SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
MERIDIAN HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

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

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  28,391 28,132,463 10,909,570 17,222,893 1.330 %
b Medicaid (from Worksheet 3, column a) . . . . .   71,406 140,639,907 113,876,990 26,792,917 2.070 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   99,797 168,772,370 124,786,560 44,015,810 3.400 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,664,451   1,664,451 0.130 %
f Health professions education (from Worksheet 5) . . .     34,430,119 7,854,746 26,575,373 2.060 %
g Subsidized health services (from Worksheet 6) . . . .   30,078 88,187,809 71,172,002 17,015,807 1.320 %
h Research (from Worksheet 7) .     1,577,172 979,044 598,128 0.050 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     469,227   469,227 0.040 %
j Total. Other Benefits . .   30,078 126,328,778 80,005,792 46,322,986 3.600 %
k Total. Add lines 7d and 7j .   129,875 295,101,148 204,792,352 90,338,796 7.000 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
70,593,905
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
6,818,852
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
404,400,020
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
405,294,204
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-894,184
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1HEALTH VILLAGE IMAG
  		RADIOLOGY MEDICAL SERVICES 50.000 %   50.000 %
2SOUTHERN OCEAN CTY
  		       
3DIALYSIS CLINIC LLC
  		DIALYSIS MEDICAL SERVICES 24.500 %   24.500 %
4SOUTHERN OCEAN HLTH
  		       
5ALLIANCE INC
  		MEDICAL SERVICES 57.100 %   42.900 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?5
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 JERSEY SHORE UNIVERSITY MEDICAL CTR
1945 ROUTE 33
NEPTUNE,NJ07753
WWW.MERIDIANHEALTH.COM
11303 		X X X X   X X     1
2 RIVERVIEW MEDICAL CENTER
ONE RIVER PLAZA
RED BANK,NJ07701
WWW.MERIDIANHEALTH.COM
11305 		X X       X X     1
3 OCEAN MEDICAL CENTER
425 JACK MARTIN BLVD
BRICK,NJ08724
WWW.MERIDIANHEALTH.COM
11505 		X X       X X     1
4 SOUTHERN OCEAN MEDICAL CENTER
1140 RT 72 WEST
MANAHAWKIN,NJ08050
WWW.MERIDIANHEALTH.COM
11504 		X X         X     1
5 BAYSHORE COMMUNITY HOSPITAL
727 NORTH BEERS STRET
HOLMDEL,NJ07733
WWW.MERIDIANHEALTH.COM
11301 		X X         X     1
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERIDIAN HOSPITALS CORP & SUB
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		15
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................. 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MERIDIAN HOSPITALS CORP & SUB
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MERIDIAN HOSPITALS CORP & SUB
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Section B, Line 5 As part of the community health needs assessment ("CHNA"), five community advisory committees were formed (one at each of the five hospitals). Meridian's Community Advisory Committees assist in identifying and addressing the identified health care needs on an ongoing basis. Committee members represent a cross-section of the community in terms of age, gender, religion, ethnicity, interests and professional status. Meridian's Partners in Health and Unidos COMMITTEES are comprised of African American and Hispanic civil 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 Meridian's Community Advisory Committees. Below is a list of the Community Advisory Committee members: Jersey Shore University Medical Center Community Advisory Committee ------------------------------------------------------------------- Steven M. Bumbera, Chairperson, Kathie Adams, Chief Robert Adams, Jeffrey T. Bassett, Randy Bishop, Clement S. Bramley, Jr., Dr. Michael Brantley, Lorraine Chewey, MS, R.N., NJ-CSN, Irma Geib, Tom Gilmour Ermon K. Jones, Richard A. Kelly, Kristin Meyler, Tommy Miles, Carole Knopp Morris, Louis Rodriguez, Sharon Saunders, Patricia Swannack, Janice Sweeney, Patricia Tzibrouk, Ben Waldron, John Weaver, Rich Weber, Bertha Williams-Pullen, Rabbi Symcha Zylberberg Ocean Medical Center Community Advisory Committee ------------------------------------------------- Neal Metnick, Chairperson, Mary Burne, Susan Coddington, Patty Cooke Darcy Errington, Michelle Eventoff, Peter Flihan, Ginny Horner, Beverly Keyes, Marie Land, Gloria Leyden, Donna Mitchell, Linda Murtagh, Pete Pasquale, Sr., Jules Plangere, III, Norma Pols, Kathy Pulizzi, Elaine Robinson, Kathy Russell, Frank Scarpone, Karel Schnitzer, Joseph Tomaselli, Fred Underwood, Marcia Van Sant, Rose Wehmeyer, Beverly Wilson, Rev. Carlos Wilton Southern Ocean Medical Center Community Advisory Committee ---------------------------------------------------------- Connie Becraft, Joan Berger, Maxine Blumenthal, John Boekell, Joan Brooks, Dave Cavalier, Mary Ann Collett, Eileen Eckstrom, Mary Ferrara, Stephen Fessler, Dolores Francks, Nancy Gates, Sandra Grassia, Keith Gunsten, Jackie Hillman, Brian Holloway, Jr., Barbara Hopkins, Eileen Judge, Peter Kileen, Joanne Parker, Lisa Patchell, Gennie Petrillo, Andrea Pharo, Georgette Schenk, Bernice Smith, Pat Straniere, Barbara Tyler, James Vaugh, Alice White Riverview Medical Center Community Advisory Committee ----------------------------------------------------- John Horl, Chairperson, Virginia Bland, Sean Byrnes, Mary-Grace Cangemi, Myrtle Carter, Karen Collopy, Nancy Drake, Carol Ann Giardelli, David Gilmour, Teresa Hartely, John Hendrick, James E. Holley, Lauren Kelly, Charlie Melita, Bernard H. Natelson, Beatriz Oesterheld, David Prown, Marie Tambaro, Roseann Weber, Michelle Welsh Ellen Whitford Bayshore Community Hospital Community Advisory Committee -------------------------------------------------------- Therese Hendrickson, Chairperson, Tim Allen, Jerrilyn Bean, Nancy Davis, Sheila Geoghan, Bob Hoberman, Madeleine Hoberman, Karen Kahn Carleen Lombardi, William Loughran, Carby Mioduszewski, Allison Titley, Brenda Wilson Partners in Health ------------------ Elizabeth White, Co-Chairperson, Carolyn Woody, Co-Chairperson, Marilyn Griffin, James Holley, Yvonne Johnson, Gwendolyn O. Love, Janice Moon, Kenneth Morgan, Gail Oliver, Beatrice ONeill, Celeste Overbey, Gilda Rogers, Mary S. Scott, Natalie Smith, Daliah Spencer, Nancy Washington,Audrey Williamson Unidos ------ Marco Navarrete, Co-Chairperson, Beatriz Oesterheld, Co-Chairperson, Lourdes Ables, Jackeline Biddle-Shuler, ,Julie Montalvo Mojica, Violeta Peters, Louis Rodriguez Deaf and Hard of Hearing Partners in Health ------------------------------------------- Eileen Forestal, Ph.D., Joleen Marso, E. Lynne Osborne, Joanne Sammer, Lori Timney, Jason Weiland Lori Timney, Jason Weiland
Part V, Section B, Line 6a & 6B Meridian Health's CHNA was conducted IN COLLABORATION with the Monmouth County Health Improvement Coalition (Meridian Hospitals included Bayshore Community Hospital, Riverview Medical Center and Jersey Shore University Medical Center). In addition, Monmouth Medical Center and Centrastate Medical Center were participants), as well as the Ocean County Health Advisory Committee (Meridian Hospitals included Ocean Medical Center and Southern Ocean Medical Center, In addition, Community Medical Center and Kimball Medical Center also participated). The hospital facilities worked collaboratively with health departments, including the health improvement coalitions which are made up of several organizations including other hospitals, as well as the community advisory committees.
Part V, Section B, Line 11 At Meridian Health, we recognize that the care we provide through our hospitals and partner companies reaches far beyond the boundaries of our facilities. Our mission to improve the health status of the communities we serve is at the heart of our charitable roots. In this new era of health care reform, community-based prevention and wellness activities play a critical role in keeping our local communities healthy and keeping health care costs down. Meridian Health [hospital] supports this mission through its extensive offering of well-organized and diversified health programs aimed at promoting community wellness and disease prevention. All programs can be customized to suit an individual community or organization's needs and are delivered in a culturally competent manner. Many of our programs, screenings and educational materials are available in English as well as Spanish and certified health interpreters are available to assist in communicating to these audiences. The success and effectiveness of Meridian's community benefit program is derived from a committed staff of physicians, nurses, health care specialists and community educators along with dedicated community members who help Meridian identify, strategize and implement initiatives that positively impact the health of the community. The goal is to make a positive and sustainable impact on the health status of the communities we serve, specifically to: - Monitor community health status through ongoing community health needs assessment; - Provide communities a voice in identifying and addressing unmet health needs; - Develop and implement community health improvement plans for identified community health needs that; improve residents health status and overall quality of life, reduce health disparities and increase accessibility to preventive services; AND - Empower communities with information and resources to take charge of their own health. The primary strategies used by [hospital] to address identified community health needs are: - Health promotion to create awareness of identified health needs and encourage active participation in prevention activities; - Health Education to provide knowledge, understanding and self-management tools for health issues and diseases; - Free or low cost non-diagnostic, preventive health screenings for early detection of disease; - Referrals to health service providers; AND - Lead and participate in collaboration initiatives with health departments, social service providers and other community groups. The hospital facilities took action to address all of the SIGNIFICANT needs identified in its most recently conducted CHNA WITH THE EXCEPTION OF oral health. The hospital facilities do not have the expertise to effectively address oral health.
Part V, Section B, Line 13h Jersey Shore University Medical Center, Ocean Medical Center, Riverview Medical Center, Southern Ocean Medical Center and Bayshore Community Hospital ("the Hospitals") exist to benefit our communities by promoting good health, healing, caring and comforting. The Hospitals are proud of THEIR not-for-profit public mission to provide quality care to all in need 24 hours a day, 365 days a year. The Hospitals seek ways of fulfilling our moral, ethical, and legal obligations to ensure that everyone gets the care they need regardless of ability to pay. To successfully provide this assistance, we ask that patients actively cooperate with us. The Hospitals assist patients in obtaining financial assistance from public programs and other sources whenever appropriate. To remain viable as it fulfills its mission, the Hospitals must meet its fiduciary responsibility to appropriately bill and collect for medical services provided to patients. The purpose of the Hospitals' Financial Assistance Policy is to provide general guidelines to assure reasonable collection of accounts from all available sources and to recognize as soon as possible when an individual requires assistance and/or that an account may qualify for free care, uncompensated care or as bad debt. It is also intended to ensure that the Hospitals comply with applicable state and federal requirements as well as those set forth in the Fair Debt Collections Practices Act. The Hospitals must charge for services rendered. The exact charges will depend on the extent of the services rendered by the patients' physicians and clinical team. Some examples of this include but are not limited to: Blood work, Diagnostic Testing, MRI, CT Scan, Endoscopy, Biopsies, Pathology, and Surgery. We understand and appreciate how overwhelming it can be to deal with health issues and billing issues at the same time, particularly confusing medical bills and insurance details. We strive to make this process as easy as possible for our patients by inviting patients to call our Patient Accounts Department directly at 732-776-4380 if they have questions or if they need assistance, either while still as a patient or after they have returned home. A complete bill will be mailed to the patient. However, private room costs and insurance deductibles are due at the time of admission, and can be paid at the Admitting Department which is open 24 hours a day. If the patient does not have coverage with an insurance provider, we will contact them to determine eligibility for financial assistance and to make payment arrangements. Separate Billing ---------------- Under federal law, certain services cannot be included in a hospital bill. Therefore, the patient will receive separate physician bills for each service rendered by the following: Anesthesiology; Cardiology; EEG; EKG Emergency Physicians; House Staff Psychiatry; Nuclear Medicine; Pathology; Pulmonary Function Department; Radiology (films and interpretations); Surgical Assistants; and Speech Therapy. These physician fees are for professional services rendered and/or interpretation of studies performed, and any questions regarding them should be addressed directly to those physician offices. In addition, if a house staff physician treats a patient for a situation that arises when their own physician is not available, they will be billed directly by that physician. The charges will not appear on the hospital bill. Patients should submit any such bills to their insurance provider or make arrangements for payment directly with the physician. Surgical Patients ----------------- In major surgical cases, it is mandatory to have a second qualified surgeon or surgeons available to assist the attending surgeon. Its purpose is to ensure the quality and safety of complex procedures. Traditionally, the cost of an assisting surgeon or surgeons was included in your hospital bill. Today, however, the Federal Tax Equity and Responsibility Act (TEFRA) does not allow such an inclusion, so the patient will receive a separate bill from the assisting surgeon or surgeons and are expected to pay for the services rendered by them. Insurance companies are familiar with this practice and should include the assisting surgeon or surgeons for payment, if it is an included benefit. These bills should be forwarded to the patient's insurance provider. Insurance Limitations --------------------- Under Medicare, Medicaid, and other third-party regulations, only certain levels of care may be covered by the Hospitals. Insurance benefits may be discontinued if a patient's physician or Health Care Quality Strategies, Inc. (HQSI), decides that further care is not medically necessary. The patient may be held personally responsible for any non-covered services. It is the patient's responsibility to provide us with accurate information about their insurance (Medicaid, Medicare, Managed Medicaid) so that the insurance can be billed correctly. If patients don't have insurance or their insurance doesn't cover all of the costs, there are federal and state sources of financial assistance that may be available to them. Eligibility requirements and the application process may be different depending upon the program. Financial Assistance Representatives are available to discuss what the best plan is for the patient. When patients meet with our Financial Assistance Representatives, he/she will provide a detailed list of what they will need. We specialize in the five major programs that are available to help New Jersey residents. Eligibility for these programs is dependent on the New Jersey State income and assets. Income thresholds are based on the Federal Poverty Guidelines (FPG) issued each year in the Federal Register by the Department of Health and Human Services (HHS). The 2014 income and asset levels can be found at: http://aspe.hhs.gov/poverty/14poverty.cfm MEDICAID -------- The Hospitals have contracted with a nationwide vendor, Century Business Services (CBIZ), to assist our patients who meet the eligibility criteria with the application process. There are many types of Medicaid available through the NJ Department of Health. CBIZ works with our patients to determine the program best suited for their circumstances. SSI - MEDICAID -------------- This is a program that supplements Medicaid benefits with a monthly income stipend that can help with basic needs such as food, clothing, or housing. The Hospitals have partnered with Chamberlin Edmonds and Century Business Solutions (CBIZ), who specialize in screening patients to determine eligibility for government disability programs, to be onsite to assist inpatients and certain outpatients who meet the eligibility criteria with the application process. Chamberlin Edmonds and CBIZ work in conjunction with Meriidan's Patient Access staff to complete and submit applications for uninsured patients and to provide patient advocacy throughout the entire life of the application. Some programs, such as Social Security disability programs, not only entitle patients to Medicaid or Medicare after a waiting period, but also provide monthly benefits such as cash assistance, food stamps, and home energy payment relief to these patients. As a result of this partnership, in 2014, over 1,400 patients were enrolled into a Medicaid program. 71% of these households assisted at Meridian Health System were eligible to apply for food stamps via NJ SNAP, 49% were eligible for Low Income Heating and Energy Program, and 9% of patients were eligible for supplemental monthly cash benefits including Social Security Income resulting in an estimated $1,261,000 in payments to SSI Medicaid approved patients. This is just one of the ways Meridian is helping our community. FAMILY CARE ----------- This program is designed to provide coverage for children. The Hospitals' Financial Assistance Team will assist patients in completing the application. The application is then forwarded to the County Board of Social Services or the State vendor in Trenton for processing. The patient will hear directly from the processing agency regarding the status of their application. PRESUMPTIVE ELIGIBILITY - MEDICAID ---------------------------------- This program provides temporary coverage for persons who meet some basic eligibility criteria so that their health care costs can be covered while the formal Medicaid or Family Care application is processed. It provides 45 days of coverage from the initial date of the application. It is the patient's responsibility to complete the charity care documents and submit them to the Financial Assistance Office. Patients are to notify the registration team member when they have been approved for any service such as Charity Care or Medicaid. Patients who are not covered by insurance and do not qualify for Financial Assistance will be asked to pay an upfront reduced rate for any ancillary services that are needed. These fees are due upon request. Patients paying at the time of their
Part V, Section B, Line 16i Patient Notice of Availability of Assistance Information on the availability of financial assistance and other programs of public assistance is posted in English and Spanish in key public areas in the Hospitals, including the following locations: Central Admitting/Patient Access, Emergency Room admission/registration Area, Clinic admission/registration locations, inpatient admission/registration areas, financial counselor locations and the Business Office/Patient Accounting Department. Signs inform the patient of the availability of free care and other forms of public assistance and include instructions on how to apply for or obtain additional information. The language is intended to be straightforward and includes similar language as outlined below: Availability of Financial Assistance: If you are unable to pay your hospital bill, you and other family members may be eligible for financial assistance through a public assistance program and/or the State's Uncompensated Care Program. Our financial counselors can help you find a program that meets your needs and to assist you in enrolling in that program. For more information, please contact a Hospital financial counselor at 732-776-4668. The office is open Monday through Thursday 8:30 am to 3:30 pm. The Financial Assistance Guide is posted on the Hospitals' public website at: http://www.meridianhealth.com/about-meridian/your-bill/financial-assistanc e-guide.aspx The Financial Assistance Policy is incorporated by reference in both the Hospitals' Code of Conduct and Patient Bill of Rights. In addition, during the course of the year, the Hospitals conduct numerous community health events where financial assistance information is communicated and distributed.
Part V, Section B, Line 20e Standard Billing and Collection Procedures 1. An initial bill will be sent to the responsible party for the patient's personal financial obligations for deductibles and co-insurance. 2. Follow up with Medicare until payment or a decline is received. After Medicare's determination of the patient portion, the Hospital will send the patient a bill. 3. The Hospital will issue subsequent billings at least every 30 days and for a minimum of 120 days after the initial bill before referring an account to an external collection agency. The patient will receive at least 3 billing statements and a final notice indicating that the account will be referred to an external collection agency when an acceptable payment has not been received or when an appropriate payment plan has not been established. 4. The statement or billing notices will be accompanied by telephone calls, collection letters, personal contact notices, and any other notification method that constitutes a genuine and reasonable effort to contact the party responsible for the obligation. 5. The patient's file will include documentation of continuous collection action undertaken on a regular, frequent basis and will be maintained by paper or electronic media. The Hospitals will document alternative efforts to locate the party responsible for the obligation (or the correct address on billings) on accounts that are returned by the postal service as an incorrect address or undeliverable, that is considered a bad address. Alternative efforts may include use of skip tracing methods, use of the Internet, post office records or other purchased or widely available means of tracing a patient or guarantors residence or point of contact with the intent of collecting outstanding debt or notifying them of options and other programs of public assistance that may be available to them. 6. In these instances where, after reasonable effort, an account has been deemed as undeliverable, the account shall be referred to an external collection agency for additional follow-up prior to the exhaustion of the 120 days from the attempt of the initial bill. 7. If the Hospitals determine the patient is deceased, the account will be referred to an outside agency to investigate the assets of the estate and potential for recovery. 8. In instances where the patient states worker's compensation is responsible for covering the service but where the name of the carrier is unknown, the Hospitals will attempt to contact employers and request their worker's compensation insurance information. 9. Automobile accident cases will be identified and details of the accident obtained from the police department if needed. Claims for payment will be submitted to the appropriate automobile insurance carriers and, where appropriate, Hospital liens will be filed with motor vehicle liability insurers (and in other types of accident cases). The liens are not filed against an individual's personal assets. These liens only relate to payment from motor vehicle liability insurers and are done to help ensure that the Hospitals receive appropriate payment from the third party payers involved. A Hospital representative will provide forms to automobile accident/workers comp patients in order to obtain complete automobile and health insurance information, adhering to the regulations pertaining to the individual insurance. Reasonable Collection Efforts 1. The Hospitals must make the same effort to collect accounts for Medicare and uninsured patients as it does to collect accounts from any other patient classification. 2. All collection agents of the Hospitals are required by contract to comply with the Credit and Collection policies of the Hospitals, the Fair Debt Collection Practices Act and all appropriate Federal and State (NJ) standards and regulations. Collection agents will use any patient contact as an opportunity to encourage the patients to discuss any need for financial assistance directly with the Hospitals. 3. The Hospitals or their agent will not force the sale or foreclosure of a patient's primary residence to pay an outstanding medical bill. The legal execution of real estate attachments on the patient's personal residence or on a patient's other assets (e.g. automobile) to secure the patient's debts is an extraordinary action that will only be used in truly exceptional circumstances. At a minimum, liens are permitted only where there is evidence that the patient or responsible party has income and/or assets to meet his or her obligations. Such action will require prior express authorization from the Hospitals' Senior Vice President of Legal Affairs on an individual case by case basis. 4. The Hospitals or their agent will not report to credit bureaus matters regarding outstanding and unresolved debt. 5. The Hospitals will not use body attachments (i.e., a third-party that uses physical or legal means to compel an action) to require the patient or responsible party to appear in court.
Part V, Section B, Line 22d Patients who qualify for less than 100% of charity care will be charged 20%, 40%, 60% or 80% of the Medicaid reimbursement rate depending on financial review.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?31
Name and address Type of Facility (describe)
1 THE JANE H BOOKER OP DIALYSIS CENTER
2441 HWY 33 FORTUNATO PLACE
NEPTUNE,NJ07753 		OUTPATIENT DIALYSIS
2 OCEAN MEDICAL CENTER DIALYSIS
1640 ROUTE 88 SUITE 102
BRICK,NJ08724 		OUTPATIENT DIALYSIS
3 BOOKER OUTPATIENT DIALYSIS CENTER
48 EAST FRONT STREET
RED BANK,NJ07701 		OUTPATIENT DIALYSIS
4 OCEAN CARE CENTER
1517 RICHMOND AVENUE
POINT PLEASANT,NJ08742 		URGENT CARE LABORATORY SERVICES
5 MERIDIAN OP REHAB SVCS AT NEPTUNE
2100 CORLIES AVENUE SUITE 2
NEPTUNE,NJ07753 		PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY
6 PARK PLACE COMM MENTAL HEALTH CENTER
1101 BOND STREET
ASBURY PARK,NJ07712 		GROUP THERAPY, FAMILY THERAPY, PSYCHIATRIC EVALUATION
7 MERIDIAN LIFE FITNESS AND REHABILITATION
801 ARNOLD AVENUE
POINT PLEASANT,NJ08742 		PHYSICAL THERAPY/FITNESS
8 JANE H BOOKER FAMILY HEALTH CTR AT JSUMC
1828 WEST LAKE AVENUE
NEPTUNE,NJ07753 		CLINIC
9 THE SLEEP CARE CENTER AT JSUMC
1809 CORLIES AVENUE SUITE 3
NEPTUNE,NJ07753 		SLEEP LAB
10 SOMC CLINICSLEEP CTR - NAUTILUS HEALTH
53 NAUTILUS DRIVE
MANAHAWKIN,NJ08050 		CLINIC/SLEEP LAB
11 RIVERVIEW OUTPATIENT BEHAVIORAL HEALTH
661 SHREWSBURY AVENUE
SHREWSBURY,NJ07702 		MENTAL HEALTH/ SUBSTANCE ABUSE/ ADULT PARTIAL/ O/P SERVICES
12 MERIDIAN REHABILITATION AT HOLMDEL
100 COMMONS WAY SUITE 120
HOLMDEL,NJ07733 		PHYSICAL THERAPY
13 JSMC OUTPATIENT BEHAVIORAL HEALTH
402 RT 35
NEPTUNE,NJ07754 		CHILDREN'S PARTIAL HOSPITAL/ MEDICATION MONITORING/ THERAPEUTIC NURSERY O/P SVCS
14 MERIDIAN REHABILITATION AT MANALAPAN
195 RT 9 SOUTH
MANALAPAN,NJ07726 		REHAB
15 MERIDIAN FITNESS WELLNESS - MANAHAWKIN
ROUTE 9 SOUTH
STAFFORD TWP,NJ08092 		PHYSICAL THERAPY/FITNESS FOR SENIORS & BARIATRIC PATIENTS
16 JERSEY SHORE OP BEHAVIORAL HEALTH
1200 JUMPING BROOK ROAD
NEPTUNE,NJ07753 		PHYSICAL, GROUP & FAMILY THERAPY/MEDICATION MANAGEMENT/ SUBSTANCE ABUSE
17 MERIDIAN REHABILITATION AT FORKED RIVER
730 LACEY ROAD
FORKED RIVER,NJ08731 		PHYSICAL THERAPY
18 CENTER FOR SLEEP DISORDERS
2446 CHURCH ROAD SUITE 3A
TOMS RIVER,NJ08753 		SLEEP LAB
19 MERIDIAN REHAB AT LITTLE EGG HARBOR
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		PHYSICAL THERAPY/OCCUPATIONAL THERAPY
20 Shore Rehabilitation Institute
425 Jack Martin Blvd
Brick,NJ08724 		Rehabilitative Care
21 Southern Ocean County Dialysis Clinic
1301 Rt 72 W
Manahawkin,NJ08050 		Dialysis Medical Services
22 Health Village Imaging LLC
1301 Rt 72 W
Manahawkin,NJ08050 		Radiology Medical Services
23 OCEAN MEDICAL CTRFAMILY HEALTH CTR
1608 RT 88 SUITE 207
BRICK,NJ08724 		CLINIC
24 THE CTR FOR SLEEP MEDICINE AT BAYSHORE
678 NORTH BEERS STREET
HOLMDEL,NJ07733 		SLEEP LAB
25 CENTER FOR WOUND HEALING AT BAYSHORE
735 NORTH BEERS STREET
HOLMDEL,NJ07733 		WOUND HEALING
26 SOUTHERN OCEAN MEDICAL CENTER CLINIC
53 NAUTILIS DRIVE
MANAHAWKIN,NJ08050 		CLINIC
27 MERIDIAN FITNESSWELLNESS CTR AT HAZLET
1420 RT 36
HAZLET,NJ07730 		COMMUNITY EDUCATION PHYSICAL THERAPY
28 JACKSON HEALTH VILLAGE LABORATORY
27 SOUTH COOKS BRIDGE RD SUITE M12
JACKSON,NJ08527 		LABORATORY SERVICES
29 MERIDIAN REHABILITATION AT JACKSON
27 SOUTH COOKS BRIDGE RD SUITE M10
JACKSON,NJ08527 		REHABILITATIVE CARE
30 SOUTHERN OCEAN CENTER FOR HEALTH
730 LACEY ROAD
FORKED RIVER,NJ08731 		LABORATORY SERVICES RADIOLOGY
31 SOUTHERN OCEAN CENTER FOR HEALTH
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		LABORATORY SERVICES RADIOLOGY
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
FINANCIAL ASSISTANCE ELIGIBILITY Schedule H, Part I, Line 3c NOT APPLICABLE. THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT Schedule H, Part I, Line 6a MERIDIAN HOSPITALS CORPORATION AND the ORGANIZATIONS INCLUDED IN THIS GROUP FORM 990, PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC ON ITS WEBSITE: WWW.MERIDIANHEALTH.COM. AT MERIDIAN HEALTH, WE RECOGNIZE THAT THE CARE WE PROVIDE THROUGH OUR HOSPITALS AND PARTNER COMPANIES REACHES FAR BEYOND THE BOUNDARIES OF OUR FACILITIES. OUR MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE IS AT THE HEART OF OUR CHARITABLE ROOTS. IN THIS NEW ERA OF HEALTH CARE REFORM, COMMUNITY BASED PREVENTION AND WELLNESS ACTIVITIES WILL PLAY A CRITICAL ROLE IN KEEPING OUR LOCAL COMMUNITIES HEALTHY AND KEEPING HEALTH CARE COSTS DOWN. MERIDIAN REMAINS COMMITTED TO STRENGTHENING ITS MISSION AND IN 2014 DEVOTED APPROXIMATELY $90 MILLION IN COMMUNITY BENEFITS. IN ADDITION, AS REFLECTED IN SCHEDULE H, PART III THE ORGANIZATION INCURRED BAD DEBT EXPENSE OF $6.8 MILLION ASSOCIATED WITH PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE AND INCURRED MEDICARE SHORTFALL OF $.9 MILLION WHICH IS NOT INCLUDED AS COMMUNITY BENEFIT. MERIDIAN'S 2014 COMMUNITY BENEFIT REPORT CAN BE FOUND ONLINE AT WWW.MERIDIANHEALTH.COM OR BY REQUEST THROUGH ANY ONE OF OUR FACILITIES.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST Schedule H, Part I, Line 7 THE BAD DEBT EXPENSE SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $70,593,905; THE BAD DEBT EXPENSE FOR MERIDIAN HOSPITALS CORPORATION. MERIDIAN HOSPITALS CORPORATION USEs THE SIEMENS COST ACCOUNTING SYSTEM TO DETERMINE THE COST OF CHARITY CARE AND OTHER COMMUNITY BENEFITS. A LEVEL OF COST METHODOLOGIES ARE APPLIED IN ORDER. FOR EXAMPLE, THE FIRST LEVEL IS THE DIRECT ASSIGNMENT METHODOLOGY (I.E., NURSING FLOORS); THE SECOND LEVEL IS THE RELATIVE VALUE UNIT METHODOLOGY, USING MEDICARE'S NATIONAL RVUS (I.E., EMERGENCY DEPARTMENT, RADIOLOGY, LAB); AND THE THIRD LEVEL IS THE RATIO COST TO CHARGE METHODOLOGY (I.E., DRUGS, MEDICAL SUPPLIES). INDIRECT COSTS FOR SUPPORT AND ADMINISTRATIVE SERVICES ARE CALCULATED USING THE MEDICARE STEP-DOWN PRINCIPLES.
BAD DEBT EXPENSE Schedule H, Part III, Line 2 Accounts that reach the end of the self pay billing cycle without payments or financial assistance approval are transferred to bad debt. Uninsured patient charges are discounted 70%. Balances after insurance; such as deductibles, co-pays and coinsurance are not discounted. Schedule H, Part III, Line 3 Through the financial assistance program, all self pay patients are interviewed. The amount reflected on line 3 represents those that are not compliant with documentation requirements and those who cannot be contacted, such as the homeless or patients who give erroneous information. Patients non-eligible becasue they are over income limits are not included. The patients that fall into this category have no means of paying their bill. Schedule H, Part III, Line 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDER'S BAD DEBT EXPENSE FROM the FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION INCLUDED IN THIS GROUP FORM 990 FOR WHICH THIS SCHEDULE H IS BEING FILED, MERIDIAN HOSPITALS CORPORATION, RECEIVEs AN AUDITED FINANCIAL STATEMENT. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF MERIDIAN HOSPITALS CORPORATION. COLLECTABILITY OF ACCOUNTS RECEIVABLE THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. THE CORPORATION HAS IMPLEMENTED A MONTHLY STANDARDIZED APPROACH TO ESTIMATE AND REVIEW THE COLLECTABILITY OF RECEIVABLES BASED ON THE PAYOR CLASSIFICATION AND THE PERIOD FROM WHICH THE RECEIVABLES HAVE BEEN OUTSTANDING. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT FEELS IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. HISTORICAL COLLECTION AND PAYOR REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION PROCESS RELATED TO RESERVES FOR DOUBTFUL ACCOUNTS. IN ADDITION, THE CORPORATION ASSESSES THE CURRENT STATE OF ITS BILLING FUNCTIONS IN ORDER TO IDENTIFY ANY KNOWN COLLECTION OR REIMBURSEMENT ISSUES AND ASSESS THE IMPACT, IF ANY, ON RESERVE ESTIMATES. THE CORPORATION BELIEVES THAT THE COLLECTABILITY OF ITS RECEIVABLES IS DIRECTLY LINKED TO THE QUALITY OF ITS BILLING PROCESSES, MOST NOTABLY THOSE RELATED TO OBTAINING THE CORRECT INFORMATION IN ORDER TO BILL EFFECTIVELY FOR THE SERVICES IT PROVIDES. REVISIONS IN RESERVE FOR DOUBTFUL ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO BAD DEBT EXPENSE. CHARITY CARE THE CORPORATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE CORPORATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED. THE CORPORATION RECEIVES PARTIAL REIMBURSEMENT FOR THE UNCOMPENSATED CARE IT PROVIDES. OF THE CORPORATION'S $1.3 BILLION AND $1.2 BILLION OF TOTAL EXPENSES REPORTED FOR 2014 AND 2013 RESPECTIVELY, AN ESTIMATED COST OF $25,627,000 AND $62,820,000 FOR 2014 AND 2013 RESPECTIVELY IS ATTRIBUTABLE TO PROVIDING SERVICES TO CHARITY PATIENTS. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COST TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE RATIO OF COST TO CHARGES IS CALCULATED BASED ON THE CORPORATION'S TOTAL EXPENSES, EXCLUDING BAD DEBT EXPENSE, DIVIDED BY GROSS PATIENT SERVICE REVENUE. MERIDIAN UTILIZED A COST TO CHARGE RATIO METHODOLOGY IN CALCULATING THE BAD DEBT EXPENSE REFLECTED IN SCHEDULE H, PART III. MERIDIAN RETAINED THE SERVICES OF AN OUTSIDE INDEPENDENT CONSULTANT TO ACQUIRE DOCUMENTATION FROM NON-COMPLIANT CHARITY CARE PATIENTS. THE CONSULTANT DETERMINES AND RECORDS, AT GROSS CHARGES, THE AMOUNT OF THE NON-COMPLIANT CHARITY CARE PATIENTS FOR WHICH THEY DO NOT RECEIVE ANY DOCUMENTATION. MERIDIAN APPLIES ITS COST TO CHARGE RATIO TO THE GROSS CHARGE AMOUNT DOCUMENTED BY THE CONSULTANT TO CALCULATE THE AMOUNT DISCLOSED ON SCHEDULE H, PART III, SECTION A, LINE 3.
MEDICARE SHORTFALL Schedule H, Part III, Line 8 MEDICARE COSTS WERE DERIVED FROM THE 2014 MEDICARE COST REPORT. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). AMERICAN HOSPITALS ASSOCIATION "AHA" REPORT ON COMMUNITY BENEFIT APRIL 2013 ---------------------------------------------------------------------- Improving the health of their communities is at the heart of every hospitals mission. For two consecutive years, the American Hospital Association (AHA) has collected the community benefit information that tax-exempt hospitals file with the Internal Revenue Service (IRS) On Schedule H, and asked Ernst & Young to analyze and report on it. Schedule H forms were obtained directly from MORE THAN 900 hospitals AROUND THE NATION that filed them with IRS. Hospitals provide benefits to their communities in a multitude of ways. They not only provide financial assistance and absorb underpayments from means-tested government programs such as Medicaid, but also incur losses due to unreimbursed Medicare expenses and bad debt expenses that are attributable to charity care. In addition, they offer programs and activities to fund community health improvement programs, underwrite health professions education, conduct medical research, subsidize certain health services, and make cash and in-kind contributions to community groups. In 2010, 74 percent of participating hospitals and systems reported having Medicare shortfalls, which compares with 75 percent in 2009. Medicare reimbursement shortfalls occur when the Federal government reimburses the hospitals less than their costs for treating Medicare patients. Most hospitals described why their Medicare shortfall should be treated as community benefit: - They explained on their Schedule H forms that non-negotiable Medicare rates are sometimes out-of-line with the true costs of treating Medicare patients. - By continuing to treat patients eligible for Medicare, hospitals alleviate the federal government's burden for directly providing medical services. The IRS recently acknowledged that lessening the government burden associated with providing Medicare benefits is a charitable purpose [IRS Notice 2011-20]. - Additionally, many hospitals pointed to IRS Rev. Rul. 69-545 in their explanation of Medicare shortfall as a community benefit. IRS Rev. Rul. 69-545 states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. BOTH THE AHA AND THIS ORGANIZATION FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE.
DEBT COLLECTION POLICY Schedule H, Part III, Line 9b MERIDIAN HANDLES ALL COLLECTION OF DEBT IN THE SAME FASHION REGARDLESS OF TYPE OF PAYER. MERIDIAN UTILIZES THE FAIR ISAAC BAD DEBT MANAGEMENT SYSTEM FOR ITS COLLECTION PRACTICES. MERIDIAN ALSO ROUTINELY REFERS UNPAID PATIENT ACCOUNTS TO VARIOUS COLLECTION AGENCIES WHEN THE ACCOUNTS HAVE AGED AND ATTEMPTS TO COLLECT HAVE BEEN UNSUCCESSFUL. BELOW IS THE PROCESS FOR THE COLLECTION OF BAD DEBT: - Current Accounts Receivable that reach the end of the self pay billing cycle without payment or financial assistance approval are transferred to bad debt. - ACCOUNTS OVER $25,000 ARE APPROVED BY THE VICE PRESIDENT OF PATIENT FINANCIAL SERVICES. - Reasonable efforts are made to determine Financial Assistance Program eligibility. This includes notification to the individual, written notice describing additional information/documentation required to complete a determination, including a plain-language summary of the Financial Assistance Program, and written notice at least 30 days before completion deadline, describing extraordinary actions that may be taken if application is not completed by the deadline. - Primary bad debt collection agencies work the accounts for 180 days. - Accounts that remain unpaid at the end of the 180 days are automatically reassigned to a secondary agency for an additional 180 days. - Primary and secondary agencies do not pursue legal action on accounts. - Secondary agency placement accounts that remain unpaid after 180 days are referred to attorneys. - Attorneys can engage in extraordinary collection actions. - Extraordinary collection actions are suspended if the patient submits a financial assistance application. - The hospitals continue to accept and process any financial assistance application for up to 18 months after the original date of service. - If the patient meets the eligibility requirements, any payments paid by the patient are refunded to the patient.
NEEDS ASSESSMENT Schedule H, Part VI, Question 2 IN ADDITION TO THE BELOW, PLEASE ALSO REFER TO OUR RESPONSES IN SCHEDULE H, PART V, Section B, QUESTIONS 1 THROUGH 12. 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 Meridian's website. The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. A variety of existing (secondary) data sources was consulted to complement the research quality of this Community Health Needs Assessment. These secondary data were available at the county level; to best match the Primary Service Area. These were obtained from a variety of sources (specific citations are included in the CHNA report), such as: - Centers for Disease Control & Prevention - National Center for Health Statistics, State Department of Public Health - State Department of Health and Human Services - State Uniform Crime Report - US Census Bureau - US Department of Health and Human Services - US Department of Justice, Federal Bureau of Investigation In addition, there were five Key Informant Focus Groups held in the region - these key informant focus groups allowed for input from persons with special knowledge of or expertise in public health, as well as others who represent the broad interests of the community served by each hospital. Participants included over 50 key informants in the region, including physicians, other health professionals, social service providers, business leaders and other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. With the community health needs assessment as our guide, Meridian prepares its annual community benefits plan, part of Meridian's overall strategic plan, aligning activities and resources toward those priority health needs as well as engaging a variety of community organizations for collaboration on interventions. Meridian's Community Advisory Committees assist us 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 meridian's Community Advisory Committees. Findings from the assessment highlighted several health concerns for our community, including; risk factors for heart disease and stroke, cancer, pediatric asthma, Alzheimer's disease, obesity and diabetes, access to care, immunizations and infectious diseases and oral health. Each hospital has prepared an implementation strategy that contains the specific programs and resources that will be deployed against each health priority.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE Schedule H, Part VI, Question 3 MERIDIAN POSTS NOTICES, IN ENGLISH AND SPANISH, AT EVERY ACCESS POINT OF ITS FACILITIES, VERBALLY INFORMS UNINSURED PATIENTS AT REGISTRATION, FEATURES INFORMATION IN ITS FINANCIAL CONSENT FORM, INCLUDES A SENTENCE AND A PHONE NUMBER FOR ITS FINANCIAL ASSISTANCE OFFICE IN ITS BILLING STATEMENTS, INFORMS INDIVIDUALS IF THEY CALL PATIENT ACCOUNTS CUSTOMER SERVICE AND CONTACTS PATIENTS VIA TELEPHONE AND LETTERS POST BILLING TO INFORM THEM OF THEIR ASSISTANCE OPTIONS. In addition, the financial assistance guide, including contact phone numbers, is posted on our website at www.meridianhealth.com.
COMMUNITY INFORMATION Schedule H, Part VI, Question 4 MERIDIAN HEALTH OPERATES 6 HOSPITALS IN MONMOUTH AND OCEAN COUNTIES, NEW JERSEY. the following information is based on recent CENSUS ESTIMATES: MONMOUTH COUNTY OCEAN COUNTY POPULATION, 2014 629,279 586,301 UNDER 5 YEARS OF AGE, 2013 5.2% 6.8% UNDER 18 YEARS OF AGE, 2013 22.6% 23.5% 65 YEARS OLD AND OVER, 2013 15.2% 21.7% PERSONS BELOW POVERTY LEVEL, 2009-2013 7.8% 10.5% MEDIAN HOUSEHOLD INCOME, 2009-2013 $ 84,526 $61,136 RACIAL COMPOSITION, 2013: WHITE 76.1% 85.2% AFRICAN AMERICAN 7.6% 3.5% ASIAN 5.4% 1.9% HISPANIC OR LATINO ORIGIN 10.3% 8.8% OTHER 0.6% 0.6%
PROMOTION OF COMMUNITY HEALTH Schedule H, Part VI, Question 5 MERIDIAN OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVICES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY DEPT. FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF TRUSTEES; 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. PLEASE REFER TO SCHEDULE O FOR THE SYSTEM'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE SYSTEM PROMOTES COMMUNITY HEALTH.
AFFILIATED HEALTHCARE SYSTEM Schedule H, Part VI, Question 6 MERIDIAN HEALTH SYSTEM, INC. ---------------------------- MERIDIAN HEALTH SYSTEM, INC. ("MERIDIAN") IS THE TAX-EXEMPT PARENT OF THE MERIDIAN HEALTH SYSTEM, INC. AND AFFILIATES SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER MERIDIAN OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY MERIDIAN. THE SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT MONMOUTH AND OCEAN COUNTIES AND SURROUNDING AREAS. MERIDIAN IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF A LARGE TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY, MERIDIAN STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF MONMOUTH AND OCEAN COUNTIES AND SURROUNDING COMMUNITIES. MERIDIAN ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. THE SYSTEM'S ACTIVE HOSPITALS INCLUDE: - JERSEY SHORE UNIVERSITY MEDICAL CENTER, - RIVERVIEW MEDICAL CENTER, - OCEAN MEDICAL CENTER, - SOUTHERN OCEAN MEDICAL CENTER, - BAYSHORE COMMUNITY HOSPITAL, AND - K. HOVNANIAN CHILDREN'S HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOSPITALS CORPORATION ------------------------------ MERIDIAN HOSPITALS CORPORATION ("HOSPITALS") IS A NOT FOR-PROFIT CORPORATION THAT OPERATES AN ACUTE CARE HOSPITAL SYSTEM, WHICH PROVIDES PRIMARY AND TERTIARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HOSPITALS ALSO PROVIDES PROGRAMS FOR MEDICAL TRAINING, RESEARCH, EDUCATION AND CONDUCTS ACTIVITIES ESTABLISHED TO IMPROVE THE HEALTH OF ITS COMMUNITIES. HOSPITALS INCLUDES JERSEY SHORE UNIVERSITY MEDICAL CENTER, RIVERVIEW MEDICAL CENTER, OCEAN MEDICAL CENTER, SOUTHERN OCEAN MEDICAL CENTER, BAYSHORE COMMUNITY HOSPITAL and K. HOVNANIAN CHILDREN'S HOSPITAL. JERSEY SHORE UNIVERSITY MEDICAL CENTER -------------------------------------- JERSEY SHORE UNIVERSITY MEDICAL CENTER ("JSUMC") IS A 610-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. It is the region's only University-level, Academic Medical Center and Regional Truama Center. It is home to an extensive Cardiac program including cardiac surgery, valve replacement and heart rhythm center, as well as a comprehensive stroke center. JSUMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, JSUMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, JSUMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. RIVERVIEW MEDICAL CENTER ------------------------ RIVERVIEW MEDICAL CENTER ("RMC") IS A 433-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RED BANK, MONMOUTH COUNTY, NEW JERSEY. It has been five times distinguished by J.D. Powers AND Associates and rated one of the top hospitals for quality in New Jersey. It is also home to the region's first Cyberknife radiosurgery center, Booker Cancer Center, Riverview Rehabilitation Center, Pimary Stroke Center, and Chest Pain Center. RMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, RMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, RMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. OCEAN MEDICAL CENTER -------------------- OCEAN MEDICAL CENTER ("OMC") IS A 275-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. It recently was rated one of the five safest hospitals in New Jersey by Forbes Magazine. Also offering advanced diagnostic, surgical, and vascular services, the region's only Acute Care for the Elderly Unit, as well as a Primary Stroke Center, Chest Pain Center, the Meridian Pharmacology Institute, and the state's first satellite emergecy department - Ocean Care Center in Point Pleasant. OMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, OMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, OMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SOUTHERN OCEAN MEDICAL CENTER ----------------------------- SOUTHERN OCEAN MEDICAL CENTER ("SOMC") IS A 156-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN MANAHAWKIN, OCEAN COUNTY, NEW JERSEY. It specializes in oncology, cardiovascular, bariatric and general surgery, joint health and orthopedics, women's health, critical care, transitional care, diagnostics, as well as a wide range of wellness and disease prevention programs. SOMC OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, SOMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SOMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BAYSHORE COMMUNITY HOSPITAL --------------------------- BAYSHORE COMMUNITY HOSPITAL ("BCH") IS A 211-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN HOLMDEL, MONMOUTH COUNTY, NEW JERSEY. It is home to several specialized care units for surgical, intensive and transitional care, specialty centers for wound care and balance, the Vassar Eye Center, and it has been continually recognized among top performers for core quality measures in the state. BCH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, BCH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, BCH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. K. HOVNANIAN CHILDREN'S HOSPITAL -------------------------------- K. HOVNANIAN CHILDREN'S HOSPITAL ("HOVNANIAN") IS A NON-PROFIT ACUTE CARE CHILDREN'S HOSPITAL LOCATED IN NEPTUNE, MONMOUTH COUNTY, NEW JERSEY. As the first and most comprehensive children's hospital in Monmouth and Ocean counties, it is home to the most board certified pediatric subspecialists in the region, as well as a dedicated pediatric emergency and trauma center, pediatric and neonatal intensive care, and specialized programs and centers for asthma, epilepsy, gastroenterolgy, development oncology, behavioral health, and diabetes. HOVNANIAN OPERATES AS AN EXEMPT HOSPITAL UNDER MERIDIAN HOSPITALS CORPORATION'S 501(C)(3) DETERMINATION. PURSUANT TO ITS CHARITABLE PURPOSES, HOVNANIAN PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL CHILDREN IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, HOVNANIAN OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. SHORE REHABILITATION INSTITUTE,INC. ---------------------------------- SHORE REHABILITATION INSTITUTE, INC. ("SRI") IS A 40-BED NON-PROFIT ACUTE REHABILITATION CENTER LOCATED IN BRICK, OCEAN COUNTY, NEW JERSEY. It offers a comprehensive range of inpatient and outpatient services. SRI provides individualized rehablitation services to adult and geriatric individuals with disability. SRI IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SRI PROVIDES MEDICALLY NECESSARY REHABILITATIVE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, SRI OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. MERIDIAN HOME CARE SERVICES, INC. --------------------------------- MERIDIAN HOME CARE SERVICES, IN
STATE FILING OF COMMUNITY BENEFIT REPORT Schedule H, Part VI, Question 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. MERIDIAN HOSPITALS CORPORATION, AN ORGANIZATION INCLUDED IN THIS GROUP FORM 990, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IT MAKES AVAILABLE TO THE PUBLIC ON ITS WEBSITE: WWW.MERIDIANHEALTH.COM.
Schedule H (Form 990) 2014
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