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1767022 47994 Catherine A Ainora EVP, Chief Integration Officer 3.0 52.0 X 0 1581545 26682 DANIEL VARGA MD CHIEF PHYSICIAN EXECUTIVE 55.0 0.0 X 0 1043556 39671 DONNA SNIDER CFA SVP, Chief Investment Officer 3.0 52.0 X 0 743187 100675 JOHN K LLOYD FACHE FORMER CO-CEO (TERMED 12/2018) 0.0 0.0 X 0 806128 0 Andrew L Pecora MD Pres, Phys Div (Termed 5/2019) 0.0 0.0 X 0 712963 0 Gordon N Litwin Esq Trustee (DECEASED 4/5/2020) 3.0 24.0 X 0 0 0 Peter S Reinhart Esq TREASURER 3.0 0.0 X X 0 0 0 Peter H Wegener Esq TRUSTEE 3.0 0.0 X 0 0 0 Frank L Fekete CPA CHAIRPERSON 3.0 24.0 X X 0 0 0 Keith Banks Vice Chairperson 3.0 0.0 X X 0 0 0 Gregg Azcuy TRUSTEE 3.0 0.0 X 0 0 0 Stephen T BoswellPhD PE SECB Trustee 3.0 3.0 X 0 0 0 J Fletcher Creamer Jr Trustee 3.0 3.0 X 0 0 0 Frank DeCongelio Trustee 3.0 0.0 X 0 0 0 Domenic M DiPiero III Trustee 3.0 0.0 X 0 0 0 Thomas J Dolan Trustee 3.0 3.0 X 0 0 0 Kathleen T Ellis Secretary 3.0 0.0 X X 0 0 0 Leecia R Eve Trustee 3.0 0.0 X 0 0 0 James J Galeota Trustee 3.0 3.0 X 0 0 0 Peter C Gerhard Trustee 3.0 3.0 X 0 0 0 Gail Gordon Esq Trustee 3.0 3.0 X 0 0 0 Lawrence R Inserra Jr TRUSTEE 3.0 6.0 X 0 0 0 Michael A Kleiman DMD TRUSTEE 3.0 9.0 X 0 0 0 Thomas J Kononowitz Trustee 3.0 3.0 X 0 0 0 John C Meditz Trustee 3.0 6.0 X 0 0 0 Alfred J Schiavetti Jr Trustee 3.0 3.0 X 0 0 0 JOSEPH E NYRE PHD TRUSTEE 3.0 0.0 X 0 0 0 NADINE LESLIE Trustee 3.0 0.0 X 0 0 0 0 26602807 1351234 0 true true false BLANCHARD TURNER JOINT VENTURE LLC 199 MOUNTAIN AVENUE SPRINGFIELD NJ 07081 CONSTRUCTION 116137148 AYA HEALTHCARE INC DEPT 3519 PO BOX 123519 DALLAS TX 75312 MEDICAL 66480969 COMPREHENSIVE PHARMACY SERVICES LL 6409 N QUAIL HOLLOW ROAD MEMPHIS TN 38120 MEDICAL 30919248 MEDICENTRIX LLC 3600 ROUTE 66 3RD FLOOR NEPTUNE NJ 07553 MEDICAL 22162838 TURNER CONSTRUCTION CO 200 FRANKLIN SQUARE DRIVE 4TH FL SOMERSET NJ 08873 CONSTRUCTION 13151476 805 0 ACCOUNTABLE CARE ORGANIZATION REVENUE 541900 66282529 66282529 OTHER HEALTHCARE RELATED REVENUE 621300 3720985 3720985 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90310774 X X false true X true false X X 21 HMH HOSPITALS CORPORATION 221487576 3 true 0 0 HMH RESIDENTIAL CARE INC 222731440 10 true 0 0 HEALTH INNOVATIONS UNLIMITED INC 222581430 10 true 0 0 JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION INC 222342452 7 true 0 0 OCEAN MEDICAL CENTER FOUNDATION INC 222361311 7 true 0 0 RIVERVIEW MEDICAL CENTER FOUNDATION INC 222333524 7 true 0 0 HACKENSACK MERIDIAN HEALTH FOUNDATION INC 300107825 7 true 0 0 SOUTHERN OCEAN MEDICAL CENTER FOUNDATION INC 222666099 7 true 0 0 BAYSHORE MEDICAL CENTER FOUNDATION INC 222367109 7 true 0 0 HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION INC 222339534 7 true 0 0 PALISADES MEDICAL CENTER FOUNDATION INC 223693169 7 true 0 0 RARITAN BAY HEALTHCARE FOUNDATION INC 222656665 7 true 0 0 HACKENSACK MERIDIAN AMBULATORY VENTURES INC 461227706 10 true 0 0 BERGEN HEALTH MANAGEMENT SYSTEM INC 222989731 2 true 0 0 THE COMMUNITY HOSPITAL GROUP INC 226019101 3 true 0 0 HARTWYCK AT OAK TREE INC 222666023 10 true 0 0 MUHLENBERG REGIONAL MEDICAL CENTER INC 221487258 10 true 0 0 ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC 222421433 10 true 0 0 HMH CARRIER CLINIC 221714106 10 true 0 0 CENTER FOR DISCOVERY AND INNOVATION INC 352662866 4 true 0 0 HARTWYCK AT JFK INC 204144804 10 true 0 0 21 true false false false true false false false false false false false false false false true true true X true true SCHEDULE A, PART I, QUESTION 12G IN ADDITION TO THE FINANCIAL SUPPORT DESCRIBED IN ATTACHMENT 1, HACKENSACK MERIDIAN HEALTH, INC. PROVIDES CENTRALIZED SERVICES SUCH AS: STRATEGIC PLANNING, BOARD GOVERNANCE, FINANCE AND COMPLIANCE AND AUDIT TO EACH OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, QUESTION 3 By virtue of the relationship outlined in Part IV, Section D, Question #2, the supported organizations have a significant voice in this 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 network. Hackensack Meridian Health, Inc. is the tax-exempt parent entity of Hackensack Meridian Health and, in this role, coordinates, oversees and supports the charitable activities of Hackensack Meridian Health. 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, QUESTIONS 3A & 3B IN ACCORDANCE WITH ITS GOVERNING DOCUMENTS AND STATED MISSION AND CHARITABLE PURPOSES, HACKENSACK MERIDIAN HEALTH, INC. HAS THE POWER TO REGULARLY APPOINT OR ELECT THE OFFICERS, DIRECTORS, OR TRUSTEES OF EACH OF ITS SUPPORTED ORGANIZATIONS. HACKENSACK MERIDIAN HEALTH, INC. HAS ALSO EXERCISED A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS. HACKENSACK MERIDIAN HEALTH, INC. COORDINATES AND SETS THE STRATEGIC PLANS AND GOALS AND FURTHERS THE CHARITABLE PURPOSES AND MISSION OF ALL OF ITS SUPPORTED ORGANIZATIONS THROUGH COMMITTEES OF ITS GOVERNING BODY THAT FUNCTION AS COMMITTEES OF HACKENSACK MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK OF WHICH HACKENSACK MERIDIAN HEALTH, INC. IS THE TAX-EXEMPT PARENT. ADDITIONALLY, THE ORGANIZATION'S GOVERNANCE STRUCTURE, THROUGH ITS BOARD COMMITTEES, PROVIDES DIRECTION AND OVERSIGHT AS IT RELATES TO STRATEGIC PLANNING, BOARD GOVERNANCE, FINANCE COMPLIANCE AND AUDIT. SCHEDULE A, PART IV, SECTION A, QUESTION 5 UNDER THE AUTHORITY OF THE BOARD OF TRUSTEES, 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, DUE TO MERGER ACTIVITY, THE FOLLOWING ORGANIZATION WAS ADDED AS SUPPORTED ORGANIZATIONS: CENTER FOR DISCOVERY AND INNOVATION, INC. (EIN: 35-2662866) 174833 174833 2719862 2628697 91165 1343633 1316757 26876 292874 ALTERNATIVE INVESTMENTS 2421264300 2421264300 0 TAXABLE BOND LIABILITY 595325398 DUE TO THIRD PARTY 161005668 INTEREST RATE SWAP LIABILITY 68953539 LONG TERM RETIREMENT PLAN 13856500 DUE TO RELATED PARTIES 447494819 1286635924 X SCHEDULE D, PART X THE ORGANIZATION IS THE TAX-EXEMPT PARENT ORGANIZATION OF HACKENSACK MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY NETWORK. PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019. THE FOLLOWING DISCLOSURE IS INCLUDED IN THE ORGANIZATION'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF THE 2020 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. 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. false true false false false false false false false Robert C Garrett FACHE CEO/TRUSTEE 0 2159815 0 2050561 0 2322430 0 313909 0 25002 0 6871717 0 1224200 Robert L Glenning Pres, Fin & IT Svcs Div, CFO 0 1273594 0 626510 0 1098194 0 14250 0 29590 0 3042138 0 350554 Catherine A Ainora EVP, Chief Integration Officer 0 761023 0 284833 0 535689 0 14250 0 12432 0 1608227 0 204469 Audrey C Murphy Esq MSN RN EVP, Chf Legal Officer, Oper 0 792468 0 302100 0 725028 0 173315 0 30202 0 2023113 0 301781 Patrick Young Pres, Population Health 0 919146 0 564417 0 618260 0 351200 0 32419 0 2485442 0 245137 Nancy Corcoran-Davidoff EVP, Chief Experience & HR Off 0 793520 0 238351 0 1046517 0 71103 0 21974 0 2171465 0 273842 James Blazar EVP, Chief Strategy Officer 0 889414 0 342586 0 591896 0 14250 0 22174 0 1860320 0 131304 Ann B Gavzy Esq EVP, Chief Legal Off, T&C Svcs 0 791835 0 302100 0 673087 0 22800 0 25194 0 1815016 0 103241 DONNA SNIDER CFA SVP, Chief Investment Officer 0 564734 0 150000 0 28453 0 75621 0 25054 0 843862 0 0 JOHN K LLOYD FACHE FORMER CO-CEO (TERMED 12/2018) 0 0 0 0 0 806128 0 0 0 0 0 806128 0 0 Andrew L Pecora MD Pres, Phys Div (Termed 5/2019) 0 0 0 166188 0 546775 0 0 0 0 0 712963 0 445732 Mark Stauder COO 0 1448581 0 651420 0 493598 0 14250 0 22574 0 2630423 0 0 DANIEL VARGA MD CHIEF PHYSICIAN EXECUTIVE 0 850513 0 100000 0 93043 0 14250 0 25421 0 1083227 0 0 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 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; ANN B. GAVZY, ESQ., $275,280; AUDREY C. MURPHY, ESQ., MSN, RN, $244,452; MARK STAUDER, $210,000; PATRICK YOUNG, $157,275; JAMES BLAZAR, $131,990; CATHERINE AINORA, $113,095; ANDREW L. PECORA, M.D., $110,781; DANIEL VARGA. MD, $71,250. 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; 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. 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; NANCY CORCORAN-DAVIDOFF, $1,191,920; AUDREY C. MURPHY, ESQ., MSN, RN, $797,963; ANDREW L. PECORA, M.D., $672,252; ROBERT L. GLENNING, $449,592. 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. AUDREY C. MURPHY, ESQ., MSN, RN, PATRICK YOUNG, AND DONNA SNIDER, CFA. A NJHCFA SERIES 2003A & 2003B 221987084 64579E7X8 2003-02-20 100000000 CONSTRUCT & EQUIP FACILITY false false false B NJHCFA SERIES 2004A-3 221987084 64579FDA8 2004-06-24 14725000 CONSTRUCT & EQUIP FACILITY false false false C NJHCFA SERIES 2006 221987084 64579FHG1 2006-05-18 18390000 REFUND 1993 BOND ISSUE false false false D NJHCFA SERIES 2006A-3 221987084 64579FJQ7 2006-11-22 5100000 CONSTRUCT & EQUIP FACILITY false false false A 40000000 0 101213687 0 0 0 750750 929350 0 98319899 0 0 2004 false false true true B 5790000 0 16032128 0 0 0 205792 62695 0 15763641 0 0 2007 false false true true C 4590000 0 18390000 0 0 0 365791 65353 0 0 17958856 0 2006 true false true true D 1600000 0 5207649 0 0 0 56802 21731 0 5129116 0 0 2007 false false true true A false true true true false 0.00000 0.00040 0.00040 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C 0 D false false false false 0.00000 0.00000 0.00000 false false false true A true true false 0 true TRANSAMERICA 1.4 true false true B true true 0 false 0 false true C false true true true WACHOVIA 12. false false false 0 false true D true true false 0 false 0 true true A true B true C true D true SCHEDULE K, PART I, COLUMN (E) FOR THE BONDS ISSUED ON 2/20/2003, 6/24/2004, 11/22/2006, 12/21/2011, 5/8/2013, 11/22/2016, AND 4/20/2017 THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS IS DUE TO INVESTMENT EARNINGS. THE BOND ISSUED ON 2/20/2003 WAS ISSUED AS TWO SUB-SERIES BONDS, SERIES 2003A FOR $60,000,000 AND SERIES 2003B FOR $40,000,000. THE 2003B ISSUE WAS RETIRED. SCHEDULE K, PART I, COLUMN (F) PROCEEDS FOR THE BOND ISSUED ON 5/18/2006 WERE USED TO REFUND THE FOLLOWING NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE BOND ISSUE: - SOUTHERN OCEAN COUNTY HOSPITAL ISSUE, SERIES 2006A, DATED MAY 1, 1993 PROCEEDS FOR THE BOND ISSUED ON 12/21/2011 WERE USED TO REFUND THE FOLLOWING NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE BOND ISSUES: - SOUTHERN OCEAN COUNTY HOSPITAL ISSUE, SERIES 1997, DATED NOVEMBER 15, 1997 - MERIDIAN HEALTH SYSTEM OBLIGATED GROUP ISSUE, SERIES 1999, DATED JULY 1, 1999 - SOUTHERN OCEAN COUNTY HOSPITAL ISSUE, SERIES 2001, DATED JULY 1, 2001 PROCEEDS FOR THE BOND ISSUED ON 5/1/2013 WERE USED TO REFUND THE FOLLOWING NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE BOND ISSUE: - BAYSHORE COMMUNITY HOSPITAL ISSUE, SERIES 2002, DATED JANUARY 15, 2002 PROCEEDS FOR THE BOND ISSUED ON 3/16/2016 WERE USED TO REFUND THE FOLLOWING NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE BOND ISSUES: - MERIDIAN HEALTH SYSTEM OBLIGATED GROUP ISSUE, SERIES 2012A, DATED OCTOBER 2, 2012 - MERIDIAN HEALTH SYSTEM OBLIGATED GROUP ISSUE, SERIES 2012B, DATED OCTOBER 2, 2012 - MERIDIAN HEALTH SYSTEM OBLIGATED GROUP ISSUE, SERIES 2012C, DATED OCTOBER 2, 2012 PROCEEDS FOR THE BOND ISSUED ON 4/20/2017 WERE USED TO REFUND THE FOLLOWING NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE BOND ISSUES: - MERIDIAN HEALTH SYSTEM OBLIGATED GROUP ISSUE, SERIES 2007, DATED DECEMBER 13, 2007 - HACKENSACK UNIVERSITY MEDICAL CENTER ISSUE, SERIES 2008, DATED APRIL 10, 2008 - HACKENSACK UNIVERSITY MEDICAL CENTER ISSUE, SERIES 2010, DATED AUGUST 26, 2010 - HACKENSACK UNIVERISTY MEDICAL CENTER ISSUE, SERIES 2010B, DATED OCTOBER 26, 2010 - PALISADES MEDICAL CENTER OBLIGATED GROUP ISSUE, SERIES 2013, DATED JULY 2, 2013 SCHEDULE K, PART III THE BONDS ISSUED ON 5/18/2006, 12/21/2011, AND 5/8/2013 REFUNDED PRE-2003 BONDS THEREFORE, PART III FOR THESE BOND ISSUES IS NOT APPLICABLE. SCHEDULE K, PART IV, LINE 2C THE COMPUTATION FOR THE BOND ISSUED ON 5/18/2006 WAS COMPUTED ON JUNE 30, 2020. THE COMPUTATION FOR THE BOND ISSUED ON 11/22/2006 WAS COMPUTED ON JULY 1, 2021. THE COMPUTATION FOR THE BOND ISSUED ON 12/21/2011 WAS COMPUTED ON DECEMBER 13, 2016. THE COMPUTATION FOR THE BOND ISSUED ON 5/8/2013 WAS COMPUTED ON MAY 8, 2019. THE COMPUTATION FOR THE BOND ISSUED ON 8/12/2015 WAS COMPUTED ON AUGUST 11, 2017. A NJHCFA SERIES 2011 221987084 64579FW25 2011-12-21 215633457 REFUND PRE-2003 BONDS false false false B NJHCFA SERIES 2013A 221987084 64579F3H4 2013-05-08 33451469 REFUND 2002 BOND ISSUE false false false C NJHCFA SERIES 2015A 221987084 000000000 2015-11-02 130000000 CONSTRUCT & EQUIP FACILITY false false false D NJHCFA SERIES 2016A 221987084 000000000 2016-03-16 129602500 REFUND 2012 BOND ISSUE false false false A 109470000 0 215645153 0 0 0 1402562 0 0 0 214242591 0 2011 true false true true B 8295000 0 33452081 0 0 0 435471 0 0 0 33016610 0 2013 true false true true C 22027997 0 130000000 0 0 0 0 0 0 130000000 0 0 2015 false false true true D 8900000 0 129602500 0 0 0 0 0 0 0 129602500 0 2016 true false true true A 0 B 0 C false true true true false 0.00000 0.00000 0.00000 false false false true D false false false false 0.00000 0.00000 0.00000 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true A NJHCFA SERIES 2017A 221987084 645790KM7 2017-04-20 647774568 REFINANCE EXISTING BONDS, CONSTRUC false false false B NJHCFA SERIES 2015A 221987084 000000000 2015-08-12 84000000 CONST & EQUIP FACILITY false false false C NJHCFA SERIES 2006A-4 & A-5 221987084 64579FJS3 2006-11-22 32570000 CONST & EQUIP FACILITY false false false A 15165000 0 648555018 0 0 0 3730288 0 0 100000000 544824730 0 2018 true true true true B 14032897 0 84000000 0 0 0 325733 0 0 0 83674267 0 2018 false false true true C 11565000 0 33763970 0 0 0 488504 78950 0 31717192 1479325 0 2008 false false true true A false false true true false 0.00000 0.00170 0.00170 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C false false false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C true true false 0 false 0 true true A true B true C true CORE FORM, PART VI, SECTION B; QUESTION 11B Hackensack Meridian Health, Inc. ("HMH") is the parent organization of a tax-exempt integrated healthcare delivery network. HMH's finance personnel prepared the federal Form 990. 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. The form 990 was provided to the members of the ACC for review. The Form 990 was also provided to each voting member of HMH's governing body, its board of trustees, prior to filing with the Internal Revenue Service. CORE FORM, PART VI, SECTION B; QUESTION 12C THE ORGANIZATION, HACKENSACK MERIDIAN HEALTH, INC., IS THE TAX-EXEMPT PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK ("NETWORK"). HACKENSACK MERIDIAN HEALTH, INC. 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; QUESTIONS 15A & 15B This organization is the tax-exempt parent of a tax-exempt integrated healthcare delivery network ("network"). The Executive and Physician Compensation Committee ("Committee") of this organization is responsible for reviewing the executive compensation of the CEO and key employees (senior management) of this network. 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 organization's filed Certificate of Incorporation and any amendments can be obtained and reviewed through the State of New Jersey Department of the Treasury. In addition, the organization makes available to the public via its website, www.hackensackmeridianhealth.org, its code of conduct and conflict of interest policy. Financial statements are availabale publicy at https://www.hackensackmeridianhealth.org/about/financial-statements/ CORE FORM, PART VII AND SCHEDULE J Part VII and Schedule J reflect officers and board members receiving compensation and benefits from a related organization. Please note this remuneration was for services rendered as full-time employees of the related organization and not for services rendered as an officer or voting member of this organization's Board of Trustees. 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 this Form 990. CORE FORM, PART XI; LINE 9 Other changes in net assets or fund balance include: - HMH Program Service Revenue Reclass - $17,577,780 - Net transfer to affiliates - $16,611,328 - Unrealized Pension Assets - $56,121,667 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:1146566 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:24868295 MERIDIAN ACCOUNTABLE CARE ORGANIZATION 343 Thornall Street EDISON NJ 08837 455440607 HEALTH SVCS. NJ 0 0 HMH COASTAL DATA SOLUTIONS 343 Thornall Street EDISON NJ 08837 452441857 HEALTH IT NJ 0 0 HMH HACKENSACK PHYS-HOSP ALLIANCE ACO LLC 30 PROSPECT AVENUE HACKENSACK NJ 07601 453067377 HEALTH SVCS. NJ 4819292 -92 HMH HACKENSACK MERIDIAN HEALTH PARTNERS LLC 343 THORNALL STREET EDISON NJ 08837 820784282 HEALTH SVCS NJ 39518800 2674018 HMH JFK POPULATION HEALTH COMPANY LLC 98 JAMES STREET EDISON NJ 08820 422866956 HEALTH CARE NJ 5457706 105662 JFKHS PALISADES MEDICAL ASSOCIATES LLC 7600 RIVER ROAD NORTH BERGEN NJ 07047 223814193 HEALTH SVCS. NJ 501(C)(3) 10 HMHHC false MERIDIAN TRAUMA ASSOCIATES PC 343 THORNALL STREET EDISO NJ 08837 141981651 HEALTH SVCS. NJ 501(C)(3) 10 HMH true MERIDIAN OBGYN ASSOCIATES PC 343 THORNALL STREET EDISON NJ 08837 061755239 HEALTH SVCS. NJ 501(C)(3) 10 HMH true MERIDIAN PEDIATRIC SURGICAL ASSOC PC 343 THORNALL STREET EDISON NJ 08837 770720131 HEALTH SVCS. NJ 501(C)(3) 10 HMH true SOMC MEDICAL GROUP PC 343 THORNALL STREET EDISON NJ 08837 271412183 HEALTH SVCS. NJ 501(C)(3) 10 HMH true HACKENSACK SPECIALTY CARE ASSOCIATES PC 30 PROSPECT AVENUE HACKENSACK NJ 07601 201017013 HEALTH SVCS. NJ 501(C)(3) 12A HMHHC false HMH MEDICAL GROUP-SPECIALTY CAREPC 30 PROSPECT AVENUE HACKENSACK NJ 07601 223376459 HEALTH SVCS. NJ 501(C)(3) 12A HMHHC false HUMC CARDIOVASCULAR PARTNERS PC 30 PROSPECT AVENUE HACKENSACK NJ 07601 270614861 HEALTH SVCS. NJ 501(C)(3) 10 HMHHC false HUMC MEDICAL OBSERVATION PA 30 PROSPECT AVENUE HACKENSACK NJ 07601 272371424 HEALTH SVCS. NJ 501(C)(3) 12A HMHHC false MERIDIAN OCCUPATIONAL HEALTH PC 343 THORNALL STREET EDISON NJ 08837 272377326 HEALTH SVCS. NJ 501(C)(3) 10 HMH true THE AUXILIARY OF HACKENSACKUMC 30 PROSPECT AVENUE HACKENSACK NJ 07601 221537117 SUPPORT HMHHC NJ 501(C)(3) 12C HMHHC false MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY 343 THORNALL STREET EDISON NJ 08837 813921186 HEALTH SVCS. NJ 501(C)(3) 10 HMH true JFK MEDICAL ASSOCIATES PA 98 JAMES STREET EDISON NJ 08820 462219798 HEALTH SVCS. NJ 501(C)(3) 10 HMH false MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC 343 THORNALL STREET EDISON NJ 08837 061755228 HEALTH SVCS. NJ 501(C)(3) 10 HMH true MERIDIAN MEDICAL GROUP-FACULTY PRACTICE 343 THORNALL STREET EDISON NJ 08837 061755230 HEALTH SVCS. NJ 501(C)(3) 10 HMH true MERIDIAN MEDICAL ASSOCIATES PC 343 THORNALL STREET EDISON NJ 08837 061755233 HEALTH SVCS. NJ 501(C)(3) 10 HMH true HMH MEDICAL GROUP-PRIMARY CARE PC 343 THORNALL STREET EDISON NJ 08837 141981653 HEALTH SVCS. NJ 501(C)(3) 10 HMH true MERIDIAN MEDICAL GROUP-SPECIALTY CAREPC 343 THORNALL STREET EDISON NJ 08837 141981647 HEALTH SVCS. NJ 501(C)(3) 10 HMH true HACKENSACK MERIDIAN SCHOOL OF MEDICINE 340 KINGSLAND STREET NUTLEY NJ 07110 813872529 HEALTH SVCS. NJ 501(C)(3) 2 HMH true HUMCUSPI SURGERY CENTERS LLC 30 PROSPECT AVE HACKENSACK NJ 07601 383875474 HEALTH SVCS NJ NA 2295865 30712482 OLD BRIDGE MEDICAL ASSOCIATES LLC 1 HOSPITAL PLZ OLD BRIDGE NJ 08857 222894388 HEALTH SVCS NJ NA 1399732 5758034 COASTAL CO-OP OF NJ 343 THORNALL STREET EDISON NJ 08837 223603146 PURCHASING NJ NA 33551 1000531 MERIDIAN HEALTH VILLAGE REALTY ASSOC 343 THORNALL STREET EDISON NJ 08837 274328412 REAL ESTATE NJ NA 2465146 26274335 MERIDIAN LIVING AT MANALAPAN LLC 343 THORNALL STREET EDISON NJ 08837 473603026 HEALTH SVCS NJ NA 732516 15067970 HACKENSACK MERIDIAN LIVING AT HOLMDEL 343 THORNALL STREET EDISON NJ 08837 815095156 HEALTH SVCS NJ NA 0 13797232 ESSEX RESIDENTIAL CARE LLC 343 THORNALL STREET EDISON NJ 08837 832041597 HEALTH SVCS NJ NA 7652455 17868007 BERGEN POST ACUTE LLC 343 THORNALL STREET EDISON NJ 08837 832058275 HEALTH SVCS NJ NA 8339462 28194050 HACKENSACK MUSCULOSKELETAL SURGERY CENTE 100 CHARLES EWING BLVD EWING NJ 08628 853437054 HEALTH SVCS NJ NA 0 0 HACKENSACK MERIDIAN HEALTH VENTURES INC 343 THORNALL STREET EDISON NJ 08837 222550716 HEALTH SVCS NJ HMH C CORP 1346011 28310663 PALISADES CHILD CARE CENTER INC 343 THORNALL STREET EDISON NJ 08837 222812623 DAY CARE CENT NJ NA C CORP 477406 2955167 HACKENSACKUMC CASUALTY COMPANY LTD CHEVRON HOUSE 44 CHURCH STREET HAMILTON BD HM12 FINANCIAL VEH BD NA C CORP 4428201 19122647 RARITAN INSURANCE LTD 23 LIME TREE BAY AVE PO BOX 1363 GRAND CAYMAN CJ FINANCIAL VEH CJ NA C CORP 0 3891167 COASTAL MEDICAL INSURANCE LTD CHEVRON HOUSE 44 CHURCH STREET HAMILTON BD HM12 980166769 FINANCIAL VEH BD NA C CORP 25599803 158387144 OAPCA INC 1140 ROUTE 72 WEST MANAHAWKIN NJ 08050 223298974 CONDO ASSOC NJ NA C CORP 61500 70327 JFK MEDICAL GROUP PC 98 JAMES STREET EDISON NJ 08820 223482637 HEALTH SVCS NJ NA C CORP 9242360 2826058 JFK AMBULATORY CARE PA 98 JAMES STREET EDISON NJ 08820 473018240 HEALTH SVCS NJ NA C CORP 2645452 2779201 ALERT AMBULANCE SERVICE INC 1195 AIRPORT ROAD LAKEWOOD NJ 08701 221968480 AMBULANCE SVC NJ HMH C CORP 0 0 HMH CASUALTY COMPANY LTD CHEVRON HOUSE 44 CHURCH STREET HAMILTON BD HM12 FINANCIAL VEHICLE BD NA C CORP 0 217447 false false false false false false false false false false false false false true true false false false true SCHEDULE R, PART II HACKENSACK MERIDIAN HEALTH, INC. IS RELATED TO SEVERAL ADDITIONAL TAX-EXEMPT ORGANIZATIONS NOT SHOWN IN PART II AS THOSE ORGANIZATIONS ARE PART OF THE GROUP EXEMPTION IN WHICH HACKENSACK MERIDIAN HEALTH, INC. IS THE CENTRAL ORGANIZATION. SCHEDULE R, PART V THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. HMH HOSPITALS CORPORATION ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE NETWORK IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.