4A (Expenses $ 8742422 including grants of $ 0) (Revenue $ 7439079)
EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY ACUTE PULMONARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY PAY. THE ORGANIZATION PROVIDED ACUTE PULMONARY SERVICES TO 89 PATIENTS FOR A TOTAL OF 6,155 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4B (Expenses $ 5652692 including grants of $ 0) (Revenue $ 4677340)
EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY REHABILITATION SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED REHABILITATION SERVICES TO 284 PATIENTS FOR A TOTAL OF 3,006 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4C (Expenses $ 4655403 including grants of $ 0) (Revenue $ 2903529)
EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY OB/GYN SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX NATIONAL ORIGIN, RELIGION OR ABILITY PAY. THE ORGANIZATION PROVIDED OB/DELIVERY SERVICES TO 795 PATIENTS FOR A TOTAL OF 2,137 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

FINANCIAL ASSISTANCE ELIGIBILITY SCHEDULE H, PART I, LINE 3C
The income based criteria used to determine eligibility is per New Jersey Administrative Code 10:52 sub chapters 11, 12 and 13, and based upon the 2009 poverty guidelines (department of health and senior services). Federal Poverty Guidelines are included in the criteria for determining eligibility for charity and discounted care.

COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A
NOT APPLICABLE.

FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7
The bad debt expense included on form 990, part IX, line 25, column (A), but subtracted for purposes of calculating the percentage in this column is $2,455,029.

COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II
Community building activities undertaken by Meadowlands improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. Meadowlands provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other health care professionals. We have also done programs on safety for children in our community.

BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4
Bad debt expense was derived from the providers' bad debt expense as reported on its audited financial statement, net of accounts written off at charges. The organization and its affiliates prepare and issue audited consolidated financial statements. The system's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied across all hospital affiliates. The attached text was obtained from the footnotes to the audited financial statements of the organization Accounts Receivable, Patients Accounts receivable, patients are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages. Charity Care Meadowlands provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because Meadowlands does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenues.

MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8
"Medicare costs were derived from the 2010 Medicare cost report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, schedule H, Part I. The organization feels that Medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code (""IRC"") 501(c) (3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c) (3) of the IRC. Although there is no definition in the tax code for the term ""charitable"" a regulation promulgated by the department of the treasury provides some guidance and states that ""[t]he term charitable is used in section 501(c) (3) in its generally accepted legal sense,"" and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term ""charitable"" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity Care Standard In 1956, the IRS issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the ""charity care standard."" under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community Benefit Standard In 1969, the IRS issued revenue ruling 69-545, which ""remove[d]"" from revenue ruling 56-185 ""the requirements relating to caring for patients without charge or at rates below cost."" under the standard developed in revenue ruling 69-545, which is known as the ""community benefit standard,"" hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the ""generally accepted legal sense"" of the term ""charitable,"" as required by treas. Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was ""promoting the health of a class of persons that is broad enough to benefit the community"" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The American Hospital Association (""AHA"") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, Schedule H, Part I. This organization agrees with the AHA position. As outlined in the AHA letter to the IRS dated August 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard. - Medicare, like Medicaid, does not pay the full cost of care. Recently, Medicare reimburses hospitals only 92 cents for every dollar they spend to take care of Medicare patients. The Medicare payment advisory commission (""MEDPAC"") in its March 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 46 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the Federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called ""dual eligibles."" There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office (""CBO"") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that ""the great majority of bad debt was attributable to patients with incomes below 200% of the Federal poverty line."" - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - The CBO concluded that its findings ""support the validity of the use of uncompensated care [bad debt and charity care] as a measure of community benefits"" assuming the findings are generalizable nationwid"

DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B
"Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance. It is the policy of the Liberty HealthCare System business office and its hospital affiliates to treat all patients equally regardless of insurance and their ability to pay. For all accounts determined to be 'self-pay"" and/or accounts with balance after primary insurance payments, the collection policy requires: sending a minimum of three statements which includes a pre-collection letter. We have charity care and Hill Burton access policies to assure patients are provided with charity care assistance determined by State and Federal regulations. It is our policy to inform all patients deemed self-pay of the appropriate assistance programs available. Patients applying for charity care assistance will be financially screened by a resource advisor to determine eligibility according to State and Federal guidelines and will be informed of documentation needed to complete a charity care application. At the time of the patient's visit and as part of the registration process, the following options are made available to patients: - Financial counseling for possible eligibility for medical assistance, including Medicaid and SSI. - Financial counseling to evaluate eligibility for a reduced payment rate when coverage is not available under charity care, Medicaid, or New Jersey's Hopsital Care Payment Assistance programs (Liberty's Compassionate Care program). - Other financial arrangements we offer including: 1. Cash/credit card (American Express, Discover, visa, MasterCard), 2. Flexible payment plans."

FACILITY POLICIES AND PRACTICES SCHEDULE H, PART V; SECTION B
Not applicable.

NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2
Liberty engages a planning consultant to assist us in monitoring utilization in our service area so we can identify trends in community health needs. The data we gather is shared with our physician leadership and other community leaders to corroborate the data we gather and to receive feedback on other health issues of concern. These activities contribute to the development of a strategic plan for the Medical Center that we follow to expand existing services or develop new services for our community.

PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3
Charity care signs are posted throughout the facility, mainly in patient registration areas. Signs are posted in both English and Spanish. All patients deemed self pay are screened for financial assistance by a resource advisor according to the federal poverty guidelines and referred to appropriate agencies or programs.

COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4
The organization is located in Secaucus, New Jersey and serves the greater Hudson County community Hudson County is a diverse suburban community and one of the most populous communities in New Jersey.

PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5
THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES.

AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6
"Not For-Profit Affiliates: LIBERTY HEALTHCARE SYSTEM, INC. Liberty Healthcare System, Inc. is the tax-exempt parent of the Liberty Health Care System (""LHCS""). This integrated health care delivery system consists of a group of affiliated health care organizations. Liberty Healthcare System, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). LIBERTY BEHAVIORAL HEALTH ASSOCIATES Liberty Behavioral Health Associates is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization was established to provide medically necessary professional health services to the medically underserved communities of Hudson County, New Jersey. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. LIBERTY CHILD HEALTH SERVICES Liberty Child Health Services is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization was established to provide medically necessary health services to the medically underserved communities of Hudson County, New Jersey, in a non-discriminatory manner regardless of race, color, national origin, religion or ability to pay. LIBERTY HEALTHCARE SYSTEM FOUNDATION Liberty Healthcare System Foundation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(2). The organization solicits and maintains gifts, grants and other contributions for the promotion of health and overall wellness in the Hudson County, New Jersey community served by the Liberty Healthcare System. LIBERTY HOME CARE Liberty Home Care is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(2). The organization was established to provide medically necessary home care services to the medically underserved communities of Hudson County, New Jersey, in a non-discriminatory manner regardless of race, color, national origin, religion or ability to pay. The organization sold substantially all of its assets on April 19, 2010 to an unrelated third party. LIBERTY REHABILITATION CENTER FACULTY PRACTICE PLAN Liberty Rehabilitation Center Faculty Practice Plan is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization staffs a 25-bed rehabilitative care unit which provides medically necessary professional rehabilitative health services to the medically underserved communities of Hudson County, New Jersey. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. LIBERTY SURGICAL ASSOCIATES Liberty Surgical Associates is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization provides medically necessary professional health services to the medically underserved communities of Hudson County, New Jersey served by its not for-profit affiliate, Jersey City Medical Center. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. NEW MARGARET HAGUE CENTER WOMENS JERSEY MEDICAL CENTER OB/GYN New Margaret Hague Center Women's Jersey Medical Center OB/GYN is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization provides medically necessary professional obstetrical and gynecological health services to the medically underserved communities of Hudson County, New Jersey. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. JERSEY CITY FAMILY HEALTH CENTER Jersey City Family Health Center (""JCFHC"") is located in Secaucus, Hudson County, New Jersey. JCFHC is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, JCFHC provides medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. This organization ceased operations as of August 31, 2008. Effective September 1, 2008 all operations were assumed by an unrelated healthcare provider. JERSEY CITY MEDICAL CENTER Jersey City Medical Center (""JCMC"") is a non-profit tax-exempt hospital and medical center located in Secaucus, Hudson County, New Jersey. JCMC is recognized by the Internal Revenue Service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, JCMC provides medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, JCMC operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. GREENVILLE HOSPITAL Greenville Hospital (""GH"") was a non-profit tax-exempt acute care community hospital located in Secaucus, Hudson County, New Jersey. GH is recognized by the Internal Revenue Service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, GH provided medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Prior to its closing, GH operated consistently with the criteria outlined in IRS Revenue Ruling 69-545. For-Profit Affiliates: LIBERTY HEALTHCARE MANAGEMENT, LLC A limited liability company taxed as a partnership located in Secaucus, Hudson County, New Jersey which provides management services. Liberty Healthcare System, Inc. and Liberty Healthcare Capital, Inc. are the partners in this partnership with 99% and 1% ownership interests, respectively. LIBERTY HEALTHCARE CAPITAL, INC. A for-profit entity whose sole shareholder is LHCS. The organization is located in Secaucus, Hudson County, New Jersey. This entity provides leasing and financing support to Liberty Healthcare System."

STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7
NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.