Meridian Health System Inc, Group Return in Neptune, New Jersey (NJ)

Meridian Health System Inc, Group Return
Employer Identification Number (EIN)	010649794
Name of Organization	Meridian Health System Inc
Secondary Name	Group Return
In Care of Name	Joseph Lemaire
Address	1350 Campus Parkway, Neptune, NJ 07753-6821
Subsection	Charitable Organization
Ruling Date	09/1996
Deductibility	Contributions are deductible
Foundation	Organization which receives a substantial part of its support from a governmental unit or the general public
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 - Group return
Asset Amount	$2,186,332,852
Amount of Income	$1,610,180,887
Form 990 Revenue Amount	$1,607,860,923
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2013: $1,610,180,887

Meridian Health System Inc, Group Return:	$1,610,180,887
Other organizations performing similar types of work:	$6,791,313

Assets in 2013: $2,186,332,852

Meridian Health System Inc, Group Return:	$2,186,332,852
Other organizations performing similar types of work:	$5,000,000

Expenses in 2013: $1,498,365,954

Meridian Health System Inc, Group Return:	$1,498,365,954
Other organizations performing similar types of work:	$5,603,496

Income to expenses ratio in 2013: 1.1

Meridian Health System Inc, Group Return:	1.1
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 76.2%

This organization:	76.2%
Other organizations performing similar types of work:	86.4%

Number of employees in 2013: 12,923

This organization:	12,923
Other organizations performing similar types of work:	83

Employees paid over $100,000 in 2013: 9.2%

This organization:	9.2%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 1.6%

Meridian Health System Inc, Group Return:	1.6%
Other organizations performing similar types of work:	0.5%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	Yes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	Yes
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	Yes	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	Yes	Yes
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	Yes
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	Yes	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	Yes	Yes
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	Yes	Yes
Did the organization attach a copy of its audited financial statements?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	Yes	Yes
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	Yes	Yes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	Yes	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	Yes	Yes
A family member of a current or former officer, director, trustee, or key employee?	Yes	Yes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	Yes	Yes
Did the organization receive more than $25,000 in non-cash contributions?	Yes	Yes
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	Yes	Yes
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096	1,243	1,137	476
The number of Forms W-2G	0	10	31
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?	Yes	Yes	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return	10,124	10,308	12,923
Did the organization file all required federal employment tax returns?	Yes	Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes
Has it filed a Form 990-T for this year?	Yes	Yes	Yes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?	No	No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?	No	No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?	No	No	No
Did the organization file Form 8886-T?	No	No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?	No	No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?	No	No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?	Yes	Yes	Yes
Did the organization notify the donor of the value of the goods or services provided?	Yes	Yes	Yes
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?	No	No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?	No	No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?	No	No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?	No	No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?	No	No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?	No	No	No
Did the sponsoring organization make any taxable distributions under section 4966?	No	No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?	No	No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?	No	No	No
The amount of tax-exempt interest received or accrued during the year	$0	$0	$0
Is the organization licensed to issue qualified health plans in more than one state?	No	No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans	$0	$0	$0
The amount of reserves on hand	$0	$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?	No	No	No
Has it filed a Form 720 to report these payments?	No	No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$15,940,760	$17,498,366
Total reportable compensation from related organizations	$2,394,862	$2,618,296
Total estimated amount of other compensation from the organization and related organizations	$3,162,754	$3,308,111
Total number of individuals who received more than $100,000 of reportable compensation from the organization	994	1,006
Total number of independent contractors who received more than $100,000 of compensation from the organization	176	188

	2011	2012	2013
Statement of Revenue
Total revenue	$1,422,297,777	$1,624,507,487	$1,607,860,923
Contributions, Gifts, Grants and Other Similar Amounts	$19,008,671	$32,761,573	$24,990,350
Program Service Revenue	$1,376,929,883	$1,566,459,263	$1,541,333,961
541900	$1,270,237,393	$1,445,165,543	$1,390,332,492
541900	$15,703,922	$19,325,966	$33,523,666
541900	$16,042,536	$16,715,015	$16,659,827
900099	$13,882,343	$17,627,925	$18,525,950
621500	$3,743,477	$4,241,632	$5,469,434
All other program service revenue	$57,320,212	$63,383,182	$76,822,592
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$15,578,518	$14,905,570	$29,484,404
Income from investment of tax-exempt bond proceeds	$1,115,841	$0	$0
Royalties	$0	$4,285	$0
Net rental income	$2,767,076	$2,836,530	$2,877,421
Gross rents (Real / Personal)	$4,041,929 / $0	$4,292,597 / $0	$4,183,558 / $0
Less: rental expenses (Real / Personal)	$1,274,853 / $0	$1,456,067 / $0	$1,306,137 / $0
Rental income or (loss) (Real / Personal)	$2,767,076 / $0	$2,836,530 / $0	$2,877,421 / $0
Net gain/loss from sales of assets other than inventory	$87,649	$380,530	$0
Net income/loss from fundraising events	$0	$0	$0
Gross income from fundraising events	$973,341	$970,014	$1,013,827
Less: direct expenses	$973,341	$970,014	$1,013,827
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$6,810,139	$7,159,736	$9,174,787
Child Day Care Services	$1,691,053	$1,696,754	$1,782,732
Cafeterias, Grill Buffets, and Buffets	$1,766,968	$2,189,513	$2,177,400
900099	$346,850	$704,825	$2,314,514
All other revenue	$3,005,268	$2,568,644	$2,900,141

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$1,333,383,115	$1,550,012,554	$1,498,365,954
Grants and other assistance to domestic organizations and domestic governments	$335,925	$489,073	$357,120
Grants and other assistance to domestic individuals	$248,200	$570,950	$273,500
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals	$0	$0	$0
Benefits paid to or for members	$0	$0	$0
Compensation of current officers, directors, trustees, and key employees	$15,351,894	$16,075,898	$17,732,734
Compensation not included above, to disqualified persons	$0	$0	$0
Other salaries and wages	$495,759,951	$584,939,280	$592,996,124
Pension plan accruals and contributions	$27,094,926	$32,944,214	$34,082,468
Other employee benefits	$65,756,609	$71,723,121	$75,717,254
Payroll taxes	$35,548,100	$40,680,743	$43,321,556
Fees for services (non-employees)
Management	$6,671,687	$3,112,000	$3,112,000
Legal	$1,529,953	$3,155,813	$2,482,082
Accounting	$655,618	$559,056	$598,275
Lobbying	$484,645	$534,345	$603,981
Professional fundraising services	$566,986	$277,500	$0
Investment management fees	$1,254,890	$0	$0
Other	$109,862,716	$80,873,322	$86,724,689
Advertising and promotion	$9,314,730	$11,126,645	$8,859,502
Office expenses	$135,687,390	$155,005,457	$157,129,997
Information technology	$3,345,222	$4,296,155	$5,298,318
Royalties	$2,272,558	$3,360,753	$2,773,062
Occupancy	$39,694,946	$43,216,242	$42,496,139
Travel	$2,152,925	$2,101,722	$2,035,189
Payments of travel or entertainment expenses for any federal, state, or local public officials	$0	$0	$0
Conferences, conventions, and meetings	$1,341,989	$1,675,789	$1,269,704
Interest	$38,677,915	$35,202,655	$32,649,920
Payments to affiliates	$6,488,417	$20,001,942	$14,746,651
Depreciation, depletion, and amortization	$61,364,550	$66,324,772	$64,271,702
Insurance	$14,871,692	$25,635,562	$31,696,226
Other expenses	$118,627,972	$131,762,694	$142,989,922
Other expenses	$57,342,134	$82,144,950	$11,076,804
Other expenses	$35,620,359	$39,548,654	$42,878,219
Other expenses	$22,295,622	$27,857,488	$29,593,395
Other expenses	$23,162,594	$64,815,759	$50,599,421

	2011	2012	2013
Balance Sheet
Total assets	$1,822,810,841	$2,046,341,207	$2,186,332,852
Cash - non-interest-bearing	$370,180	$12,527,150	$9,965,649
Savings and temporary cash investments	$198,257,022	$214,376,753	$239,683,018
Pledges and grants receivable, net	$8,636,628	$16,498,055	$16,357,214
Accounts receivable, net	$123,813,271	$143,406,541	$133,776,909
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees	$0	$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations	$0	$0	$0
Notes and loans receivable, net	$6,020,986	$5,741,840	$2,308,819
Inventories for sale or use	$17,974,662	$23,079,602	$25,796,374
Prepaid expenses and deferred charges	$5,680,686	$13,238,746	$8,854,078
Land, buildings, and equipment: cost or other basis	$699,575,807	$768,119,550	$835,152,623
Investments - publicly traded securities	$531,076,987	$641,944,423	$684,958,759
Investments - other securities	$21,324,417	$45,738,686	$50,582,619
Investments - program-related	$157,058,867	$107,258,970	$107,420,196
Intangible assets	$2,214,801	$6,391,100	$6,360,290
Other assets	$50,806,527	$48,019,791	$65,116,304
Total liabilities	$1,059,583,745	$1,172,257,536	$1,092,759,789
Accounts payable and accrued expenses	$113,535,552	$136,311,872	$139,837,821
Grants payable	$0	$0	$0
Deferred revenue	$1,086,527	$1,448,734	$1,314,557
Tax-exempt bond liabilities	$596,472,199	$627,570,614	$603,621,835
Escrow or custodial account liability	$0	$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons	$0	$0	$0
Secured mortgages and notes payable to unrelated third parties	$7,111,535	$6,118,992	$2,442,722
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)	$341,377,932	$400,807,324	$345,542,854
Total net assets or fund balances	$763,227,096	$874,083,671	$1,093,573,063
Unrestricted net assets	$636,749,244	$745,134,698	$949,241,471
Temporarily restricted net assets	$85,421,782	$86,734,776	$101,352,291
Permanently restricted net assets	$41,056,070	$42,214,197	$42,979,301
Capital stock or trust principal, or current funds	$0	$0	$0
Paid-in or capital surplus, or land, building, or equipment fund	$0	$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported	0
Sum of amounts of support	$0

	2001	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$628,810,971	$689,749,431	$740,833,293	$778,783,692	$852,354,584	$884,957,056	$982,189,316
Contributions, gifts, grants, and similar amounts received	$11,459,704	$12,658,854	$12,438,676	$12,570,236	$19,551,258	$14,766,144	$30,338,105
Contributions to donor advised funds						$0	$0
Direct public support	$3,731,826	$7,282,702	$7,274,504	$6,410,639	$12,903,346	$5,191,974	$23,492,558
Indirect public support	$2,765,369	$0	$0	$608,752	$639,300	$454,874	$900,463
Government contributions (grants)	$4,962,509	$5,376,152	$5,164,172	$5,550,845	$6,008,612	$9,119,296	$5,945,084
Program service revenue including government fees and contracts	$603,623,118	$663,224,923	$707,675,130	$743,740,164	$808,198,131	$840,097,269	$919,728,416
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$9,378,605	$7,946,130	$6,864,037	$7,136,083	$9,687,472	$13,887,472	$16,018,325
Dividends and interest from securities	$758,141	$369,271	$1,648,530	$1,901,893	$1,411,094	$2,033,529	$2,359,300
Net rental income or (loss)	$0	$1,130,592	$1,426,242	$2,195,935	$2,518,827	$2,574,144	$2,740,415
Gross rents	$0	$1,130,592	$1,426,242	$2,195,935	$2,518,827	$2,574,144	$2,740,415
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0
Other investment income	$-577,457	$-367,805	$813,295	$1,582,707	$2,048,922	$3,463,675	$2,869,094
Gain or (loss) from sales of assets other than inventory	$256,964	$-2,882,310	$-305,796	$8,935	$366,444	$-486,292	$2,757,838
Gross amount from sales of assets other than inventory	$256,964	$0	$0	$8,935	$1,845,525	$876,489	$77,354,238
Less: cost or other basis and sales expenses	$0	$2,882,310	$305,796	$0	$1,479,081	$1,362,781	$74,596,400
Net income or (loss) from special events and activities	$719,906	$16,801	$26,827	$24,356	$25,019	$70,164	$0
Gross revenue	$1,289,906	$660,938	$624,356	$597,172	$608,632	$710,656	$702,055
Less: direct expenses other than fundraising expenses	$570,000	$644,137	$597,529	$572,816	$583,613	$640,492	$702,055
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0
Other revenue	$3,191,990	$7,652,975	$10,246,352	$9,623,383	$8,547,417	$8,550,951	$5,377,823
Total expenses	$607,042,577	$669,148,278	$705,564,645	$744,441,487	$802,076,123	$853,523,918	$935,722,783
Program services	$495,912,636	$535,659,859	$567,603,729	$598,861,769	$638,227,591	$665,168,538	$713,346,278
Management and general	$108,201,386	$127,917,134	$131,436,957	$138,836,818	$153,342,981	$180,750,284	$211,297,572
Fundraising	$163,186	$1,808,559	$2,479,485	$2,977,823	$3,307,643	$3,451,149	$3,124,244
Payments to affiliates	$2,765,369	$3,762,726	$4,044,474	$3,765,077	$7,197,908	$4,153,947	$7,954,689
Net assets or fund balances at end of year	$270,358,383	$255,500,665	$310,846,225	$368,044,689	$450,411,904	$517,519,813	$561,507,803
Excess or (deficit) for the year	$21,768,394	$20,601,153	$35,268,648	$34,342,205	$50,278,461	$31,433,138	$46,466,533
Net assets or fund balances at beginning of year	$248,363,450	$270,358,383	$255,500,665	$310,846,225	$368,044,689	$450,411,904	$517,519,813
Other changes in net assets or fund balances	$226,539	$-35,458,871	$20,076,912	$22,856,259	$32,088,754	$35,674,771	$-2,478,543

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$927,768,094	$713,346,278	$211,297,572	$3,124,244
Grants paid from donor advised funds		$0
Other grants and allocations		$229,250
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$8,907,136	$7,657,392	$1,249,744	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$216,419	$178,791	$37,628	$0
Salaries and wages of employees not included above	$364,340,564	$303,335,405	$59,638,529	$1,366,630
Pension plan contributions not included above	$18,170,523	$14,576,515	$3,594,008	$0
Employee benefits not included above	$35,147,046	$26,350,191	$8,586,722	$210,133
Payroll taxes	$27,559,003	$22,439,506	$5,010,298	$109,199
Professional fundraising fees	$702,056	$0	$0	$702,056
Accounting fees	$444,443	$0	$444,443	$0
Legal fees	$1,325,697	$1,007	$1,324,690	$0
Supplies	$163,466,344	$157,526,477	$5,926,459	$13,408
Telephone	$2,063,386	$22,885	$2,022,614	$17,887
Postage and shipping	$1,087,768	$2,411	$1,063,872	$21,485
Occupancy	$32,760,981	$5,232,984	$27,320,619	$207,378
Equipment rental and maintenance	$17,834,125	$11,301,146	$6,516,911	$16,068
Printing and publications	$802,107	$347,591	$315,156	$139,360
Travel	$1,633,495	$921,643	$681,970	$29,882
Conferences, conventions, and meetings	$1,160,292	$356,390	$788,370	$15,532
Interest	$18,763,085	$14,020,492	$4,742,593	$0
Depreciation, depletion, etc.	$41,088,754	$34,815,288	$6,235,999	$37,467
Other expenses not covered above	$190,065,620	$114,030,914	$75,796,947	$237,759

	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$681,744,015	$702,081,952	$840,695,292	$891,613,570	$982,674,607	$1,056,984,883	$1,377,322,201
Cash - non-interest-bearing	$564,776	$116,159	$3,750	$2,050	$2,050	$28,634	$28,135
Savings and temporary cash investments	$135,293,451	$67,635,426	$66,281,727	$73,071,294	$86,190,816	$62,403,580	$146,373,602
Accounts receivable less allowance for doubtful accounts	$78,467,769	$83,900,073	$80,346,806	$73,594,822	$79,057,418	$89,010,455	$98,603,245
Pledges receivable less allowance for doubtful accounts	$1,474,555	$3,719,188	$6,682,456	$12,195,097	$11,349,199	$13,412,649	$10,985,392
Grants receivable	$0	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)						$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$197,603	$4,620,000	$0	$0	$0	$0	$0
Inventories for sale or use	$9,321,948	$9,162,658	$9,512,616	$9,845,269	$10,611,740	$11,894,711	$12,445,644
Prepaid expenses and deferred charges	$8,942,269	$7,283,800	$8,636,010	$8,979,620	$8,154,204	$8,219,474	$14,976,357
Investments - publicly-traded securities						$362,927,224	$335,871,242
Investments - other securities	$149,613,666	$205,918,854	$304,666,410	$319,555,419	$346,811,309	$14,025,873	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0	$0
Investments - other	$13,164,030	$6,618,040	$5,434,372	$7,447,966	$12,224,622	$14,040,048	$196,206,131
Land, buildings, and equipment less accumulated depreciation	$259,763,580	$283,667,749	$328,084,715	$347,512,430	$359,600,116	$404,356,846	$476,641,445
Other assets, including program-related investments	$24,940,368	$29,440,005	$31,046,430	$39,409,603	$68,673,133	$76,665,389	$85,191,008
Total liabilities	$411,385,632	$446,581,287	$529,849,067	$523,568,881	$532,262,703	$539,465,070	$815,814,398
Accounts payable and accrued expenses	$71,103,908	$117,476,054	$116,626,984	$111,756,597	$110,408,143	$89,944,266	$98,225,367
Grants payable	$0	$0	$0	$346,112	$334,309	$361,155	$398,841
Deferred revenue	$586,271	$886,817	$789,825	$385,416	$471,923	$408,255	$436,024
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$301,417,783	$288,742,664	$379,750,172	$385,234,957	$377,819,957	$374,691,977	$608,575,069
Mortgages and other notes payable	$5,525,583	$10,817,927	$5,088,805	$3,969,954	$3,531,283	$4,223,667	$9,772,281
Other liabilities	$32,752,087	$28,657,825	$27,593,281	$21,875,845	$39,697,088	$69,835,750	$98,406,816
Total liabilities and net assets/fund balances	$681,744,015	$702,081,952	$840,695,292	$891,613,570	$982,674,607	$1,056,984,883	$1,377,322,201
Total net assets or fund balances	$270,358,383	$255,500,665	$310,846,225	$368,044,689	$450,411,904	$517,519,813	$561,507,803

	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$628,810,971	$689,749,431	$740,833,293	$778,783,692	$852,354,584	$884,957,056	$982,189,316
Total revenue, gains, and other support per audited financial statements	$629,380,971	$690,393,568	$741,430,822	$782,665,804	$853,161,026	$894,806,665	$970,717,914
Other expenses	$570,000	$644,137	$597,529	$3,882,112	$222,829	$10,490,101	$718,183
Net unrealized gains on investments	$0	$0	$0	$3,309,296	$222,829	$10,490,101	$718,183
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0
Other	$570,000	$644,137	$597,529	$572,816	$0	$0	$0
Other revenue	$0	$0	$0	$0	$-583,613	$640,492	$12,189,585
Investment expenses	$0	$0	$0	$0	$0	$0	$1,098,426
Other	$0	$0	$0	$0	$-583,613	$640,492	$11,091,159

	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$607,042,577	$669,148,278	$705,564,645	$744,441,487	$802,076,123	$853,523,918	$935,722,783
Total expenses and losses per audited financial statements	$607,612,577	$669,792,415	$706,162,174	$745,014,303	$804,472,736	$854,164,410	$934,624,357
Other revenue	$570,000	$644,137	$597,529	$572,816	$2,396,613	$640,492	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$1,813,000	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0
Other	$570,000	$644,137	$597,529	$572,816	$583,613	$640,492	$0
Other expenses	$0	$0	$0	$0	$0	$0	$1,098,426
Investment expenses	$0	$0	$0	$0	$0	$0	$1,098,426
Other	$0	$0	$0	$0	$0	$0	$0

Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Current Officers, Directors, Trustees, and Key Employees
70	$1,136,904	$1,326,060	$3,976
60	$602,938	$181,948	$1,691
60	$488,108	$364,855	$1,756
60	$501,357	$164,215	$2,436
60	$409,055	$118,159	$2,052
60	$404,682	$124,959	$1,493
60	$371,342	$767,276	$5,808
60	$336,569	$189,999	$6,463
6	$157,648	$15,289	$0
6	$38,250	$0	$0
6	$20,599	$0	$0
6	$56,982	$0	$0
6	$67,500	$0	$0
6	$95,460	$0	$0
60	$341,292	$39,216	$1,216
60	$240,461	$12,705	$0
60	$266,446	$39,311	$660

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	20
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	Yes
Does the organization have a written conflict of interest policy?	Yes

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	No
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	6,040

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$1,200,833		$31,889,167	$918,761,211
Program service revenue
Program service revenue 1	000000	$0	00	$0	$891,111,621
Program service revenue 2	000000	$0	00	$0	$10,530,141
Program service revenue 3	000000	$0	00	$0	$7,991,413
Program service revenue 4	000000	$0	00	$0	$7,587,197
Program service revenue 5	Medical and diagnostic laboratories	$967,205	00	$0	$1,540,839
		$0		$0	$0
		$0		$0	$891,111,621
		$0		$0	$0
	Miscellaneous store retailers	$320,727		$0	$0
		$0		$0	$0
		$0		$0	$7,991,413
		$0		$0	$10,530,141
	Medical and diagnostic laboratories	$646,478		$0	$1,540,839
		$0		$0	$7,587,197
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$16,018,325	$0
Dividends and interest from securities	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$2,359,300	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	Income exempt from debt-financed (section 514) provisions because at least 85% of the use of the property is for the organization's exempt purposes (Note: This code is only for income from the 15% or less non-exempt purpose use.) (section 514(b)(1)(A))	$2,740,415	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$2,869,094	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$2,757,838	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	Child day care services	$233,628	Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))	$5,144,195	$0

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$398,124	$148,302	$2,250
$358,038	$45,292	$4,368
$330,046	$38,129	$0
$319,002	$17,515	$0
$284,046	$39,825	$1,048

Total number of other employees paid over $50,000	2,120

Total number of other employees paid over $50,000

2,120

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$386,743
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Hospital, or a cooperative hospital service organization

	2000	2001	2002	2003	2004	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Meridian Health System Inc, Group Return	1350 Campus Parkway, Neptune, NJ 07753-6821	NJ	1996-09	$1,610,180,887
2	Atlanticare Health System Inc, Atlanticare Regional Medical Center	1925 Pacific Ave, Atlantic City, NJ 08401-6713	NJ	2011-02	$546,940,050
3	Meridian Health Systems Inc, Bayshore Community Hospital	1350 Campus Parkway Payroll Dept, Neptune, NJ 07753-6821	NJ	1996-09	$117,572,916
4	Meridian Health System Inc, Soch Properties Inc	1350 Campus Pkwy, Neptune, NJ 07753-6821	NJ	1996-09	$1,127,711
5	St Josephs Healthcare System Inc	703 Main St, Paterson, NJ 07503-2621	NJ	2009-06	$1,112,402
6	Humc Medical Observation Pa Professional Association	30 Prospect Avenue, Hackensack, NJ 07601-1914	NJ	2012-12	$1,060,049
7	Fair Share Hospitals Collaborative	475 South St, Morristown, NJ 07960-6459	NJ	2013-06	$330,500
8	Atlanticare Health System Inc, Atlanticare Regional Health Service	2500 English Creek Ave Bldg 500, Egg Harbor Township, NJ 08234-5549	NJ	2011-02	$0
9	Bon Secours & Canterbury Partnership For Care Inc	25 Mcwilliams Pl, Jersey City, NJ 07302-1609	NJ	2001-12	$0
10	Meridian Health System Inc, Jersey Shore Univ Med Ctr Fdn	1345 Campus Pkwy, Neptune, NJ 07753-6827	NJ	1996-09	$0
11	Meridian Health System Inc, Meridian Health Foundation Inc	1200 Jumping Brook Rd Bldg 5 Pkwy 1, Neptune, NJ 07753-2634	NJ	1996-09	$0
12	Meridian Health System Inc, Meridian Health Realty Corp	1200 Jumping Brook Rd Bldg 5 Pkwy U, Neptune, NJ 07753-2634	NJ	1996-09	$0
13	Meridian Health System Inc, Meridian Home Care Services Inc	1759 Rt88 Suite 100, Brick, NJ 08723	NJ	1996-09	$0
14	Meridian Health System Inc, Meridian Nursing & Rehab At Red Ban	1350 Campus Pkwy, Neptune, NJ 07753-6821	NJ	1996-09	$0
15	Meridian Health System Inc, Meridian Nursing And Rehabilitation	3349 Highway 138 Bldg C Suite A, Wall, NJ 07719-9671	NJ	1996-09	$0
16	Meridian Health System Inc, Ocean Medical Center Foundation Inc	1345 Campus Pkwy, Neptune, NJ 07753-6827	NJ	1996-09	$0
17	Meridian Health System Inc, Riverview Medical Center Fndtn Inc	1350 Campus Pkwy, Neptune, NJ 07753-6821	NJ	1996-09	$0
18	Middlesex County Childrens Commission Inc	P O Box 871, New Brunswick, NJ 08903	NJ	2003-02	$0
19	Passaic County Public Health Partnership	317 Pennsylvania Ave Room 201, Paterson, NJ 07503-1740	NJ	2011-12	$0
20	St Josephs Healthcare System Inc	703 Main St, Paterson, NJ 07503-2621	NJ	2002-01	$0

Number of organizations performing similar types of work

Alabama	6
Arkansas	5
Arizona	2
California	34
Colorado	11
Connecticut	6
District of Columbia	3
Delaware	2
Florida	20
Georgia	23
Hawaii	9
Iowa	2
Idaho	5
Illinois	23
Indiana	10
Kansas	8
Kentucky	8
Louisiana	5
Massachusetts	67
Maryland	7
Maine	6
Michigan	36
Minnesota	39
Missouri	15
Mississippi	4
Montana	3

North Carolina	27
North Dakota	14
Nebraska	4
New Hampshire	3
New Jersey	33
New Mexico	3
Nevada	2
New York	45
Ohio	26
Oklahoma	7
Oregon	6
Pennsylvania	46
Rhode Island	5
South Carolina	2
South Dakota	10
Tennessee	7
Texas	62
Utah	3
Virginia	29
Vermont	2
Washington	8
Wisconsin	25
West Virginia	8
Wyoming	1
International	1

Total

738

Affiliation	Name	Address	State	Established	Total Income
All affiliated organizations
Central	Meridian Health System Inc	1350 Campus Parkway, Neptune, NJ 07753-6821	NJ	2002-01	$3,156,907
Subordinate	Meridian Health System Inc, Group Return	1350 Campus Parkway, Neptune, NJ 07753-6821	NJ	1996-09	$1,610,180,887
Subordinate	Meridian Health System Inc, Meridian Hospitals Corporation	1350 Campus Parkway Payroll Departm, Neptune, NJ 07753	NJ	1996-09	$554,627,672
Subordinate	Meridian Health Systems Inc, Bayshore Community Hospital	1350 Campus Parkway Payroll Dept, Neptune, NJ 07753-6821	NJ	1996-09	$117,572,916
Subordinate	Meridian Health Systems Inc, Bayshore Health Care Center Inc	3349 Highway 138 Bldg C Sutie A, Wall, NJ 07719-9671	NJ	1996-09	$25,207,076
Subordinate	Meridian Health System Inc, Soch Properties Inc	1350 Campus Pkwy, Neptune, NJ 07753-6821	NJ	1996-09	$1,127,711
Subordinate	Meridian Health Systems Inc, Bayshore Community Hospital Foundat	727 N Beers St, Holmdel, NJ 07733-1514	NJ	1986-05	$259,491
Subordinate	Meridian Health Systems Inc, Southern Ocean Med Ctr Fdn Inc	1345 Campus Pkwy, Neptune, NJ 07753-6827	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Health Innovations Unlimited Inc	3520 State Route 33, Neptune, NJ 07753-3036	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Jersey Shore Univ Med Ctr Fdn	1345 Campus Pkwy, Neptune, NJ 07753-6827	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Meridian Health Foundation Inc	1200 Jumping Brook Rd Bldg 5 Pkwy 1, Neptune, NJ 07753-2634	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Meridian Health Realty Corp	1200 Jumping Brook Rd Bldg 5 Pkwy U, Neptune, NJ 07753-2634	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Meridian Home Care Services Inc	1759 Rt88 Suite 100, Brick, NJ 08723	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Meridian Nursing & Rehab At Red Ban	1350 Campus Pkwy, Neptune, NJ 07753-6821	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Meridian Nursing And Rehabilitation	3349 Highway 138 Bldg C Suite A, Wall, NJ 07719-9671	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Meridian Practice Institute Inc	1200 Jumping Brook Rd Pkwy 100 Bd 5, Neptune, NJ 07753-2634	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Ocean Medical Center Foundation Inc	1345 Campus Pkwy, Neptune, NJ 07753-6827	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Riverview Medical Center Fndtn Inc	1350 Campus Pkwy, Neptune, NJ 07753-6821	NJ	1996-09	$0
Subordinate	Meridian Health System Inc, Meridian Nursing And Rehabilitation	3349 Hwy 138 Bldg C Ste A, Wall, NJ 07719-9671	NJ	1996-09	$0

Number of affiliated organizations

New Jersey