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Object ID: 202203199349332830 - Rendered 2024-05-04
TIN: 01-0649794
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
21
Open to Public Inspection
Name of the organization
HACKENSACK MERIDIAN HEALTH INC-SUBORDINATES
Employer identification number
01-0649794
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
(1)
SOCH PROPERTIES I LLC
1350 CAMPUS PARKWAY
NEPTUNE
,
NJ
07753
33-1035243
TITLE HOLDING
NJ
38,364
1,378,431
HMHRC
(2)
SOCH PROPERTIES II LLC
1350 CAMPUS PARKWAY
NEPTUNE
,
NJ
07753
26-0838981
TITLE HOLDING
NJ
149,938
1,671,869
HMHRC
(3)
SOCH PROPERTIES 3 CLOCK BLDG LLC
1350 CAMPUS PARKWAY
NEPTUNE
,
NJ
07753
51-0538953
TITLE HOLDING
NJ
111,543
1,298,694
HMHRC
(4)
HACKENSACK PHYSICIAN ALLIANCE LLC
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
45-4966639
INACTIVE
NJ
0
0
HMHHC
(5)
20 PROSPECT HOLDINGS LLC
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
47-4381262
INACTIVE
NJ
0
0
HMHHC
(6)
MHAC I LLC
1350 CAMPUS PARKWAY
NEPTUNE
,
NJ
07753
20-5268126
TITLE HOLDING
NJ
0
15,946,149
HMHRC
(7)
KINGSLAND STREET URBAN RENEWAL LLC
343 THORNALL STREET
EDISON
,
NJ
08837
81-3857390
PARKING GARAG
NJ
6,789,562
176,064,639
HMHHC
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
343 THORNALL STREET
EDISON
,
NJ
08837
22-3474145
HEALTH SVCS.
NJ
501(C)(3)
12C
NA
No
(2)
PALISADES MEDICAL ASSOCIATES LLC
7600 RIVER ROAD
NORTH BERGEN
,
NJ
07047
22-3814193
HEALTH SVCS.
NJ
501(C)(3)
10
HMHHC
Yes
(3)
MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC
343 THORNALL STREET
EDISON
,
NJ
08837
06-1755228
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(4)
MERIDIAN MEDICAL GROUP-FACULTY PRACTICE
343 THORNALL STREET
EDISON
,
NJ
08837
06-1755230
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(5)
MERIDIAN MEDICAL ASSOCIATES PC
343 THORNALL STREET
EDISON
,
NJ
08837
06-1755233
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(6)
HMH MEDICAL GROUP-PRIMARY CARE PC
343 THORNALL STREET
EDISON
,
NJ
08837
14-1981653
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(7)
MERIDIAN MEDICAL GROUP-SPECIALTY CAREPC
343 THORNALL STREET
EDISON
,
NJ
08837
14-1981647
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(8)
MERIDIAN TRAUMA ASSOCIATES PC
343 THORNALL STREET
EDISON
,
NJ
08837
14-1981651
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(9)
MERIDIAN OBGYN ASSOCIATES PC
343 THORNALL STREET
EDISON
,
NJ
08837
06-1755239
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(10)
MERIDIAN PEDIATRIC SURGICAL ASSOC PC
343 THORNALL STREET
EDISON
,
NJ
08837
77-0720131
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(11)
SOMC MEDICAL GROUP PC
343 THORNALL STREET
EDISON
,
NJ
08837
27-1412183
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(12)
HACKENSACK SPECIALTY CARE ASSOCIATES PC
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
20-1017013
HEALTH SVCS.
NJ
501(C)(3)
12A
HMHHC
Yes
(13)
HMH MEDICAL GROUP-SPECIALTY CARE PC
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
22-3376459
HEALTH SVCS.
NJ
501(C)(3)
12A
HMHHC
Yes
(14)
HUMC CARDIOVASCULAR PARTNERS PC
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
27-0614861
HEALTH SVCS.
NJ
501(C)(3)
10
HMHHC
Yes
(15)
HUMC MEDICAL OBSERVATION PA
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
27-2371424
HEALTH SVCS.
NJ
501(C)(3)
12A
HMHHC
Yes
(16)
MERIDIAN OCCUPATIONAL HEALTH PC
343 THORNALL STREET
EDISON
,
NJ
08837
27-2377326
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(17)
MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY
343 THORNALL STREET
EDISON
,
NJ
08837
81-3921186
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(18)
THE AUXILIARY OF HACKENSACKUMC
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
22-1537117
SUPPORT HMHHC
NJ
501(C)(3)
12C
HMHHC
Yes
(19)
JFK MEDICAL ASSOCIATES PA
98 JAMES STREET
EDISON
,
NJ
08820
46-2219798
HEALTH SVCS.
NJ
501(C)(3)
10
HMH
No
(20)
HACKENSACK MERIDIAN SCHOOL OF MEDICINE
340 KINGSLAND STREET
NUTLEY
,
NJ
07110
81-3872529
HEALTH SVCS.
NJ
501(C)(3)
2
HMH
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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)
HUMCUSP SURGERY CENTERS LLC
30 PROSPECT AVENUE
HACKENSACK
,
NJ
07601
38-3875474
HEALTH SVCS
NJ
HMHHC
RELATED
3,514,281
34,225,187
No
0
50.100 %
(2)
OLD BRIDGE MEDICAL ASSOCIATES LLC
1 HOSPITAL PLAZA
OLD BRIDGE
,
NJ
08857
22-2894388
HEALTH SVCS
NJ
HMHHC
RELATED
1,584,687
6,141,909
No
0
81.595 %
(3)
COASTAL CO-OP OF NJ
343 THORNALL STREET
EDISON
,
NJ
08837
22-3603146
PURCHASING
NJ
HMHHC
RELATED
0
1,015,314
No
0
95.000 %
(4)
MERIDIAN HEALTH VILLAGE REALTY ASSOC
343 THORNALL STREET
EDISON
,
NJ
08837
27-4328412
REAL ESTATE
NJ
HMHRC
RELATED
2,223,489
25,549,860
No
0
88.680 %
(5)
HACKENSACK MERIDIAN LIVING AT HOLMDEL
343 THORNALL STREET
EDISON
,
NJ
08837
81-5095156
HEALTH SVCS
NJ
HMHRC
RELATED
0
19,004,764
No
0
51.000 %
(6)
ESSEX RESIDENTIAL CARE LLC
343 THORNALL STREET
EDISON
,
NJ
08837
83-2041597
HEALTH SVCS
NJ
HMHRC
RELATED
7,734,045
17,682,260
No
0
51.000 %
(7)
BERGEN POST ACUTE CARE LLC
343 THORNALL STREET
EDISON
,
NJ
08837
83-2058275
HEALTH SVCS
NJ
HMHRC
RELATED
8,085,800
27,793,457
No
0
51.000 %
(8)
HACKENSACK MUSCULOSKELETAL SURGERY CENTE
100 CHARLES EWING BLVD
EWING
,
NJ
08628
85-3437054
HEALTH SVCS
NJ
HMHHC
RELATED
0
0
No
0
51.000 %
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
343 THORNALL STREET
EDISON
,
NJ
08837
22-2550716
HEALTH SVCS
NJ
NA
C CORP
(2)
PALISADES CHILD CARE CENTER INC
343 THORNALL STREET
EDISON
,
NJ
08837
22-2812623
DAY CARE CENT
NJ
NA
C CORP
(3)
RARITAN INSURANCE LTD
23 LIME TREE BAY AVE PO BOX 1363
GRAND CAYMAN
CJ
FINANCIAL VEH
CJ
HMHHC
C CORP
0
268,693
100.000 %
Yes
(4)
OAPCA INC
1140 RT 72 West
Manahawkin
,
NJ
08050
22-3298974
CONDO ASSOCIA
NJ
MHCHMHRC
C CORP
78,002
30,743
100.000 %
Yes
(5)
JFK MEDICAL GROUP PC
98 JAMES STREET
EDISON
,
NJ
08820
22-3482637
HEALTH SVCS
NJ
NA
C CORP
(6)
JFK AMBULATORY CARE PA
98 JAMES STREET
EDISON
,
NJ
08820
47-3018240
HEALTH SVCS
NJ
NA
C CORP
(7)
ALERT AMBULANCE SERVICE INC
1195 AIRPORT ROAD
LAKEWOOD
,
NJ
08701
22-1968480
AMBULANCE SER
NJ
NA
C CORP
(8)
HMH CASUALTY COMPANY LTD
CHEVRON HOUSE 44 CHURCH STREET
HAMILTON
BD
FINANCIAL VEH
BD
HMHHC
C CORP
-8,900,659
173,483,399
100.000 %
Yes
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
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
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
Yes
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
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
(1)
HMH MEDICAL GROUP- SPECIALTY CARE PC
1r
11,543,963
CASH
(2)
PALISADES MEDICAL ASSOCIATES LLC
1r
1,100,241
CASH
(3)
HUMC CARDIOVASCULAR PARTNERS PC
1r
3,285,324
CASH
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
SCHEDULE R
OUTLINED BELOW IS A LIST OF SUBORDINATE ORGANIZATIONS INCLUDED AS SUBORDINATES IN THE HACKENSACK MERIDIAN HEALTH, INC. GROUP EXEMPTION RULING AND IN THIS CONSOLIDATED GROUP FORM 990. - HMH HOSPITALS CORPORATION (FEID: 22-1487576) - THE COMMUNITY HOSPITAL GROUP, INC. (FEID: 22-6019101) - HMH CARRIER CLINIC, INC. (FEID: 22-1714106) - CENTER FOR DISCOVERY AND INNOVATION, INC. (35-2662866) - HMH RESIDENTIAL CARE, INC. (FEID: 22-2731440) - HEALTH INNOVATIONS UNLIMITED, INC. (FEID: 22-2581430) - HACKENSACK MERIDIAN HEALTH FOUNDATION, INC. (FEID: 30-0107825) - HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2339534) - JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2342452) - RIVERVIEW MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2333524) - OCEAN UNIVERSITY MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2361311) - SOUTHERN OCEAN MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2666099) - BAYSHORE MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2367109) - RARITAN BAY HEALTHCARE FOUNDATION, INC. (FEID: 22-2656665) - PALISADES MEDICAL CENTER FOUNDATION, INC. (FEID: 22-3693169) - JOHN F. KENNEDY UNIVERSITY MEDICAL CENTER FOUNDATION, INC. (FEID: 22-2315044) - MUHLENBERG FOUNDATION, INC. (FEID: 51-0212678) - HACKENSACK MERIDIAN HEALTH REALTY CORPORATION (FEID: 22-3200147) - BERGEN HEALTH MANAGEMENT SYSTEM, INC. (FEID: 22-2989731) - HACKENSACK MERIDIAN AMBULATORY VENTURES, INC. (FEID: 45-1227706) - MUHLENBERG REGIONAL MEDICAL CENTER, INC. (FEID: 22-1487258) - HARTWYCK AT OAK TREE, INC. (FEID: 22-2666023) - HARTWYCK AT JFK, INC. (FEID: 20-4144804) - ROBERT WOOD JOHNSON, JR., LIFESTYLE INSTITUTE, INC. (FEID: 22-2421433)
Schedule R (Form 990) 2021
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