efile Public Visual Render
ObjectId: 202423189349305362 - Submission: 2024-11-13
TIN: 06-1755228
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
23
Open to Public Inspection
Name of the organization
MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
Employer identification number
06-1755228
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
HACKENSACK MERIDIAN HEALTH INC
399 THORNALL STREET
EDISON
,
NJ
08837
22-3474145
HEALTH SVCS.
NJ
501(C)(3)
12C
NA
No
(2)
PALISADES MEDICAL ASSOCIATES LLC
399 THORNALL STREET
Edison
,
NJ
08837
22-3814193
HEALTH SVCS.
NJ
501(C)(3)
10
HMHHC
No
(3)
HMH MEDICAL GROUP-COMPLEX CARE PC
399 THORNALL STREET
EDISON
,
NJ
08837
06-1755230
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(4)
HMH MEDICAL GROUP-PRIMARY CARE PC
399 THORNALL STREET
EDISON
,
NJ
08837
14-1981653
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(5)
MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC
399 THORNALL STREET
EDISON
,
NJ
08837
14-1981647
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(6)
MERIDIAN TRAUMA ASSOCIATES PC
399 THORNALL STREET
EDISON
,
NJ
08837
14-1981651
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(7)
MERIDIAN PEDIATRIC SURGICAL ASSOCIATES PC
399 THORNALL STREET
EDISON
,
NJ
08837
77-0720131
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(8)
SOMC MEDICAL GROUP PC
399 THORNALL STREET
EDISON
,
NJ
08837
27-1412183
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(9)
HACKENSACK SPECIALTY CARE ASSOCIATES PC
399 THORNALL STREET
EDISON
,
NJ
08837
20-1017013
HEALTH SVCS.
NJ
501(C)(3)
12A
HMHHC
No
(10)
HMH MEDICAL GROUP-SPECIALTY CARE PC
399 THORNALL STREET
EDISON
,
NJ
08837
22-3376459
HEALTH SVCS.
NJ
501(C)(3)
12A
HMHHC
No
(11)
HUMC CARDIOVASCULAR PARTNERS PC
399 THORNALL STREET
EDISON
,
NJ
08837
27-0614861
HEALTH SVCS.
NJ
501(C)(3)
10
HMHHC
No
(12)
HUMC MEDICAL OBSERVATION PA
399 THORNALL STREET
EDISON
,
NJ
08837
27-2371424
HEALTH SVCS.
NJ
501(C)(3)
12A
HMHHC
No
(13)
HACKENSACK MERIDIAN TEAM HEALTH PC
399 THORNALL STREET
EDISON
,
NJ
08837
27-2377326
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(14)
MERIDIAN MEDICAL GROUP - PEDIATRIC UROLOGY PC
399 THORNALL STREET
EDISON
,
NJ
08837
81-3921186
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(15)
JFK MEDICAL ASSOCIATES PA
399 THORNALL STREET
EDISON
,
NJ
08837
46-2219798
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2023
Page 2
Schedule R (Form 990) 2023
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
HUMCUSPI SURGERY CENTERS LLC
399 THORNALL STREET
EDISON
,
NJ
08837
38-3875474
HEALTH SVCS
NJ
NA
No
No
0 %
(2)
OLD BRIDGE MEDICAL ASSOCIATES LLC
399 THORNALL STREET
EDISON
,
NJ
08837
22-2894388
REAL ESTATE
NJ
NA
No
Yes
0 %
(3)
COASTAL CO-OP OF NJ
399 THORNALL STREET
EDISON
,
NJ
08837
22-3603146
PURCHASING
NJ
NA
No
No
0 %
(4)
MERIDIAN HEALTH VILLAGE REALTY ASSOC
399 THORNALL STREET
EDISON
,
NJ
08837
27-4328412
REAL ESTATE
NJ
NA
No
Yes
0 %
(5)
HACKENSACK MERIDIAN LIVING AT HOLMDEL
399 THORNALL STREET
EDISON
,
NJ
08837
81-5095156
HEALTH SVCS
NJ
NA
No
Yes
0 %
(6)
ESSEX RESIDENTIAL CARE LLC
399 THORNALL STREET
EDISON
,
NJ
08837
83-2041597
HEALTH SVCS
NJ
NA
No
Yes
0 %
(7)
BERGEN POST ACUTE LLC
399 THORNALL STREET
EDISON
,
NJ
08837
83-2058275
HEALTH SVCS
NJ
NA
No
Yes
0 %
(8)
HACKENSACK MUSCULOSKELETAL SURGERY CENTER LLC
399 THORNALL STREET
EDISON
,
NJ
08837
85-3437054
HEALTH SVCS
NJ
NA
No
Yes
0 %
(9)
TOTOWA CANCER CENTER LLC
399 THORNALL STREET
EDISON
,
NJ
08837
88-0721476
HEALTH SVCS
NJ
NA
No
Yes
0 %
(10)
HMH URGENT CARE MANAGEMENT I LLC
399 THORNALL STREET
EDISON
,
NJ
08837
82-2808311
HEALTH SVCS
NJ
NA
No
No
0 %
(11)
HMH URGENT CARE MANAGEMENT II LLC
399 THORNALL STREET
EDISON
,
NJ
08837
82-3981630
HEALTH SVCS
NJ
NA
No
No
0 %
(12)
HMH URGENT CARE MANAGEMENT III LLC
399 THORNALL STREET
EDISON
,
NJ
08837
84-2053260
HEALTH SVCS
NJ
NA
No
No
0 %
(13)
MERIDIAN AT STAFFORD
399 THORNALL STREET
EDISON
,
NJ
08837
47-2675296
REAL ESTATE
NJ
NA
No
No
0 %
(14)
GENOMICS LAB MANAGEMENT LLC
399 THORNALL STREET
EDISON
,
NJ
08837
85-3881231
HEALTH SVCS
NJ
NA
No
No
0 %
(15)
HMH-AMM URGENT CARE MANAGEMENT LLC
399 THORNALL STREET
EDISON
,
NJ
08837
92-2452204
MNGMT SVCS
NJ
NA
No
No
0 %
(16)
HMH URGENT CARE PLUS MANAGEMENT LLC
399 THORNALL STREET
EDISON
,
NJ
08837
99-1910959
MNGMT SVCS
NJ
NA
No
No
0 %
(17)
HMH-USP SURGERY CENTERS LLC
399 THORNALL STREET
EDISON
,
NJ
08837
83-1856421
HEALTH SVCS
NJ
NA
No
No
0 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
HACKENSACK MERIDIAN HEALTH VENTURES INC
399 THORNALL STREET
EDISON
,
NJ
08837
22-2550716
HEALTH SVCS
NJ
NA
C
0 %
No
(2)
PALISADES CHILD CARE CENTER INC
399 THORNALL STREET
EDISON
,
NJ
08837
22-2812623
DAY CARE CENTER
NJ
NA
C
0 %
No
(3)
OAPCA INC
399 THORNALL STREET
EDISON
,
NJ
08837
22-3298974
CONDO ASSOC
NJ
NA
C
0 %
No
(4)
HACKENSACK MERIDIAN URGENT CARE PLUS PC
399 THORNALL STREET
EDISON
,
NJ
08837
22-3482637
HEALTH SVCS
NJ
NA
C
0 %
No
(5)
JFK AMBULATORY CARE PA
399 THORNALL STREET
EDISON
,
NJ
08837
47-3018240
HEALTH SVCS
NJ
NA
C
0 %
No
(6)
HMH CASUALTY COMPANY LTD
399 THORNALL STREET
EDISON
,
NJ
08837
FINANCIAL VEHICLE
BD
NA
C
0 %
No
(7)
NEPHROLOGY ASSOCIATES PA
399 THORNALL STREET
EDISON
,
NJ
08837
22-2731580
HEALTH SVCS
NJ
NA
C
0 %
No
(8)
MERIDIAN CARDIOVASCULAR INTERPRETIVE SERVICES PC
399 THORNALL STREET
EDISON
,
NJ
08837
27-0085539
HEALTH SVCS
NJ
NA
C
0 %
No
(9)
HACKENSACK OCCUPATIONAL MEDICINE ASSOCIATES PC
399 THORNALL STREET
EDISON
,
NJ
08837
86-1153504
HEALTH SVCS
NJ
NA
C
0 %
No
(10)
NEW AMSTERDAM MEDICAL ASSOCIATE PC
399 THORNALL STREET
EDISON
,
NJ
08837
27-0849894
HEALTH SVCS
NY
NA
C
0 %
No
(11)
HACKENSACK MERIDIAN URGENT CARE PC
399 THORNALL STREET
EDISON
,
NJ
08837
81-4166532
HEALTH SVCS
NJ
NA
C
0 %
No
Schedule R (Form 990) 2023
Page 3
Schedule R (Form 990) 2023
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2023
Page 4
Schedule R (Form 990) 2023
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2023
Page 5
Schedule R (Form 990) 2023
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
SCHEDULE R
THIS ORGANIZATION IS RELATED TO SEVERAL ADDITIONAL TAX-EXEMPT ORGANIZATIONS NOT SHOWN IN PART II AS THOSE ORGANIZATIONS ARE PART OF THE GROUP EXEMPTION UNDER HACKENSACK MERIDIAN HEALTH, INC.
Schedule R (Form 990) 2023
Additional Data
Software ID:
23017509
Software Version: