 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.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
Yes
 
b
Did the activities described in line 2a, above 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.
2b
Yes
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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
7
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 1 0
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2 0
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3 0
4 Amounts paid to acquire exempt-use assets 4 0
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5 0
6 Other distributions (describe in Part VI). See instructions 6 0
7Total annual distributions. Add lines 1 through 6. 7 0
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8 0
9 Distributable amount for 2020 from Section C, line 6 9 0
10 Line 8 amount divided by Line 9 amount 10 0 %
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2020 		(iii)
Distributable
Amount for 2020
1 Distributable amount for 2020 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 2020:
a From 2015.......0
b From 2016.......0
c From 2017.......0
d From 2018.......0
e From 2019.......0
fTotal of lines 3a through e 0
g Applied to underdistributions of prior years 0
h Applied to 2020 distributable amount 0
i Carryover from 2015 not applied (see
instructions) 		0
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 0
4Distributions for 2020 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years 0
b Applied to 2020 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4. 0
5 Remaining underdistributions for years prior to
2020, 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 2020. 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 2021. Add lines
3j and 4c. 		0
8 Breakdown of line 7:
a Excess from 2016.....0
b Excess from 2017.....0
c Excess from 2018.....0
d Excess from 2019.....0
e Excess from 2020.....0
Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020
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 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 HACKENSACK 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; 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. CENTER FOR DISCOVERY AND INNOVATION, 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: 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 2020: $7,182,040 and $8,000,000
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 ORGANIZATION WAS REMOVED AS SUPPORTED ORGANIZATIONS: HMH PHYSICIAN SERVICES, INC. (EIN: 06-1755235) 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: CENTER FOR DISCOVERY AND INNOVATION, INC. (EIN: 35-2662866)
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.
Schedule A (Form 990 or 990-EZ) 2020


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
Name of organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
  		Employer identification number
01-0649794
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Page 3
Name of organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
  		Employer identification number

01-0649794
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Page 4
Name of organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
  		Employer identification number

01-0649794
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2020

Schedule C (Form 990 or 990-EZ) 2020
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) Total
2a Lobbying nontaxable amount 1,000,000       1,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		1,500,000
c Total lobbying expenditures 994,992       994,992
d Grassroots nontaxable amount 250,000       250,000
e Grassroots ceiling amount
(150% of line 2d, column (e))		 375,000
f Grassroots lobbying expenditures 0       0
Schedule C (Form 990 or 990-EZ) 2020


Schedule C (Form 990 or 990-EZ) 2020
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
688,981
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
238,153
j
Total. Add lines 1c through 1i ....................................................................................................
927,134
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
SCHEDULE C, PART II-B; LINES 1G AND 1I DURING 2020, THE ORGANIZATION PAID OUTSIDE LOBBYING FIRMS A TOTAL OF $523,358 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN SENIOR MANAGEMENT PERSONNEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $165,624 IN 2020. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, THE NEW JERSEY HOSPITAL ASSOCIATION, THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION, AND THE AMERICAN MEDICAL REHABILITATION PROVIDERS WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $238,153 IN 2020.
Schedule C (Form 990 or 990EZ) 2020


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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 $  
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2020

Schedule D (Form 990) 2020
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 .... 158,968,801 162,257,233 157,006,999 69,956,053 49,073,425
b Contributions ... 1,052,641 1,533,685 8,630,341 3,090,021 10,272,773
c Net investment earnings, gains, and losses 7,755,196 2,488,608 4,713,778 4,391,459 10,753,925
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		773,025 7,310,724 8,446,525 143,341 144,070
f Administrative expenses ....          
g End of year balance ...... 167,003,613 158,968,802 161,904,593 77,294,192 69,956,053
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet39.580 %
c
Term endowment SchDMd Bullet60.420 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .......................
3a(i)
 
No
(ii) Related organizations .......................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   130,526,587 130,526,587
b Buildings ....   2,830,628,457 1,035,579,952 1,795,048,505
c Leasehold improvements   112,908,041 34,481,014 78,427,027
d Equipment ....   2,036,582,870 1,115,874,410 920,708,460
e Other .....   314,112,447 17,527,870 296,584,577
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 3,221,295,156
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 3
Part VII
Investments - Other 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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program 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)CHARITABLE GIFT ANNUITY 3,319,644 F
(2)REMAINDER TRUST RECEIVABLE 9,930,020 F
(3)PERPETUAL TRUST 6,630,608 F
(4)OF FOUNDATIONS 201,659,580 F
(5)CHARITABLE REMAINDER TRUST 1,452,753 F
(6)SPLIT INTEREST AGREEMENTS 14,121,382 F
(7)INVESTMENT IN SUBSIDIARIES 59,743,548 F
(8)INVESTMENT IN JOINT VENTURES 154,618,826 F
(9)INVEST IN DEFERRED COMP PLAN 40,678 F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 451,517,039
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)SECURITY DEPOSITS 126,142
(2)OTHER RECEIVABLES 197,866,886
(3)INSURANCE RECOVERABLE 0
(4)DUE FROM RELATED PARTIES 1,927,255,320
(5)WORKER'S COMPENSATION 0
(6)OTHER ASSETS 133,688,879
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,258,937,227
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
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,717,227,754
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) 2020

Schedule D (Form 990) 2020
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, QUESTION 1 THE DIFFERENCE BETWEEN PRIOR YEAR END OF YEAR BALANCE AND CURRENT YEAR BEGINNING OF YEAR BALANCE IS DUE TO THE ADDITION OF HMH CARRIER CLINIC TO THE ENDOWMENT SCHEDULE.
SCHEDULE D, PART V, QUESTION 4 MERIDIAN FOUNDATIONS ====================== ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. THE FOUNDATIONS OF HACKENSACK 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. HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC. ====================================================== INVESTMENT RETURN OBJECTIVE AND RISK PARAMETERS -------------------------------------------------------------- THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY SUCH FUNDS WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. UNDER THIS POLICY, THE ENDOWMENT ASSETS ARE INVESTED IN A DIVERSIFIED MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT OVER THE LONG TERM WILL AVERAGE AN ESTIMATED 5% RETURN WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. STRATEGIES EMPLOYED FOR ACHIEVING OBJECTIVES ------------------------------------------------------ TO SATISFY ITS LONG-TERM RATE-OF-RETURN OBJECTIVES, THE FOUNDATION RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CAPITAL APPRECIATION AND CURRENT YIELD. SPENDING POLICY AND HOW THE INVESTMENT OBJECTIVES RELATE TO SPENDING POLICY -------------------------------------------------------------------------- THE FOUNDATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION OUT OF TEMPORARILY RESTRICTED NET ASSETS EACH YEAR BETWEEN 4% AND 4.5% OF THE ENDOWMENT FUNDS' TOTAL FAIR VALUE, INCLUDING ACCUMULATED TOTAL INVESTMENT RETURNS. IN ESTABLISHING THIS POLICY, THE FOUNDATION CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT ASSETS WHICH IS EXPECTED TO EXCEED THE ALLOWABLE SPENDING, AND THEREFORE OVER THE LONG TERM, THE FOUNDATION EXPECTS ITS ENDOWMENT FUNDS TO GROW. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. RARITAN BAY HEALTHCARE FOUNDATION, INC. ======================================== ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. JOHN F. KENNEDY MEDICAL CENTER FOUNDATION, INC. & MUHLENBERG FOUNDATION, INC. ======================================== ENDOWMENT FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
SCHEDULE D, PART X, QUESTION 2 THE ORGANIZATIONS ARE AFFILIATES WITHIN HACKENSACK MERIDIAN HEALTH, INC. AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK ("NETWORK"). THE NETWORK ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS PREPARED BY PRICEWATERHOUSE COOPERS, L.L.P., AN INDEPENDENT CPA FIRM, WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP EXEMPTION RULING AND THIS CONSOLIDATED GROUP FORM 990. 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 NETWORK'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF ITS AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDING DECEMBER 31, 2020: 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, EXCEPT FOR THE PHYSICIAN PRACTICES, ARE ALSO EXEMPT FROM STATE INCOME TAXES. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED.
Schedule D (Form 990) 2020


Additional Data


Software ID:  
Software Version:  




SCHEDULE E(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Schools

Right pointing arrow large image Complete if the organization answered "Yes" on Form 990,
Part IV, line 13, or Form 990-EZ, Part VI, line 48.
Right pointing arrow large image Attach to Form 990 or Form 990-EZ.
Right pointing arrow large image Go to www.irs.gov/Form990EZ for the latest information.
OMB No. 1545-0047 2020Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I
YES
NO
1
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body? . . . . . . . . . . . . . . . . . .
1
Yes
 
2
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Yes
 
3
Has the organization publicized its racially nondiscriminatory policy on its primary publicly accessible Internet homepage at
all times during its taxable year in a manner reasonably expected to be noticed by visitors to the homepage, or through
newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no
solicitation program, in a way that makes the policy known to all parts of the general community it serves? If "Yes," please
describe. If "No," please explain. If you need more space use Part II. . . . . . . . . . . . . . . . . . .
3
Yes
 
 
4
Does the organization maintain the following?
a
Records indicating the racial composition of the student body, faculty, and administrative staff? . . . . . . . . .
4a
Yes
 
b
Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
Yes
 
c
Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . .
4c
Yes
 
d
Copies of all material used by the organization or on its behalf to solicit contributions? . . . . . . . . . . . .
4d
Yes
 
If you answered "No" to any of the above, please explain. If you need more space, use Part II.
 
5
Does the organization discriminate by race in any way with respect to:
a
Students' rights or privileges? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5a
 
No
b
Admissions policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5b
 
No
c
Employment of faculty or administrative staff? . . . . . . . . . . . . . . . . . . . . . . . . .
5c
 
No
d
Scholarships or other financial assistance? . . . . . . . . . . . . . . . . . . . . . . . . . .
5d
 
No
e
Educational policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5e
 
No
f
Use of facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5f
 
No
g
Athletic programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5g
 
No
h
Other extracurricular activities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5h
 
No
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
 
6a
Does the organization receive any financial aid or assistance from a governmental agency? . . . . . . . . . .
6a
Yes
 
b
Has the organization's right to such aid ever been revoked or suspended? . . . . . . . . . . . . . . . .
6b
 
No
If you answered "Yes" to either line 6a or line 6b, explain on Part II.
7
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II. . . . . . . . .
7
Yes
 
Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) (2020)
Schedule E (Form 990 or 990EZ) (2020)
Page 2
Part II
Supplemental Information. Provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also provide
any other additional information. See instructions.
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.
Schedule E (Form 990 or 990-EZ) (2020)
Additional Data


Software ID:  
Software Version:  
SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
Central America and the Caribbean 0 0 Investments   56,341,254
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 56,341,254
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 0 56,341,254
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020
Schedule F (Form 990) 2020
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
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 .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2020
Schedule F (Form 990) 2020Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2020
Schedule F (Form 990) 2020
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2020
Schedule F (Form 990) 2020
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 (Form 990) 2020
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2020
Schedule G (Form 990 or 990-EZ) 2020
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

SOUTH GALA
(event type) 		(b) Event #2

GOLF OUTING
(event type) 		(c) Other events

24
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
615,991
407,175
1,269,633
2,292,799

2
Less: Contributions . . . .
612,541
1,790
1,120,807
1,735,138
3 Gross income (line 1 minus
line 2) . . . . . .
3,450
405,385
148,826
557,661



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .     25,450 25,450
7 Food and beverages . . .     356,165 356,165
8 Entertainment . . . .     2,850 2,850
9 Other direct expenses . . . 13,917 217,627   231,544
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 616,009
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -58,348
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
366,850
366,850
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
168,211
168,211

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
61,765
61,765


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
229,976

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
136,874

9
Enter the state(s) in which the organization conducts gaming activities: NJ
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2020
Schedule G (Form 990 or 990-EZ) 2020
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
0 %
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
MICHELLE CASSERLY
Address right arrow
343 THORNALL STREET   EDISON, NJ08837
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
MICHELLE CASSERLY
Gaming manager compensation right arrow $  
Description of services provided right arrow
SPECIAL EVENTS COORDINATOR
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
SCHEDULE G, PART II, LINE 11 ALTHOUGH PART II, LINE 11 SHOWS A NET LOSS, THE SPECIAL EVENTS TRULY EARNED NET INCOME OF $1,676,792 WHEN YOU FACTOR IN THE CONTRIBUTION PORTION REPORTED ON LINE 2.
Schedule G (Form 990 or 990-EZ) 2020
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    179,768,893 15,406,618 164,362,276 3.150 %
b Medicaid (from Worksheet 3, column a) . . . . .     714,947,024 413,366,807 301,580,218 5.790 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     894,715,917 428,773,425 465,942,494 8.940 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     3,031,039 148,795 2,882,244 0.060 %
f Health professions education (from Worksheet 5) . . .     95,985,208 32,281,175 63,704,034 1.220 %
g Subsidized health services (from Worksheet 6) . . . .     1,256,072,416 996,022,410 260,050,007 4.990 %
h Research (from Worksheet 7) .     33,704,067 27,826,211 5,877,856 0.110 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     242,212,835   242,212,835 4.650 %
j Total. Other Benefits . .     1,631,005,565 1,056,278,591 574,726,976 11.030 %
k Total. Add lines 7d and 7j .     2,525,721,482 1,485,052,016 1,040,669,470 19.970 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
269,134,882
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
34,010,496
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
817,227,947
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,256,945,996
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-439,718,049
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1HEALTH VILLAGE IMAG
  		RADIOLOGY MEDICAL SERVICES 50 %   50 %
2OLD BRIDGE MEDICAL
  		MEDICAL SERVICES 79.862 %   20.138 %
3ASSOCIATES LLC
  		       
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?15Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 JERSEY SHORE UNIVERSITY MEDICAL CTR
1945 ROUTE 33
NEPTUNE,NJ07753
JERSEYSHOREUNIVERSITYMEDICALCENTER.COM
11303
HMH HOSPITALS CORPORATION
221487576 		X X X X   X X     A
2 RIVERVIEW MEDICAL CENTER
ONE RIVER PLAZA
RED BANK,NJ07701
WWW.RIVERVIEWMEDICALCENTER.COM
11305
HMH HOSPITALS CORPORATION
221487576 		X X       X X     A
3 OCEAN MEDICAL CENTER
425 JACK MARTIN BLVD
BRICK,NJ08724
WWW.OCEANMEDICALCENTER.COM
11505
HMH HOSPITALS CORPORATION
221487576 		X X       X X     A
4 SOUTHERN OCEAN MEDICAL CENTER
1140 RT 72 WEST
MANAHAWKIN,NJ08050
WWW.SOUTHERNOCEANMEDICALCENTER.COM
11504
HMH HOSPITALS CORPORATION
221487576 		X X         X     A
5 BAYSHORE MEDICAL CENTER
727 NORTH BEERS STREET
HOLMDEL,NJ07733
WWW.BAYSHOREHOSPITAL.ORG
11301
HMH HOSPITALS CORPORATION
221487576 		X X         X     A
6 RARITAN BAY MEDICAL CENTER
530 NEW BRUNSWICK AVENUE
PERTH AMBOY,NJ08861
WWW.RBMC.ORG
11203
HMH HOSPITALS CORPORATION
221487576 		X X   X     X     B
7 RARITAN BAY MEDICAL CENTER
ONE HOSPITAL PLAZA
OLD BRIDGE,NJ08857
WWW.RBMC.ORG
11206
HMH HOSPITALS CORPORATION
221487576 		X X   X     X     B
8 PALISADES MEDICAL CENTER INC
7600 RIVER ROAD
NORTH BERGEN,NJ07047
WWW.PALISADESMEDICAL.ORG
10905
HMH HOSPITALS CORPORATION
221487576 		X X   X     X     C
9 HACKENSACK UNIVERSITY MEDICAL CENTER
30 PROSPECT AVENUE
HACKENSACK,NJ07601
WWW.HACKENSACKUMC.ORG
10204
HMH HOSPITALS CORPORATION
221487576 		X X X X   X X     D
10 HACKENSACKUMC AT PASCACK VALLEY
250 OLD HOOK ROAD
WESTWOOD,NJ07675
WWW.HACKENSACKUMCPV.COM
24745 		X X         X   JOINT VENTURE E
11 HACKENSACKUMC MOUNTAINSIDE
ONE BAY AVENUE
MONTCLAIR,NJ07042
WWW.MOUNTAINSIDEHOSP.COM
10708 		X X         X   JOINT VENTURE F
12 JFK MEDICAL CENTER
65 JAMES STREET
EDISON,NJ08820
WWW.JFKMC.ORG
11201 		X X   X   X X     G
13 JFK JOHNSON REHABILITATION INSTITUTE
65 JAMES STREET
EDISON,NJ08820
WWW.JFKMC.ORG
22293 		X X   X   X     REHAB CENTER H
14 HMH CARRIER CLINIC INC
252 ROUTE 601
BELLE MEAD,NJ08502
WWW.CARRIERCLINIC.ORG
51806 		X               PSYCHIATRIC HOSPITAL I
15 SHORE REHABILITATION INSTITUTE INC
425 JACK MARTIN BLVD
BRICK,NJ08724
www.hackensackmeridianhealth.org
22219
HMH HOSPITALS CORPORATION
221487576 		X               REHAB CENTER J
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		15
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		67
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
PALISADES MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PALISADES MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
PALISADES MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PALISADES MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		9
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HACKENSACKUMC AT PASCACK VALLEY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		10
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HACKENSACKUMC AT PASCACK VALLEY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
HACKENSACKUMC AT PASCACK VALLEY
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HACKENSACKUMC AT PASCACK VALLEY
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HACKENSACKUMC MOUNTAINSIDE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		11
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HACKENSACKUMC MOUNTAINSIDE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
HACKENSACKUMC MOUNTAINSIDE
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HACKENSACKUMC MOUNTAINSIDE
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
JFK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		12
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
JFK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
JFK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
JFK MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
JFK JOHNSON REHABILITATION INSTITUTE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		13
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
JFK JOHNSON REHABILITATION INSTITUTE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
JFK JOHNSON REHABILITATION INSTITUTE
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
JFK JOHNSON REHABILITATION INSTITUTE
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HMH CARRIER CLINIC INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		14
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HMH CARRIER CLINIC INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
HMH CARRIER CLINIC INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HMH CARRIER CLINIC INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SHORE REHABILITATION INSTITUTE INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		15
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SHORE REHABILITATION INSTITUTE INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
SHORE REHABILITATION INSTITUTE INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SHORE REHABILITATION INSTITUTE INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Section B, Line 3e ALL HOSPITAL FACILITIES ================ THE SIGNIFICANT HEALTH NEEDS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR EACH OF THE HOSPITAL FACILITIES ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY.
Part V, Section B, Line 5 BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER ================================ TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HACKENSACK MERIDIAN HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. THE SURVEY WAS AVAILABLE TO COMPLETE FOR ONE MONTH. IN ALL, 84 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. A SAMPLE OF THOSE CONSULTED INCLUDED THE FOLLOWING: - AMERICAN CANCER SOCIETY - BAYSHORE MEDICAL CENTER COMMUNITY ADVISORY COMMITTEE - CENTRAL JERSEY FAMILY HEALTH CONSORTIUM - CIRCUS OWN/SUPER FOODTOWN - COASTAL VOLUNTEERS IN MEDICINE - COMMUNITY AFFAIRS & RESOURCE CENTER (CARC) - DEPARTMENT OF MATERNAL AND CHILD HEALTH - EDISON SENIOR CENTER - EDISON TOWNSHIP HEALTH AND HUMAN SERVICES - GEORGIAN COURT UNIVERSITY - HORIZON BLUE CROSS BLUE SHIELD OF NJ - JEWISH COMMUNITY CENTER MIDDLESEX COUNTY - METUCHEN LIBRARY - MIDDLESEX COUNTY OFFICE HEALTH SERVICES - MONMOUTH COUNTY OFFICE OF MENTAL HEALTH - NEIGHBORHOOD HEALTH SERVICES CORPORATION - PLAINFIELD PUBLIC SCHOOLS - PREFERRED BEHAVIORAL HEALTH GROUP - RARITAN BAY AREA YMCA - RIVERVIEW MEDICAL CENTER - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SAINT PETER'S UNIVERSITY HOSPITAL - SOUTHERN REGIONAL SCHOOL DISTRICT - UNION COUNTY OFFICE OF HEALTH MANAGEMENT - UNITED WAY OF NORTHERN NJ - VNA HEALTH GROUP - CHILDREN & FAMILY HEALTH INSTITUTE - WELLSPRING CENTER FOR PREVENTION - WOODBRIDGE DEPARTMENT HEALTH HUMAN SERVICES THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. Raritan Bay Medical Center ===================== TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HACKENSACK MERIDIAN HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. LOCAL STAKEHOLDERS WERE ASKED TO PROVIDE INPUT ABOUT COMMUNITIES IN MIDDLESEX COUNTY; THE INPUT ALSO INCLUDED STAKEHOLDERS WHO WORK MORE REGIONALLY OR STATEWIDE. IN ALL, 78 COMMUNITY STAKEHOLDERS IN THE RARITAN BAY MEDICAL CENTER SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. A SAMPLE OF THOSE RARITAN BAY MEDICAL CENTER CONSULTED INCLUDED THE FOLLOWING: - AMERICAN CANCER SOCIETY - BAYSHORE MEDICAL CENTER COMMUNITY ADVISORY COMMITTEE - CENTRAL JERSEY FAMILY HEALTH CONSORTIUM - CIRCUS OWN/SUPER FOODTOWN - COASTAL VOLUNTEERS IN MEDICINE - COMMUNITY AFFAIRS & RESOURCE CENTER (CARC) - DEPARTMENT OF MATERNAL AND CHILD HEALTH - EDISON SENIOR CENTER - EDISON TOWNSHIP HEALTH AND HUMAN SERVICES - GEORGIAN COURT UNIVERSITY - HORIZON BLUE CROSS BLUE SHIELD OF NJ - JEWISH COMMUNITY CENTER MIDDLESEX COUNTY - METUCHEN LIBRARY - MIDDLESEX COUNTY OFFICE HEALTH SERVICES - MONMOUTH COUNTY OFFICE OF MENTAL HEALTH - NEIGHBORHOOD HEALTH SERVICES CORPORATION - PLAINFIELD PUBLIC SCHOOLS - PREFERRED BEHAVIORAL HEALTH GROUP - RARITAN BAY AREA YMCA - RIVERVIEW MEDICAL CENTER - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SAINT PETER'S UNIVERSITY HOSPITAL - SOUTHERN REGIONAL SCHOOL DISTRICT - UNION COUNTY OFFICE OF HEALTH MANAGEMENT - UNITED WAY OF NORTHERN NJ - VNA HEALTH GROUP - CHILDREN & FAMILY HEALTH INSTITUTE - WELLSPRING CENTER FOR PREVENTION - WOODBRIDGE DEPARTMENT HEALTH HUMAN SERVICES THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. Palisades Medical Center ======================== TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HACKENSACK MERIDIAN HEALTH; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. LOCAL STAKEHOLDERS WERE ASKED TO PROVIDE INPUT ABOUT COMMUNITIES IN MIDDLESEX COUNTY; THE INPUT ALSO INCLUDED STAKEHOLDERS WHO WORK MORE REGIONALLY OR STATEWIDE. IN ALL, 75 COMMUNITY STAKEHOLDERS IN THE PALISADES MEDICAL CENTER SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. A SAMPLE OF THOSE PALISADES MEDICAL CENTER CONSULTED INCLUDED THE FOLLOWING: - AMERICAN CANCER SOCIETY - CENTRAL JERSEY FAMILY HEALTH CONSORTIUM - CENTRASTATE HEALTHCARE SYSTEM - CIRCUS OWN/SUPER FOODTOWN - COASTAL VOLUNTEERS IN MEDICINE - COMMUNITY AFFAIRS & RESOURCE CENTER (CARC) - COMMUNITY CHILD CARE SOLUTIONS (CCCS) - DEPARTMENT OF MATERNAL AND CHILD HEALTH - DR. HERBERT N. RICHARDSON SCHOOL - EZ RIDE - GEORGIAN COURT UNIVERSITY - HABCORE - HORIZON BLUE CROSS BLUE SHIELD OF NJ - JEWISH RENAISSANCE FOUNDATION - JOHNSON & JOHNSON - SAFE KIDS - LUNCHBREAK - MT CARMEL NURSING SERVICE - NAHN-NJ CHAPTER SCHOOL NURSE PROGRAM RUTGERS - NEIGHBORHOOD HEALTH SERVICES CORPORATION - NEW JERSEY BLIND CITIZENS ASSOCIATION - PREFERRED BEHAVIORAL HEALTH GROUP - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SAINT PETER'S UNIVERSITY HOSPITAL - SUSAN G. KOMEN CENTRAL AND SOUTH JERSEY - UNITED WAY OF NORTHERN NJ - VNA HEALTH GROUP - CHILDREN & FAMILY HEALTH INSTITUTE - WELLSPRING CENTER FOR PREVENTION THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. HACKENSACK UNIVERSITY MEDICAL CENTER AND HACKENSACKUMC AT PASCACK VALLEY ===================================== THE ORGANIZATIONS CONDUCTED A CHNA THROUGH THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY ("CHIP"). A STEERING COMMITTEE MADE UP OF SENIOR REPRESENTATIVES FROM EACH HOSPITAL THAT PARTICIPATED IN THE CHNA AND THE BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES ("BCDHS") GUIDED THIS PROJECT. AN ADVISORY COMMITTEE, WHICH INCLUDED ADDITIONAL STAFF FROM THE PARTICIPATING HOSPITALS AND BCDHS, AS WELL AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS AND A NUMBER OF BERGEN COUNTY'S LEADING HEALTH AND SOCIAL SERVICE ORGANIZATIONS, PROVIDED AD
Part V, Section B, Line 6a ALL HOSPITALS (EXCEPT HACKENSACK UNIVERSITY MEDICAL CENTER AND HACKENSACKUMC AT PASCACK VALLEY) ======================== THE 2019 HACKENSACK MERIDIAN HEALTH HOSPITALS, WITH THE EXCEPTION OF HACKENSACK UNIVERSITY MEDICAL CENTER AND HACKENSACKUMC AT PASCACK VALLEY, CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: BAYSHORE MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, OCEAN MEDICAL CENTER AND SHORE REHABILITATION INSTITUTE, JERSEY SHORE UNIVERSITY MEDICAL CENTER AND K. HOVNANIAN CHILDREN'S HOSPITAL, RIVERVIEW MEDICAL CENTER, HMH CARRIER CLINIC, JFK MEDICAL CENTER AND JFK JOHNSON REHABILITATION INSTITUTE, HACKENSACKUMC MOUNTAINSIDE, PALISADES MEDICAL CENTER, RARITAN BAY MEDICAL CENTER. HACKENSACK UNIVERSITY MEDICAL CENTER AND HACKENSACKUMC AT PASCACK VALLEY ================================== THE BERGEN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND STRATEGIC PLANNING PROCESS WAS MADE POSSIBLE THROUGH THE GENEROUS SUPPORT OF BERGEN NEW BRIDGE MEDICAL CENTER, ENGLEWOOD HEALTH, HACKENSACK MERIDIAN HEALTH HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL CENTER, HOLY NAME MEDICAL CENTER, RAMAPO RIDGE PSYCHIATRIC HOSPITAL (A PART OF CHRISTIAN HEALTH CARE CENTER), AND THE VALLEY HOSPITAL. REPRESENTATIVES FROM THESE SEVEN HOSPITALS, ALONG WITH REPRESENTATIVES OF THE BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES (BCDHS) AND THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY, WORKED COLLABORATIVELY FOR OVER A YEAR TO PLAN AND EXECUTE THIS ASSESSMENT.
Part V, Section B, Line 6b All Hospital Facilities ================ PLEASE SEE RESPONSE TO PART V, SECTION B, LINE 5 ABOVE FOR LISTING OF NON-HOSPITAL ORGANIZATIONS PARTICIPATING IN THE CHNA OF EACH OF THE HOSPITAL FACILITIES.
Part V, Section B, Question 7a BAYSHORE COMMUNITY HOSPITAL https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ HMH CARRIER CLINIC https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ HACKENSACK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ JERSEY SHORE UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ JFK MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ JFK JOHNSON REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ MOUNTAINSIDE MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ PALISADES MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ PASCACK VALLEY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ RARITAN BAY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ RIVERVIEW MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ SHORE REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ SOUTHERN OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/
Part V, Section B, Question 10a BAYSHORE COMMUNITY HOSPITAL https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ HMH CARRIER CLINIC https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ HACKENSACK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ JERSEY SHORE UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ JFK MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ JFK JOHNSON REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ MOUNTAINSIDE MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ PALISADES MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ PASCACK VALLEY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ RARITAN BAY MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ RIVERVIEW MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ SHORE REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/ SOUTHERN OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/about/community/community-health- needs-assessment-chna/
Part V, Section B, Line 11 Bayshore Medical Center, Jersey Shore University Medical Center, Ocean Medical Center, Riverview Medical Center, Southern Ocean Medical Center ======================== FOUR MAJOR SIGNIFICANT HEALTH NEEDS CATEGORIES, OF WHICH CONTAIN TWELVE TOTAL SIGNIFICANT HEALTH NEEDS SUB-CATEGORIES AS PRIORITIZED BY COMMUNITY FEEDBACK EXERCISES, WERE IDENTIFIED IN THE CHNA: 1. CHRONIC & COMPLEX CONDITIONS, INCLUDING: . HEART DISEASE & STROKE . DIABETES . CANCER . POTENTIALLY DISABLING CONDITIONS . SEPTICEMIA 2. BEHAVIORAL HEALTH, INCLUDING: . MENTAL HEALTH . SUBSTANCE ABUSE 3. SOCIAL DETERMINANTS OF HEALTH, INCLUDING: . ACCESS TO CARE . POVERTY . EMPLOYMENT . LANGUAGE & CULTURE 4. WELLNESS & PREVENTION (RISK FACTORS), INCLUDING: . NUTRITION, PHYSICAL ACTIVITY & WEIGHT FOR EACH MAJOR SIGNIFICANT HEALTH NEEDS CATEGORY, STRATEGIES OF HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS ARE AS FOLLOWS: 1. CHRONIC & COMPLEX CONDITIONS: IDENTIFICATION OF THOSE AT-RISK (OUTREACH, SCREENING, ASSESSMENT, REFERRAL): -Conduct or support chronic/complex conditions screening programs in clinical and non-clinical settings through wellness fairs or stand-alone screening events -Wellness screenings (Blood pressure, pulse, total cholesterol, total glucose, BMI, stroke risk assessment); Vascular screenings (Blood pressure, BMI, ABI, AAA measurement, EKG, carotid ultrasound); Diabetic retinopathy screenings; Memory screenings; Cancer screenings (Skin, colorectal, lung); Visual acuity screenings; Bone density screenings; Hearing screenings; Balance screenings HEALTH EDUCATION AND PREVENTION: -Support free lectures and educational seminars, conducted by hospital clinical and non-clinical staff, related to chronic/complex conditions in targeted community-based settings -Support faith-based outreach initiatives that focus on engaging diverse communities through wellness fairs and educational programs -Provide education on septicemia prevention, identification, and treatment in patient-care settings BEHAVIOR MODIFICATION AND DISEASE MANAGEMENT: -Conduct or support evidence-based behavior change and self-management support programs -Take Control of Your Health - Diabetes Self-Management, Tomando Control de su Salud, Cancer Thriving and Surviving -A Matter of Balance PATIENT NAVIGATION AND ACCESS TO CARE: -Support case management and patient navigation programs to support those with chronic/complex conditions and their caregivers -Offer support groups for individuals with chronic/complex conditions, those affected by the loss of a loved one, and caregivers CROSS-SECTOR COLLABORATION AND PARTNERSHIP: -Participate in local and regional health coalitions and task forces to promote collaboration, share knowledge, and coordinate community health improvement activities related to chronic/complex conditions 2. BEHAVIORAL HEALTH: IDENTIFICATION OF THOSE AT-RISK (OUTREACH, SCREENING, ASSESSMENT, REFERRAL): - Conduct universal screenings for mental health in patient-care settings - Conduct universal mental health and substance use screenings in community-based settings HEALTH EDUCATION AND PREVENTION: - Support Stigma Free Communities to raise awareness and reduce the stigma associated with mental health and substance use issues - Organize free lectures and educational seminars, conducted by hospital clinical and non-clinical staff, related to mental health and substance use issues in targeted community-based settings BEHAVIOR MODIFICATION AND DISEASE MANAGEMENT: - Support partnerships with local health departments, substance use providers, and clinical providers to continue peer recovery coach programs - Support integrative wellness programs in school-based settings to address stress, depression, anxiety, and to promote mental wellness - Support evidence-based prevention and cessation programs geared toward reducing vaping and e-cigarette use PATIENT NAVIGATION AND ACCESS TO CARE: - Support mental health and substance use support groups for those with or recovering from mental health or substance use and their family/friends/caregivers CROSS-SECTOR COLLABORATION AND PARTNERSHIP: - Participate in local and regional health coalitions and taskforces to promote collaboration, share knowledge, and coordinate community health improvement activities - Support drug take back efforts with local law enforcement and other community-based partners 3. SOCIAL DETERMINANTS OF HEALTH: BEHAVIOR MODIFICATION AND DISEASE MANAGEMENT: - Support community partners that address barriers to wellness associated with the social determinants of health PATIENT NAVIGATION AND ACCESS TO CARE: - Continue to offer health insurance enrollment counseling and assistance - Support innovative solutions to addressing leading barriers to care: Convenient care (Urgent Care, RediClinic, Telehealth) - Provide cultural competency training for hospital clinicians and staff CROSS-SECTOR COLLABORATION AND PARTNERSHIP: - Participate in local and regional health coalitions and taskforces to promote collaboration, share knowledge, and coordinate community health improvement activities - Support food banks and other programs that address food insecurity 4. WELLNESS & PREVENTION (RISK FACTORS): IDENTIFICATION OF THOSE AT-RISK (OUTREACH, SCREENING, ASSESSMENT, REFERRAL): - Promote screening for BMI along with counseling for physical activity and nutrition HEALTH EDUCATION AND PREVENTION: - Continue to offer and support prevention, education, and wellness programs that educate individuals on lifestyle changes and make referrals to appropriate community resources - Healthy cooking demonstrations; Stop the Bleed; Are You Getting a Good Night's Sleep?; Pawsitive Action Team; SafeSitter BEHAVIOR MODIFICATION AND DISEASE MANAGEMENT: - Support active living programs that provide opportunities for individuals to be active: Safe Routes to School; YMCA Healthy Kids Day; Senior fitness events; Social Communities Activities Network (SCAN); - Support programs in community-based settings that enhance access to nutritious and affordable foods: Local Farmer's Markets; Local community gardens - Implement or conduct cooking demonstrations and workshops that educate people on healthy eating and food preparation CROSS-SECTOR COLLABORATION AND PARTNERSHIP: - Participate in local and regional coalitions and task forces to promote collaboration, share knowledge, and coordinate community health improvement activities related to wellness and prevention RARITAN BAY MEDICAL CENTER FOUR MAJOR SIGNIFICANT HEALTH NEEDS CATEGORIES, OF WHICH CONTAIN FIFTEEN TOTAL SIGNIFICANT HEALTH NEEDS SUB-CATEGORIES AS PRIORITIZED BY COMMUNITY FEEDBACK EXERCISES, WERE IDENTIFIED IN RARITAN BAY MEDICAL CENTER CHNA: 1. CHRONIC & COMPLEX CONDITIONS, INCLUDING: . HEART DISEASE & STROKE . DIABETES . CANCER . RESPIRATORY DISEASE . POTENTIALLY DISABLING CONDITIONS . SEPTICEMIA 2. BEHAVIORAL HEALTH, INCLUDING: . MENTAL HEALTH . SUBSTANCE ABUSE 3. SOCIAL DETERMINANTS OF HEALTH, INCLUDING: . ACCESS TO CARE . POVERTY . EMPLOYMENT . LANGUAGE & CULTURE . HEALTH LITERACY 4. WELLNESS & PREVENTION (RISK FACTORS), INCLUDING: . NUTRITION, PHYSICAL ACTIVITY & WEIGHT . ORAL HEALTH FOR EACH MAJOR SIGNIFICANT HEALTH NEEDS CATEGORY, STRATEGIES OF HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS ARE AS FOLLOWS: 1. CHRONIC & COMPLEX CONDITIONS: IDENTIFICATION OF THOSE AT-RISK (OUTREACH, SCREENING, ASSESSMENT, REFERRAL): -Conduct or support chronic/complex conditions screening programs in clinical and non-clinical settings through wellness fairs or stand-alone screening events -Wellness screenings (Blood pressure, pulse, total cholesterol, total glucose, BMI, stroke risk assessment); Vascular screenings (Blood pressure, BMI, ABI, AAA measurement, EKG, carotid ultrasound); Diabetic retinopathy screenings; Memory screenings; Cancer screenings (Skin, colorectal, lung); Visual acuity screenings; Bone density screenings; Hearing screenings; Balance screenings HEALTH EDUCATION AND PREVENTION: -Support free lectures and educational seminars, conducted by hospital clinical and non-clinical staff, related to chronic/complex conditions in targeted community-based settings -Support faith-based outreach initiatives that focus on engaging diverse communities through wellness fairs and educational programs -Provide education on septicemia prevention, identification, and treatment in patient-care settings BEHAVIOR MODIFICATION AND DISEASE MANAGEMENT: -Conduct or support evidence-based behavior change and self-management support programs -Take Control of Your Health - Diabetes Self-Management, Tomando Control de su Salud, Cancer Thriving and Surviving PATIENT NAVIGATION AND ACCESS TO CARE: -Support case management and patient navigation programs to support those with chronic/complex conditions and their caregivers -Offer support groups for individuals with chronic/complex conditions, those affected by the loss of a loved one, and caregivers CROSS-SECTOR COLLABORATION AND PARTNERSHIP: -Partici
Part V, Section B, Lines 16a, 16b & 16c BAYSHORE COMMUNITY HOSPITAL https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ HMH CARRIER CLINIC https://carrierclinic.org/resources/financial-assistance-policy/ HACKENSACK UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ JERSEY SHORE UNIVERSITY MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ JFK MEDICAL CENTER https://www.jfkmc.org/patients-and-visitors/financialresources/ MOUNTAINSIDE MEDICAL CENTER https://mountainsidehosp.com/patients-visitors/billing OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ PALISADES MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ PASCACK VALLEY MEDICAL CENTER https://pascackmedicalcenter.com/insurance-information RARITAN BAY MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ RIVERVIEW MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ SHORE REHABILITATION INSTITUTE https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/ SOUTHERN OCEAN MEDICAL CENTER https://www.hackensackmeridianhealth.org/patients-visitors/billing-insuran ce/financial-assistance/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?77
Name and address Type of Facility (describe)
1 OCEAN CARE CENTER
1517 RICHMOND AVENUE
POINT PLEASANT,NJ08742 		URGENT CARE LABORATORY SERVICES
2 MERIDIAN REHAB OP THERAPY CTR NEPTUNE
2100 ROUTE 33 SUITE 2
NEPTUNE,NJ07753 		PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY
3 MERIDIAN LIFE REHAB AT POINT PLEASANT
801 ARNOLD AVENUE
POINT PLEASANT,NJ08742 		PHYSICAL THERAPY/FITNESS
4 JANE H BOOKER FAMILY HEALTH CTR AT JSUMC
1828 WEST LAKE AVENUE
NEPTUNE,NJ07753 		CLINIC
5 MERIDIAN CENTER FOR SLEEP MEDICINE
1809 CORLIES AVENUE SUITES 2 4
NEPTUNE,NJ07753 		SLEEP LAB
6 MERIDIAN CENTER FOR SLEEP MEDICINE
53 NAUTILUS DRIVE
MANAHAWKIN,NJ08050 		CLINIC/SLEEP LAB
7 BOOKER BEHAVIORAL HEALTH CENTER
661 SHREWSBURY AVENUE
SHREWSBURY,NJ07702 		MENTAL HEALTH/ SUBSTANCE ABUSE/ ADULT PARTIAL/ O/P SERVICES
8 HACKENSACK MERIDIAN REHAB AT HOLMDEL
100 COMMONS WAY SUITE 120
HOLMDEL,NJ07733 		PHYSICAL THERAPY
9 JSMC OUTPATIENT BEHAVIORAL HEALTH
402 RT 35
NEPTUNE,NJ07754 		CHILDREN'S PARTIAL HOSPITAL/ MEDICATION MONITORING/ THERAPEUTIC NURSERY O/P SVCS
10 HACKENSACK MERIDIAN REHAB AT MANALAPAN
195 RT 9 SOUTH
MANALAPAN,NJ07726 		REHAB
11 JERSEY SHORE OP BEHAVIORAL HEALTH
3535 ROUTE 66 BUILDING 5 SUITE D
NEPTUNE,NJ07753 		PHYSICAL, GROUP & FAMILY THERAPY/MEDICATION MANAGEMENT/ SUBSTANCE ABUSE
12 HACKENSACK MERIDIAN REHAB FORKED RIVER
730 LACEY ROAD
FORKED RIVER,NJ08731 		PHYSICAL THERAPY
13 HACK MERIDIAN REHAB AT LITTLE EGG HARBOR
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		PHYSICAL THERAPY/OCCUPATIONAL THERAPY
14 Health Village Imaging LLC
1301 Rt 72 W
Manahawkin,NJ08050 		Radiology Medical Services
15 MERIDIAN CENTER FOR SLEEP MEDICINE
668 NORTH BEERS STREET
HOLMDEL,NJ07733 		SLEEP LAB
16 CENTER FOR WOUND HEALING AT BCH
735 NORTH BEERS STREET
HOLMDEL,NJ07733 		WOUND HEALING
17 JACKSON HEALTH VILLAGE LABORATORY
27 SOUTH COOKS BRIDGE RD SUITE 1-1
JACKSON,NJ08527 		LABORATORY SERVICES
18 HACKENSACK MERIDIAN REHAB AT JACKSON
27 SOUTH COOKS BRIDGE RD SUITE 1-1
JACKSON,NJ08527 		REHABILITATIVE CARE
19 SOUTHERN OCEAN CENTER FOR HEALTH
730 LACEY ROAD
FORKED RIVER,NJ08731 		LABORATORY SERVICES RADIOLOGY
20 SOUTHERN OCEAN CENTER FOR HEALTH
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		LABORATORY SERVICES RADIOLOGY
21 MERIDIAN REAHAB AT MANAHAWKIN
56 NAUTILUS DRIVE
MANAHAWKIN,NJ08050 		REHABILITATIVE CARE
22 MERIDIAN CARDIAC REHAB & IMAGING
27 S COOKS BRIDGE ROAD STE 11 1
JACKSON,NJ08527 		REHABILITATIVE CARE, RADIOLOGY
23 MERIDIAN REHAB OP THERAPY AT BRICK
1686 ROUTE 88
BRICK,NJ08724 		PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, CARDIAC REHAB
24 MERIDIAN INTEGRATIVE HEALTH & MEDICINE
27 SOUTH COOKS BRIDGE RD STE 2-3
JACKSON,NJ08527 		INTEGRATIVE HEALTH
25 THE MEDICAL PAVILION AT WOODBRIDGE
740 ROUTE 1 NORTH
ISELIN,NJ08830 		OB/GYN, PHYSICAL THERAPY & URGENT CARE
26 MERIDIAN HEALTH LAB AT OCEAN CARE CENTER
1517 RICHMOND AVENUE
POINT PLEASANT,NJ08742 		LABORATORY
27 THE SLEEPCARE CENTER OF OCEAN MED CTR
1610 ROUTE 88 2ND FLOOR
BRICK,NJ08724 		SLEEP LAB
28 HOPE TOWER
19 DAVIS AVENUE
NEPTUNE,NJ07753 		COMPREHENSIVE HEALTHCARE
29 AMBULATORY SURGICAL PAVILION OF NJ
620 S WHITE HORSE PIKE
HAMMONTON,NJ08037 		O/P SURGERY
30 HUMC AMBULATORY CARE CENTER-NORTHERN DIV
795 FRANKLIN AVENUE BLDG C
FRANKLIN LAKES,NJ07417 		PRIMARY CARE SERVICES OUTPATIENT ONCOLOGY
31 HUMC MEDICAL ARTS PLAZA
20 PROSPECT AVENUE
HACKENSACK,NJ07601 		VARIOUS OUTPATIENT HEALTHCARE SERVICES & PHARMACY
32 THE ALFRED M SANZARI MEDICAL ARTS BLDG
360 ESSEX STREET SUITE 202
HACKENSACK,NJ07601 		VARIOUS OUTPATIENT HEALTHCARE SERVICES
33 JOHN THEURER CANCER CENTER AT HUMC
92 SECOND STREET
HACKENSACK,NJ07601 		GAMMA KNIFE SERVICES, FIXED CT, LINEAR ACCELERATOR & PHARMACY
34 HACKENSACKUMC FITNESS & WELLNESS CENTER
87 ROUTE 17 NORTH SUITE 172
MAYWOOD,NJ07607 		PRIMARY CARE
35 HUMC AIR EXPRESS
30 PROSPECT AVENUE
HACKENSACK,NJ07601 		PRIMAR CARE SERVICES, MOBILE ASTHMA SCREENING SERVICES
36 METROPOLITAN SURGERY CENTER
433 HACKENSACK AVENUE
HACKENSACK,NJ07601 		VARIOUS OUTPATIENT HEALTHCARE SERVICES
37 HUMC MOUNTAINSIDE-OP MENTAL HEALTH SVCS
799 BLOOMFIELD AVENUE STE 300
VERONA,NJ07028 		OUTPATIENT MENTAL HEALTH SVCS
38 WOUND CARE CENTER AT HUMC PASCACK VALLEY
270 OLD HOOK ROAD
WESTWOOD,NJ07675 		WOUND CARE SERVICES
39 MOUNTAINSIDE FAM PRACTICE ASSOC VERONA
799 BLOOMFIELD AVENUE
VERONA,NJ07044 		PRIMARY CARE
40 JFK IMAGING CENTER
60 JAMES STREET
EDISON,NJ08820 		IMAGING & MRI CENTER
41 BREAST CENTER AT JFK MEDICAL
60 JAMES STREET
EDISON,NJ08818 		IMAGING & WOMEN'S CENTER
42 MEDIPLEX SURGICAL CENTER ASSOCIATES
98 JAMES STREET
EDISON,NJ08820 		SURGERY CENTER
43 JFK DIAGNOSTIC CARDIOLOGY CENTER
4 ETHEL ROAD SUITE 406A
EDISON,NJ08817 		DIAGNOSTIC & CARDIOLOGY CENTER
44 FAMILY MEDICINE CENTER - JFK MEDICAL
65 JAMES STREET
EDISON,NJ08820 		FAMILY MEDICINE
45 JFK JOHNSON REHABILITATION INSTITUTE
2048 OAK TREE ROAD
EDISON,NJ08818 		COGNITIVE REHABILITATION
46 JFK CENTER FOR BEHAVIORAL HEALTH
65 JAMES STREET
EDISON,NJ08820 		BEHAVIORAL HEALTH
47 JFK JOHNSON REHABILITATION INSTITUTE
2050 OAK TREE ROAD
EDISON,NJ08818 		PEDIATRIC REHABILITATION
48 EDISON NEUROLOGIC ASSOCIATES
34-36 PROGRESS STREET STE B-3
EDISON,NJ08820 		NEUROLOGY
49 JFK OUTPATIENT INFUSION CENTER
1030 SAINT GEORGE AVENUE
AVENEL,NJ07001 		OUTPATIENT INFUSION
50 JFK JOHNSON REHABILITATION INSTITUTE
308 TALMADGE ROAD
EDISON,NJ08817 		PROSTHETIC & ORTHOTIC LAB
51 JFK JOHNSON REHABILITATION INSTITUTE
100 OVERLOOK DRIVE
MONROE TOWNSHIP,NJ08831 		OUTPATIENT REHAB FACILITY
52 JFK JOHNSON REHABILITATION INSTITUTE
481 MEMORIAL PARKWAY
METUCHEN,NJ08840 		OUTPATIENT REHAB FACILITY
53 JFK JOHNSON REHABILITATION INSTITUTE
5 PROGRESS STREET
EDISON,NJ08820 		OUTPATIENT REHAB FACILITY
54 KEITH WOLD CHILD CARE CENTER
2050 OAK TREE ROAD
EDISON,NJ08818 		CHILDCARE
55 JFK ADULT MEDICAL DAY PROGRAM
3 PROGRESS STREET
EDISON,NJ08817 		ADULT DAY CARE
56 JFK OCCUPATIONAL HEALTH SERVICES
1200 GREEN STREET
ISELIN,NJ08830 		OCCUPATIONAL HEALTH
57 JFK BREAST SURGERY ASSOCIATES
98 JAMES STREET STE 202
EDISON,NJ08820 		SURGICAL CENTER
58 JFK HEALTH & FITNESS CENTER
70 JAMES STREET
EDISON,NJ08820 		FITNESS & CONFERENCE CENTER
59 JFK JOHNSON REHABILITATION INSTITUTE
1080 STELTON ROAD
PISCATAWAY,NJ08854 		OUTPATIENT REHAB FACILITY
60 ADVANCED MEDICAL IMAGING OF TOMS RIVER
1430 HOOPER AVENUE
TOMS RIVER,NJ08753 		MEDICAL IMAGING
61 ADVANCED MEDICAL IMAGING OF OLD BRIDGE
3548 ROUTE 9 SOUTH
OLD BRIDGE,NJ08857 		MEDICAL IMAGING, LABORATORY
62 CARDIOLOGY - EAST BRUNSWICK
149 Main Street
South River,NJ08882 		CARDIOLOGY
63 PEDIATRIC PSYCHIATRY COLLABORATIVE
2240 ROUTE 33
NEPTUNE,NJ07753 		PSYCHIATRIC EVALUATION
64 Carrier Clinic Blake Recovery Center
252 ROUTE 601
BELLE MEAD,NJ08502 		PSYCHIATRIC HOSPITAL
65 HMH CC EAST MOUNTAIN YOUTH LODGE
45 EAST MOUNTAIN ROAD
BELLE MEAD,NJ08502 		RESIDENTIAL TREATMENT FACILITY
66 HACKENSACK MERIDIAN HEALTH REHAB HOLMDE
668 NORTH BEERS STREET
HOLMDEL,NJ07733 		PHYSICAL THERAPY/OCCUPATIONAL THERAPY
67 JFK JOHNSON REHABILITATION INSTITUTE
585 MAIN STREET
WOODBRIDGE,NJ07095 		OUTPATIENT REHAB FACILITY
68 HUMC- OUTPATIENT SERVICES
211 ESSEX STREET
HACKENSACK,NJ07601 		LABORATORY SERVICES
69 HUMC- OUTPATIENT SERVICES
20 PROSPECT AVENUE
HACKENSACK,NJ07601 		LABORATORY SERVICES
70 GLEN POINTE- OUTPATIENT SERVICES
400 FRANK W BURR BLVD SUITE 35
TEANECK,NJ07666 		LABORATORY SERVICES
71 RBMC- OUTPATIENT SERVICES
2 HOSPITAL PLAZA
OLD BRIDGE,NJ08857 		LABORATORY SERVICES
72 HMHHC-PALISADES MEDICAL CENTER
403 39TH STREET
UNION CITY,NJ07087 		BEHAVIORAL HEALTH
73 AUDREY HEPBURN CHILDREN'S HOUSE
12 SECOND STREET
HACKENSACK,NJ07601 		BEHAVIORAL HEALTH
74 THE RETREAT & RECOVERY AT RAMAPO VALLEY
1071 RAMAPO VALLEY ROAD
MAHWAH,NJ07430 		BEHAVIORAL HEALTH
75 RBMC- PT EAST BRUNSWICK
620 CRANBURY ROAD
EAST BRUNSWICK,NJ08816 		PHYSICAL THERAPY
76 HACKENSACK MERIDIAN HEALTH HUDSON COUNTY
6045 JFK BOULEVARD
NORTH BERGEN,NJ07047 		PHYSICAL THERAPY
77 JFK MEDICAL CENTER EMS SOUTH
1195 AIRPORT ROAD
LAKEWOOD,NJ08701 		AMBULATORY CARE
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c THE HOSPITAL FACILITIES OFFER A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS TO HELP UNINSURED AND UNDERINSURED PATIENTS. THE FINANCIAL ASSISTANCE PROGRAMS INCLUDED BELOW PROVIDE FREE OR DISCOUNTED EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO INDIVIDUALS IF THEY MEET THE ESTABLISHED CRITERIA AND ARE DETERMINED TO BE ELIGIBLE. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATIONS USE OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - RESIDENCY; AND - UNDERINSURANCE STATUS.
Schedule H, Part I, Line 6a BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, RARITAN BAY MEDICAL CENTER, PALISADES MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACKUMC AT PASCACK VALLEY, HACKENSACKUMC MOUNTAINSIDE, ANTHONY M. YELENCSICS COMMUNITY HOSP. (JFK MEDICAL CENTER), JFK JOHNSON REHABILITATION INSTITUTE, HMH CARRIER CLINIC, SHORE REHABILITATION INSTITUTE, AND THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 ARE PART OF AN ANNUAL COMMUNITY BENEFIT REPORT PREPARED BY HACKENSACK MERIDIAN HEALTH, INC., WHICH IS MADE AVAILABLE TO THE PUBLIC. AT HACKENSACK MERIDIAN, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITALS AND PARTNER COMPANIES REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITIES. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. COMMUNITY-BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. HACKENSACK MERIDIAN REMAINS COMMITTED TO STRENGTHENING ITS MISSION. HACKENSACK MERIDIAN'S 2019 COMMUNITY BENEFIT REPORT CAN BE REQUESTED AT ANY ONE OF OUR FACILITIES.
Schedule H, Part I, Line 7 THE BAD DEBT EXPENSE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $269,134,882; THE BAD DEBT EXPENSE FOR BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, RARITAN BAY MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, THE COMMUNITY HOSPITAL GROUP, HMH CARRIER CLINIC, AND PALISADES MEDICAL CENTER ("HOSPITALS"). BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, RARITAN BAY MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, THE COMMUNITY HOSPITAL GROUP, HMH CARRIER CLINIC, AND PALISADES MEDICAL CENTER ("HOSPITALS") USE WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, IN THE IRS FORM 990 SCHEDULE H INSTRUCTIONS TO CALCULATE THE COST TO CHARGE RATIO. IN 2015, THE INTERNAL REVENUE SERVICE CLARIFIED IN THE INSTRUCTIONS FOR SCHEDULE H THAT GROUP RETURNS ARE REQUIRED TO USE TOTAL EXPENSES AS REPORTED IN CORE FORM, PART IX, LINE 25 AS THE DENOMINATOR WHEN CALCULATING THE COMMUNITY BENEFIT PERCENTAGE IN SCHEDULE H, PART I, LINE 7. THE ORGANIZATION FEELS THIS RESULTS IN AN UNDERSTATEMENT OF ITS COMMUNITY BENEFIT PERCENTAGE AS THE OTHER ORGANIZATIONS INCLUDED IN THE GROUP RETURN DO NOT CONTRIBUTE ANY EXPENSES TO THE NUMERATOR. THEREFORE, THE ORGANIZATION WAS CONSISTENT WITH PRIOR YEARS IN USING THE TOTAL HOSPITALS' EXPENSES IN THE DENOMINATOR TO CALCULATE THE COMMUNITY BENEFIT PERCENTAGE IN SCHEDULE H, PART I, LINE 7. THIS ALLOWS FOR A BETTER COMPARISON TO THE PRIOR YEARS AS THIS METHODOLOGY HAS HISTORICALLY BEEN USED IN THE CALCULATION AS WELL AS A MORE ACCURATE REFLECTION OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITALS. INCLUDED IN THE CALCULATION OF COMMUNITY BENEFIT FOR SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G AS OFFSETTING REVENUE ARE THE FUNDS RECEIVED FROM FEMA FOR EXPENSE REIMBURSEMENT DUE TO THE COVID19 PANDEMIC. THESE FUNDS ARE ALLOCATED ON A PRORATED BASIS ACROSS THE SUBSIDIZED HEALTH SERVICES. AS PART OF THE HOSPITALS' MISSION SUPPORT, THE ORGANIZATIONS SUBSIDIZE THE LOSS OF ITS NON-PROFIT PHYSICIAN PRACTICES SO THAT THEY CAN PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY. SCHEDULE H, PART I, LINE 7I INCLUDES THIS MISSION SUPPORT AS PART OF THE HOSPITALS' SUBSIDIZED SERVICES.
Schedule H, Part III, Line 2 ACCOUNTS THAT REACH THE END OF THE SELF-PAY BILLING CYCLE WITHOUT PAYMENTS OR FINANCIAL ASSISTANCE APPROVAL ARE TRANSFERRED TO BAD DEBT. UNINSURED PATIENT CHARGES ARE DISCOUNTED. BALANCES AFTER INSURANCE, SUCH AS DEDUCTIBLES, CO-PAYS AND COINSURANCE ARE NOT DISCOUNTED. Hackensack: BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. JFK: ACCOUNTS THAT REACH THE END OF THE BILLING CYCLE WITHOUT PAYMENTS OR FINANCIAL ASSISTANCE APPROVAL ARE TRANSFERRED TO BAD DEBT.
Schedule H, Part III, Line 3 THROUGH THE FINANCIAL ASSISTANCE PROGRAM, ALL SELF-PAY PATIENTS ARE INTERVIEWED. THE AMOUNT REFLECTED ON LINE 3 REPRESENTS THOSE THAT ARE NOT COMPLIANT WITH DOCUMENTATION REQUIREMENTS AND THOSE WHO CANNOT BE CONTACTED, SUCH AS THE HOMELESS OR PATIENTS WHO GIVE ERRONEOUS INFORMATION. NON-ELIGIBLE PATIENTS, BECAUSE THEY ARE OVER INCOME LIMITS, ARE NOT INCLUDED. THE PATIENTS THAT FALL INTO THIS CATEGORY HAVE NO MEANS OF PAYING THEIR BILL. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER THE PATIENT HAS INSURANCE OR THE ABILITY TO PAY. THE METHODOLOGY USED BY THE ORGANIZATION TO ESTIMATE THE AMOUNT OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS TO APPLY ITS COST TO CHARGE RATIO TO TOTAL SELF-PAY GROSS CHARGES. BAD DEBT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION PROVIDES MUCH NEEDED HEALTH CARE SERVICES INDISCRIMINATELY TO THE COMMUNITY-AT-LARGE WITHOUT REGARD TO WHETHER THE PATIENT HAS INSURANCE OR THE ABILITY TO PAY.
Schedule H, Part III, Line 4 THE ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990 FOR WHICH THIS SCHEDULE H IS BEING FILED RECEIVED AN AUDITED FINANCIAL STATEMENT. THE BAD DEBT FOOTNOTES TO THESE AUDITED FINANCIAL STATEMENTS OF HACKENSACK MERDIAN HEALTH, INC. CAN BE FOUND ON PAGES 20 & 23.
Schedule H, Part III, Line 8 THE ORGANIZATION BELIEVES THAT ITS MEDICARE SHORTFALL ARE COMMUNITY BENEFITS BECAUSE, AS A HOSPITAL, IT IS STEPPING UP TO CARRY THE BURDEN OF THE GOVERNMENT, BY PROMOTING HEALTH OF THE COMMUNITY AS A WHOLE AND PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.
Schedule H, Part III, Question 9B BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, AND RARITAN BAY MEDICAL CENTER ------------------------------------------------------------------- THE POLICY ON BILLING AND COLLECTION ACTIONS OF BAYSHORE MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, OCEAN MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, AND RARITAN BAY MEDICAL CENTER CONTAINS THE FOLLOWING PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE: CURRENT ACCOUNTS RECEIVABLE ("AR") THAT REACH THE END OF THE SELF-PAY BILLING CYCLE (WHICH CONSISTS OF TWO STATEMENTS AND TWO LETTERS OVER A PERIOD OF APPROXIMATELY 90 DAYS, WITHOUT PAYMENT OR EVIDENCE OF CHARITY CARE ELIGIBILITY) ARE TRANSFERRED TO BAD DEBT AS STIPULATED IN PATIENT ACCOUNTS POLICIES AND PROCEDURES. THE SYSTEM ENTITIES DO NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS ("ECA") AGAINST AN INDIVIDUAL PRIOR TO REASONABLE EFFORTS BEING MADE TO DETERMINE WHETHER THE INDIVIDUAL IS FINANCIAL ASSISTANCE PROGRAM-ELIGIBLE. FOR THESE PURPOSES, REASONABLE EFFORTS INCLUDE THE POSTING OF SIGNAGE AND NOTICES REGARDING THE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM, THE PROVISION OF A PLAIN-LANGUAGE SUMMARY AS PART OF THE HOSPITALS INTAKE PROCESS, THE INCLUSION OF SPECIFIC INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ALL BILLING STATEMENTS, COMMUNICATING IN PERSON AND BY TELEPHONE REGARDING THE AVAILABILITY OF ASSISTANCE AND, IN CASES WHERE AN INCOMPLETE APPLICATION IS SUBMITTED, INFORMING THE PATIENT IN WRITING REGARDING THE ADDITIONAL INFORMATION/DOCUMENTATION REQUIRED IN ORDER TO DETERMINE THE PATIENT'S ELIGIBILITY. UNDER NO CIRCUMSTANCES WILL A SYSTEM ENTITY (EITHER DIRECTLY OR INDIRECTLY, BY ANOTHER PERSON ON ITS BEHALF) UNDERTAKE ANY ECA DURING THE 120-DAY PERIOD FOLLOWING THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT ISSUED TO THE PATIENT. A SYSTEM ENTITY MAY SATISFY THE NOTIFICATION REQUIREMENTS WITH RESPECT TO AN INDIVIDUAL'S AGGREGATED OUTSTANDING BILLS AS LONG AS 120 DAYS HAVE PASSED SINCE THE FIRST POST DISCHARGE STATEMENT FOR THE MOST RECENT EPISODE OF CARE INCLUDED IN THE AGGREGATED BILLS. AFTER THE EXPIRATION OF THE 120 DAY PERIOD, IF A SYSTEM ENTITY INTENDS TO UNDERTAKE AN ECA, THE SYSTEM ENTITY (OR THIRD PARTY ON ITS BEHALF) WILL PROVIDE THE PATIENT WITH A FINAL WRITTEN NOTICE STATING THE SPECIFIC ECAS THAT WILL BE UNDERTAKEN IF PAYMENT IS NOT MADE OR A FINANCIAL ASSISTANCE APPLICATION IS NOT SUBMITTED BEFORE A STATED DEADLINE, WHICH MUST BE AT LEAST 30 DAYS AFTER THE DATE OF THE NOTICE. THE 30-DAY NOTICE INCLUDES A PLAIN LANGUAGE SUMMARY OF THE SYSTEM'S FINANCIAL ASSISTANCE POLICY. IN KEEPING WITH THE FOREGOING STANDARDS, ONCE A PATIENT ACCOUNT HAS COMPLETED THE SELF-PAY BILLING CYCLE, THE SYSTEM ENTITY WILL FORWARD THE ACCOUNT TO A PRIMARY BAD DEBT COLLECTION AGENCY, WHICH WILL WORK THE ACCOUNT FOR 180 DAYS. ACCOUNTS THAT REMAIN UNPAID AT THE END OF 180-DAYS ARE AUTOMATICALLY REASSIGNED TO A SECONDARY AGENCY FOR AN ADDITIONAL 180-DAYS. PRIMARY AND SECONDARY AGENCIES DO NOT PURSUE LEGAL ACTION ON ACCOUNTS. SECONDARY AGENCY PLACEMENT ACCOUNTS THAT REMAIN UNPAID AFTER 180-DAYS ARE REFERRED TO ATTORNEYS. SUCH ATTORNEYS MAY PROVIDE THE 30-DAY NOTICE (DESCRIBED ABOVE) ON BEHALF OF THE SYSTEM ENTITY AND, AFTER THE EXPIRATION OF THE STATED DEADLINE, MAY INITIATE ECAS ON BEHALF OF THE SYSTEM ENTITY. ECAS WILL INCLUDE JUDGMENTS, LIENS AND GARNISHMENTS AND REPORTING TO CREDIT AGENCIES. ECAS ARE SUSPENDED DURING THIS TIME IF THE PATIENT SUBMITS A FINANCIAL ASSISTANCE APPLICATION. THE HOSPITAL CONTINUES TO ACCEPT AND PROCESS ANY FINANCIAL ASSISTANCE APPLICATIONS FOR UP TO 24 MONTHS AFTER THE ORIGINAL DATE OF SERVICE. IF THE PATIENT QUALIFIES FOR CHARITY CARE OR THE UNINSURED DISCOUNT, ANY AMOUNTS PREVIOUSLY PAID BY THE PATIENT IN EXCESS OF THEIR DISCOUNTED CHARGES WILL BE REFUNDED AND ANY EXTRAORDINARY COLLECTION EFFORTS THAT HAVE BEEN TAKEN WILL BE REVERSED. PALISADES MEDICAL CENTER ---------------------------------------- Not Applicable. Hackensack University Medical Center -------------------------------------- Not Applicable. JFK Medical Center --------------- BILLING AND COLLECTION PROCEDURES ----------------------------------------------------- ONCE A PATIENT'S CLAIM IS PROCESSED BY THEIR INSURANCE, JFK WILL SEND THE PATIENT A BILL INDICATING THE PATIENT RESPONSIBILITY. ADDITIONALLY, IF A PATIENT HAS NO THIRD-PARTY COVERAGE THEY WILL RECEIVE A BILL INDICATING THEIR PATIENT RESPONSIBILITY. THIS WILL BE THE PATIENTS FIRST POST DISCHARGE BILLING STATEMENT. THE DATE ON THIS STATEMENT WILL BEGIN THE APPLICATION AND NOTIFICATION PERIODS. AFTER THE PATIENT RECEIVES THEIR FIRST POST DISCHARGE BILLING STATEMENT, JFK SENDS OUT 3 ADDITIONAL STATEMENTS (4 TOTAL BILLING STATEMENTS, IN 28 DAY INTERVALS) AND 2 LETTERS. IF PAYMENT HAS NOT BEEN RECEIVED AFTER 4 BILLING STATEMENTS, JFK WILL SEND OUT A LETTER INFORMING THE PATIENT IN WRITING THAT THE ACCOUNT WILL BE SENT TO COLLECTIONS IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS. ADDITIONALLY, THE LETTER WILL INCLUDE THE EXTRAORDINARY COLLECTION ACTIONS ("ECAS") THAT MAY TAKE PLACE AFTER THE PATIENT ACCOUNT HAS BEEN PLACED IN COLLECTIONS. THE WRITTEN NOTICE WILL ALSO INCLUDE A COPY OF THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY. WHEN BILLING INVOICES ARE RETURNED STATING THE PATIENT EXPIRED OR ARE UNDELIVERABLE AND NO OTHER ADDRESS IS FOUND THE ACCOUNTS GO TO A PRE-COLLECT STATUS FOR FOLLOW-UP AND VALIDATION. COLLECTIONS WITHIN THE BILLING CYCLE JFK MAY SEND ACCOUNTS TO PRE-COLLECT. DURING THIS TIME, THIRD PARTIES ACTING ON BEHALF OF JFK MAY CONTACT THE PATIENTS VIA TELEPHONE TO COLLECT PAYMENT. NO ECAS WILL BE TAKEN AGAINST THE PATIENT WHILE THE ACCOUNT IS IN THE PRE-COLLECTION CYCLE. AFTER THE EXPIRATION OF THE NOTIFICATION PERIOD, JFK WILL SEND THE PATIENT ACCOUNT TO COLLECTIONS. COLLECTION AGENCY TECHNIQUES TO COLLECT PAYMENT WILL INCLUDE TELEPHONE CALLS, LETTERS AND CERTAIN ECAS. ALL OF THEIR ACTIVITIES WILL BE COMPLETELY DOCUMENTED WITHIN THE BILLING SYSTEM AND WILL FOLLOW ALL GUIDELINES OF STATE REGULATIONS GOVERNING COLLECTION AGENCIES. IF COLLECTION AGENCIES ARE THEREAFTER UNSUCCESSFUL (FOR A PERIOD NOT TO EXCEED 180 DAYS) THE PATIENT ACCOUNT WILL BE RETURNED TO JFK. AT THE TIME THE ACCOUNT IS RETURNED, THE COLLECTION AGENCY WILL INCLUDE COMPLETE DOCUMENTATION OF THEIR ACTIVITIES AND FINDINGS WHEN COMMUNICATION IS MADE WITH THE PATIENT AS WELL AS THE DATE THE ACCOUNT IS RETURNED BACK TO JFK. COMPLIANCE WITH IRC 501(R)(6) ---------------------------------------------- IN ACCORDANCE WITH IRC 501(R)(6), JFK DOES NOT ENGAGE IN ANY ECAS PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. SUBSEQUENT TO THE NOTIFICATION PERIOD JFK, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF A FAP-ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE: - REPORTING ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS; - PLACING A LIEN ON AN INDIVIDUAL'S PROPERTY; - FORECLOSING ON AN INDIVIDUAL'S REAL PROPERTY; - ATTACHING OR SEIZING AN INDIVIDUAL'S BANK ACCOUNT OR OTHER PERSONAL PROPERTY; - COMMENCING A CIVIL ACTION AGAINST AN INDIVIDUAL; AND - GARNISHING AN INDIVIDUAL'S WAGES. JFK MAY AUTHORIZE THIRD PARTIES TO INITIATE ECAS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THEY WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FAP AND WILL TAKE THE FOLLOWING ACTIONS AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECAS: 1. THE PATIENT WILL BE PROVIDED WITH WRITTEN NOTICE WHICH: (A) INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; (B) IDENTIFIES THE ECAS THAT JFK INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND (C) STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2. THE PATIENT HAS RECEIVED A COPY OF THE PLS WITH THIS WRITTEN NOTIFICATION; AND 3. REASONABLE EFFORTS HAVE BEEN MADE TO ORALLY NOTIFY THE INDIVIDUAL ABOUT THE FAP AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. JFK, AND THIRD PARTY VENDORS ACTING ON THEIR BEHALF, WILL ACCEPT AND PROCESS ALL APPLICATIONS FOR FINANCIAL ASSISTANCE AVAILABLE UNDER THIS POLICY SUBMITTED DURING THE APPLICATION PERIOD. HMH CARRIER CLINIC --------------- SUMMARY OF BILLING AND COLLECTION PROCEDURES THE HOSPITAL WILL MAKE DILIGENT EFFORT TO DETERMINE THE PATIENT FINANCIAL RESPONSIBILITY AS SOON AS REASONABLY POSSIBLE, THE DAY OF ADMISSION OR WITHIN FEW DAYS OF ADMISSION. ESTIMATED AMOUNT DUE WILL BE BASED ON THE INDIVIDUAL INSURANCE BENEFIT AND MAY INCLUDE DEDUCTIBLE, CO-PAY AND CO-INSURANCE. THE HOSPITAL WILL MAKE ITS BEST EFFORT TO ADVISE ALL PATIENTS AND/OR FAMILIES OF ANY FINANCIAL RESPONSIBILITY, COVERAGE LIMITATIO
Schedule H, Part VI, Question 2 IN ADDITION TO THE INFORMATION REPORTED IN SCHEDULE H, PART V, SECTION B, QUESTIONS 1 THROUGH 12, THE ORGANIZATIONS ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE AS FOLLOWS: 1. ACCESS TO CARE/SERVICES IS ASSESSED REGULARLY TO IDENTIFY OPPORTUNITIES TO IMPROVE NETWORK ADEQUACY RELATIVE TO THE AVAILABILITY OF MEDICAL MANPOWER AND SITES OF SERVICE; 2. UTILIZATION IS TRACKED BY HACKENSACK MERIDIAN HEALTH ("HMH") OPERATIONAL LEADERS RELATIVE TO CAPACITY AND ABILITY TO ACCOMMODATE DEMAND. WHERE POTENTIAL CAPACITY AND THROUGHPUT CONCERNS ARE IDENTIFIED, FURTHER ASSESSMENTS ARE PERFORMED AND POTENTIAL SOLUTIONS ARE IDENTIFIED; AND 3. FOR KEY SERVICES, HMH HAS DEVELOPED CARE TRANSFORMATION SERVICE TEAMS TO ACCESS SERVICE-SPECIFIC NEEDS AND DEVELOP PLANS TO ADDRESS.
Schedule H, Part VI, Question 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE HOSPITALS INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: - THE FINANCIAL ASSISTANCE POLICY ("FAP"), APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE ALL AVAILABLE ON-LINE; - PAPER COPIES OF THE FAP, APPLICATION AND PLS ARE AVAILABLE UPON REQUEST BY MAIL, WITHOUT CHARGE, AND ARE PROVIDED IN VARIOUS AREAS THROUGHOUT THE HOSPITALS INCLUDING MAIN REGISTRATION DESK, EMERGENCY ROOM, AND PATIENT FINANCIAL SERVICES DEPARTMENT; - ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE PATIENT ACCESS/INTAKE PROCESS; - SIGNS OR DISPLAYS ARE POSTED IN PUBLIC LOCATIONS INCLUDING MAIN REGISTRATION DESK, EMERGENCY ROOM, AND PATIENT FINANCIAL SERVICES OFFICES THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE; AND - THE FAP, APPLICATIONS AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED BY THE HOSPITALS' PRIMARY SERVICE AREAS. TRANSLATED VERSIONS FAP ARE AVAILABLE UPON REQUEST IN PERSON AT THE ADDRESS ABOVE AND ON THE HOSPITAL WEBSITES.
Schedule H, Part VI, Question 4 THE 15 HOSPITALS INCLUDED IN THIS FORM 990, SCHEDULE H SERVE THE COMMUNITIES OF MONMOUTH, OCEAN, MIDDLESEX, HUDSON, BERGEN, AND SOMERSET COUNTIES IN NEW JERSEY. THE FOLLOWING INFORMATION BY COUNTY IS BASED ON RECENT CENSUS ESTIMATES: MONMOUTH COUNTY ------------------------- POPULATION, 2020: 643,615 UNDER 5 YEARS OF AGE, 2020: 4.9% UNDER 18 YEARS OF AGE, 2020: 20.9% 65 YEARS OLD AND OVER, 2020: 18.2% PERSONS BELOW POVERTY LEVEL, 2015-2019: 6.2% MEDIAN HOUSEHOLD INCOME, 2015-2019: $ 99,733 RACIAL COMPOSITION, 2020: WHITE: 75.1% AFRICAN AMERICAN: 7.5% ASIAN: 5.6% HISPANIC OR LATINO ORIGIN: 11.1% OTHER: 0.4% OCEAN COUNTY ----------------- POPULATION, 2020: 637,229 UNDER 5 YEARS OF AGE, 2020: 7.1% UNDER 18 YEARS OF AGE, 2020: 24.2% 65 YEARS OLD AND OVER, 2020: 22.8% PERSONS BELOW POVERTY LEVEL, 2015-2019: 9.0% MEDIAN HOUSEHOLD INCOME, 2015-2019: $70,909 RACIAL COMPOSITION, 2020: WHITE: 84.3% AFRICAN AMERICAN: 3.6% ASIAN: 1.9% HISPANIC OR LATINO ORIGIN: 9.5% OTHER: 0.3% MIDDLESEX COUNTY ---------------------- POPULATION, 2020: 863,162 UNDER 5 YEARS OF AGE, 2020: 5.7% UNDER 18 YEARS OF AGE, 2020: 21.7% 65 YEARS OLD AND OVER, 2020: 15.5% PERSONS BELOW POVERTY LEVEL, 2015-2019: 8.5% MEDIAN HOUSEHOLD INCOME, 201,-2019: $89,533 RACIAL COMPOSITION, 2020: WHITE: 41.7% AFRICAN AMERICAN: 12% ASIAN: 24.9% HISPANIC OR LATINO ORIGIN: 22.1% OTHER: 0.8% HUDSON COUNTY --------------------- POPULATION, 2020: 724,854 UNDER 5 YEARS OF AGE, 2020: 6.9% UNDER 18 YEARS OF AGE, 2020: 20.3% 65 YEARS OLD AND OVER, 2020: 12.2% PERSONS BELOW POVERTY LEVEL, 2015-2019: 13.7% MEDIAN HOUSEHOLD INCOME, 2015-2019: $71,189 RACIAL COMPOSITION, 2020: WHITE: 29% AFRICAN AMERICAN: 14.8% ASIAN: 16.4% HISPANIC OR LATINO ORIGIN: 42.7% OTHER: 1.3% BERGEN COUNTY -------------------- POPULATION, 2020: 955,732 UNDER 5 YEARS OF AGE, 2020: 5.3% UNDER 18 YEARS OF AGE, 2020: 21.1% 65 YEARS OLD AND OVER, 2020: 17.7% PERSONS BELOW POVERTY LEVEL, 2015-2019: 5.7% MEDIAN HOUSEHOLD INCOME, 2014-2019: $101,144 RACIAL COMPOSITION, 2020: WHITE: 55.1% AFRICAN AMERICAN: 7.4% ASIAN: 17% HISPANIC OR LATINO ORIGIN: 21% OTHER: 0.6% SOMERSET COUNTY -------------------- POPULATION, 2020: 345,361 UNDER 5 YEARS OF AGE, 2020: 5.0% UNDER 18 YEARS OF AGE, 2020: 21.5% 65 YEARS OLD AND OVER, 2020: 16.2% PERSONS BELOW POVERTY LEVEL, 2015-2019: 5.4% MEDIAN HOUSEHOLD INCOME, 2015-2019: $113,611 RACIAL COMPOSITION, 2020: WHITE: 54.8% AFRICAN AMERICAN: 10.5% ASIAN: 18.8% HISPANIC OR LATINO ORIGIN: 15.2% OTHER: 0.5%
Schedule H, Part VI, Question 5 PATIENT CARE Patient care is at the very center of HMH's heart with a mission to transform health care and be recognized as a leader of positive change. HMH's vision and core beliefs can be seen by the extraordinary care it provides to patients where there is very little hope in some complex cases and the need for innovation and advancements in medicine. Some examples include performing a surgery that has never been performed to save a newborn's life when his brain was growing outside of his skull, assisting patients who have survived heart attack with newer ventricular assisting devices, doing stem cell injection trials to restore damages to the brain after patients suffer a stroke, treating various types of cancer and using genetic testing for those at risk to aid prevention, and amazing spinal surgeries to allow a better way of life and save lives. These stories and more are highlighted on HMHforU.org. PARTNERSHIPS In 2020, the convalescent plasma program started early in the COVID-19 pandemic at Hackensack University Medical Center. It is a partnership between John Theurer Cancer Center clinicians and scientists at the CDI, Center for Discovery and Innovation. The antibodies produced by survivors of SARS-CoV-2 infection are screened, and so-called "super donors" with high levels of neutralizing antibodies are collected and then infused into infected patients. The most recent results published by Michele Donato, M.D. and David Perlin, Ph.D. and their teams, in the JCI Insights, showed that infusing high levels of antibodies early in the infection shows great therapeutic promise. The program was profiled by 60 Minutes and The New York Times, among others - and the ongoing outpatient research is funded by a major grant from the U.S. Department of Defense. In addition, Hackensack Meridian Health partnered with Fulfill, the Foodbank of Monmouth & Ocean Counties, to develop a meal preparation and delivery service for patients and team members who have been impacted by COVID-19. Meals were also made available for mother/baby, and cancer patients in need of assistance. 116 meals provided to patients per day as needed. FACILITIES While we continued to propel medicine and innovation forward during the COVID-19 pandemic, we also remained on track with a number of important facility advancements. Below is a snapshot of major construction projects that took place in 2020 and early 2021 that are improving access to care for the community, and enhancing the patient experience. Progress continues at Hackensack University Medical Center with development of the new Helena Theurer Pavilion. In January 2021, the building's final beam was added and a topping off ceremony took place to mark the important milestone. Once completed in Fall 2022, the impressive ninestory, 530,000-square-foot, state-of-the-art facility will include 24 operating rooms, a 50-bed Intensive Care Unit and 150 medical/surgical private patient rooms, including a 50-bed Orthopedic Institute. The construction of the pavilion is currently one of the largest and most comprehensive health care construction projects in the U.S. and is set to transform the Hackensack University Medical Center campus and greatly enhance the patient experience. In addition, Hackensack University Medical Center recently completed construction of its Central Utility Plant (CUP). The CUP provides power and utilities to the entire campus in a more efficient and effective way. The new 43,500-square-foot facility and upgraded electrical service houses the boilers, steam equipment, chillers, cooling towers and emergency generators. This provides the hospital with enhanced capacity while also providing energy efficiency and consolidating utilities that were previously spread across campus into one central location. In February 2021, we opened the first phase of The Retreat & Recovery At Ramapo Valley. The behavioral health facility sits on a 40-acre campus that offers a serene and historic setting for individuals. This first phase opening provides outpatient addiction services, and a 48-bed inpatient facility and detox services are scheduled to open in 2022 to provide a full array of behavioral health care services. Within a few years, there are also plans for continued expansion to 90 beds. The Retreat & Recovery at Ramapo Valley provides a safe and nurturing space that fosters an environment for healing and personal growth. The opening of this important facility is part of our commitment to dramatically improve behavioral health care services in the state. Jersey Shore University Medical Center opened a new cardiac catheterization laboratory in early 2021. The lab upgrades the academic medical center's services in treating heart disease. It is equipped with GE Healthcare's advanced Innova IGS 520 image guided system, providing physicians with technology to perform a range of leading-edge cardiovascular and electrophysiology, diagnostic and interventional procedures, including advanced transcatheter aortic valve replacement and transcatheter mitral valve repair. Volume continues to grow as Jersey Shore University Medical Center has the only open and minimally invasive heart surgery program in Monmouth and Ocean counties, as well as cardiac technology and treatment options unavailable anywhere else in the region. Ocean Medical Center's New Heart And Vascular Center - a $19.5 million investment that encompasses 17,750 square feet above the Hirair and Anna Hovnanian Emergency Care Center - will combine the hospital's cardiovascular services in one convenient location. Scheduled to open in Fall 2022, the Heart & Vascular Center will feature three multi-purpose catheterization/ vascular labs and hybrid ORs that allow for diagnosis and treatment of heart and vascular conditions in an advanced, collaborative environment. Two labs will be fully equipped hybrid rooms plus a shell space for a third lab to allow for growth. There will also be ten dedicated prep and recovery rooms. This cutting-edge cardiovascular suite will enable cardiologists and vascular surgeons to provide exceptional care and a great patient experience. The new Dr. Robert H. Harris Emergency Care Center At Bayshore Medical Center will be a state-of-the-art, 32,000 square foot facility which will expand the hospital's emergency department capacity to 35 private patient bays and provide a significantly enhanced patient experience. It will be home to the latest technology, including imaging equipment dedicated to the Emergency Department, with the ability to treat approximately 55,000 people annually. This project will expand emergency service capabilities to the community, enhancing access to advanced medical care and repositioning the campus to better meet the needs of our patients. Set to open on July 22, 2021, the new Dr. Robert H. Harris Emergency Care Center is ahead of schedule and on budget. Palisades Medical Center in Spring 2021 opened a new 7,500-square-foot rehabilitation center for outpatient physical and occupational therapy services. Patients receive therapeutic services using state of the art equipment in separate, spacious areas designated for children and for adults. Overlooking beautiful views of the Manhattan skyline, the facility joins other services and centers located in the building, including the John Theurer Cancer Center, the Sleep and Wake Center, Breast Center and the patient care offices of the Palisades Women's Group. Raritan Bay Medical Center Perth Amboy unveiled its new Pediatric Care Center in August 2020. The new Pediatric Care Center is specially designed to meet the emergency needs of sick and injured children while maximizing comfort, increasing efficiency and reducing wait times. Located next to the adult emergency department, the Pediatric Care Center's bright and cheerful environment puts children at ease with private observation rooms and treatment bays specifically designed to support pediatric patient needs. It also features an exceptional team of board-certified physicians, magnet-recognized certified nurses, expertly trained emergency care nurses and nurse practitioners, who specialize in pediatric care. Additionally, the center has multilingual team members committed to improving the emergency care experience. Raritan Bay Medical Center Old Bridge opened a new inpatient diagnostic imaging suite in October 2020. The new suite features larger rooms and a brand new state-of-the-art Computed Tomography (CT) scanner and X-ray machine. The new, self-contained suite is part of the hospital's new Emergency Department. The new CT scanner is a multi-detector scanner, which provides vivid, three-dimensional imaging for diagnosing numerous medical conditions. The technology is especially helpful for angiography, or vascular studies, allowing many patients to avoid more invasive diagnostic procedures. In addition, the new X-ray machine is a digital, low-radiation machine that provides imaging of the head, neck, ch
Schedule H, Part VI, Question 6 HACKENSACK MERIDIAN HEALTH, INC. ("HMH") IS THE TAX-EXEMPT PARENT OF HACKENSACK MERIDIAN HEALTH ("NETWORK"). THIS INTEGRATED HEALTHCARE DELIVERY NETWORK CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER HMH OR ANOTHER NETWORK AFFILIATE CONTROLLED BY HMH. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT NEW JERSEY. HMH IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE CENTRAL ORGANIZATION IN THE GROUP RULING OF THE TAX-EXEMPT ENTITIES INCLUDED IN THIS GROUP TAX RETURN, HMH STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE NETWORK WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF NEW JERSEY. HMH ENSURES THAT ITS NETWORK PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. THE NETWORK'S ACTIVE HOSPITALS INCLUDE: - HACKENSACK UNIVERSITY MEDICAL CENTER, - JERSEY SHORE UNIVERSITY MEDICAL CENTER, - RIVERVIEW MEDICAL CENTER, - OCEAN MEDICAL CENTER, - SOUTHERN OCEAN MEDICAL CENTER, - BAYSHORE COMMUNITY HOSPITAL, - K. HOVNANIAN CHILDREN'S HOSPITAL, - RARITAN BAY MEDICAL CENTER, - PALISADES MEDICAL CENTER, - HMH CARRIER CLINIC, - JFK MEDICAL CENTER, - MOUNTAINSIDE MEDICAL CENTER, AND - PASCACK VALLEY MEDICAL CENTER EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. PLEASE REFER TO SCHEDULE R FOR A LISTING OF ALL AFFILIATED ORGANIZATIONS. QUALITY, SAFETY AND CONSISTENCY ARE AT THE CORE OF WHAT WE BRING TO THE PEOPLE OF NEW JERSEY AND TO THOSE WHO TRAVEL HERE FOR OUR CARE AND SERVICES. THE PHYSICIANS AND CAREGIVERS FROM HACKENSACK MERIDIAN HEALTH ARE AMONG THE FINEST IN THE NATION - STREAMLINING CARE, PUTTING THEIR HEARTS AND MINDS INTO THE CARE THEY PROVIDE, OFFERING PATIENTS MORE OPTIONS AND DISCOVERING AND INNOVATING FOR TOMORROW. HACKENSACK MERIDIAN HEALTH COMBINES THE EXCELLENCE AND INNOVATION OF ACADEMIC MEDICAL CENTERS WITH THE CONVENIENCE AND COMPASSION OF COMMUNITY-BASED CARE AND SERVICES. THE NETWORK CONSISTS OF 13 HOSPITALS, INCLUDING TWO ACADEMIC MEDICAL CENTERS, TWO CHILDREN'S HOSPITALS, NINE ACUTE CARE HOSPITALS, PHYSICIAN PRACTICES, MORE THAN 120 AMBULATORY CARE CENTERS, SURGERY CENTERS, HOME HEALTH SERVICES, LONG-TERM CARE AND ASSISTED LIVING COMMUNITIES, AMBULANCE SERVICES, LIFESAVING AIR MEDICAL TRANSPORTATION, FITNESS AND WELLNESS CENTERS, REHABILITATION CENTERS AND URGENT CARE AND AFTER-HOURS CENTERS. HACKENSACK MERIDIAN HEALTH ALSO TRAINS TOMORROW'S DOCTORS AND ALLIED HEALTH PROFESSIONALS AND CONDUCTS SIGNIFICANT RESEARCH THAT RESULTS IN NEW WAYS OF PREVENTING AND TREATING DISEASE. HIGH ON THE LIST OF MILESTONES WILL BE THE OPENING IN JULY 2018 OF HACKENSACK MERIDIAN SCHOOL OF MEDICINE AT SETON HALL UNIVERSITY, THE ONLY PRIVATE SCHOOL OF MEDICINE IN NEW JERSEY, TO FURTHER PUNCTUATE HACKENSACK MERIDIAN HEALTH'S FOCUS ON ACADEMIC EXCELLENCE. THE SCHOOL OF MEDICINE WILL OFFER A UNIQUE APPROACH IN WHICH STUDENTS FROM NURSING AND ALLIED HEALTH SCIENCES WILL TAKE CLASSES WITH FUTURE DOCTORS TO PRODUCE TEAM-BASED CARE THAT PROVIDES MORE COLLABORATIVE CARE AND BETTER OUTCOMES. BY COMBINING AND SHARING RESOURCES AND IDENTIFYING EFFICIENCIES, HACKENSACK MERIDIAN HEALTH IS PROVIDING PATIENTS WITH THE HIGHEST QUALITY CARE AT THE MOST APPROPRIATE COST, MEETING THE NEEDS OF THE LARGER COMMUNITIES IT SERVES AND ENHANCING ITS ABILITY TO BE INNOVATIVE IN THE DELIVERY OF CARE.
Schedule H, Part VI, Question 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. HACKENSACK MERIDIAN HEALTH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IT MAKES AVAILABLE TO THE PUBLIC.
Schedule H (Form 990) 2020
Additional Data


Software ID:  
Software Version:  

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number
01-0649794
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Adopt-a-Soldier Platoon Inc
PO Box 1111
Fair Lawn,NJ074101111 		26-0322786 501(c)(3) 10,000       SPONSORSHIP
(2) American Academy of Pediatrics Inc
50 Millstone Rd B200 S130
East Windsor,NJ08520 		36-2275597 501(c)(3) 6,250       RESEARCH SUPPORT
(3) American Cancer Society
1035 Hooper Ave
Toms River,NJ08753 		16-0743902 501(c)(3) 30,000       RESEARCH SUPPORT
(4) American College of Healthcare Executives
3439 Eagle Way
Chicago,IL606781034 		36-3208430 501(c)(6) 6,500       SPONSORSHIP
(5) American Heart Association
208 West End Ave
Bridgewater,NJ08807 		13-5613797 501(c)(3) 35,000       RESEARCH SUPPORT
(6) American Lung Association
55 W Wacker Dr Ste 1150
Chicago,IL60601 		13-1632524 501(c)(3) 10,000       RESEARCH SUPPORT
(7) Arthritis Foundation
555 Rt 1 S Ste 220
Iselin,NJ088302000 		58-1341679 501(c)(3) 31,000       SPONSORSHIP
(8) Big Brothers Big Sisters MonMiddlesex
174 Main Street
Eatontown,NJ07724 		22-2155416 501(c)(3) 10,000       CHILDREN'S HEALTH
(9) Catholic Charities USA
590 North 7th Street
Newark,NJ07107 		53-0196620 501(c)(3) 6,000       SPONSORSHIP
(10) Choose New Jersey Inc
201 Rockingham Row
Princeton,NJ08540 		27-2903875 501(c)(3) 6,000       SPONSORSHIP
(11) Fulfil (Food Bank of Mon-Ocn Counties)
3300 NJ 66
Neptune,NJ07753 		22-2622522 501(c)(3) 5,600       SPONSORSHIP
(12) Georgian Court University
900 Lakewood Avenue
Lakewood,NJ08701 		21-0634981 501(c)(3) 10,000       HIGHER EDUCATION
(13) Hackensack Riverkeeper Inc
231 Main Street
Hackensack,NJ07601 		22-3530496 501(c)(3) 8,500       SPONSORSHIP
(14) Holiday Express Inc
1184 Ocean Ave C-8
Sea Bright,NJ07760 		22-3470019 501(c)(3) 10,000       SAFETY & WELLNESS
(15) Immaculate Heart Academy
500 Van Emburgh Ave
Washington,NJ07675 		16-0926742 501(c)(3) 10,000       SPONSORSHIP
(16) Interfaith Neighbors Inc
810 Fourth Avenue
Asbury Park,NJ07712 		22-2896129 501(c)(3) 30,000       SPONSORSHIP
(17) Keeping Babies Safe Inc
16 Mt Bethel Rd N St 245
Warren,NJ07059 		45-2955811 501(c)(3) 15,000       CHILDREN'S HEALTH
(18) Lead New Jersey
20 Nassau St St 235B
Princeton,NJ08542 		47-2471572 501(c)(3) 21,000       SPONSORSHIP
(19) March of Dimes Inc
PO Box 18819
Atlanta,GA31126 		13-1846366 501(c)(3) 20,000       CHILDREN'S HEALTH
(20) Michael Gerard Puharic Memorial Fund Inc
PO Box 787
Matawan,NJ07747 		22-3761121 501(c)(3) 6,000       CHILDREN'S HEALTH
(21) Monmouth Park Charity Fund
175 Oceanport Ave
Oceanport,NJ07757 		22-6063135 501(c)(3) 10,000       SAFETY & WELLNESS
(22) Morris Arts
14 Maple Avenue Suite 301
Morristown,NJ07960 		22-2012936 501(c)(3) 10,000       SPONSORSHIP
(23) National Medical Fellowships Inc
12E 46th St Ste 5E
New York,NY10017 		01-0963657 501(c)(3) 7,500       SPONSORSHIP
(24) New Jersey Symphony Orchestra
60 Park Place 9th Floor
Newark,NJ07102 		22-1559422 501(c)(3) 55,000       SPONSORSHIP
(25) NJ Technology Council Inc
96 Albany Street
New Brunswick,NJ08901 		22-3269507 501(c)(6) 30,000       SPONSORSHIP
(26) Partners for Health Inc
1 Bay Ave
Montclair,NJ07042 		22-3122804 501(c)(3) 10,000       SPONSORSHIP
(27) Professional Sports Publications
519 8th Avenue Floor 25
New York,NY10018 		06-1309165 501(c)(3) 11,000       SPONSORSHIP
(28) StJoseph Hosp & Medical Center Foundation Inc
PO Box 29000
Newark,NJ071019888 		23-2649362 501(c)(3) 6,500       SPONSORSHIP
(29) Susan G Komen Breast Cancer Foundation Inc
4 Campus Dr Ste 110
Parsippany,NJ07054 		75-1835298 501(c)(3) 50,000       SPONSORSHIP
(30) United Way of Monmouth & Ocean Counties
1415 Wyckoff Road
Farmingdale,NJ07727 		22-1828435 501(c)(3) 12,000       HEALTH & WELLNESS
(31) Meridian Medical Group-Pediatric Urology PC
1350 Campus Parkway
Neptune,NJ07753 		81-3921186 501(c)(3) 1,022,922       SUBSIDY
(32) Meridian Medical Group-Primary Care PC
1350 Campus Parkway
Neptune,NJ07753 		14-1981653 501(c)(3) 18,598,656       SUBSIDY
(33) Meridian Medical Group-Specialty Care PC
1350 Campus Parkway
Neptune,NJ07753 		14-1981647 501(c)(3) 47,003,984       SUBSIDY
(34) Meridian Medical Group-Faculty Practice PC
1350 Campus Parkway
Neptune,NJ07753 		06-1755230 501(c)(3) 69,617,146       SUBSIDY
(35) Meridian Trauma Associates PC
1350 Campus Parkway
Neptune,NJ07753 		14-1981651 501(c)(3) 1,721,794       SUBSIDY
(36) Meridian Pediatric Surgical Associates PC
1350 Campus Parkway
Neptune,NJ07753 		77-0720131 501(c)(3) 2,330,582       SUBSIDY
(37) Hackensack University Medical Group PC
1350 Campus Parkway
Neptune,NJ07753 		22-3376459 501(c)(3) 83,764,857       SUBSIDY
(38) HUMC Cardiovascular Partners PC
1350 Campus Parkway
Neptune,NJ07753 		27-0614861 501(c)(3) 23,866,513       SUBSIDY
(39) Hackensack Specialty Care Associates PC
1351 Campus Parkway
Neptune,NJ07754 		20-1017013 501(c)(3) 7,041,266       SUBSIDY
(40) HUMC Medical Observation PA
1350 Campus Parkway
Neptune,NJ07753 		27-2371424 501(c)(3) 1,120,884       SUBSIDY
(41) New Amsterdam Medical Associate PC
1350 Campus Parkway
Neptune,NJ07753 		27-0849894   55,638       SUBSIDY
(42) HUMC Primary Care Associates PC
1350 Campus Parkway
Neptune,NJ07753 		45-3744725   12,413,651       SUBSIDY
(43) JFK Medical Associates PA
1350 Campus Parkway
Neptune,NJ07753 		46-2219798 501(c)(3) 25,029,913       SUBSIDY
(44) JFK Medical Group PC
1350 Campus Parkway
Neptune,NJ07753 		22-3482637   3,994,399       SUBSIDY
(45) Alzheimer's New Jersey
425 Eagle Rock Ave 203
Roseland,NJ07068 		22-2603592 501(c)(3) 10,000       SPONSORSHIP
(46) American Red Cross
209 Fairfield Road
Fairfield,NJ07004 		53-0196605 501(c)(3) 20,000       SPONSORSHIP
(47) Bergen Volunteer Medical Initiative Inc
75 Essex Street Suite 100
Hackensack,NJ07601 		20-2633437 501(c)(3) 35,000       SPONSORSHIP
(48) Borough of Maywood
15 Park Avenue
Maywood,NJ07607 		22-6002067 GOVERNMENT 6,250       SPONSORSHIP
(49) Boy Scouts of America Monmouth Cnsl
705 Ginesi Dr
Morganville,NJ07751 		21-0634963 501(c)(3) 30,000       SPONSORSHIP
(50) Brain Injury Alliance of New Jersey
825 Georges Road 2nd Floor
North Brunswick,NJ08902 		22-2431796 501(c)(3) 20,000       SPONSORSHIP
(51) Clean Ocean Action
18 Hartshoren Drive Suite 2
Highlands,NJ07732 		22-2897204 501(c)(3) 8,500       SPONSORSHIP
(52) Fighting Childrens' Cancer Foundation
55 Lane Road Suite 300
Fairfield,NJ07004 		22-3564371 501(c)(3) 35,000       SPONSORSHIP
(53) Home Fit For Heroes
500 North Franklin Turnpike
Ramsey,NJ07446 		27-1977027 501(c)(3) 6,500       SPONSORSHIP
(54) Medical Society Of New Jersey
2 Princess Road
Lawrenceville,NJ08648 		21-0601684 501(c)(6) 7,500       SPONSORSHIP
(55) Monmouth University
400 Cedar Avenue
West Long Branch,NJ07764 		21-0634584 501(c)(3) 6,000       SPONSORSHIP
(56) National MS Society
733 Third Avenue 3rd Floor
New York,NY10017 		13-5661935 501(c)(3) 20,000       SPONSORSHIP
(57) New Jersey Future
16 W Lafayette St
Trenton,NJ08608 		22-2879323 501(c)(3) 10,000       SPONSORSHIP
(58) New Jersey Prevention Network Inc-NJPN
30 Park Rd 2
Tinton Falls,NJ07724 		22-3427837 501(c)(3) 12,000       SPONSORSHIP
(59) NJ Sharing Network Fdn
691 Central Ave
New Providence,NJ07974 		20-2737719 501(c)(3) 50,000       SPONSORSHIP
(60) Nurses with Global Impact Inc
800 Fifth Avenue
New York,NY10065 		82-4251521   10,000       SPONSORSHIP
(61) Parkinsons Foundations
1359 Broadway Ste 1509
New York,NY10018 		13-1866796 501(c)(3) 8,000       SPONSORSHIP
(62) Pony Power Therapies
1170 Ramapo Valley Rd
Mahwah,NJ07430 		20-3210841 501(c)(3) 13,000       SPONSORSHIP
(63) Preschool Advantage Inc
25 Lindsley Dr 307
Morristown,NJ07960 		22-3360099 501(c)(3) 8,000       SPONSORSHIP
(64) Ramapo College Foundation
505 Ramapo Valley Road
Mahwah,NJ07430 		51-0244756 501(c)(3) 15,000       SPONSORSHIP
(65) ROI-NJ
3 Wing Drive Suite 250
Cedar Knolls,NJ07927 		45-2868520   7,500       SPONSORSHIP
(66) Rutgers University Foundation
335 George St 4000
New Brunswick,NJ08901 		23-7318742 501(c)(3) 400,000       SPONSORSHIP
(67) Sky Blue Womens Soccer Inc
4547 Highway 9N Suite Q
Howell,NJ07731 		20-8804440   45,000       SPONSORSHIP
(68) Spring Lake Memorial Community House
300 Madison Avenue
Spring Lake,NJ07762 		21-6017608 501(c)(3) 40,000       SPONSORSHIP
(69) The Frances Foundation
8 Bryce Rd
Holmdel,NJ07733 		76-0763611 501(c)(3) 6,000       SPONSORSHIP
(70) The Jillian Fund
PO Box 582
Montvale,NJ07645 		46-3805324 501(c)(3) 10,000       SPONSORSHIP
(71) The New Jersey State Chamber of Commerce
216 West State Street 3rd Floor
Trenton,NJ08608 		22-1153980 501(c)(6) 8,500       SPONSORSHIP
(72) The Foundation for the Hall of Fame of NJ
1037 Raymond Boulevard
Newark,NJ07102 		82-3388371 501(c)(3) 300,000       SPONSORSHIP
(73) Thomas Jefferson University CME
1101 Market Street Suite 2900
Philadelphia,PA19107 		23-1352651 501(c)(3) 10,000       SPONSORSHIP
(74) Two River Theater Company Inc
21 Bridge Avenue
Red Bank,NJ07728 		52-1857757 501(c)(3) 120,000       SPONSORSHIP
(75) United Hospital Fund
1411 Broadway
New York,NJ10018 		13-1562656 501(c)(3) 10,000       SPONSORSHIP
(76) Wyckoff Family YMCA
PO Box 203 691 Wyckoff Avenue
Wyckoff,NJ07481 		22-2011431 501(c)(3) 100,000       SPONSORSHIP
(77) YMCA of Metuchen
483 Middlesex Avenue
Metuchen,NJ08840 		22-1487616 501(c)(3) 20,000       SPONSORSHIP
(78) Palisades Medical Associates LLC
343 Thornall Street
Edison,NJ08837 		22-3814193 501(c)(3) 6,482,600       Subsidy
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
68
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
10
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) EDUCATIONAL SCHOLARSHIPS 216 658,417      
(2) HARDSHIP ASSISTANCE 50 67,380      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I; QUESTION 1 OVER THE YEARS, HACKENSACK MERIDIAN HEALTH HAS BEEN FORTUNATE ENOUGH TO OFFER SUPPORT TO CHARITABLE ORGANIZATIONS THROUGH CHARITABLE DONATIONS IN HACKENSACK MERIDIAN HEALTH'S COMMUNITY SERVICE AREA. ADDITIONALLY, HACKENSACK MERIDIAN ENCOURAGES ITS LEADERS, PHYSICIANS, AND TEAM MEMBERS TO SERVE ON THESE LOCAL CHARITABLE ORGANIZATION BOARDS AND COMMITTEES TO ENSURE THAT CONTRIBUTIONS OFFERED THROUGH HACKENSACK MERIDIAN ARE UTILIZED APPROPRIATELY. HACKENSACK MERIDIAN ESTABLISHES AN ANNUAL AMOUNT TO BE DONATED TO SUPPORT OTHER LOCAL TAX-EXEMPT CHARITIES AND UTILIZES THE FOLLOWING CRITERIA IN EVALUATING THE NUMEROUS REQUESTS RECEIVED FROM LOCAL TAX-EXEMPT CHARITIES: - GROUPS THAT PROMOTE AWARENESS OF HEALTH-RELATED ISSUES; - COMMUNITY ASSOCIATIONS THAT HELP THOSE IN NEED OF BASIC NECESSITIES INCLUDING, BUT NOT LIMITED TO, FOOD, CLOTHING, AND SHELTER; - ORGANIZATIONS THAT ENCOURAGE YOUNG PEOPLE TO ACHIEVE THEIR POTENTIAL, USE THEIR IMAGINATION, AND KEEP THEM SAFE FROM HARM; AND - SOCIAL SERVICES THAT PROVIDE RELIEF AND COUNSELING TO THOSE SUFFERING FROM ABUSE. HACKENSACK MERIDIAN VERIFIES THE USE OF CONTRIBUTED FUNDS BY ATTENDING SUPPORTED EVENTS, REQUESTING COPIES OF JOURNAL ADS OR PROOF OF "FUNDED-BY" SIGNAGE, REVIEWING ORGANIZATIONAL ANNUAL REPORTS, AND VOLUNTEERING WITH THESE ORGANIZATIONS TO ENSURE THE ADVANCEMENT OF THE SUPPORTED MISSION.
SCHEDULE I; PART III SCHOLARSHIPS AND HARDSHIP ASSISTANCE ARE AWARDED BASED ON AN ANALYSIS OF CRITERIA OF ESTABLISHED POLICY SET BY HACKENSACK MERIDIAN HEALTH, INC. THE SCHOLARSHIP AND HARDSHIP ASSISTANCE RECIPIENTS ARE SELECTED BY A COMMITTEE OF THE ORGANIZATION BASED ON A REVIEW AND ANALYSIS OF THE OBJECTIVE AND NONDISCRIMINATORY CRITERIA.
Schedule I (Form 990) 2020



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes on 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 .....
1b
Yes
 
2
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 on Line 1a? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Robert C Garrett FACHE
CEO/Trustee 		(i)

(ii)		 2,159,815
-------------
0 		2,050,561
-------------
0 		2,322,430
-------------
0 		313,909
-------------
0 		25,002
-------------
0 		6,871,717
-------------
0 		1,224,200
-------------
0
2Robert L Glenning
Pres, Fin & IT Svcs Div, CFO 		(i)

(ii)		 1,273,594
-------------
0 		626,510
-------------
0 		1,098,194
-------------
0 		14,250
-------------
0 		29,590
-------------
0 		3,042,138
-------------
0 		350,554
-------------
0
3Mark Stauder
Chairperson/COO 		(i)

(ii)		 1,448,581
-------------
0 		651,420
-------------
0 		493,598
-------------
0 		14,250
-------------
0 		22,574
-------------
0 		2,630,423
-------------
0 		0
-------------
0
4Ihor Sawczuk MD
Trustee/Reg. Pres, Hospitals 		(i)

(ii)		 1,561,167
-------------
0 		512,385
-------------
0 		282,704
-------------
0 		68,700
-------------
0 		22,174
-------------
0 		2,447,130
-------------
0 		0
-------------
0
5Joseph M Lemaire
Pres., Diversified Ventures 		(i)

(ii)		 1,162,797
-------------
0 		486,468
-------------
0 		602,411
-------------
0 		14,250
-------------
0 		23,294
-------------
0 		2,289,220
-------------
0 		164,408
-------------
0
6Patrick Young
Pres, Population Health 		(i)

(ii)		 919,146
-------------
0 		564,417
-------------
0 		618,260
-------------
0 		351,200
-------------
0 		32,419
-------------
0 		2,485,442
-------------
0 		245,137
-------------
0
7Nancy Corcoran-Davidoff
Vice Chair/EVP, Chf Exp&HR Off 		(i)

(ii)		 793,520
-------------
0 		238,351
-------------
0 		1,046,517
-------------
0 		71,103
-------------
0 		21,974
-------------
0 		2,171,465
-------------
0 		273,842
-------------
0
8Audrey C Murphy ESQ MSN RN
EVP, Chf Legal Officer, Oper 		(i)

(ii)		 792,468
-------------
0 		302,100
-------------
0 		725,028
-------------
0 		173,315
-------------
0 		30,202
-------------
0 		2,023,113
-------------
0 		301,781
-------------
0
9James Blazar
EVP, Chief Strategy Officer 		(i)

(ii)		 889,414
-------------
0 		342,586
-------------
0 		591,896
-------------
0 		14,250
-------------
0 		22,174
-------------
0 		1,860,320
-------------
0 		131,304
-------------
0
10Kenneth N Sable MD
Reg Pres, Hospitals 		(i)

(ii)		 1,035,646
-------------
0 		401,011
-------------
0 		204,758
-------------
0 		168,750
-------------
0 		37,419
-------------
0 		1,847,584
-------------
0 		122,955
-------------
0
11Ann B Gavzy Esq
EVP, Chief Legal Off, T&C Svcs 		(i)

(ii)		 791,835
-------------
0 		302,100
-------------
0 		673,087
-------------
0 		22,800
-------------
0 		25,194
-------------
0 		1,815,016
-------------
0 		103,241
-------------
0
12Catherine A Ainora
EVP, Chief Integration Officer 		(i)

(ii)		 761,023
-------------
0 		284,833
-------------
0 		535,689
-------------
0 		14,250
-------------
0 		12,432
-------------
0 		1,608,227
-------------
0 		204,469
-------------
0
13Joseph Parrillo MD
Chairman, HVH 		(i)

(ii)		 1,293,412
-------------
0 		100,375
-------------
0 		106,329
-------------
0 		14,250
-------------
0 		20,434
-------------
0 		1,534,800
-------------
0 		0
-------------
0
14Mark D Sparta MD
President, CHE, HUMC, EVP Pop 		(i)

(ii)		 867,734
-------------
0 		279,234
-------------
0 		204,336
-------------
0 		96,665
-------------
0 		31,469
-------------
0 		1,479,438
-------------
0 		41,808
-------------
0
15Timothy J Hogan
President, CTS 		(i)

(ii)		 829,435
-------------
0 		307,824
-------------
0 		332,626
-------------
0 		22,800
-------------
0 		4,865
-------------
0 		1,497,550
-------------
0 		0
-------------
0
16Raymond F Fredericks
Reg Pres,Hosp. (Termed 6/2019) 		(i)

(ii)		 0
-------------
0 		147,701
-------------
0 		1,074,598
-------------
0 		0
-------------
0 		0
-------------
0 		1,222,299
-------------
0 		0
-------------
0
17Jeffrey R Boscamp
SVP, SCH OF MED DVLPMNT/CO-CAO 		(i)

(ii)		 688,247
-------------
0 		216,472
-------------
0 		146,038
-------------
0 		71,373
-------------
0 		2,650
-------------
0 		1,124,780
-------------
0 		0
-------------
0
18Manuel Alvarez MD
Staff Physician 		(i)

(ii)		 527,408
-------------
369,750 		35,759
-------------
0 		27,823
-------------
0 		69,223
-------------
0 		28,051
-------------
0 		688,264
-------------
369,750 		4,453
-------------
0
19Todd Way
REG PRESIDENT, HOSPITALS 		(i)

(ii)		 720,375
-------------
0 		150,000
-------------
0 		50,376
-------------
0 		120,813
-------------
0 		27,269
-------------
0 		1,068,833
-------------
0 		0
-------------
0
20Joseph E Stampe
Regional Pres, Foundations 		(i)

(ii)		 459,837
-------------
0 		244,991
-------------
0 		156,096
-------------
0 		49,249
-------------
0 		32,419
-------------
0 		942,592
-------------
0 		62,385
-------------
0
21Paul Chung MD
Trustee/Physician, SOMC 		(i)

(ii)		 551,243
-------------
0 		20,000
-------------
0 		251,746
-------------
0 		14,250
-------------
0 		28,647
-------------
0 		865,886
-------------
0 		0
-------------
0
22Gusta A Pritchett
SVP, Revenue Cycle Operations 		(i)

(ii)		 515,868
-------------
0 		139,487
-------------
0 		151,942
-------------
0 		5,700
-------------
0 		12,432
-------------
0 		825,429
-------------
0 		0
-------------
0
23Richard C Smith
SVP, Finance (TERMED 12/2020) 		(i)

(ii)		 559,017
-------------
0 		154,077
-------------
0 		41,374
-------------
0 		9,975
-------------
0 		21,595
-------------
0 		786,038
-------------
0 		0
-------------
0
24Pranaychandra Vaidya MD
Trustee/Chief, Cath Lab 		(i)

(ii)		 686,354
-------------
0 		32,633
-------------
0 		35,645
-------------
0 		5,700
-------------
0 		22,079
-------------
0 		782,411
-------------
0 		0
-------------
0
25John K Lloyd FACHE
Former Co-CEO (Termed 12/2018) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		806,128
-------------
0 		0
-------------
0 		0
-------------
0 		806,128
-------------
0 		0
-------------
0
26Helen A Cunning
Regional Pres, Foundations 		(i)

(ii)		 387,368
-------------
0 		191,918
-------------
0 		82,093
-------------
0 		72,070
-------------
0 		22,174
-------------
0 		755,623
-------------
0 		28,030
-------------
0
27William Oser MD
Trustee/CMO, JFKMC 		(i)

(ii)		 584,038
-------------
0 		81,268
-------------
0 		29,374
-------------
0 		14,250
-------------
0 		30,430
-------------
0 		739,360
-------------
0 		0
-------------
0
28Donna Snider CFA
SVP, Chief Investment Officer 		(i)

(ii)		 564,734
-------------
0 		150,000
-------------
0 		28,453
-------------
0 		75,621
-------------
0 		25,054
-------------
0 		843,862
-------------
0 		0
-------------
0
29Andrew L Pecora MD
Pres, Phys Div(Termed 5/2019) 		(i)

(ii)		 0
-------------
0 		166,188
-------------
0 		546,775
-------------
0 		0
-------------
0 		0
-------------
0 		712,963
-------------
0 		445,732
-------------
0
30Donald Parker
Trustee/Pres, Carrier Clinic 		(i)

(ii)		 399,415
-------------
0 		156,901
-------------
  		47,903
-------------
  		14,250
-------------
0 		23,644
-------------
0 		642,113
-------------
0 		0
-------------
0
31Thomas Salazer MD
Trustee/chief, nephrology 		(i)

(ii)		 114,232
-------------
473,424 		0
-------------
0 		0
-------------
5,969 		0
-------------
4,275 		0
-------------
14,034 		114,232
-------------
497,702 		0
-------------
0
32Harpreet Pall MD
Trustee/CHAIRMAN, GASTRO 		(i)

(ii)		 514,640
-------------
0 		16,961
-------------
0 		44,516
-------------
0 		14,250
-------------
0 		13,056
-------------
0 		603,423
-------------
0 		0
-------------
0
33Richard M Neibart MD
Trustee/Srvc Line Medical Dir. 		(i)

(ii)		 569,569
-------------
0 		0
-------------
0 		15,000
-------------
0 		14,250
-------------
0 		0
-------------
0 		598,819
-------------
0 		0
-------------
0
34Amie Thornton
Trustee/CHF HOSP EXEC, JFK 		(i)

(ii)		 435,810
-------------
0 		72,408
-------------
0 		6,874
-------------
0 		56,217
-------------
0 		2,615
-------------
0 		573,924
-------------
0 		0
-------------
0
35John D Royall MD
Trustee/Physician, SOMC 		(i)

(ii)		 427,128
-------------
0 		20,000
-------------
0 		10,454
-------------
0 		14,250
-------------
0 		1,870
-------------
0 		473,702
-------------
0 		0
-------------
0
36Aida Capo MD
Trustee/Medical Director, PMA 		(i)

(ii)		 36,425
-------------
306,226 		 
-------------
21,860 		 
-------------
2,609 		 
-------------
12,305 		 
-------------
27,244 		36,425
-------------
370,244 		0
-------------
0
37Joyce Hendricks
Chief Devel Officer 		(i)

(ii)		 269,997
-------------
0 		32,000
-------------
0 		63,609
-------------
0 		13,686
-------------
0 		2,961
-------------
0 		382,253
-------------
0 		0
-------------
0
38Sarah L Timmapuri MD
Trustee/Physician, HUMC 		(i)

(ii)		 236,051
-------------
11,242 		9,636
-------------
0 		21,753
-------------
0 		13,421
-------------
0 		20,300
-------------
0 		301,161
-------------
11,242 		0
-------------
0
39Surender M Grover MD
Secretary/Chairman, MD Dept 		(i)

(ii)		 269,419
-------------
0 		0
-------------
0 		3,582
-------------
0 		13,500
-------------
0 		1,958
-------------
0 		288,459
-------------
0 		0
-------------
0
40Suri Ponamgi MD
Trustee/Chairman, Surgery, PMA 		(i)

(ii)		 194,981
-------------
0 		0
-------------
0 		15,025
-------------
0 		10,776
-------------
0 		17,476
-------------
0 		238,258
-------------
0 		0
-------------
0
41Mark D Schlesinger MD
Trustee/Chair, Anesthesiology 		(i)

(ii)		 159,639
-------------
0 		12,045
-------------
0 		2,002
-------------
0 		6,473
-------------
0 		9,032
-------------
0 		189,191
-------------
0 		0
-------------
0
42AdrIan M Pristas MD
Trustee/Corp. Medical Director 		(i)

(ii)		 152,453
-------------
0 		0
-------------
0 		1,851
-------------
0 		6,375
-------------
0 		16,755
-------------
0 		177,434
-------------
0 		0
-------------
0
43Linda Hill
Ex Dir, Fndtn (Termed 11/2020) 		(i)

(ii)		 152,249
-------------
0 		0
-------------
0 		1,470
-------------
0 		5,486
-------------
0 		14,659
-------------
0 		173,864
-------------
0 		0
-------------
0
44DANIEL VARGA MD
CHIEF PHYSICIAN EXECUTIVE 		(i)

(ii)		 850,513
-------------
0 		100,000
-------------
0 		93,043
-------------
0 		14,250
-------------
0 		28,421
-------------
0 		1,086,227
-------------
0 		0
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
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 1A Please refer to our response to Schedule J, Part I, Question 4B
SCHEDULE J, PART I; QUESTION 3 PLEASE REFER TO OUR RESPONSE TO CORE FORM, PART VI, QUESTIONS 15A & 15B INCLUDED IN SCHEDULE O.
SCHEDULE J; PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR ENDED DECEMBER 31, 2020. THE FOLLOWING AMOUNT WAS INCLUDED IN THE INDIVIDUAL'S 2020 W-2 AND IN COLUMN (B) OF SCHEDULE J: RAYMOND F. FREDERICKS, $1,077,404.
SCHEDULE J; PART I; QUESTION 4B THE AMOUNT REFLECTED IN 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 2020 FORM W-2 AS TAXABLE WAGES: ROBERT C. GARRETT, FACHE, $715,088; NANCY CORCORAN-DAVIDOFF, $601,132; ROBERT L. GLENNING, $337,931; TIMOTHY J. HOGAN, $299,264; ANN B. GAVZY, ESQ., $275,280; AUDREY C. MURPHY, ESQ., MSN, RN, $244,452; MARK STAUDER, $210,000; IHOR S. SAWCZUK, M.D., $200,896; KENNETH N. SABLE, M.D., $165,598; PATRICK YOUNG, $157,275; JAMES BLAZAR, $131,990; JOSEPH E. STAMPE, $116,645; CATHERINE AINORA, $113,095; ANDREW L. PECORA, M.D., $110,781; MARK D. SPARTA, M.D., $106,475; JOSEPH E. PARRILLO, M.D., $87,500; JEFFREY BOSCAMP, $81,784; DANIEL VARGA, MD, $71,250; GUSTA A. PRITCHETT, $62,337; JOYCE HENDRICKS, $43,875; HELEN A. CUNNING, $36,157; AND MANUEL ALVAREZ, M.D., $10,075. The amounts listed in column B(iii) for the following individuals includes a payment of benefits under a long-term incentive plan. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2 AS TAXABLE WAGES: Robert C. Garrett, FACHE; $1,309,744; Robert L. Glenning, $566,555; Joseph M. Lemaire, $520,603; Andrew L. Pecora,, MD, $435,994; Patrick Young, $407,896; James Blazar, $383,519; Ann B. Gavzy, Esq., $342,607; AUDREY C. MURPHY, ESQ., MSN, RN, $342,607; Catherine Ainora, $333,134; Nancy Corcoran-Davidoff, $310,728; Mark Stauder, $224,000. The amounts listed in column B(iii) for John K. Lloyd, FACHE includes a payment of benefits under a long-term incentive plan in the amount $760,312 as well as an annuity payout of $45,816 from the nonqualified supplemental executive retirement plan provided by Jersey Shore Medical Center to Mr. Lloyd for his past services as CEO, and which is paid in annuity form. HUMC SERP is a Defined Benefit (DB) executive retirement benefit plan under which benefits have been frozen since 2011. FICA taxes on a participant's DB SERP benefits are not due until the full and final benefit becomes "reasonably ascertainable", which happens when the participant terminates employment. IRS regulations permit DB SERP plan sponsors to pay FICA taxes on the accrued benefits before participants terminate employment ("Early Inclusion") even though the benefit is not yet finally calculated and paid to the participant. This can be done as many times as the plan sponsor wishes before the actual termination date. Per the "non-duplication rule", once FICA tax is paid on the value of a benefit, no further FICA tax is owed on the same benefit value. HMH complied with this special rule by paying applicable FICA tax on the accrued benefits in 2020. The individuals listed below had amounts reported on their W-2s in box 3 and box 5 (solely for the purpose of paying FICA tax under the early inclusion rule), but the individuals did not actually receive the amounts. The taxable amounts had already been included in box 1 of their W-2s in 2010 and prior years. As a result, the amounts were not included in the compensation amounts reported in Part VII and in Schedule J again for 2020. The excess of the amounts reported in box 3 and box 5 of the 2020 Forms W-2 over the amounts reported in box 1 of the 2020 Form W-2 are as follows for the individuals reported in Part VII: ROBERT C. GARRETT, FACHE, $4,520,514; JEFFREY BOSCAMP, $1,804,507; IHOR S. SAWCZUK, $1,258,660; NANCY CORCORAN-DAVIDOFF, $1,191,920; AUDREY C. MURPHY, ESQ., MSN, RN, $797,963; MANUEL ALVAREZ, M.D., $755,468; ANDREW L. PECORA, M.D., $672,252; GUSTA A. PRITCHETT, $550,508; ROBERT L. GLENNING, $449,592; MARK D. SPARTA, M.D., $18,274. The highest compensated employees listed in Part VII were determined separately using both box 1 and box 5, with all individuals who are highest compensated under either method being listed. Upon retirement of a participant, and as required by the DB SERP plan, HMH provides a full tax gross-up on the benefits earned by the participant. HMH provides reimbursement of the tax so that the benefit is provided without cost to the individual. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN COLUMN (C) FOR THE FOLLOWING INDIVIDUALS INCLUDES A RETENTION BONUS WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS AMOUNT. THE AMOUNTS WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2 AS TAXABLE WAGES: ROBERT C. GARRETT AND PATRICK YOUNG. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN COLUMN (C) FOR THE FOLLOWING INDIVIDUALS INCLUDE BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THESE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE INDIVIDUALS WILL NOT EARN THE RIGHT TO RECEIVE THE DEFERRED COMPENSATION AMOUNTS UNLESS AND UNTIL THEY PROVIDE SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. WHEN THE FUTURE SERVICES REQUIREMENT IS MET, THE AMOUNTS WILL BECOME VESTED, WILL BE TAXED, WILL BE INCLUDED ON THE W-2, AND WILL BE REPORTED AGAIN ON THIS SCHEDULE. JOSEPH E. STAMPE, MARK D. SPARTA, M.D., HELEN A. CUNNING, KENNETH N. SABLE, M.D., AUDREY C. MURPHY, ESQ., MSN, RN, PATRICK YOUNG, TODD WAY, DONNA SNIDER, AMIE THORNTON, AND MANUEL ALVAREZ, M.D.
Schedule J (Form 990) 2020

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2020
Schedule L (Form 990 or 990-EZ) 2020
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?
Yes No
(1) Larson Whelan Family Member - Trustee 91,025 Employee   No
(2) Sage O Farrar Kealy Family Member - Trustee 154,235 Employee   No
(3) Christine M Lake Family Member - Trustee 52,357 Employee   No
(4) Michael J Scardino Family Member - Trustee 106,816 Employee   No
(5) Ami P Vaidya Family Member - Trustee 325,625 Employee   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2020


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 1 219 FMV
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 6,090 FMV
5 Clothing and household
goods ....... 		X 11,337 FMV
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 12 854,988 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 597 882,527 FMV
20 Drugs and medical supplies . X 92 1,697,698 FMV
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( EVENT TICKETS ) X 5 36,915 FMV
26 Other Right pointing arrow large image ( TOYS ) X 72 102,016 FMV
27 Other Right pointing arrow large image ( ELECTRONICS ) X 20 186,847 FMV
28 Other Right pointing arrow large image ( VARIOUS ) X 73 340,686 FMV
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2020)
Schedule M (Form 990) (2020)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
SCHEDULE M, PART I THE ORGANIZATION IS REPORTING IN SCHEDULE M, PART I, COLUMN (B) THE NUMBER OF CONTRIBUTIONS.
Schedule M (Form 990) (2020)

Additional Data


Software ID:  
Software Version:  
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
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; 24 VOTING, 15 INDEPENDENT; - THE COMMUNITY HOSPITAL GROUP, INC.; 13 VOTING, 11 INDEPENDENT; - HMH RESIDENTIAL CARE, INC.; 10 VOTING, 7 INDEPENDENT; - HEALTH INNOVATIONS UNLIMITED, INC.; 10 VOTING, 7 INDEPENDENT; - HACKENSACK MERIDIAN HEALTH FOUNDATION, INC.; 20 VOTING, 14 INDEPENDENT; - HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC.; 69 VOTING, 57 INDEPENDENT; - JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC.; 26 VOTING, 17 INDEPENDENT; - RIVERVIEW MEDICAL CENTER FOUNDATION, INC.; 21 VOTING, 15 INDEPENDENT; - OCEAN MEDICAL CENTER FOUNDATION, INC.; 16 VOTING, 13 INDEPENDENT; - SOUTHERN OCEAN MEDICAL CENTER FOUNDATION, INC.; 23 VOTING; 18 INDEPENDENT; - BAYSHORE MEDICAL CENTER FOUNDATION, INC.; 18 VOTING; 13 INDEPENDENT; - RARITAN BAY HEALTHCARE FOUNDATION, INC.; 10 VOTING, 7 INDEPENDENT; - PALISADES MEDICAL CENTER FOUNDATION, INC.; 13 VOTING, 12 INDEPENDENT; - JOHN F. KENNEDY MEDICAL CENTER FOUNDATION, INC.; 17 VOTING, 15 INDEPENDENT; - MUHLENBERG FOUNDATION, INC.; 2 VOTING, 2 INDEPENDENT; - HACKENSACK MERIDIAN HEALTH REALTY CORPORATION; 13 VOTING, 10 INDEPENDENT; - BERGEN HEALTH MANAGEMENT SYSTEM, INC.; 3 VOTING, 0 INDEPENDENT; - HACKENSACK MERIDIAN AMBULATORY VENTURES, INC.; 13 VOTING, 8 INDEPENDENT; - MUHLENBERG REGIONAL MEDICAL CENTER, INC.; 5 VOTING, 2 INDEPENDENT; - HARTWYCK AT OAK TREE, INC.; 10 VOTING, 7 INDEPENDENT; - HARTWYCK AT JFK, INC.; 10 VOTING, 7 INDEPENDENT; - ROBERT WOOD JOHNSON, JR., LIFESTYLE INSTITUTE, INC.; 4 VOTING, 3 INDEPENDENT; AND -HMH CARRIER CLINIC, INC.; 11 VOTING, 8 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; 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). ANY TRUSTEE, OFFICER OR KEY EMPLOYEE WITH A DISCLOSED CONFLICT WOULD RECUSE THEMSELVES FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS OF A TRANSACTION IN QUESTION. 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 15A & 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, 2020, 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 Henning* Thomas Kononowitz* Marvin Goldstein, Esq. Rosemarie J. Sorce* Robert C. Garrett* William Lawless, Ph.D. Gloria Martini* Aida Capo, M.D. Gregorio Guillen, M.D. Susan Hassmiller, Ph.D., RN* Luke Kealy, Esq. Thomas R. Lake, III MD Steven P. Lisser, MD* William J. Murray* Edward V. Piccinich Shawn Reynolds* Anthony Scardino, Jr.* Andria Schneiderman Pranaychandra Vaidya, M.D. Frank J. Vuono* John Wilcha Walter Wynkoop, M.D. Frank L. Fekete, CPA* Mark Stauder* Samuel Toscano, Jr.* (Deceased 3/24/20) Gordon Litwin, Esq. (Deceased 4/5/20) HMH Residential Care, Inc. ===================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Robert C. Garrett* Frank L. Fekete, CPA* Gordon N. Litwin, Esq.* (Deceased 4/5/20) HMH Carrier Clinic, Inc. =========================== Lawrence R. Inserra, Jr.* Thomas Amato Ann Damsgaard Caryl Kourgelis Donald Parker Gordon Pingicer Jaime Robertson-Lavalle Lauren Wright* Mary Christie Susan Hassmiller, PH.D., RN* Robert C. Garrett, FACHE* Donna Simon (Resigned 8/2020) Gordon N. Litwin, Esq. (Deceased 4/5/20) Health Innovations Unlimited, Inc. =========================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Robert C. Garrett* Frank L. Fekete, CPA* Gordon N. Litwin, Esq.* (Deceased 4/5/20) Hackensack Meridian Health Foundation, Inc. =========================== Robert G. Harms* Andrew Citron, MD* John A. Giunco, Esq. Steven M. Scopellite* Joseph E. 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* Jeremy Grunin* Joyce Hendricks* Kimberly Guadagno Skye K. Gibson 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 Diaz* William McLaughlin Lauren Wright* Jill Joyce* Amy Peene James P. Andersen John Apovian, MD 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 Peter C. Gerhard Matthew A. Golson Gail Gordon, Esq. William C. Hanson 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* Robert E. O'Hara, III Samuel S. Raia Julia Recaman Joseph P. Riccardo Joseph A. Rizzi, Esq. David T. Robertson, Esq. Christopher A. Rotio Ann Marie Saccaro 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* Anthony C. Taccetta, Jr. Scott Tarriff Frank J. Vuono* Joanne Wexler Joyce Hendricks* Stephen Martinez Thomas Evans Tim Hodges (Termed 1/2020) Thomas Salazer, M.D. (Termed 1/2020) Sarah L. Timmapuri, MD (Termed 1/2020) Samuel Toscano, Jr.* (Deceased 3/24/2020) Robert S. Hekemian, Jr. (Termed 3/2020) Mitchell Baker (Termed 2/2020) Michael Gross, MD (Termed 2/2020) Peter A. Gross, MD (Termed 3/2020) Kristen Gerhard (Termed 2/2020) James R. Napolitano, Esq.* (Termed 4/2020) Deborah A. Stone (Termed 2/2020) Christopher Turner (Termed 2/2020) James R. Beattie, Esq. (Termed 6/2020) Andrew Rubenstein, MD (Termed 7/2020) 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* T. Burt Barham Thomas DeFelice Sandra Keary* Stephan C. Lowy Robert W. Mullen Kenneth D. Nahum, DO Richard M. Neibart, MD Philip L. Perricone Robert Smith Robert L. Sweeney, DO Marilyn G. Trapani Alexander Taylor Camille Doronin David Epstein, Esq.* Gary Tolchin Harpreet Pall, MD Jeremy Grunin* Richard Loshiavo Riverview Medical Center Foundation, Inc. ================================== Steven M. Scopellite* Nancy Mulheren* Peter T. Roselle Jonathan B. Schultz Joseph E. Stampe* Robert Garrett* Hilary DiPiero Negin Noorchashm Griffith, MD Leslie Hitchner Steven P. Lisser, MD* Robert Morris Brian N. Nelson, Esq. Shawn Reynolds* Margaret Riker John D. Royall, MD Siran Sahakian Richard J. Saker Benedict J. Torcivia, Jr. Michael Walker Maria Maher Robin Klein
CORE FORM, PART VII AND SCHEDULE J (CONTINUED) Ocean Medical Center Foundation, Inc. =============================== Robert Garrett* Robert G. Harms* 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 Peter Mencel, MD Douglas Schwarz Southern Ocean Medical Center Foundation, Inc. ======================================= Deborah Mathis* Joan M. Hart Joseph E. Stampe* Jackie Hillman Jeremy DeFilippis Joseph Rulli Phyllis Buttermark Robert Garrett* Robert Stohrer 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. Christopher Fritz Judith Brophy Matthew Matey Thomas J. Dolan* Bayshore Medical Center Foundation, Inc. ================================== Serena DiMaso, Esq.* Evaristo Stanziale* Carol Stillwell* Vincent Hager Joseph E. Stampe* Robert Garrett* Gaurav Baveja Gregory A. Buontempo Angelo DeRosa Mollie Giamanco John DeLiso Rajiv Prasad Richard Kolber AdrIan M. Pristas, MD Asaad Hani Samra, MD Jason Savarese Christopher M. Striano Lori Ann Davidson Glen Dalakin (Termed 8/2020) Raritan Bay Healthcare Foundation, Inc. ================================ Robert Garrett* Andrew Citron, MD* Joseph E. Stampe* Surender M. Grover, MD Jessica Smith David Lee Hernandez, Jr.* Dominick A. Cama Leonard Somarriba Jane Mueller Laura Bianchini Steven Rogers (Termed 9/2020) Linda Hill (Termed 11/28/20) Palisades Medical Center Foundation, Inc. ================================== John C. Meditz* Alexander Duran Thomas M. Eastwick Leonard Lauricella Blanca N. Mankiewicz Mario Marghella Alejandra Pazmino Suri Ponamgi, MD Howard Shiffman Lillian Sonnenschein Thomas M Venino, Jr. Jeannine Ali Robert DiVincent 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. Robert C. Garrett* Frank L. Fekete, CPA* Gordon N. Litwin, Esq.* (Deceased 4/5/20) Bergen Health Management Services, Inc. ================================== Mark Stauder* Nancy Corcoran-Davidoff Robert Glenning Hackensack Meridian Ambulatory Ventures, Inc. ======================================= Alfred J Schiavetti, Jr. Thomas Kononowitz* William Crane Robert C. Garrett* James Renna William Hickey Robert E O'Hara, III* James Kirkos Kristen Bunnell James M. Bollerman Mark Stauder* Frank L. Fekete, CPA* Joseph M. Lemaire* Richard Smith* (No longer with HMH as of 12/2020) Gordon N. Litwin, Esq.* (Deceased 4/5/20) Hartwyck at JFK, Inc. ================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Robert C. Garrett, FACHE* Frank L. Fekete, CPA* Gordon N. Litwin, Esq.* (Deceased 4/5/20) The Community Hospital Group, Inc. ============================= Robert C. Garrett* Michael A. Kleiman, DMD* John L. Kolaya James J. Galeota Douglas Nordstrom Praful Raja* Frank Fekete James Bollerman John McDonough Joseph Yewaisis Franklin Spirn, MD David A. Belowich Lawrence Zagarola Hartwyck at Oak Tree, Inc. ===================== David Epstein, Esq.* Ulises Diaz* Gloria Martini* Joseph M. Lemaire* Dennis Robinson* Maris Lown* Christopher Maher* Katherine York* Robert C. Garrett, FACHE* Frank L. Fekete, CPA* Gordon N. Litwin, Esq.* (Deceased 4/5/20) Robert Wood Johnson Lifestyle Institute, Inc. ==================================== John G. McDonough, DMD* Jay M. Jeney Richard Smith* Michael A. Kleiman, DMD* Muhlenberg Regional Medical Center, Inc. ================================== Douglas A. Nordstrom Richard Smith* Michael A. Kleiman, DMD* Amie Thornton Todd Way William Oser, MD (board reconstituted on 7/29/20) Mari Bonini (board reconstituted on 7/29/20) Charles K. Anastasiou (board reconstituted on 7/29/20) 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 Jason Cheng John F. Kwasnik, Esq John G. McDonough, DMD* Lorraine Mulligan Michael A. Kleiman, DMD* Peter Visceglia, Esq Praful Raja* Vincent Amabile Katie Barnes Mary Beth Cunningham Sheila Ruegger (Termed 11/29/20) Donna Meade* (Retired from HMH 3/2020) Muhlenberg Foundation, Inc. ======================= Robert J. Goellner O. Oliver Anderson Donna Meade* (Retired from HMH 3/2020)
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; LINE 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 - ($28,746,497); - EQUITY TRANSFER - $16,859,790; - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ACQUISITION - $35,255,523; - CHANGES IN PENSION RELATED ADJUSTMENTS - ($89,518,673); - LOSSES ON UNCOLLECTIBLE PLEDGES - ($19,601,813); - NET LOSS ATTRIBUTABLE TO NON-CONTROLLING INTEREST - (1,000); - OTHER CHANGES IN UNRESTRICTED NET ASSETS - $9,593,649; - HMH PROGRAM SERVICE REVENUE RECLASS - ($17,577,780); - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL ACQUISITION; TEMPORARILY RESTRICTED - ($12,022,590); - NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATING ACTIVITIES; TEMPORARILY RESTRICTED - ($976,366); - BENEFICIAL INTEREST IN FOUNDATIONS; TEMPORARILY RESTRICTED - $8,384,769; AND - OTHER CHANGES IN TEMPORARILY RESTRICTED NET ASSETS - ($21,520)
CORE FORM, PART XII; LINE 2 PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number

01-0649794
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) SOCH PROPERTIES I LLC
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
33-1035243 		TITLE HOLDING NJ 534,387 2,303,139 HMHRC
 
(2) SOCH PROPERTIES II LLC
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
26-0838981 		TITLE HOLDING NJ 165,479 1,521,931 HMHRC
 
(3) SOCH PROPERTIES 3 CLOCK BLDG LLC
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
51-0538953 		TITLE HOLDING NJ 92,104 2,073,364 HMHRC
 
(4) HACKENSACK PHYSICIAN ALLIANCE LLC
30 PROSPECT AVENUE
HACKENSACK,NJ07601
45-4966639 		INACTIVE NJ 0 0 HMHHC
 
(5) 20 PROSPECT HOLDINGS LLC
30 PROSPECT AVENUE
HACKENSACK,NJ07601
47-4381262 		INACTIVE NJ 0 100,572,333 HMHHC
 
(6) MHAC I LLC
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753
20-5268126 		TITLE HOLDING NJ 0 21,828,120 HMHRC
 
(7) KINGSLAND STREET URBAN RENEWAL LLC
343 THORNALL STREET
EDISON,NJ08837
81-3857390 		PARKING GARAG NJ 5,864,359 185,616,881 HMHHC
 
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?
Yes No
(1)HACKENSACK MERIDIAN HEALTH INC
343 THORNALL STREET

EDISON,NJ08837
22-3474145 		HEALTH SVCS. NJ 501(C)(3) 12C NA
 
 
No
(2)PALISADES MEDICAL ASSOCIATES LLC
7600 RIVER ROAD

NORTH BERGEN,NJ07047
22-3814193 		HEALTH SVCS. NJ 501(C)(3) 10 HMHHC
 
Yes
 
(3)MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
343 THORNALL STREET

EDISON,NJ08837
06-1755228 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(4)MERIDIAN MEDICAL GROUP-FACULTY PRACTICE
343 THORNALL STREET

EDISON,NJ08837
06-1755230 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(5)MERIDIAN MEDICAL ASSOCIATES PC
343 THORNALL STREET

EDISON,NJ08837
06-1755233 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(6)HMH MEDICAL GROUP-PRIMARY CARE PC
343 THORNALL STREET

EDISON,NJ08837
14-1981653 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(7)MERIDIAN MEDICAL GROUP-SPECIALTY CAREPC
343 THORNALL STREET

EDISON,NJ08837
14-1981647 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(8)MERIDIAN TRAUMA ASSOCIATES PC
343 THORNALL STREET

EDISON,NJ08837
14-1981651 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(9)MERIDIAN OBGYN ASSOCIATES PC
343 THORNALL STREET

EDISON,NJ08837
06-1755239 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(10)MERIDIAN PEDIATRIC SURGICAL ASSOC PC
343 THORNALL STREET

EDISON,NJ08837
77-0720131 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(11)SOMC MEDICAL GROUP PC
343 THORNALL STREET

EDISON,NJ08837
27-1412183 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(12)HACKENSACK SPECIALTY CARE ASSOCIATES PC
30 PROSPECT AVENUE

HACKENSACK,NJ07601
20-1017013 		HEALTH SVCS. NJ 501(C)(3) 12A HMHHC
 
Yes
 
(13)HMH MEDICAL GROUP-SPECIALTY CARE PC
30 PROSPECT AVENUE

HACKENSACK,NJ07601
22-3376459 		HEALTH SVCS. NJ 501(C)(3) 12A HMHHC
 
Yes
 
(14)HUMC CARDIOVASCULAR PARTNERS PC
30 PROSPECT AVENUE

HACKENSACK,NJ07601
27-0614861 		HEALTH SVCS. NJ 501(C)(3) 10 HMHHC
 
Yes
 
(15)HUMC MEDICAL OBSERVATION PA
30 PROSPECT AVENUE

HACKENSACK,NJ07601
27-2371424 		HEALTH SVCS. NJ 501(C)(3) 12A HMHHC
 
Yes
 
(16)MERIDIAN OCCUPATIONAL HEALTH PC
343 THORNALL STREET

EDISON,NJ08837
27-2377326 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(17)MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY
343 THORNALL STREET

EDISON,NJ08837
81-3921186 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
 
No
(18)THE AUXILIARY OF HACKENSACKUMC
30 PROSPECT AVENUE

HACKENSACK,NJ07601
22-1537117 		SUPPORT HMHHC NJ 501(C)(3) 12C HMHHC
 
Yes
 
(19)JFK MEDICAL ASSOCIATES PA
98 JAMES STREET

EDISON,NJ08820
46-2219798 		HEALTH SVCS. NJ 501(C)(3) 10 HMH
 
Yes
 
(20)HACKENSACK MERIDIAN SCHOOL OF MEDICINE
340 KINGSLAND STREET

NUTLEY,NJ07110
81-3872529 		HEALTH SVCS. NJ 501(C)(3) 2 HMH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



 		(k)
Percentage
ownership
Yes No Yes No
(1) HUMCUSP SURGERY CENTERS LLC

30 PROSPECT AVENUE
HACKENSACK,NJ07601
38-3875474 		HEALTH SVCS NJ HMHHC
  		RELATED 2,295,865 30,712,482   No 0     50.100 %
(2) OLD BRIDGE MEDICAL ASSOCIATES LLC

1 HOSPITAL PLAZA
OLD BRIDGE,NJ08857
22-2894388 		HEALTH SVCS NJ HMHHC
  		RELATED 1,399,732 5,758,034   No 0     79.862 %
(3) COASTAL CO-OP OF NJ

343 THORNALL STREET
EDISON,NJ08837
22-3603146 		PURCHASING NJ HMHHC
  		RELATED 33,551 1,000,531   No 0     95.000 %
(4) MERIDIAN HEALTH VILLAGE REALTY ASSOC

343 THORNALL STREET
EDISON,NJ08837
27-4328412 		REAL ESTATE NJ HMHRC
  		RELATED 2,465,146 26,274,335   No 0     88.680 %
(5) MERIDIAN LIVING AT MANALAPAN LLC

343 THORNALL STREET
EDISON,NJ08837
47-3603026 		HEALTH SVCS NJ HMHRC
  		RELATED 732,516 15,067,970     0     51.000 %
(6) HACKENSACK MERIDIAN LIVING AT HOLMDEL

343 THORNALL STREET
EDISON,NJ08837
81-5095156 		HEALTH SVCS NJ HMHRC
  		RELATED 0 13,797,232   No 0     51.000 %
(7) ESSEX RESIDENTIAL CARE LLC

343 THORNALL STREET
EDISON,NJ08837
83-2041597 		HEALTH SVCS NJ HMHRC
  		RELATED 7,652,455 17,868,007   No 0     51.000 %
(8) BERGEN POST ACUTE CARE LLC

343 THORNALL STREET
EDISON,NJ08837
83-2058275 		HEALTH SVCS NJ HMHRC
  		RELATED 8,339,462 28,194,050   No 0     51.000 %
(9) HACKENSACK MUSCULOSKELETAL SURGERY CENTE

100 CHARLES EWING BLVD
EWING,NJ08628
85-3437054 		HEALTH SVCS NJ HMHHC
  		RELATED 0 0     0     51.000 %
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?
Yes No
(1) HACKENSACK MERIDIAN HEALTH VENTURES INC

343 THORNALL STREET
EDISON,NJ08837
22-2550716 		HEALTH SVCS NJ NA
  		C CORP 1,346,011 28,310,663      
(2) PALISADES CHILD CARE CENTER INC

343 THORNALL STREET
EDISON,NJ08837
22-2812623 		DAY CARE CENT NJ NA
  		C CORP 477,406 2,955,167      
(3) HACKENSACKUMC CASUALTY COMPANY LTD

CHEVRON HOUSE 44 CHURCH STREET
HAMILTON   HM12
BD
FINANCIAL VEH BD HMHHC
  		C CORP 4,428,201 19,122,647 100.000 % Yes  
(4) RARITAN INSURANCE LTD

23 LIME TREE BAY AVE PO BOX 1363
GRAND CAYMAN    
CJ
FINANCIAL VEH CJ HMHHC
  		C CORP 0 3,891,167 100.000 %   No
(5) COASTAL MEDICAL INSURANCE LTD

CHEVRON HOUSE 44 CHURCH STREET
HAMILTON   HM12
BD
98-0166769 		FINANCIAL VEH BD HMHHC
  		C CORP 25,599,803 15,387,144 100.000 %    
(6) OAPCA INC

1140 ROUTE 72 WEST
MANAHAWKIN,NJ08050
22-3298974 		CONDO ASSOCIA NJ MHCHMHRC
  		C CORP 61,500 70,327 100.000 %    
(7) JFK MEDICAL GROUP PC

98 JAMES STREET
EDISON,NJ08820
22-3482637 		HEALTH SVCS NJ NA
  		C CORP 9,242,360 2,826,058      
(8) JFK AMBULATORY CARE PA

98 JAMES STREET
EDISON,NJ08820
47-3018240 		HEALTH SVCS NJ NA
  		C CORP 2,645,452 2,779,201      
(9) ALERT AMBULANCE SERVICE INC

1195 AIRPORT ROAD
LAKEWOOD,NJ08701
22-1968480 		AMBULANCE SER NJ NA
  		C CORP 0 0      
(10) HMH CASUALTY COMPANY LTD

CHEVRON HOUSE 44 CHURCH STREET
HAMILTON    
BD
FINANCIAL VEH BD HMHHC
  		C CORP 0 217,447 100.000 % Yes  
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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





Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
SCHEDULE R OUTLINED BELOW IS A LIST OF SUBORDINATE ORGANIZATIONS INCLUDED AS SUBORDINATES IN THE HACKENSACK MERIDIAN HEALTH, INC. GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. - HMH HOSPITALS CORPORATION (FEID: 22-1487576) - THE COMMUNITY HOSPITAL GROUP, INC. (FEID: 22-6019101) - HMH CARRIER CLINIC, INC. (FEID: 22-1714106) - CENTER FOR DISCOVERY AND INNOVATION, INC. (35-2662866) - HMH RESIDENTIAL CARE, INC. (FEID: 22-2731440) - HEALTH INNOVATIONS UNLIMITED, INC. (FEID: 22-2581430) - HACKENSACK MERIDIAN HEALTH FOUNDATION, INC. (FEID: 30-0107825) - HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2339534) - JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2342452) - RIVERVIEW MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2333524) - OCEAN MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2361311) - SOUTHERN OCEAN MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2666099) - BAYSHORE MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2367109) - RARITAN BAY HEALTHCARE FOUNDATION, INC. (FEID: 22-2656665) - PALISADES MEDICAL CENTER FOUNDATION, INC. (FEID: 22-3693169) - JOHN F. KENNEDY MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2315044) - MUHLENBERG FOUNDATION, INC. (FEID: 51-0212678) - HACKENSACK MERIDIAN HEALTH REALTY CORPORATION (FEID: 22-3200147) - BERGEN HEALTH MANAGEMENT SYSTEM, INC. (FEID: 22-2989731) - HACKENSACK MERIDIAN AMBULATORY VENTURES, INC. (FEID: 45-1227706) - MUHLENBERG REGIONAL MEDICAL CENTER FOUNDATION, INC. (FEID: 22-1487258) - HARTWYCK AT OAK TREE, INC. (FEID: 22-2666023) - HARTWYCK AT JFK, INC. (FEID: 20-4144804) - ROBERT WOOD JOHNSON, JR., LIFESTYLE INSTITUTE, INC. (FEID: 22-2421433)
Schedule R (Form 990) 2020

Additional Data


Software ID:  
Software Version: