MERIDIAN TRAUMA ASSOCIATES PC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MERIDIAN TRAUMA ASSOCIATES PC (EIN 14-1981651)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201703179349304655
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T11:24:17-08:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141981651 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERIDIAN TRAUMA ASSOCIATES PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERI | BusinessNameControlTxt |
| Phone | 7327513361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 CAMPUS PARKWAY | AddressLine1Txt |
| City | NEPTUNE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07753 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES CLARKE | PersonNm |
| Person Title | VICE PRESIDENT, PRIMARY CARE | PersonTitleTxt |
| Phone | 7327513361 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 205.172.192.80 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 11:24:04 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 03E12B073B1B7C25047E1BC3139B392951978148 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 01D72944816E49B67932DA5E4599F09606782E45 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KENNETH N SABLE MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 CAMPUS PARKWAY | AddressLine1Txt |
| City | NEPTUNE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,041,221 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERIDIANHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | THE CORPORATION WILL FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF HACKENSACK MERIDIAN HEALTH, INC. AND ITS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT AFFILIATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 2 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 24 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,664,917 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,041,221 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,664,917 | PYTotalRevenueAmt |
| CY Total Revenue | $6,041,221 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,985,834 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,724,313 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,679,083 | PYOtherExpensesAmt |
| CY Other Expenses | $2,316,908 | CYOtherExpensesAmt |
| PY Total Expenses | $6,664,917 | PYTotalExpensesAmt |
| CY Total Expenses | $6,041,221 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,144,932 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,452,773 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,144,932 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,452,773 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,327,028 | ExpenseAmt |
| Revenue | $2,668,844 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING ADMINISTRATIVE, SUPERVISORY, TEACHING, COVERAGE AND RESEARCH SERVICES TO MERIDIAN HOSPITALS CORPORATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, IN FURTHERANCE OF ITS PRIMARY TAX-EXEMPT PURPOSE IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,372,377 | ExpenseAmt |
| Revenue | $3,372,377 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES DIRECTLY TO PATIENTS THROUGH THE PHYSICIANS EMPLOYED BY THE CORPORATION. ACCORDINGLY, THE CORPORATION IS AN INTEGRAL PART OF HACKENSACK MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,699,405 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 24 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 2 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIE DOLAN MACKANIC CPA | PersonNm |
| Phone | 7326434386 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 CAMPUS PARKWAY | AddressLine1Txt |
| City | NEPTUNE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KENNETH N SABLE MD | |||||||
| PRESIDENT & TREASURER | 2.50 | Yes (X) | Yes (X) | $0 | $934,854 | $49,692 | |
| JAMES CLARKE MD | |||||||
| VICE PRESIDENT & SECRETARY | 2.50 | Yes (X) | Yes (X) | $0 | $557,181 | $38,910 | |
| NASIM AHMED MD | |||||||
| PHYSICIAN | 55.00 | $655,806 | $0 | $53,297 | Yes (X) | ||
| MICHAEL KNIGHT MD | |||||||
| PHYSICIAN | 55.00 | $550,893 | $0 | $18,485 | Yes (X) | ||
| JOHN GORECHLAD MD | |||||||
| PHYSICIAN | 55.00 | $297,458 | $0 | $23,656 | Yes (X) | ||
| PAUL BAUER MD | |||||||
| PHYSICIAN | 55.00 | $201,069 | $0 | $16,009 | Yes (X) | ||
| DIANE ROSENTHAL PA | |||||||
| PHYSICIAN ASSISTANT | 55.00 | $153,190 | $0 | $30,416 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,858,416 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,492,035 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $230,465 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RUTGERS ROBERT WOOD JOHNSON | |||||
| P O BOX 2685 | NEW BRUNSWICK | NJ | 08903 | MEDICAL | $775,254 |
| MEDICAL SEARCH INTERNATIONAL | |||||
| 23 VREELAND ROAD | FLORHAM PARK | NJ | 07932 | STAFFING | $764,413 |
| LOCUMTENENSCOM | |||||
| 2655 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30009 | STAFFING | $676,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | $3,372,377 |
| SUBSIDIES FROM MERIDIAN PRACTICE INSTITUTE | 900099 | $2,668,844 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,041,221 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,041,221 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,041,221 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,378,535 | TotalAmt |
| Program Services | $3,378,535 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,050 | TotalAmt |
| Program Services | $70,050 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,365 | TotalAmt |
| Program Services | $109,365 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,363 | TotalAmt |
| Program Services | $166,363 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,014 | TotalAmt |
| Program Services | $153,198 | ProgramServicesAmt |
| Management And General | $341,816 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,409,297 | TotalAmt |
| Program Services | $1,409,297 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BILLING FEES | $334,868 | $334,868 | $0 | $0 |
| OTHER CONTRACTUAL EXPENSES | $71,379 | $71,379 | $0 | $0 |
| LICENSES, DUES AND FEES | $6,350 | $6,350 | $0 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,041,221 | TotalAmt |
| Program Services | $5,699,405 | ProgramServicesAmt |
| Management And General | $341,816 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,745,139 | BOYAmt |
| EOY | $461,588 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,793 | BOYAmt |
| EOY | $363,251 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $627,934 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,144,932 | BOYAmt |
| EOY | $1,452,773 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,914,938 | BOYAmt |
| EOY | $1,452,773 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,994 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,144,932 | BOYAmt |
| EOY | $1,452,773 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,144,932 | BOYAmt |
| EOY | $1,452,773 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,889,935 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,080,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,072,822 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,664,917 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,824,982 | CurrentTaxYearAmt |
| Total | $32,533,134 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,889,935 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,080,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,072,822 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,664,917 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,824,982 | CurrentTaxYearAmt |
| Total | $32,533,134 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $32,533,134 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,533,134 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED PARTIES | Desc |
| Book Value | $627,934 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $627,934 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt X, Line 2 | FormAndLineReferenceDesc |
| Explanation | PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE SIX MONTH PERIOD ENDED DECEMBER 31, 2016. THE FOLLOWING DISCLOSURE IS INCLUDED IN THE ORGANIZATION'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF THE 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740):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. 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH N SABLE MD | |||||||||||
| $661,487 | $143,800 | $129,567 | $7,950 | $41,742 | $984,546 | ||||||
| JAMES CLARKE MD | |||||||||||
| $459,671 | $80,000 | $17,510 | $9,275 | $29,635 | $596,091 | ||||||
| NASIM AHMED MD | |||||||||||
| $398,465 | $18,200 | $239,142 | $28,043 | $25,254 | $709,104 | ||||||
| MICHAEL KNIGHT MD | |||||||||||
| $348,542 | $18,000 | $184,351 | $9,275 | $9,210 | $569,378 | ||||||
| JOHN GORECHLAD MD | |||||||||||
| $203,713 | $15,000 | $78,745 | $7,950 | $15,706 | $321,114 | ||||||
| PAUL BAUER MD | |||||||||||
| $152,341 | $15,000 | $33,728 | $6,045 | $9,965 | $217,079 | ||||||
| DIANE ROSENTHAL PA | |||||||||||
| $144,376 | $725 | $8,089 | $5,560 | $24,855 | $183,605 | ||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt I Line 4b | SCHEDULE J, PART I; QUESTION 4BTHE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: KENNETH N. SABLE, M.D., $97,766. |
| Pt I Line 5a | SCHEDULE J, PART I; QUESTION 5ATHE AMOUNT REFLECTED IN COLUMN B (III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VARIABLE COMPENSATION WHICH IS CALCULATED BASED ON A PERCENTAGE OF THE INDIVIDUAL'S TOTAL COLLECTIONS FOR PERSONALLY PERFORMED PROFESSIONAL SERVICES. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2016 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: NASIM AHMED, M.D., $220,388; MICHAEL KNIGHT, M.D., $173,674; JOHN GORECHLAD, M.D., $61,373 AND PAUL BAUER, M.D., $26,252. |
| Pt I Line 7 | SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2016 WHICH AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUALS'S 2016 FORM W-2, BOXES 1 AND 5 AS TAXABLE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other | FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSIONTHE ORGANIZATION WILL FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF HACKENSACK MERIDIAN HEALTH, INC. AND ITS TAX-EXEMPT AFFILIATES DESCRIBED IN SECTION 501(C)(3) BY (1) PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES DIRECTLY TO PATIENTS THROUGH THE PHYSICIANS EMPLOYED BY THE CORPORATION AND (2) PROVIDING ADMINISTRATIVE, SUPERVISORY, TEACHING, COVERAGE AND RESEARCH SERVICES TO MERIDIAN HOSPITALS CORPORATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, IN FURTHERANCE OF ITS PRIMARY TAX-EXEMPT PURPOSE IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. ACCORDINGLY, THE ORGANIZATION IS AN INTEGRAL PART OF HACKENSACK MERIDIAN HEALTH. |
| Other | MESSAGE TO THE COMMUNITYAT HACKENSACK MERIDIAN HEALTH, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITALS, NURSING HOMES AND OTHER HEALTHCARE ENTITIES (E.G., HACKENSACK MERIDIAN HOME CARE SERVICES, INC.) REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITIES. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. EVEN AS WE FACE GROWING ECONOMIC PRESSURES - THE LACK OF ADEQUATE STATE AND FEDERAL REIMBURSEMENT, AND INCREASING COSTS OF PHARMACEUTICALS AND TECHNOLOGY - WE REMAIN COMMITTED TO ENSURING THAT THE RESIDENTS OF MONMOUTH AND OCEAN COUNTIES STAY WELL THROUGH BETTER HEALTH AND EDUCATION. CARING FOR ALL MEMBERS OF THE COMMUNITY AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, HACKENSACK MERIDIAN HEALTH IS THE REGIONAL LEADER IN PROVIDING INNOVATIVE AND ACCESSIBLE HEALTHCARE PROGRAMS AND SERVICES TO INDIVIDUALS, FAMILIES, AND COMMUNITIES THROUGHOUT NEW JERSEY. EVERYONE DESERVES ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF THEIR ABILITY TO PAY. FOR PEOPLE WHO ARE UNABLE TO PAY FOR MEDICAL CARE, HACKENSACK MERIDIAN HEALTH PROVIDES FREE OR DISCOUNTED SERVICES. IN 2016, MERIDIAN HEALTH PROVIDED $158 MILLION IN CHARITY CARE AND OTHER UNCOMPENSATED CARE, SERVING AS THE HEALTHCARE SAFETY NET FOR OUR COMMUNITY'S MOST VULNERABLE POPULATIONS. IN ADDITION, HACKENSACK MERIDIAN HEALTH DEDICATED MORE THAN $31.8 MILLION IN SUBSIDIZING VITAL HEALTH SERVICES SUCH AS OUTPATIENT DIALYSIS, BEHAVIORAL HEALTH SERVICES, AND FAMILY HEALTH CLINICS. HACKENSACK MERIDIAN HEALTH'S 2016 COMMUNITY BENEFIT REPORT CAN BE FOUND ONLINE AT WWW.HACKENSACKMERIDIANHEALTH.ORG OR UPON REQUEST THROUGH ANY OF HACKENSACK MERIDIAN HEALTH'S FACILITIES. |
| Pt VI, Line 6 | CORE FORM, PART VI, SECTION A; QUESTION 6THERE EXISTS A SHAREHOLDER CONTROL AGREEMENT WHEREIN THE SHAREHOLDER OF THE ORGANIZATION HAS DELEGATED CERTAIN RESERVED POWERS TO HACKENSACK MERIDIAN HEALTH, INC., A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK (WHICH INCLUDES THIS ORGANIZATION) INCLUDING ELECTING, APPOINTING AND REMOVAL OF THE DIRECTORS AND OFFICERS OF THE ORGANIZATION. |
| Pt VI, Line 7a | CORE FORM, PART VI, SECTION A; QUESTION 7ASEE RESPONSE TO PART VI, QUESTION 6 ABOVE. |
| Pt VI, Line 7b | CORE FORM, PART VI, SECTION A; QUESTION 7BSEE RESPONSE TO PART VI, QUESTION 6 ABOVE. |
| Pt VI, Line 8b | CORE FORM, PART VI, SECTION A; QUESTION 8BPLEASE NOTE THAT THE ORGANIZATION DID NOT HAVE ANY COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY DURING THE YEAR. HOWEVER, HAD THERE BEEN ANY COMMITTEES, THE MEETINGS WOULD HAVE BEEN DOCUMENTED. |
| Pt VI, Line 11b | CORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE IN THE HACKENSACK MERIDIAN HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE ORGANIZATION'S FINANCE PERSONNEL PREPARED AND REVIEWED THE FEDERAL FORM 990. THE ORGANIZATION'S FEDERAL FORM 990 WAS THEN PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| Pt VI, Line 12c | CORE FORM, PART VI, SECTION B; QUESTION 12CHACKENSACK MERIDIAN HEALTH, INC., THE TAX-EXEMPT PARENT ORGANIZATION OF HACKENSACK MERIDIAN HEALTH, A TAX-EXEMPT INTEGRATED HEALTH CARE 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 GENERAL COUNSEL FOR REVIEW. GENERAL COUNSEL THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO THE NETWORK'S GOVERNANCE AND BOARD DEVELOPMENT COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). DURING THE YEAR, 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. ALTHOUGH THIS ORGANIZATION IS NOT A SUBSIDIARY, ITS BOARD OF TRUSTEE MEMBERS ARE EMPLOYED BY SUBSIDIARIES OF HACKENSACK MERIDIAN HEALTH, INC. AND ARE BOUND BY THE POLICY DESCRIBED ABOVE. |
| Pt VI, Line 15a | CORE FORM, PART VI, SECTION B; QUESTION 15AREASONABLE COMPENSATION IS DETERMINED BY 1) A REVIEW OF THE PHYSICIAN'S BACKGROUND AND EXPERIENCE, INCLUDING EDUCATION, PROFESSIONAL AND ADMINISTRATIVE QUALIFICATIONS, RESEARCH PROJECTS, PUBLICATIONS, AND COMMUNITY ACTIVITIES; 2) ASSIGNED RESPONSIBILITIES AND ADMINISTRATIVE AND CLINICAL WORK VOLUMES INCLUDING OFF-HOURS ON-CALL COVERAGE; 3) THE RESULTS OF THE PHYSICIAN'S ANNUAL PERFORMANCE REVIEW, WHICH IS CONDUCTED BY THE PRESIDENT OF EACH PROFESSIONAL CORPORATION AND WHERE RELEVANT, THE PHYSICIAN'S SUPERVISOR; AND 4) MARKET DEMAND FOR THE PHYSICIANS IN THE PARTICULAR SPECIALTY. THEN, A COMPARISON OF PHYSICIAN COMPENSATION TO NATIONAL BENCHMARKS FOR PHYSICIANS IN SIMILAR POSITIONS IS DONE. COMPENSATION IS BENCHMARKED WITH WIDELY USED INDUSTRY STANDARDS AND SURVEYS, INCLUDING THOSE PUBLISHED BY MEDICAL GROUP MANAGEMENT ASSOCIATION AND SULLIVAN COTTER AND ASSOCIATES. THE PHYSICIAN'S POSITION AND PROPOSED COMPENSATION, THE COMPARABILITY DATA RELATING TO HIS OR HER MEDICAL SPECIALTY, OPINIONS FROM COMPENSATION CONSULTANTS, AND ANY OTHER INFORMATION DEEMED RELEVANT FOR ALL NEW PHYSICIANS AND FOR CHANGES IN COMPENSATION FOR EXISTING PHYSICIANS ARE REVIEWED BY A COMMITTEE OF HACKENSACK MERIDIAN HEALTH, INC., TO CONFIRM FAIR MARKET VALUE AND COMMERCIAL REASONABLENESS. IF A PHYSICIAN'S RECOMMENDED ANNUAL TOTAL CASH COMPENSATION FALLS ABOVE THE 75TH PERCENTILE ON THE BENCHMARK REVIEW OR IS $500,000 OR MORE, AN ADDITIONAL LEVEL OF REVIEW IS COMPLETED BY THE PHYSICIAN COMPENSATION SUBCOMMITTEE OF THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF HACKENSACK MERIDIAN HEALTH TO DETERMINE WHAT, IF ANY, ADDITIONAL FACTORS MAY JUSTIFY A HIGHER SALARY, SUCH AS AN INDIVIDUAL'S CLINICAL PRODUCTIVITY AS MEASURED BY WORK RELATIVE VALUE UNITS, AND WHETHER THE COMPENSATION PAID REFLECTS FAIR MARKET VALUE AND IS COMMERCIALLY REASONABLE. THIS ADDITIONAL REVIEW PROCESS MAY INCLUDE RETAINING SULLIVAN COTTER AND ASSOCIATES, INC., A PROFESSIONAL COMPENSATION CONSULTANT, TO PROVIDE AN OPINION ON THE FAIRNESS AND REASONABLENESS OF SUCH COMPENSATION. THUS, THE EXEMPT ENTITY, HACKENSACK MERIDIAN HEALTH, INC., CONTROLS THE COMPENSATION PAID TO PHYSICIANS PURSUANT TO THIS PROCESS. |
| Pt VI, Line 15b | CORE FORM, PART VI, SECTION B; QUESTION 15BSEE RESPONSE TO PART VI, QUESTION 15A ABOVE. |
| Pt VI, Line 19 | CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| Pt VII, Col (E) | CORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| Other | CORE FORM, PART IX, LINE 11GPROFESSIONAL SERVICE AGREEMENTS EXPENSES; $1,409,297 |
| Pt XII, Line 2c | CORE FORM, PART XII; QUESTION 2PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE SIX MONTH PERIOD ENDED DECEMBER 31, 2016, 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. COMPLIANCE AND AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HACKENSACK MERIDIAN HEALTH INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223474145 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | NA | false |
| MERIDIAN HOSPITALS CORPORATION | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223471515 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | HMH | false |
| RARITAN BAY MEDICAL CENTER | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 221494442 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | MHC | false |
| HACKENSACK UNIVERSITY MEDICAL CENTER | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 221487576 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | HMH | false |
| PALISADES MEDICAL CENTER INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 221487278 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | HMH | false |
| SHORE REHABILITATION INSTITUTE INC | ||||||||||
| 425 JACK MARTIN BOULEVARD | BRICK | NJ | 08724 | 223274755 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | MHC | false |
| HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222339534 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| PALISADES MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223693169 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| MERIDIAN HEALTH FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 300107825 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222342452 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| RARITAN BAY HEALTHCARE FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222656665 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| RIVERVIEW MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222333524 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| OCEAN MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222361311 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| SOUTHERN OCEAN MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222666099 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| BAYSHORE COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222367109 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| HACKENSACK MERIDIAN HOME CARE SERVICES INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222731440 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| HEALTH INNOVATIONS UNLIMITED INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222581430 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMHCS | false |
| HACKENSACK MERIDIAN NURSING & REHABILITATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 521772578 | NURSING LTC | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| HACKENSACK MERIDIAN HEALTH REALTY CORPORATION | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223200147 | TITLE HOLDING | NJ | 501(C)(3) | 509(A)(3) | HMH | false |
| HACKENSACK MERIDIAN AMBULATORY VENTURES INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 461227706 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| BERGEN HEALTH MANAGEMENT SYSTEM INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222989731 | DAY CARE | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| PALISADES GENERAL CARE INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222587492 | NURSING LTC | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| PALISADES MEDICAL ASSOCIATES LLC | ||||||||||
| 7600 RIVER ROAD | NORTH BERGEN | NJ | 07047 | 223814193 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | PMC | false |
| MERIDIAN PRACTICE INSTITUTE INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 061755235 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755228 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-FACULTY PRACTICE PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755230 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL ASSOCIATES PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755233 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-PRIMARY CARE PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 141981653 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 141981647 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN OBGYN ASSOCIATES PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755239 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN PEDIATRIC SURGICAL ASSOCIATES PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 770720131 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| SOMC MEDICAL GROUP PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 271412183 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| HACKENSACK SPECIALTY CARE ASSOCIATES PC | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 201017013 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | HUMC | false |
| HACKENSACK UNIVERSITY MEDICAL GROUP PC | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 223376459 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | HUMC | false |
| HUMC CARDIOVASCULAR PARTNERS PC | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 270614861 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HUMC | false |
| HUMC MEDICAL OBSERVATION PA | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 272371424 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | HUMC | false |
| MERIDIAN OCCUPATIONAL HEALTH PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 272377326 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| HUMCUSP SURGERY CENTERS LLC | |||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 383875474 | HEALTH SVCS | NJ | NA |
| OLD BRIDGE MEDICAL ASSOCIATES LLC | |||||||
| 1 HOSPITAL PLAZA | OLD BRIDGE | NJ | 08857 | 222894388 | HEALTH SVCS | NJ | NA |
| RARITAN BAY SURGICAL PARTNERS LLC | |||||||
| 530 NEW BRUNSWICK AVENUE | PERTH AMBOY | NJ | 08861 | 465153212 | HEALTH SVCS | NJ | NA |
| COASTAL CO-OP OF NJ | |||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 223603146 | PURCHASING | NJ | NA |
| MERIDIAN HEALTH VILLAGE REALTY ASSOC | |||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 274328412 | REAL ESTATE | NJ | NA |
| JACKSON VILLAGE IMAGING LLC | |||||||
| 840 CRESCENT CENTER DRIVE | FRANKLIN | TN | 37067 | 320443283 | HEALTH SVCS | NJ | NA |
| MERIDIAN AT STAFFORD LLC | |||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 472675296 | REAL ESTATE | NJ | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RARITAN MANAGEMENT CORPORATION | |||||||||||||
| 530 NEW BRUNSWICK AVENUE | PERTH AMBOY | NJ | 08861 | 222209778 | AMBULANCE SVCS | NJ | NA | C | false | ||||
| HACKENSACK MERIDIAN HEALTH VENTURES INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222550716 | HEALTH SVCS | NJ | NA | C | false | ||||
| MERIDIAN HEALTH MANAGEMENT INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222620595 | HEALTH SVCS | NJ | NA | C | |||||
| HACKENSACK MERIDIAN HEALTH MANAGEMENT INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222608891 | SVC MANAGEMENT | NJ | NA | C | |||||
| PALISADES CHILD CARE CENTER INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222812623 | DAY CARE CENTER | NJ | NA | C | |||||
| HACKENSACKUMC CASUALTY COMPANY LTD | |||||||||||||
| 221487576 | FINANCIAL VEHICLE | NA | C | CHEVRON HOUSE 44 CHURCH STREET | HAMILTON | BD | BD | ||||||
| RARITAN INSURANCE LTD | |||||||||||||
| FINANCIAL VEHICLE | NA | C | 23 LIME TREE BAY AVENUE PO BOX 1363 | GRAND CAYMAN | CJ | CJ | |||||||
| COASTAL MEDICAL INSURANCE LTD | |||||||||||||
| 980166769 | FINANCIAL VEHICLE | NA | C | CHEVRON HOUSE 44 CHURCH STREET | HAMILTON | BD | BD | ||||||
| SOUTHERN OCEAN HEALTH ALLIANCE INC | |||||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 223266544 | HEALTH SVCS | NJ | NA | C | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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