2017-11-13T11:24:17-08:00 2016-12-31 990 2016-01-01 141981651 MERIDIAN TRAUMA ASSOCIATES PC MERI 7327513361 1350 CAMPUS PARKWAY NEPTUNE NJ 07753 JAMES CLARKE VICE PRESIDENT, PRIMARY CARE 7327513361 2017-11-13 205.172.192.80 2017-11-13 11:24:04 PS P 03E12B073B1B7C25047E1BC3139B392951978148 01D72944816E49B67932DA5E4599F09606782E45 2016 2017-02-10 21:41:12Z KENNETH N SABLE MD 1350 CAMPUS PARKWAY NEPTUNE NJ 07753 6041221 false X WWW.MERIDIANHEALTH.COM X 2006 NJ 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. 2 0 24 0 0 0 6664917 6041221 0 0 6664917 6041221 0 0 1985834 3724313 0 0 4679083 2316908 6664917 6041221 0 2144932 1452773 2144932 1452773 0 X SEE SCHEDULE O false false 2327028 2668844 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. 3372377 3372377 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. 5699405 true false false false false false false false false false false false false true false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 1 0 true 24 true false false false false false false false false false false X 2 0 false false false false true true true true false false false true true true true true true true true false X MARIE DOLAN MACKANIC CPA 7326434386 1350 CAMPUS PARKWAY NEPTUNE NJ 07753 X KENNETH N SABLE MD PRESIDENT & TREASURER 2.50 X X 0 934854 49692 JAMES CLARKE MD VICE PRESIDENT & SECRETARY 2.50 X X 0 557181 38910 NASIM AHMED MD PHYSICIAN 55.00 X 655806 0 53297 MICHAEL KNIGHT MD PHYSICIAN 55.00 X 550893 0 18485 JOHN GORECHLAD MD PHYSICIAN 55.00 X 297458 0 23656 PAUL BAUER MD PHYSICIAN 55.00 X 201069 0 16009 DIANE ROSENTHAL PA PHYSICIAN ASSISTANT 55.00 X 153190 0 30416 1858416 1492035 230465 11 false true false RUTGERS ROBERT WOOD JOHNSON P O BOX 2685 NEW BRUNSWICK NJ 08903 MEDICAL 775254 MEDICAL SEARCH INTERNATIONAL 23 VREELAND ROAD FLORHAM PARK NJ 07932 STAFFING 764413 LOCUMTENENSCOM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 STAFFING 676955 3 NET PATIENT SERVICE REVENUE 541900 3372377 SUBSIDIES FROM MERIDIAN PRACTICE INSTITUTE 900099 2668844 6041221 6041221 6041221 X 3378535 3378535 0 0 70050 70050 0 0 109365 109365 0 0 166363 166363 0 0 495014 153198 341816 0 1409297 1409297 0 0 BILLING FEES 334868 334868 0 0 OTHER CONTRACTUAL EXPENSES 71379 71379 0 0 LICENSES, DUES AND FEES 6350 6350 0 0 6041221 5699405 341816 0 1745139 461588 399793 363251 627934 2144932 1452773 1914938 1452773 229994 2144932 1452773 X 0 0 2144932 1452773 0 X X false true X true false X 0 0 0 5889935 6080478 6072822 6664917 7824982 32533134 5889935 6080478 6072822 6664917 7824982 32533134 32533134 32533134 1.00000 1.00000 0 0.00000 X DUE FROM RELATED PARTIES 627934 627934 X Pt X, Line 2 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. X X X X X false true false true false false false true false KENNETH N SABLE MD 661487 143800 129567 7950 41742 984546 JAMES CLARKE MD 459671 80000 17510 9275 29635 596091 NASIM AHMED MD 398465 18200 239142 28043 25254 709104 MICHAEL KNIGHT MD 348542 18000 184351 9275 9210 569378 JOHN GORECHLAD MD 203713 15000 78745 7950 15706 321114 PAUL BAUER MD 152341 15000 33728 6045 9965 217079 DIANE ROSENTHAL PA 144376 725 8089 5560 24855 183605 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. 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. 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