SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on 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
2015
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
 
No
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
 
 
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) . . . 		  23,188 21,972,015 11,317,650 10,654,365 0.770 %
b Medicaid (from Worksheet 3, column a) . . . . .   132,613 183,519,129 154,312,649 29,206,480 2.100 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   155,801 205,491,144 165,630,299 39,860,845 2.870 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,056,192 0 2,056,192 0.150 %
f Health professions education (from Worksheet 5) . . .     31,649,817 8,224,463 23,425,354 1.680 %
g Subsidized health services (from Worksheet 6) . . . .   53,784 235,500,807 201,612,739 33,888,068 2.440 %
h Research (from Worksheet 7) .     2,137,339 863,960 1,273,379 0.090 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     360,063 0 360,063 0.030 %
j Total. Other Benefits . .   53,784 271,704,218 210,701,162 61,003,056 4.390 %
k Total. Add lines 7d and 7j .   209,585 477,195,362 376,331,461 100,863,901 7.260 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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
59,543,204
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
29,940,716
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
442,055,442
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
394,880,132
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
47,175,310
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 %   50 %
2SOUTHERN OCEAN CTY
  		       
3DIALYSIS CLINIC LLC
  		DIALYSIS MEDICAL SERVICES 24.5 %   24.5 %
4SOUTHERN OCEAN HLTH
  		       
5ALLIANCE INC
  		MEDICAL SERVICES 57.1 %   42.9 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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
MERIDIAN HOSPITALS CORP
223471515 		X X X X   X X     1
2 RIVERVIEW MEDICAL CENTER
ONE RIVER PLAZA
RED BANK,NJ07701
WWW.MERIDIANHEALTH.COM
11305
MERIDIAN HOSPITALS CORP
223471515 		X X       X X     1
3 OCEAN MEDICAL CENTER
425 JACK MARTIN BLVD
BRICK,NJ08724
WWW.MERIDIANHEALTH.COM
11505
MERIDIAN HOSPITALS CORP
223471515 		X X       X X     1
4 SOUTHERN OCEAN MEDICAL CENTER
1140 RT 72 WEST
MANAHAWKIN,NJ08050
WWW.MERIDIANHEALTH.COM
11504
MERIDIAN HOSPITALS CORP
223471515 		X X         X     1
5 BAYSHORE COMMUNITY HOSPITAL
727 NORTH BEERS STRET
HOLMDEL,NJ07733
WWW.MERIDIANHEALTH.COM
11301
MERIDIAN HOSPITALS CORP
223471515 		X X         X     1
Schedule H (Form 990) 2015
Page 4
Schedule H (Form 990) 2015
Page 4
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  
6 a 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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2015
Page 5
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERIDIAN HOSPITALS CORP & SUB
Name of hospital facility or letter of facility reporting group  
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
www.meridianhealth.com
b
www.meridianhealth.com
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) 2015
Page 6
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

MERIDIAN HOSPITALS CORP & SUB
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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 19. (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) 2015
Page 7
Schedule H (Form 990) 2015
Page 7
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"), Meridian's five community advisory committees were consulted (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. A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the 2011 PRC Community Health Survey. Thus, to ensure the best representation of the population surveyed, a telephone interview methodology was employed. The primary advantages of telephone interviews are timeliness, efficiency and random-selection capabilities. The sample design used for this effort consisted of a stratified random sample of 1,054 individuals age 18 and older in the Total Area. The sample plan was constructed to include minimum sample thresholds for each hospital service area, as well as among Hispanic and African American respondents. In all, 586 interviews were conducted in zip codes associated with Monmouth County, and 468 were conducted in zip codes associated with Ocean County. After the data were collected, all of the interviews were weighted into their correct proportions (based on actual population distribution) at the service area level. All administration of the surveys, data collection and data analysis was conducted by Professional Research Consultants, Inc. (PRC). As part of the community health needs assessment, five focus groups were held (one at each of the five hospitals). These focus groups included meetings with 32 key informants in the community, including members of the hospitals' Community Advisory Councils and other community leaders. A list of recommended participants for the focus groups was provided by Meridian Health System. 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. Focus group candidates were first contacted by letter to request their participation. Follow-up phone calls were then made to ascertain whether or not they would be able to attend. Confirmation calls were placed the day before the groups were scheduled to insure they would have a reasonable turnout. The focus group sessions were recorded on audio tapes from which verbatim comments in the report are taken. After each quote, the speaker's group is denoted; however, aside from this group affiliation, there are no names connected with the comments, as participants were asked to speak candidly and assured of confidentiality.
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 Monmouth Medical Center Southern Campus (formerly known as Kimball Medical Center) also participated). The hospital facilities worked collaboratively with the health coalitions which are made up of county and local health departments, social service providers, hospitals, and others.
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. 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 16i Patient Notice of Availability of Assistance Meridian Hospitals Corporation adheres to the patient notification requirements of Financial Assistance Programs that are available to patients who are eligible for assistance programs based on the regulations established in NJAC 10:52, Subchapters 11, 12, 13. A request for Charity Care and a determination of financial need may be done at any point, starting from when a patient anticipates a medical visit up to two years after date of service. Eligibility is from the date of service and length of eligibility is based on the type of charity received see below. - ER charity only For Inpatients admitted through Emergency Room, good for that hospital stay only. - 3 month charity For Outpatient/Observation - Patients that are qualified for NJ Family Care. This type of charity care covers the patients for any additional services they need from the hospital for the next 3 months while they are waiting for the NJFC approval. - 4 months up to one year charity Patients who would not qualify for NJ Family Care (i.e.; already have insurance but no secondary, undocumented, Medicare no secondary, individuals who would qualify for Marketplace but cant apply due to Marketplace being closed). Charity Care applications and department contact information are available at any Meridian Health facility, by accessing www.meridianhealth.com/financialassistance, and hospital staff have been provided with contact information. Meridian Hospitals Corporation maintains financial assistance offices at Jersey Shore University Medical Center (Neptune, NJ), Ocean Medical Center (Brick, NJ), Riverview Medical Center (Red Bank, NJ), Southern Ocean Medical Center (Manahawkin, NJ), Bayshore Community Hospital (Holmdel, NJ), Meridian Family Health Center (Neptune, NJ), Jane H. Booker Family Health Center (Neptune, NJ), Booker Behavioral Health Center (Shrewsbury, NJ), and Parkway 100 Behavioral Health Center (Neptune, NJ). Financial Assistance Counselors are available on site at these locations for interviews and to answer questions. To make an appointment, applicants should call (732) 212-6505. Applicants must provide Meridian Hospitals Corporation with a completed Charity Care application. Required documents include identification, proof that he/she has been residing in New Jersey since the time of service and intend to remain in the State, proof of income for one month prior to the date of service, and bank statements that include the balance on the date of service, and a signed application attesting to the data submitted. Additional documents may be required depending on the individual applicants circumstance. Completed applications can be mailed, emailed, delivered personally or transcribed via the telephone (with original signature to follow) to any Meridian Hospitals Corporation facility. In an effort to ensure that the community serviced by Meridian Hospitals Corporation is aware of the Financial Assistance/Charity Care Programs, availability of all programs appears on statements and collection letters. Notices are posted and Plain Language Summaries and applications are available in emergency departments, urgent care centers, admitting and registration departments, and patient financial services offices that are located at each campus. Notices and applications are posted and available in English and in Spanish, which are the primary languages of the populations with limited English proficiency that constitute more than 5% or 1,000 individuals of the population. Meridian Hospitals Corporation provides language interpreting and translation services, and provides information to patients with vision, speech, hearing or cognitive impairments in a manner that meets the patients needs. Financial Counselors participate in community outreach programs. The Financial Assistance/Charity Care Policy and charity care application are posted on the Meridian Hospitals Corporation website at www.meridianhealth.com/about-meridian/your-bill and are available free upon request. The guide contains information regarding all NJ Medicaid programs, SSI Medicaid, NJ Family Care, Presumptive Eligibility, and Charity Care. A Charity Care Application and New Jersey Hospital Care Payment Assistance Fact Sheet are available at each campus. A Plain Language Summary is available, distributed and posted in Community Centers, Churches, public gathering areas and community events. This document is offered at all points of patient registration.
Part V, Section B, Line 20e BILLING/COLLECTION ACTIVITY Current Accounts Receivable ("AR") that reach the end of the self-pay billing cycle (self-pay bill cycle is generally less than 80 days and includes two statements and two letters) without payment or evidence of Charity Care eligibility are transferred to bad debt as stipulated in Patient Accounts policies and procedures. Meridian Hospitals Corporation does not engage in Extraordinary Collection Actions ("ECAs") against an individual prior to reasonable efforts being made to determine whether the individual is Financial Assistance Program-eligible. Reasonable efforts to determine Financial Assistance Program eligibility include 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 a written letter at least 30 days before the completion deadline notifying the patient of the actions that will be taken if application is not completed by the deadline. Primary bad debt collection agencies work the accounts for 180 days from the first post-charge billing statement. Accounts that remain unpaid at the end of 180 days are automatically reassigned to a secondary agency for an additional 180 days. Meridian Hospitals Corporation may also satisfy the notification requirements and aggregate an individuals outstanding bills by simultaneously notifying the individual about its Financial Assistance Policy and Extraordinary Collection Actions as long as 120 days have passed since the first post-discharge billing statement. 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, who will facilitate the 30 day notice, can engage in extraordinary collection actions which will include judgments, liens and garnishments. Extraordinary collection actions are suspended during this time if the patient does submit a financial assistance application. The hospital continues to accept and process any financial assistance applications if completed, for up to 24 months after the first post-discharge billing statement. Accounts that are transferred to bad debt greater than $25,000 are reviewed by the Vice President of Patient Financial Services. If the patient meets the eligibility requirements for charity care, any payments paid by the patient will be refunded and any extraordinary collection efforts that have been taken will be terminated. NOTIFICATION REQUIREMENTS Notice of availability of the two programs is included on all statements and collection letters sent to patients during the self-pay billing cycle. Charity Care fact sheets, a Financial Assistance guide and applications are available on the Meridian website and at each campus. Meridian Hospitals Corporation also participates in Community Outreach Programs.
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. Patients who qualify for less than 100% of Charity Care will be charged the lesser of Amounts Generally Billed (AGB) or any other discount offered under the Meridian Health Financial Assistance Policy. Pursuant to Internal Revenue Code (IRC) Section 501(r)(5), in the case of emergency or other medically necessary care, FAP-eligible patients will not be charged more than an individual who has insurance covering such care. In accordance with IRC Section 501(r)(5), a hospital facility may determine AGB for any emergency or other medically necessary care provided to a FAP-eligible individual by using the billing and coding process the hospital facility would use if the FAP-eligible individual were Medicaid beneficiary and setting AGB for the care at the amount the hospital facility determines would be the total amount Medicaid would allow for the care (including both the amount that would be reimbursed Medicaid and the amount the beneficiary would be personally responsible for paying in the form of co-payments, co-insurance, and deductibles). Meridian Health has chosen to implement the Prospective Medicaid Method to determine the AGB.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Page 8
Schedule H (Form 990) 2015
Page 8
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?32
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 JERSEY SHORE OP BEHAVIORAL HEALTH
1200 JUMPING BROOK ROAD
NEPTUNE,NJ07753 		PHYSICAL, GROUP & FAMILY THERAPY/MEDICATION MANAGEMENT/ SUBSTANCE ABUSE
16 MERIDIAN REHABILITATION AT FORKED RIVER
730 LACEY ROAD
FORKED RIVER,NJ08731 		PHYSICAL THERAPY
17 CENTER FOR SLEEP DISORDERS
2446 CHURCH ROAD SUITE 3A
TOMS RIVER,NJ08753 		SLEEP LAB
18 MERIDIAN REHAB AT LITTLE EGG HARBOR
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		PHYSICAL THERAPY/OCCUPATIONAL THERAPY
19 Southern Ocean County Dialysis Clinic
1301 Rt 72 W
Manahawkin,NJ08050 		Dialysis Medical Services
20 Health Village Imaging LLC
1301 Rt 72 W
Manahawkin,NJ08050 		Radiology Medical Services
21 OCEAN MEDICAL CTRFAMILY HEALTH CTR
1608 RT 88 SUITE 207
BRICK,NJ08724 		CLINIC
22 THE CTR FOR SLEEP MEDICINE AT BAYSHORE
678 NORTH BEERS STREET
HOLMDEL,NJ07733 		SLEEP LAB
23 CENTER FOR WOUND HEALING AT BAYSHORE
735 NORTH BEERS STREET
HOLMDEL,NJ07733 		WOUND HEALING
24 JACKSON HEALTH VILLAGE LABORATORY
27 SOUTH COOKS BRIDGE RD SUITE M12
JACKSON,NJ08527 		LABORATORY SERVICES
25 MERIDIAN REHABILITATION AT JACKSON
27 SOUTH COOKS BRIDGE RD SUITE M10
JACKSON,NJ08527 		REHABILITATIVE CARE
26 SOUTHERN OCEAN CENTER FOR HEALTH
730 LACEY ROAD
FORKED RIVER,NJ08731 		LABORATORY SERVICES RADIOLOGY
27 SOUTHERN OCEAN CENTER FOR HEALTH
279 MATHISTOWN ROAD
LITTLE EGG HARBOR,NJ08087 		LABORATORY SERVICES RADIOLOGY
28 MERIDIAN CANCER CARE
27 S COOKS BRIDGE ROAD STE M7
JACKSON,NJ08527 		CANCER CARE
29 MERIDIAN CANCER CARE AT BCH
735 NORTH BEERS STREET
HOLMDEL,NJ07733 		CANCER CARE
30 MERIDIAN REAHAB OP THERAPY MANAHAWKIN
56 NAUTILUS DRIVE
MANAHAWKIN,NJ08050 		REHABILITATIVE CARE
31 MERIDIAN CARDIAC REHAB & IMAGING
27 S COOKS BRIDGE ROAD STE 11 1
JACKSON,NJ08527 		REHABILITATIVE CARE, RADIOLOGY
32 MERIDIAN FITNESS WELLNESS - MANAHAWKIN
ROUTE 9 SOUTH
STAFFORD TWP,NJ08092 		PHYSICAL THERAPY
Schedule H (Form 990) 2015
Page 9
Schedule H (Form 990) 2015
Page 9
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
Schedule H, Part III, Line 8 USING THE MEDICARE COST REPORT AS THE TOOL TO DEFINE COSTS (EXPENSES) IN THE DEVELOPMENT OF A FINANCIAL PERFORMANCE POSITION WILL GROSSLY UNDERSTATE THE TOTAL COSTS INCURRED BY AN ORGANIZATION NEEDED TO MEET THE DEMANDS OF ITS OPERATIONS. THE MEDICARE COST REPORT EXCLUDES CERTAIN INHERENT COSTS THAT WOULD HAVE BEEN OTHERWISE INCLUDED IN THE DEVELOPMENT OF A FINANCIAL PERFORMANCE POSITION. HAD THE COST ACCOUNTING SYSTEM BEEN USED TO PERFORM THIS CALCULATION, THE ORGANIZATION WOULD HAVE INCURRED A $35.2 MILLION SHORTFALL ON SCHEDULE H, PART III, LINES 5-7.
Schedule H (Form 990) 2015
Additional Data


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