CORE FORM, PART III, LINE 1; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Meridian Health System, Inc. Is a not-for-profit healthcare organization and is the sole corporate member of various healthcare-related organizations, the majority of which are tax-exempt entities. The internal revenue service has recognized Meridian Health System, Inc. as being a tax-exempt organization under internal revenue code ("IRC") section 501(c)(3). As the parent organization of a tax-exempt integrated healthcare delivery system, meridian health system, inc. Strives to continually develop and operate a multi-hospital integrated healthcare delivery system which provides a comprehensive spectrum of medically necessary healthcare services to the residents of new jersey. Meridian health system, inc. Ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Meridian Hospitals Corporation ("MHC"), A TAX-EXEMPT AFFILIATE IN MERIDIAN HEALTH, INCLUDES THE FOLLOWING HOSPITALS: - JERSEY SHORE UNIVERSITY MEDICAL CENTER - RIVERVIEW MEDICAL CENTER - OCEAN MEDICAL CENTER - SOUTHER OCEAN MEDICAL CENTER - BAYSHORE COMMUNITY HOSPITAL - K. HOVNANIAN CHILDREN'S HOSPITAL ALL OF THESE HOSPITALS ARE RECOGNIZED BY THE IRS AS INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. PURSUANT TO THEIR CHARITABLE PURPOSES, THE HOSPITALS PROVIDE 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. MOREOVER, THE HOSPITALS OPERATE CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) EACH HOSPITAL PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) EACH HOSPITAL OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) EACH HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF EACH HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. Meridians vision and foresight since its inception has created a comprehensive full continuum of care that is a model in the health care industry. By providing integrated services every step of the way, we ensure that our patients receive coordinated and seamless care from diagnosis to treatment to rehabilitation. The following updates demonstrate how we are tuned into the changing health care environment and remain committed to the optimal health and wellness of those we serve. Meridian Accountable Care Organization -------------------------------------- Meridian Accountable Care Organization, LLC ("MACO") submitted an application to the Centers for Medicare and Medicaid Services ("CMS") on September 9, 2012 to operate an Accountable Care Organization ("ACO") under the Medicare shared savings program model. MACO's application received final CMS approval in January of 2013 to operate for a three year period beginning January 1, 2013. MACO is a partnership among Meridian Health hospitals, partner companies, and over 700 physicians. Its mission includes the promotion of evidence-based medicine, the advocacy of patient engagement, and the development of an infrastructure for Network providers to internally report on quality and cost metrics. This, in turn, enables the ACO to monitor, provide feedback, and evaluate its Network providers' performance and to use these results to provide better and more coordinated care for individuals, improve health for populations, and lower per capita growth in health care expenditures. At the end of each program year, CMS compares the actual Medicare spend for the approximately 40,000 beneficiaries attributable to MACO to the CMS "predicted" Medicare spend. CMS also measures MACO's achievement on 33 quality metrics within the ACO population. If MACO is able to generate savings and maintain quality scores, CMS distributes a portion of the savings to MACO to be divided among the participating providers. If savings are not generated or the quality measures are not met, there is no financial risk to the MACO providers. MACO achieved $14.7 million in savings in its first fiscal year, resulting in an award of $7.3 million in 2014. Distributions passed through to providers totaled $5.6 million. Meridian has enrolled more than 800 physicians in Meridian Health Partners, its clinically integrated network. Through a partnership with Geisinger, more than 7,000 participants have enrolled in Meridian Geisinger Gold, a Medicare Advantage plan. The Meridian Accountable Care Organization (ACO) met and exceeded the quality and financial benchmarks set by Medicare, which resulted in total savings of $14.7 million. Meridian's ACO was only one of three in the state of New Jersey to achieve a savings. In addition, out of 243 ACOs in the country, Meridian's was the 14th best performing ACO out of 54 that earned a payment. Meridian's Medicare Palliative Care Demonstration Project, designed to improve care coordination and quality of life for our patients and families facing serious illnesses and end of life decisions, has enrolled more than 2,600 patients and has consistently exceeded all quality and satisfaction metrics. Meridian's Continuum of Care ---------------------------- With over 100 locations across Monmouth and Ocean counties, Meridian Health offers its communities convenient care close to home. In fact, our residents are all within 15 minutes of a Meridian facility. From preventative screenings to diagnostic medicine, inpatient to in-home care, fitness to rehab. Meridian offers it all across one seamless continuum. Were there with you every step of your wellness journey. Thats Meridian Health. Thats Taking Care of New Jersey. Meridian CardioVascular Network ------------------------------- Meridian CardioVascular Network provides everything to diagnose, treat, and mend virtually all heart and vascular conditions, and the networks specialists are continuously among the first to provide remarkable treatment and surgical options. This was evident in 2014 when Jersey Shore University Medical Center implanted the first Nanostim leadless pacemaker in New Jersey. The device, used to treat patients with an abnormally slow heart rate, took place as part of the Leadless-II pivotal trial a prospective, non-randomized, multi-center, international clinical study designed to evaluate the safety and effectiveness of the leadless pacemaker. Transcatheter aortic valve replacement (TAVR) is one of the latest minimally invasive procedures for patients with critical aortic stenosis that is offered through Meridian CardioVascular Network at Jersey Shore University Medical Center. This option is giving new hope to patients who have been determined to be inoperable due to other co-existing medical conditions. Jersey Shore was the first hospital in the region to begin performing this procedure in May 2012. In 2014, Meridian performed nearly 80 TAVR procedures. Last fall, Bayshore Community Hospital, Jersey Shore University Medical Center, Ocean Medical Center, and Riverview Medical Center received awards from the American Heart Association, a testament to the health care systems commitment to providing the best care available for heart failure patients. The AHAs Get With The Guidelines Heart Failure recognizes hospitals that implement the latest research-based treatment guidelines for heart failure patients through quality improvement. Jersey Shore was recognized as a Gold Plus level recipient, while Ocean earned a Silver award, and Bayshore received the Bronze award. Riverview Medical Center received the AHAs Mission: Lifeline Silver Award, and Jersey Shore the Bronze Award, for their commitment to improving the survival and care of people who suffer a STEMI, or ST-segment elevation myocardial infarction, caused by a complete blockage of blood flow to the heart that requires timely treatment. The continued accolades and recognition we receive clearly illustrate the first-rate care Meridian CardioVascular Network is proud to deliver to our communities. Now, that care has expanded to include Meridian Cardiac Rehabilitation and Imaging, an outpatient service of Ocean Medical Center, which opened at Meridian Health Village at Jackson, our 'one-stop shop' for better health and wellness. The Cardiac Rehabilitation Program provides a range of recovery and post-recovery services to speed up a patients recuperation, while minimizing their symptoms, increasing cardiovascular endurance, and improving their quality of life. The Cardiac Diagnostics Department provides walk-ins and no-appointment-need |
CORE FORM, PART III, LINES 4A; COMMUNITY BENEFIT REPORT |
Providing the community with opportunities to participate in health promotion activities, support for managing chronic conditions, and access to reliable health information is central to the goal of improving community health and well-being. AS REPORTED IN ITS 2014/2015 ANNUAL REPORT, in 2014, Meridian devoted more than $160 million in community benefits. An estimated 100,000 community members participate in a health promotion activity each year. These programs include preventive health screenings, support groups, health awareness events as well as seminars and presentations by physicians and other health care professionals who volunteer their time to educate our community on health topics focused on preventing disease and managing chronic conditions. These programs are delivered in a culturally competent manner to targeted communities and language interpreters are made available as needed. Some of these health promotion activities include: - Providing nearly 40,000 preventive health screenings, including: AngioScreen stroke risk assessments, blood pressure, cholesterol, glucose, BMI, memory, hearing, diabetic retinopathy, colon-rectal cancer, skin cancer, and more. Participants receive individualized testing from medical professionals and are counseled by nurse educators who provide information about their results and referrals for follow-up care when necessary. - Educating over 11,000 children on how to eat right, stay fit, be safe and act responsibly. These programs include classroom-based presentations from Doctor Bernard, Hopscotch and Picatso, mascots for the K. Hovnanian Childrens Hospital at Jersey Shore University Medical Center. Other programs include: SafeSitter with CPR babysitting training, asthma awareness and management, injury prevention programs, distracted driving, sports and concussion injury prevention, among others. - Managing chronic disease. Take Control of Your Health is an evidence-based chronic disease self-management program. Complementing a physicians plan of care, this educational program offers participants with the tools, resources and support to live a healthier life. Studies have shown that participants who complete the training report improved health status and quality of life, greater energy, fewer social limitations as well as reduced hospitalizations and fewer emergency room visits. In 2014, over 100 community members participated in this life-changing program. - Providing opportunities to learn. Its never been easier to connect with Meridian. Opportunities to learn can be found at our Hospitals, Conference Centers and Meridian Fitness & Wellness locations as well as right in your own community the local library, senior center, school, employer, and now even at the shopping mall. In fact, more than 37,000 people attended an educational seminar in 2014. Community of LifeSavers ----------------------- Cardiac arrest is more common than you might think. It can happen to anyone at any time, including our youth. In fact, the American Heart Association (AHA) estimates that about 100 student athletes will die from sudden cardiac arrest each year. While the incidence remains low, the impact on the family and surrounding community is tremendous. Thats why Meridian Health has partnered with the American Heart Association in a landmark, multi-year initiative to create a Community of LifeSavers. When ordinary people are equipped with the skills to perform CPR, survival rate can double or even triple. This is Taking Care of New Jerseys children. Providing broad CPR training to the community has been part of Meridians educational offerings for years. In 2014, Meridian taught nearly 20,000 students, which include health care workers, fire fighters, police, teachers, EMTs, and community members. The Community of LifeSavers program trained over 5,000 students from 17 schools. Our community now has an army of rescuers who are ready, willing and able to put their skills in action in the event of an emergency. These extraordinary efforts were recognized by the New Jersey Hospital Association at its 96th Annual Meeting where Meridian Health was awarded the 2014 HRET (Health, Research and Educational Trust) Community Outreach Award. Partners in Cancer Control -------------------------- According to the American Cancer Society, female breast cancer accounts for 15 percent, lung 12.6 percent, colorectal 8.7 percent, and skin 5 percent of all cancer cases in New Jersey. Knowing your risk and early detection are two of the best ways to reduce your risk for cancer. Meridian partners with several community organizations who share the mission of reducing New Jerseys cancer burden and improving health outcomes, including; the American Cancer Society, Colon Cancer Alliance, Ocean Monmouth Health Alliance and Susan G. Komen for the Cure, among others. Colon cancer is one of the most preventable and, if detected early, the most treatable forms of cancer. The Ocean Monmouth Health Alliance (OMHA) has set a goal for New Jersey to reach an 80 percent screening rate by 2018 and Meridian is actively participating in this challenge. In 2014, Meridian received a grant from the Colon Cancer Alliance to distribute up to 500 free at-home stool testing kits to at-risk groups. In the first 6 months of the program, 320 people attended a seminar, 169 accepted the take home stool test kit. Of those, 91 were returned for testing that resulted in 25 positive screenings. These individuals are contacted by a nurse navigator who will arrange for their follow up care. Susan G. Komen provides grant funding for Meridian to educate women on the importance of getting annual mammograms as well as providing uninsured and underinsured women free mammograms. In 2014, Meridian educated 1,650 women and provided 400 free mammograms. OMHA is a regional chronic disease prevention coalition funded by the Office of Cancer Control and Prevention of NJ Department of Health. Meridian partners with OMHA on their annual 'Choose Your Cover' skin cancer screening at the beach. In 2014, 723 were screened at beaches and other sites in Monmouth and Ocean counties. Since 2008 the program has screened over 9,600 people throughout the state and is a national model. Connect with Us at Freehold Raceway Mall ---------------------------------------- Meridian Health, in partnership with The Arc of Monmouth and the United Way of Monmouth County, opened the Meridian Community Resource Center at Freehold Reaceway Mall. This collaboration is the first of its kind in the area. Together with our partners, Meridian has created a single location where residents can find resources to support their physical, social, and financial wellness. Through our shared vision we have created a robust resource that will fit into the busy lives of local residents. The new Center is staffed by experts from all three organizations, five days a week, from Monday through Friday as well as selected evenings and weekends. Meridian has placed a full-time nurse educator at the site that will provide preventive health screenings. The center will also offer programs for wellness such as: support groups, babysitting training, smoking cessation classes, CPR instruction, physician-led health education seminars, information to understand Medicare and the health insurance marketplace, job fairs, employment services for persons with disabilities, a respite program for caregivers, financial stability education and assistance, access to volunteer opportunities and more. Identifying Community Health Needs ---------------------------------- Meridian Health plays a lead role in working with many different organizations throughout Monmouth and Ocean counties to identify and address the health issues that impact our community the most. This collaborative effort is referred to as a Community Health Needs Assessment and its findings can be found on Meridians Web site. With the community health needs assessment as our guide, Meridian prepares its annual community benefits plan, part of Meridians overall strategic plan, aligning activities and resources toward those priority health needs. Meridians Community Advisory Committees assist in identifying and addressing these identified health care needs. Committee members represent a cross-section of the community in terms of age, gender, religion, ethnicity, interests and professional status. Our Partners in Health and Unidos committees are comprised of African American and Hispanic civic and community leaders respectively and are focused on addressing health issues and disparities affecting communities of color. In 2014, an advisory council for the deaf and hard of hearing was formed. Currently, more than 150 people from the surrounding area serve as members of Meridians Community Advisory Committees. Training the Next Generation of Health Care Providers ----------------------------------------------------- Training the next generation of health care providers is vital to providi |
CORE FORM, PART III; LINE 4D |
Jersey Shore Univesity Medical Center ===================================== Epilepsy Program ---------------- The National Association of Epilepsy Centers (NAEC) designated Meridian Health Comprehensive Epilepsy Program at Jersey Shore as a Level-4 epilepsy center, which is the highest level possible. The recognition is a testament to the medical expertise, innovative surgical evaluation, and advanced techniques and treatments provided for patients with complex epilepsy. Meridian Health Comprehensive Epilepsy Program at Jersey Shore offers specialized services, such as epilepsy monitoring aimed at helping children and adults gain control of seizures through an around-the-clock brain monitor with electroencephalogram (EEG) technology synchronized with video monitoring. With a team trained in this subspecialty, led by Rajesh Sachdeo, M.D., adult and pediatric epileptologist, Jersey Shores program leads the way in New Jersey in caring for this disease. Behavioral Health ----------------- In response to the heroin and opiate abuse epidemic affecting Monmouth and Ocean counties, the Governors Council on Alcoholism and Drug Abuse (GCADA) and Jersey Shore hosted a press launch for GCADAs new campaign Addiction Does Not Discriminate at Jersey Shore. More than 200 health care providers, government representatives, and guests gathered to hear about the state-wide campaign. Ramon Solhkhah, M.D., chairman of Psychiatry at Jersey Shore and corporate medical director of Meridian Behavioral Health Services, was also recognized for his work and services on behalf of those affected by mental illness and drug addiction by the Mental Health Association of Monmouth County. K. Hovnanian Childrens Hospital and Meridian Pediatric Network =============================================================== Meridian Dentistry for Children ------------------------------- Meridian Dentistry for Children is a full-service dental practice for infants, children, and adolescents in a child friendly, caring environment. Meridian Dentistry for Children focuses on care for underserved populations, including children with special health care needs such as autism, developmental delay, and other chronic conditions, as well as those challenged with lack of access due to insurance coverage. Located next to K. Hovnanian Childrens Hospital, Meridian Dentistry for Children is part of the Childrens Hospitals Specialty Care Center, providing the most comprehensive medical and dental services for children in Monmouth and Ocean counties in one convenient location. Pediatric Diabetes Program -------------------------- K. Hovnanian Childrens Hospitals Diabetes Education program was recognized by the American Diabetes Association for providing children and their families with high-quality diabetes self-management education and tools essential components for effective diabetes management. The program also offers support groups and opportunities to enjoy fun and healthy occasions, such as healthy picnics and the annual Halloween party. Pediatric Asthma Care --------------------- The Community Outreach for Asthma Care & Healthy lifestyles (C.O.A.C.H.) program was initiated with a focus on education of inpatient and Emergency Department teams on evidence-based care, revised present treatment protocols, and standardized asthma discharge instructions. All Delivery System Reform Incentive Payment (DSRIP) requirements for the 2014 calendar year were met, enabling continued funding. Approximately 10 percent of New Jerseys children have asthma, and low-income and minority children are at the greatest risk. The C.O.A.C.H. program aims to improve pediatric asthma care in the hospital, primary care offices, and schools. C.O.A.C.H gives children and parents the tools to prevent and manage asthma symptoms, reducing hospital stays, emergency room visits, and missed school days. Caregivers work with the most at-risk children and families, providing self-management skills, home visits and in-school education programs. Ocean Medical Center ==================== Growing from all Directions --------------------------- If there is one word to sum up 2014 at Ocean Medical Center, it would be 'growth'. This takes into consideration service and programmatic changes, volume increases, and medical expertise. At the heart of these changes is improving access to care, and were proud to say that local residents have tremendous health and wellness resources now available at an unprecedented level of convenience. When Ocean opened its new Emergency Department in March 2014, community response was immediate. While many Emergency Departments across the country struggled to maintain patient volume, Oceans Emergency Department saw a 10 percent increase. Likewise, Oceans primary care providers saw over 11,400 new patients throughout the year and support a vital need for family and internal medicine within the community. Physician Partnerships ---------------------- Partnerships with physicians were a critical component throughout the year and truly influenced access to care for local residents. Urgent care services and partnerships with providers like Michael Rothberg, M.D., and Ocean County Family Care were successfully implemented. Access to vascular services increased tremendously through a collaboration with Jersey Coast Vascular Institute physicians Rainier Aquino, M.D.; Scott Cluley, M.D.; Sung Kwon, M.D.; Vincent Milazzo, M.D.; and Frank Sharp, M.D. Oceans robotic surgery program exceeded expectations and reached 100 cases in its first year. The program is going strong with 15 doctors trained to perform surgeries, and Pierre Mendoza, M.D., one of the only fellowship trained surgeons in the region, was appointed medical director of urologic robotic surgery at Ocean. Orthopedic surgeons were hard at work and completed a record number of 833 joint replacements last year, and an all-time high of 89 applications were approved for physicians wishing to join Oceans medical staff. This speaks to the outstanding culture of collegiality and professional excellence that is evident at Ocean. Team Effort Earns Accolades --------------------------- Working as a team, the hard work of physicians and clinical experts at Ocean Medical Center has resulted in several prestigious levels of recognition. Their collective efforts have earned the Joint Commissions seal of approval for several programs, including advanced certification for Palliative Care, recertification for the Stroke program, and recertification for the Joint Replacement program. The American Heart Association Get With The Guidelines recognition programs bestowed a silver award for Oceans Heart Failure program, and the Gold Plus award for the Stroke program. With a skilled medical staff, a nursing team holding 93 percent nursing certification in their area of expertise, and an extremely dedicated support team, its no surprise that Ocean ranked in the top 1 percent nationally for team member engagement. This truly sets Ocean apart for delivering a quality patient experience. Riverview Medical Center ======================== Meridian Center for Robotic Surgery ----------------------------------- In 2014, Riverview began providing even more options for minimally invasive surgery with the addition of the new Meridian Center for Robotic Surgery at Riverview Medical Center. At the Center, patients can expect quicker recovery times, reduced postoperative pain, and minimal incisions and scarring, especially with such robotic systems as the da Vinci surgical system. The latest in technology allow for surgeons to make very small incisions with traditional laparoscopic surgery, but with improved visualization and range of motion, much like the motions of a human wrist. With advanced visual surgery, treatment of a wide variety of colorectal, general, gynecologic, and urologic conditions, which previously required open surgery, can now be completed with the most minimally invasive of techniques. As such, our Center allows for surgeons to do what they already do great even better. Energy Conservation ------------------- In an innovative and proactive approach to providing exceptional care, Riverview successfully completed an energy conservation plan that drastically improved patient comfort, reduced the hospitals annual energy consumption and carbon footprint, and helped to ensure the reliability of vital hospital equipment for years to come. Through New Jerseys Clean Energy Program, Riverview enrolled in the Pay for Performance plan, which grants financial incentives to large buildings for reducing their energy consumption by 20 percent. Riverview implemented a number of energy conservation measures to achieve this goal and the results are certainly lighting the way to the future. Following these key measures, Riverview has reduced its annual energy output by more than 20 percent, improved the air quality within the hospital, ensured the longevity and reliability of its equipment |
CORE FORM, PART VI, SECTION B; QUESTION 11B |
THE ORGANIZATION, MERIDIAN HEALTH, IS THE PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY OF THIS ORGANIZATION. THE PROCESS FOR REVIEWING THE FORM 990 IS AS FOLLOWS: MERIDIAN HEALTH RETAINED A FIRM OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS WITH EXPERIENCE AND EXPERTISE IN HEALTHCARE AND NOT FOR PROFIT TAX RETURN PREPARATION ("CPA FIRM") TO REVIEW AND FILE THE FORM 990. Meridian PREPARED A DRAFT OF THE FORM 990, WHICH WAS THEN REVIEWED BY OTHER APPROPRIATE INTERNAL STAFF FOR ACCURACY, GENERAL COUNSEL AND OUTSIDE TAX COUNSEL. THE DRAFT WAS THEN REVIEWED BY THE CPA FIRM AND PRESENTED TO THE GOVERNING BODY'S COMPLIANCE AND AUDIT COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE GOVERNING BODY. AFTER THE COMPLIANCE AND AUDIT COMMITTEE MEETING, ANY SUGGESTED REVISIONS TO THE FORM 990 WERE MADE, AND THE REVISED FORM 990, IN Final FORM, WAS PROVIDED TO EACH voting MEMBER OF THE ORGANIZATION'S GOVERNING BODY FOR REVIEW AT A MEETING PRIOR TO FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
CORE FORM, PART VI, SECTION B; QUESTION 12C |
THE ORGANIZATION, MERIDIAN HEALTH, IS THE PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). MERIDIAN HEALTH HAS ADOPTED A CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND KEY EMPLOYEES OF THE 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 SYSTEM'S SENIOR VICE PRESIDENT AND GENERAL COUNSEL FOR REVIEW. THE SENIOR VICE PRESENT AND GENERAL COUNSEL THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO THE SYSTEM'S EXECUTIVE COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). DURING THE YEAR, THE SENIOR VICE PRESIDENT AND 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; QUESITON 15B |
THIS ORGANIZATION IS THE PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE") OF THIS ORGANIZATION IS RESPONSIBLE FOR REVIEWING THE EXECUTIVE COMPENSATION OF THE PRESIDENT AND KEY EMPLOYEES (SENIOR MANAGEMENT) OF THIS ORGANIZATION. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY, APPROVED BY THE EXECUTIVE COMMITTEE AND GOVERNING BODY, WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES COMPENSATION AND BENEFITS. THE EXECUTIVE COMPENSATION PHILOSOPHY RECOGNIZES THE SIZE AND COMPLEXITY OF THE HEALTHCARE SYSTEM AND THE CRITICAL NEED TO HAVE AND RETAIN EXECUTIVES THAT CONSISTENTLY DEMONSTRATE SUPERIOR LEVELS OF PERFORMANCE SO THAT THE HEALTH SYSTEM CAN FULFILL ITS CHARITABLE MISSION. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS, 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 PRESIDENT 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 HEALTHCARE ORGANIZATIONS, AND RECEIVES 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 ORGANIZATION'S PERFORMANCE, BUSINESS JUDGMENT CONSIDERATIONS, AND THE INDIVIDUAL'S PERFORMANCE ESTABLISHES COMPENSATION FOR EACH INDIVIDUAL. THE COMPREHENSIVE REVIEW PROCESS UTILIZED BY THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX EXEMPT ORGANIZATION, WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF THE REGULATIONS UNDER INTERNAL REVENUE CODE SECTION 4958; 2. THE AUTHORIZED BODY OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION, WHICH COMPARABILITY DATA IS PROVIDED AND ANALYZED BY SULLIVAN COTTER AND ASSOCIATES, INC., A WELL-REGARDED EXPERT IN THE AREA OF NOT-FOR-PROFIT HEALTHCARE COMPENSATION; AND 3. THE AUTHORIZED BODY ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS REQUIRED IN THE REGULATIONS. AS APPROPRIATE, THE AUTHORIZED BODY 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 APPROVED COMPENSATION ARRANGEMENTS BY THE EXECUTIVE COMMITTEE ARE REPORTED IN EXECUTIVE SESSION TO THE GOVERNING BOARD BY THE SENIOR MEMBER OF THE CONSULTING FIRM. |
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.MERIDIANHEALTH.COM, ITS CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY. |
CORE FORM, PART VII AND SCHEDULE J |
PART VII AND SCHEDULE J REFLECT CERTAIN INDIVIDUALS, JOHN K. LLOYD, FACHE, JOSEPH LEMAIRE, Marc H. Lory AND SALVATORE INCIARDI, WHO ARE PART OF THE SENIOR MANAGEMENT TEAM AT MERIDIAN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THESE INDIVIDUALS WORK FULL-TIME FOR MERIDIAN HEALTH SYSTEM AND RECEIVE COMPENSATION AND BENEFITS FROM MERIDIAN HOSPITALS CORPORATION, A TAX-EXEMPT HOSPITAL WITHIN THE SYSTEM. THEIR REMUNERATION WAS FOR SERVICES RENDERED AS FULL TIME EMPLOYEES OF THE HEALTHCARE SYSTEM AND FOR SERVICES RENDERED TO THE ENTIRE MERIDIAN HEALTH SYSTEM, NOT SOLELY FOR THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OF THE BOARD OR OFFICER OF THIS ORGANIZATION. PLEASE NOTE THAT THIS FORM 990 REFLECTS THE FINANCIAL ACTIVITY AND OTHER INFORMATION OF THE PARENT ORGANIZATION ONLY. |
CORE FORM, PART XI; QUESTION 9 |
OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET TRANSFERS TO MERIDIAN PRACTICE INSTITUTE - ($3,156,967); - NET TRANSFERS TO OCEAN MEDICAL CENTER FOUNDATION - ($750,000); - NET TRANSFERS TO SOUTHERN OCEAN MEDICAL CENTER FOUNDATION - ($500,000); - NET TRANSFERS TO BAYSHORE COMMUNITY HOSPITAL FOUNDATION - ($250,000); - NET TRANSFERS TO MERIDIAN HEALTH REALTY CORPORATION - ($2,202,157); AND - NET TRANSFERS FROM MERIDIAN HOSPITALS CORPORATION - $9,234,124. THE ENTITIES ABOVE ARE RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS. |
STATEMENT PURSUANT TO REGULATION SECTION 1.351-3(A) |
BY MERIDIAN HEALTH SYSTEM, INC. (EIN: 22-3474145), A SIGNIFICANT TRANSFEROR This statement is made pursuant to Regulation Section 1.351-3(a) by the following entity, a significant transferor: Meridian Health System, Inc. EIN: 22-3474145 1350 Campus Parkway, Neptune, NJ 07753 Meridian Health System, Inc. (EIN: 22-3474145), a U.S. tax-exempt corporation and a significant transferor, made constructive transfers of cash on the following dates to Coastal Medical Insurance Limited (EIN: 98-0166769), its wholly-owned subsidiary formed in Bermuda (the "Transferee"): 1/31/2014: $1,115,000 3/21/2014: $7,346,654 4/25/2014: $7,223,150 ----------- $15,684,804 =========== The good faith estimate of the aggregate fair market value and tax basis of the assets transferred by Meridian Health System, Inc. (as determined immediately before the exchanges) was $15,684,804. No private letter rulings were issued by the Internal Revenue Service in connection with these Internal Revenue Code Section 351 exchanges. |
FORM 990 PART IX LINE 11G |
DESCRIPTION:PROVIDER DISTRIBUTION TOTAL FEES:5635740 |