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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
 
Employer identification number
01-0649794
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) HMH Medical Group- Specialty Care PC
343 Thornall Street
Edison,NJ08837 		22-3376459 501(c)(3) 86,682,960   FMV   Subsidy
(2) Meridian Med Group-Faculty Practice PC
343 Thornall Street
Edison,NJ08837 		06-1755230 501(c)(3) 71,395,534   FMV   Subsidy
(3) Meridian Med Group-Specialty Care PC
343 Thornall Street
Edison,NJ08837 		14-1981647 501(c)(3) 41,475,332   FMV   Subsidy
(4) JFK Medical Associates PA
343 Thornall Street
Edison,NJ08837 		46-2219798 501(c)(3) 23,339,820   FMV   Subsidy
(5) HUMC Cardiovascular Partners PC
343 Thornall Street
Edison,NJ08837 		27-0614861 501(c)(3) 17,157,547   FMV   Subsidy
(6) HMH MEDICAL GROUP-PRIMARY CARE PC
343 Thornall Street
Edison,NJ08837 		14-1981653 501(c)(3) 6,299,894   FMV   Subsidy
(7) Palisades Medical Associates LLC
343 Thornall Street
Edison,NJ08837 		22-3814193 501(c)(3) 6,241,677   FMV   subsidy
(8) JFK Medical Group PC
343 Thornall Street
Edison,NJ08837 		22-3482637   3,989,953   FMV   Subsidy
(9) Hackensack Occup Medicine Assoc PC
343 Thornall Street
Edison,NJ08837 		86-1153504   754,510   FMV   Subsidy
(10) American Cancer Society
3380 Chastain Meadows
Kennesaw,GA30144 		13-1788491 501(c)(3) 130,000   FMV   Research Support
(11) Sky Blue Womens Soccer Inc
4547 Highway 9N Suite Q
Howell,NJ07731 		20-8804440   100,000   FMV   SPONSORSHIP
(12) Wyckoff Family YMCA
POB 203 691 Wyckoff Ave
Wyckoff,NJ07481 		22-2011431 501(c)(3) 100,000   FMV   SPONSORSHIP
(13) American Heart Association
208 West End Ave
Bridgewater,NJ08807 		13-5613797 501(c)(3) 65,000   FMV   Research Support
(14) New Jersey Symphony Orchestra
60 Park Place 9th Floor
Newark,NJ07102 		22-1559422 501(c)(3) 65,000   FMV   SPONSORSHIP
(15) Two River Theater Company Inc
21 Bridge Avenue
Red Bank,NJ07728 		52-1857757 501(c)(3) 60,000   FMV   SPONSORSHIP SPONSORSHIP
(16) NJ Sharing Network Fdn
691 Central Ave
New Providence,NJ07974 		20-2737719 501(c)(3) 50,000   FMV   SPONSORSHIP SPONSORSHIP
(17) Susan G Komen Breast Cancer Fdn Inc
4 Campus Dr Ste 110
Parsippany,NJ07054 		75-1835298 501(c)(3) 45,000   FMV   SPONSORSHIP SPONSORSHIP
(18) Lead New Jersey
20 Nassau St Ste 235B
Princeton,NJ08542 		47-2471572 501(c)(3) 42,250   FMV   SPONSORSHIP SPONSORSHIP
(19) JDRF International
200 Vesey St 28th Fl
New York,NY10281 		23-1907729 501(c)(3) 40,000   FMV   SPONSORSHIP SPONSORSHIP
(20) Interfaith Neighbors Inc
810 Fourth Ave
Asbury Park,NJ07712 		22-2896129 501(c)(3) 32,500   FMV   SPONSORSHIP SPONSORSHIP
(21) Arthritis Foundation
555 Rte 1S Ste 220
Iselin,NJ088302000 		58-1341679 501(c)(3) 25,000   FMV   SPONSORSHIP SPONSORSHIP
(22) Big Brothers Big Sisters Coastal & North NJ
305 Bond St 2nd Floor
Asbury,NJ07712 		22-2115416 501(c)(3) 25,000   FMV   Children's Health
(23) Christie Institute For Public Policy Inc
PO Box 999
Edison,NJ08818 		84-2346727 501(c)(3) 25,000   FMV   SPONSORSHIP SPONSORSHIP
(24) Drumthwacket Foundation
354 Stockton Street
Princeton,NJ08540 		22-2429563 501(c)(3) 25,000   FMV   SPONSORSHIP SPONSORSHIP
(25) Boy Scouts of America Monmouth Cnsl
705 Ginesi Dr
Morganville,NJ07751 		21-0634963 501(c)(3) 20,000   FMV   Sponsorship
(26) United Way of Monmouth & Ocean Counties
1415 Wyckoff Road
Farmingdale,NJ07727 		22-1828435 501(c)(3) 17,000   FMV   Health & Wellness
(27) National Medical Fellowships Inc
12E 46th Street Ste 5E
New York,NY10017 		01-0963657 501(c)(3) 15,750   FMV   SPONSORSHIP SPONSORSHIP
(28) Bergen Volunteer Medical Initiative Inc
75 Essex St Ste 100
Hackensack,NJ07601 		20-2633437 501(c)(3) 15,000   FMV   SPONSORSHIP
(29) March of Dimes Inc
PO Box 18819
Atlanta,GA31126 		13-1846366 501(c)(3) 15,000   FMV   Children's Health
(30) Meadowlands Regional 2040 Fdn Inc
1099 Wall St W Ste 100
Lyndhurst,NJ07071 		46-3764687 501(c)(3) 15,000   FMV   SPONSORSHIP
(31) Monmouth Park Charity Fund
175 Oceanport Ave
Oceanport,NJ07757 		22-6063135 501(c)(3) 15,000   FMV   SAFETY & WELLNESS
(32) National MS Society
733 Third Ave 3rd Fl
New York,NY10017 		13-5661935 501(c)(3) 13,000   FMV   SPONSORSHIP SPONSORSHIP
(33) Brookdale Community College Fdn Trust
765 Newman Springs Rd
Lincroft,NJ07738 		23-7245431 501(c)(3) 12,400   FMV   SPONSORSHIP SPONSORSHIP
(34) African American Chamber of Commerce
One Penn Ctr Rm 889
Philadelphia,PA19103 		23-2740204 501(c)(6) 10,000   FMV   SPONSORSHIP SPONSORSHIP
(35) American Lung Association
55 W Wacker Dr Ste 1150
Chicago,IL60601 		13-1632524 501(c)(3) 10,000   FMV   Research Support
(36) American Red Cross
209 Fairfield Road
Fairfield,NJ07004 		53-0196605 501(c)(3) 10,000   FMV   SPONSORSHIP
(37) County of Bergen
1 Bergen County Plaza
Hackensack,NJ07601 		22-6002426 GOVERNMENT 10,000   FMV   SPONSORSHIP SPONSORSHIP
(38) Garden State Equality
1408 Main Street
Asbury Park,NJ07712 		20-2588166 501(c)(3) 10,000   FMV   SPONSORSHIP SPONSORSHIP
(39) Georgian Court University
900 Lakewood Ave
Lakewood,NJ08701 		21-0634981 501(c)(3) 10,000   FMV   Higher Education
(40) Hackensack Chamber of Commerce
66 Moore Street
Hackensack,NJ07601 		22-1717794 501(c)(6) 10,000   FMV   SPONSORSHIP SPONSORSHIP
(41) Holiday Express Inc
1184 Ocean Ave C-8
Sea Bright,NJ07760 		22-3470019 501(c)(3) 10,000   FMV   Safety & Wellness
(42) Immaculate Heart Academy
500 VanEmburgh
Washington Twnshp,NJ07675 		52-1574672 501(c)(3) 10,000   FMV   SPONSORSHIP
(43) Morris Arts
14 Maple Ave Ste 301
Morristown,NJ07960 		22-2012936 501(c)(3) 10,000   FMV   SPONSORSHIP
(44) New Jersey Future
16 W Lafayette St
Trenton,NJ08608 		22-2879323 501(c)(3) 10,000   FMV   sponsorship
(45) NJ Health Care Quality Institute
PO Box 2246
Princeton,NJ08543 		31-1530922 501(c)(3) 10,000   FMV   SPONSORSHIP
(46) Save Latin America Inc
138 39th Street
Union City,NJ07087 		22-3454940 501(c)(3) 10,000   FMV   SPONSORSHIP
(47) Stephen Siller Tunnel to Towers Fdn
2361 Hylan Blvd
Staten Island,NY10306 		02-0554654 501(c)(3) 10,000   FMV   SPONSORSHIP
(48) The Chick Mission Inc
12 E 86th St Ste 1508
New York,NY10028 		82-2988171 501(c)(3) 10,000   FMV   SPONSORSHIP
(49) Thomas Jefferson University CME
1101 Market St
Philadelphia,PA19107 		23-1352651 501(c)(3) 10,000   FMV   SPONSORSHIP
(50) Mental Health Association
320 North Goodman St
Rochester,NY14607 		16-1395575 501(c)(3) 9,500   FMV   SPONSORSHIP
(51) Clean Ocean Action
49 Avenel Boulevard
Long Branch,NJ07740 		22-2897204 501(c)(3) 8,500   FMV   SPONSORSHIP
(52) Hackensack Riverkeeper Inc
231 Main Street
Hackensack,NJ07601 		22-3530496 501(c)(3) 8,500   FMV   SPONSORSHIP
(53) FULFIL (FOOD BANK OF MON-OCN COUNTIES)
3300 NJ-66
Neptune,NJ07753 		22-2622522 501(c)(3) 7,500   FMV   SPONSORSHIP
(54) New Jersey Policy Perspective
PO Box 22766
Trenton,NJ08607 		22-3492715 501(c)(3) 7,500   FMV   SPONSORSHIP
(55) Preschool Advantage Inc
25 Lindsley Dr 307
Morristown,NJ07960 		22-3360099 501(c)(3) 7,500   FMV   SPONSORSHIP
(56) The NJ State Chamber of Commerce
216 West State St 3rd Fl
Trenton,NJ08608 		22-1153980 501(c)(6) 7,000   FMV   SPONSORSHIP
(57) Girl Scouts of the Jersey Shore
242 Adelphia Road
Farmingdale,NJ07727 		21-0731966 501(c)(3) 6,700   FMV   SPONSORSHIP
(58) AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES
3439 Eagle Way
Chicago,IL606781034 		36-3208430 501(c)(6) 6,500   FMV   SPONSORSHIP
(59) Home Fit For Heroes
500 N Franklin Turnpike
Ramsey,NJ07446 		27-1977027 501(c)(3) 6,500   FMV   SPONSORSHIP
(60) IronMatt
PO Box 836
Franklin Lakes,NJ07417 		37-1540551 501(c)(3) 6,500   FMV   SPONSORSHIP SPONSORSHIP
(61) STJOSEPH HOSP & MEDICAL CENTER FOUNDATION
PO Box 29000
Newark,NJ071019888 		23-2649362 501(c)(3) 6,500   FMV   SPONSORSHIP
(62) American Academy of Pediatrics Inc
50 Millstone Ste 130
E Windsor,NJ08520 		36-2275597 501(c)(3) 6,250   FMV   Research support
(63) Autism Family Services of NJ
50 Millstone Rd Ste 201
E Windsor,NJ08520 		13-4205043 501(c)(3) 5,600   FMV   SPONSORSHIP
(64) Center for Hope and Safety
12 Overlook Ave
Rochelle Park,NJ07662 		22-2184949 501(c)(3) 5,500   FMV   SPONSORSHIP
(65) Foodcircus Supermarkets Inc
853 NJ-35
Middletown,NJ07748 		21-0678353   5,500   FMV   SPONSORSHIP
(66) Lunch Break Inc
PO Box 2215
Red Bank,NJ07701 		22-2440028 501(c)(3) 5,500   FMV   SPONSORSHIP
(67) Seton Hall University
400 South Orange Ave
South Orange,NJ07079 		22-1500645 501(c)(3) 5,500   FMV   SPONSORSHIP
(68) Foundation for Free Enterprise
3076 W 12th St
Erie,PA16505 		25-1394365 501(c)(3) 10,000   FMV   Sponsorship
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
60
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
8
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) EDUCATIONAL SCHOLARSHIPS 178 322,250      
(2) HARDSHIP ASSISTANCE 109 69,688      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I; QUESTION 1 OVER THE YEARS, HACKENSACK MERIDIAN HEALTH HAS BEEN FORTUNATE ENOUGH TO OFFER SUPPORT TO CHARITABLE ORGANIZATIONS THROUGH CHARITABLE DONATIONS IN HACKENSACK MERIDIAN HEALTH'S COMMUNITY SERVICE AREA. ADDITIONALLY, HACKENSACK MERIDIAN ENCOURAGES ITS LEADERS, PHYSICIANS, AND TEAM MEMBERS TO SERVE ON THESE LOCAL CHARITABLE ORGANIZATION BOARDS AND COMMITTEES TO ENSURE THAT CONTRIBUTIONS OFFERED THROUGH HACKENSACK MERIDIAN ARE UTILIZED APPROPRIATELY. HACKENSACK MERIDIAN ESTABLISHES AN ANNUAL AMOUNT TO BE DONATED TO SUPPORT OTHER LOCAL TAX-EXEMPT CHARITIES AND UTILIZES THE FOLLOWING CRITERIA IN EVALUATING THE NUMEROUS REQUESTS RECEIVED FROM LOCAL TAX-EXEMPT CHARITIES: - GROUPS THAT PROMOTE AWARENESS OF HEALTH-RELATED ISSUES; - COMMUNITY ASSOCIATIONS THAT HELP THOSE IN NEED OF BASIC NECESSITIES INCLUDING, BUT NOT LIMITED TO, FOOD, CLOTHING, AND SHELTER; - ORGANIZATIONS THAT ENCOURAGE YOUNG PEOPLE TO ACHIEVE THEIR POTENTIAL, USE THEIR IMAGINATION, AND KEEP THEM SAFE FROM HARM; AND - SOCIAL SERVICES THAT PROVIDE RELIEF AND COUNSELING TO THOSE SUFFERING FROM ABUSE. HACKENSACK MERIDIAN VERIFIES THE USE OF CONTRIBUTED FUNDS BY ATTENDING SUPPORTED EVENTS, REQUESTING COPIES OF JOURNAL ADS OR PROOF OF "FUNDED-BY" SIGNAGE, REVIEWING ORGANIZATIONAL ANNUAL REPORTS, AND VOLUNTEERING WITH THESE ORGANIZATIONS TO ENSURE THE ADVANCEMENT OF THE SUPPORTED MISSION.
SCHEDULE I; PART III SCHOLARSHIPS AND HARDSHIP ASSISTANCE ARE AWARDED BASED ON AN ANALYSIS OF CRITERIA OF ESTABLISHED POLICY SET BY HACKENSACK MERIDIAN HEALTH, INC. THE SCHOLARSHIP AND HARDSHIP ASSISTANCE RECIPIENTS ARE SELECTED BY A COMMITTEE OF THE ORGANIZATION BASED ON A REVIEW AND ANALYSIS OF THE OBJECTIVE AND NONDISCRIMINATORY CRITERIA.
Schedule I (Form 990) 2021



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