Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (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
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN CANCER SOCIETY
1035 HOOPER AVE
TOMS RIVER,NJ08753 		16-0743902 501(C)(3) 21,500       RESEARCH SUPPORT
(2) AMERICAN HEART ASSOCIATION
208 WEST END AVE
BRIDGEWATER,NJ08807 		13-5613797 501(C)(3) 40,000       RESEARCH SUPPORT
(3) HOLIDAY EXPRESS Inc
1184 OCEAN AVE C-8
SEA BRIGHT,NJ07760 		22-3470019 501(C)(3) 10,000       SAFETY & WELLNESS
(4) MENTAL HEALTH ASSOCIATION
119 Avenue at the Common
Shrewsbury,NJ07702 		23-1907729 501(C)(3) 5,150       Community HEALTH
(5) AMERICAN RED CROSS
PO BOX 33093
NEWARK,NJ071880093 		53-0196605 501(C)(3) 9,313       SAFETY & WELLNESS
(6) MONMOUTH PARK CHARITY FUND
175 OCEANPORT AVE
OCEANPORT,NJ07757 		22-6063135 501(C)(3) 7,500       SAFETY & WELLNESS
(7) TWO RIVER THEATER COMPANY Inc
21 BRIDGE AVE
RED BANK,NJ07701 		52-1857757 501(C)(3) 10,000       ART & CULTURE
(8) MONMOUTH COUNCIL BOY SCOUTS OF AMERICA
705 GINESI DRIVE
MORGANVILLE,NJ07751 		21-0634963 501(C)(3) 5,500       CHILDREN'S HEALTH
(9) RUTGERS UNIVERSITY
190 University Avenue
Newark,NJ07102 		22-2622522 501(C)(3) 10,400       HIGHER EDUCATION
(10) THE COMMUNITY YMCA
113 TINDALL RD
MIDDLETOWN,NJ07748 		21-0635051 501(C)(3) 5,750       SAFETY & WELLNESS
(11) MARCH OF DIMES FOUNDATION
1010 EAST PARK BLVD
CRANBURY,NJ08512 		13-1846366 501(C)(3) 5,500       HEALTH & WELLNESS
(12) MONMOUTH UNIVERSITY
400 CEDAR AVE
WEST LONG BRANCH,NJ07764 		21-0634584 501(C)(3) 5,700       HIGHER EDUCATION
(13) BIG BROTHERS BIG SISTERS
174 MAIN STREET
EATONTOWN,NJ07724 		22-2155416 501(C)(3) 9,900       CHILDRENS HEALTH SAFETY AND WELLNESS
(14) SUSAN G KOMEN
TWO PRINCESS RD SUITE D
LAWRENCEVILLE,NJ08648 		73-2052349 501(C)(3) 10,150       RESEARCH SUPPORT
(15) BROOKDALE COMMUNITY COLLEGE
765 NEWMAN SPRINGS ROAD
LINCROFT,NJ07738 		22-1849485 501(C)(3) 6,535       HIGHER EDUCATION
(16) ARC MONMOUTH
1158 WAYSIDE RD
TINTON FALLS,NJ07712 		22-2545563 501(c)(3) 6,750       COMMUNITY SUPPORT
(17) HACKENSACK UNIV MEDICAL CTR FOUNDATION
360 ESSEX ST STE 301
HACKENSACK,NJ07601 		22-2339534 501(c)(3) 10,000       HEALTHCARE
(18) GRANTS TO ORGANIZATIONS LESS THAN 5000
c/o Meridian Health
1350 CAMPUS PARKWAY
NEPTUNE,NJ07753 		  115,795       COMMUNITY SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
17
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1) EDUCATIONAL SCHOLARSHIPS 245 205,500      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I; QUESTION 1 OVER THE YEARS, MERIDIAN HEALTH HAS BEEN FORTUNATE TO OFFER SUPPORT THROUGH CHARITABLE DONATIONS TO CHARITABLE ORGANIZATIONS IN MERIDIAN HEALTH'S COMMUNITY SERVICE AREA. ADDITIONALLY, MERIDIAN ENCOURAGES ITS LEADERS, PHYSICIANS, AND TEAM MEMBERS TO SERVE ON THESE LOCAL CHARITABLE BOARDS AND COMMITTEES TO ENSURE THAT CONTRIBUTIONS OFFERED THROUGH MERIDIAN ARE UTILIZED APPROPRIATELY. MERIDIAN ESTABLISHES AN ANNUAL AMOUNT TO BE DONATED TO SUPPORT OTHER LOCAL TAX-EXEMPT CHARITIES AND UTILIZES THE FOLLOWING CRITERIA IN EVALUATING THE NUMEROUS REQUESTS RECEIVED FROM LOCAL TAX-EXEMPT CHARITIES: - GROUPS THAT PROMOTE AWARENESS OF HEALTH-RELATED ISSUES - COMMUNITY ASSOCIATIONS THAT HELP THOSE IN NEED OF BASIC NECESSITIES INCLUDING, BUT NOT LIMITED TO, FOOD, CLOTHING, AND SHELTER - ORGANIZATIONS THAT ENCOURAGE YOUNG PEOPLE TO ACHIEVE THEIR POTENTIAL, USE THEIR IMAGINATION, AND KEEP THEM SAFE FROM HARM - SOCIAL SERVICES THAT PROVIDE RELIEF AND COUNSELING TO THOSE SUFFERING FROM ABUSE MERIDIAN VERIFIES THE USE OF CONTRIBUTED FUNDS BY ATTENDING SUPPORTED EVENTS, REQUESTING COPIES OF JOURNAL ADS OR PROOF OF "FUNDED-BY" SIGNAGE, REVIEWING ORGANIZATIONAL ANNUAL REPORTS, AND VOLUNTEERING WITH THESE ORGANIZATIONS TO ENSURE THE ADVANCEMENT OF THE SUPPORTED MISSION. IN 2014, THE AMOUNT OF GRANTS PAID TO INDIVDUAL ORGANIZATIONS IN AMOUNTS LESS THAN $5,000 WAS A TOTAL OF $115,795.
SCHEDULE I; PART III SCHOLARSHIPS ARE AWARDED BASED ON AN ANALYSIS OF CRITERIA OF ESTABLISHED POLICY SET BY MERIDIAN HEALTH SYSTEM, INC. THE SCHOLARSHIP RECIPIENT WAS SELECTED BY A COMMITTEE OF THE ORGANIZATION BASED ON AN A REVIEW AND ANALYSIS OF THE OBJECTIVE AND NONDISCRIMINATORY CRITERIA.
Schedule I (Form 990) 2014



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