2024-05-15T11:15:42-05:00 2023-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2022-07-01 520607949 MERITUS MEDICAL CENTER INC MERI 3017908872 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 JOSHUA REPAC CFO/TREASURER 3017908872 2024-05-15 1 JOSHUA REPAC 999009999 0 MARY TORRETTA P00847851 7038477500 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z MAULIK JOSHI DRPH 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 955026076 0 X WWW.MERITUSHEALTH.COM X 1904 MD THE MISSION OF MERITUS MEDICAL CENTER, INC. (MMC) IS TO IMPROVE THE HEALTH OF OUR COMMUNITY. 12 9 4052 250 2664905 188534 9776056 18654404 486169068 521526448 34826527 22009415 1601536 1180032 532373187 563370299 33200 17750 0 0 279827201 285381216 0 0 0 216307411 238327975 496167812 523726941 36205375 39643358 783798667 836085210 428447838 409153508 355350829 426931702 X SEE SCHEDULE O 0 0 436923881 17750 519936830 SEE SCHEDULE O 436923881 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 403 0 1 4052 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 12 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MD X JOSHUA REPAC 3017908872 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 X ROBERT GOETZ JR CHAIRMAN 5.00 0.00 X X 0 0 0 KENT REYNOLDS VICE CHAIR 3.00 0.00 X X 0 0 0 TOM AMALFITANO MD DIRECTOR 20.00 0.00 X 45833 0 0 ERIN HERSHEY DIRECTOR 3.00 0.00 X 0 0 0 SHAHEEN IQBAL MD DIRECTOR 20.00 0.00 X 17437 0 0 BARBARA JACOBS RN DIRECTOR 3.00 0.00 X 0 0 0 MAULIK JOSHI DR PH PRESIDENT & CEO 50.00 3.00 X X 1095877 0 216346 JAMES KERCHEVAL DIRECTOR 3.00 0.00 X 0 0 0 AL MARTIN DIRECTOR 3.00 0.00 X 0 0 0 JAMES STOJAK DIRECTOR 3.00 0.00 X 0 0 0 WILLIAM SU MD DIRECTOR 3.00 0.00 X 0 0 0 SCOTT WORRELL MD DIRECTOR 3.00 0.00 X 0 0 0 RALPH SALVAGNO MD DIRECTOR (THRU 12/2022) 3.00 0.00 X 24462 0 1509 GREGORY SNOOK DIRECTOR (THRU 12/2022) 3.00 0.00 X 0 0 0 REV DR D STUART DUNNAN DIRECTOR (THRU 12/2022) 3.00 0.00 X 0 0 0 WAYNE ALTER JR DIRECTOR (THRU 12/2022) 3.00 0.00 X 0 0 0 MARY JC HENDRIX PHD DIRECTOR (THRU 12/2022) 3.00 0.00 X 0 0 0 STEVEN HULL DIRECTOR (THRU 12/2022) 3.00 0.00 X 0 0 0 NEIL JESUELE DIRECTOR (THRU 12/2022) 3.00 0.00 X 0 0 0 SHARON MAILEY PHD RN DIRECTOR (THRU 8/2022) 3.00 0.00 X 0 0 0 JOSHUA REPAC CFO/TREASURER (AS OF 7/2022) 50.00 3.00 X 351313 0 66909 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 50.00 3.00 X 272939 0 56935 CARRIE ADAMS CHIEF OPERATING OFFICER 50.00 0.00 X 431366 0 70153 DAVID LEHR CHIEF STRATEGY OFFICER 50.00 0.00 X 437438 0 53634 VICTORIA GIFFI MD PHYSICIAN 50.00 0.00 X 825734 0 35202 JOSEPH SCHULZ DO PHYSICIAN 50.00 0.00 X 650602 0 31928 KIRANPREET KHOSA PHYSICIAN 50.00 0.00 X 606280 0 22038 IJEOMA IFEANYI-NWANZE PHYSICIAN 50.00 0.00 X 551628 0 37393 MICHAEL MCCORMACK MD PHYSICIAN 50.00 0.00 X 594858 0 31056 THOMAS T CHAN FORMER CFO/TREASURER 50.00 3.00 X 803424 0 75304 6709191 0 698407 394 1 1 0 ROBINWOOD ORTHOPAEDIC SPECIALISTS 11110 MEDICAL CAMPUS ROAD STE 205 HAGERSTOWN MD 21742 MEDICAL 8866513 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 MEDICAL 7151887 QUALIVIS 5930 CORNERSTONE CT SAN DIEGO CA 92121 MEDICAL 5152886 MDICS AT MERITUS MEDICAL CENTER 7250 PARKWAY DRIVE SUITE 500 HANOVER MD 21076 MEDICAL 4564777 DRS WAHEED ALENCHERRY & IQBAL 12821 OAK HILL AVE HAGERSTOWN MD 21742 MEDICAL 4304649 101 474160 17498823 681421 18654404 PATIENT REVENUE 621400 497876297 497876297 340B PROGRAM REVENUE 621400 9417797 9417797 MDPCP FEES 621400 5417435 5417435 SCHOOL NURSING PROGRAM 621400 3484808 3484808 CAFETERIA SALES 621400 1589618 1589618 3740493 3740493 521526448 21321135 21321135 379827 1864700 -1484873 -1484873 -1484873 390476677 2680 389791077 0 685600 2680 688280 688280 LAB REVENUE 621500 1639789 1639789 COSMETIC REVENUE 621400 920504 920504 CLINICAL TRIAL 541700 104612 104612 2664905 563370299 519936830 2664905 22114160 X 17750 17750 2832427 2832427 701705 701705 236202614 188962091 47240523 7834581 6267665 1566916 22076790 17661432 4415358 15733099 12586479 3146620 392513 314010 78503 537180 429744 107436 61492 49194 12298 566851 453481 113370 64278670 55081938 9196732 1360497 1360497 566620 453296 113324 6704380 5363504 1340876 8106703 6485362 1621341 1114315 891452 222863 878997 703198 175799 11864131 9491305 2372826 29568979 23655183 5913796 3682844 2946275 736569 DRUGS & PHARMACEUTICALS 44961195 44961195 MEDICAL SUPPLIES 31524282 31524282 BAD DEBT EXPENSE 8785670 8785670 UBI TAXES 274058 274058 23098598 18478878 4619720 523726941 436923881 86803060 0 124378604 181309900 41632841 44532910 190416 148605 7961679 7497111 4698381 6791933 516340942 280623072 238780654 235717870 232307383 218499545 28123412 14639232 9858118 8693693 95867179 118254411 783798667 836085210 91330897 70951461 240043063 234212895 60194379 62828036 36879499 41161116 428447838 409153508 X 353332676 413044602 2018153 13887100 355350829 426931702 783798667 836085210 X 39643358 20070613 11866902 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 61492 61492 0 PART II-B, LINE 1, LOBBYING ACTIVITIES DURING FISCAL YEAR 2023, MMC PAID DUES TO THE MARYLAND HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, AND THESE TRADE ASSOCIATIONS PROVIDED MMC WITH THE SPECIFIC PERCENTAGE OF THE AMOUNTS PAID THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. IN ADDITION, MMC PAID A FEE TO A GOVERNMENT RELATIONSHIP CONSULTING FIRM TO ASSIST IN UNDERSTANDING GOVERNMENTAL AND LEGISLATIVE MATTERS RELATED TO LOBBYING. 1028618 1028618 1028618 1028618 1028618 1028618 1071947 14167 57496 1028618 1045925 26022 1071947 1.00000 0 0 7203825 7203825 264293584 125470838 138822746 3775117 2051930 1723187 230755546 153100304 77655242 10312870 10312870 235717870 NET ASSETS HELD BY MHF 12715486 OPERATING LEASES 29979666 OTHER ASSETS 2913755 RETRO PREMIUM CREDIT RECEIVABLE 9192398 EQUITY INVESTMENTS IN AFFILIATES 63453106 118254411 ACCRUED RETIREMENT BENEFITS 4914679 DUE TO RELATED ENTITIES 9597400 OPERATING LEASES 26649037 41161116 X PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PAY THE OUTSTANDING BALANCES FOR THOSE PATIENTS WHO MEET CERTAIN CRITERIA. IN ORDER TO QUALIFY, INDIVIDUALS MUST HAVE MADE TEN CONSECUTIVE PAYMENTS, HAVE NOT BEEN TURNED OVER TO COLLECTIONS, AND HAVE NEVER APPLIED FOR FINANCIAL ASSISTANCE. PART X, LINE 2: MMC FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITION WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MMC DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 120000 CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES PREMIUMS 4204355 0 0 0 0 0 0 4324355 0 4324355 0 0 1 0 0 0 PART III ACCOUNTING METHOD: PART I, LINE 3 INVESTMENTS IN MMC'S BOOKS AND THE FORM 990 ARE REPORTED ON AN ACCRUAL BASIS. 1 1 1 X 1 X 1 1 1 0 1 1 12269867 0 12269867 0.02380 6546580 5292535 1254045 0.00240 0 0 18816447 5292535 13523912 0.02620 2140851 80592 2060259 0.00400 877639 0 877639 0.00170 137757697 88293942 49463755 0.09610 274863 113012 161851 0.00030 431090 431090 0.00080 141482140 88487546 52994594 0.10290 160298587 93780081 66518506 0.12910 184 184 0.00000 7025 7025 0.00000 25556 25556 0.00000 32765 32765 0.00000 1 8785670 1317850 333671746 326998311 6673435 X 1 1 1 GENERAL SURGERY RE LLC REAL ESTATE 0.50000 0.50000 1 1 MERITUS MEDICAL CENTER INC 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 WWW.MERITUSHEALTH.COM 21-0001 X X X X MERITUS MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X WWW.MERITUSHEALTH.COM X 1 22 1 SEE PART VI, LINE 2 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X 1 X 0 0 MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: DURING THE PRIMARY DATA COLLECTION PROCESS, TWENTY-ONE (21) KEY INFORMANTS, COMMUNITY STAKEHOLDERS RECOGNIZED AS HAVING SPECIFIC KNOWLEDGE OF HEATH AND HEALTH NEEDS OF PEOPLE ACROSS WASHINGTON COUNTY, WERE INTERVIEWED USING A STANDARD SET OF QUESTIONS DESIGNED AND APPROVED BY STEERING COMMITTEE MEMBERS WHO WERE RESPONSIBLE FOR CONDUCTING THE INTERVIEWS. THESE INTERVIEWS WERE CONDUCTED BETWEEN AUGUST 6, 2021 AND SEPTEMBER 7, 2021 AND INCLUDED INPUT FROM ORGANIZATIONS SUCH AS, MERITUS HEALTH, WASHINGTON COUNTY COMMISSIONERS, COMMUNITY FOUNDATION OF WASHINGTON COUNTY, MARYLAND DEPARTMENT OF HEALTH, COMMUNITY FREE CLINIC, WASHINGTON COUNTY COMMISSION ON AGING, HEAD START, HAGERSTOWN AREA OF RELIGIOUS COUNCIL, YMCA OF HAGERSTOWN, AND THE ARC OF WASHINGTON COUNTY. THE KEY INFORMANTS ALSO COMPLETED A SURVEY QUESTIONNAIRE THAT WAS DESIGNED TO OBTAIN MORE DETAILED EXPLANATIONS OF BARRIERS THAT PREVENT PEOPLE FROM ACCESSING HEALTH CARE SERVICES: FINANCES, TRANSPORTATION, HOURS OF OPERATION, SOCIAL NEEDS, LIMITATIONS, ETC. IN ADDITION TO THESE INTERVIEWS, ELEVEN (11) COMMUNITY FOCUS GROUPS WERE CONDUCTED TO OBTAIN MORE SPECIFIC INFORMATION FROM PERSONS HAVING EXPERTISE, KNOWLEDGE, OR INTEREST IN THE FOLLOWING TOPICS: DIABETES, HEALTH AND PHYSICAL ACTIVITY, MENTAL HEALTH AND SUBSTANCE ABUSE, MINORITY HEALTH ISSUES, PREVENTION AND WELLNESS, AND SENIOR HEALTH ISSUES. MEMBERS OF THE FOCUS GROUPS AND VOLUNTEERS WHO AGREED TO INDIVIDUAL INTERVIEWS PROVIDED INVALUABLE INSIGHT INTO HEALTH NEEDS AND GAPS AS PERCEIVED BY PERSONS LIVING IN THE COMMUNITY. THESE FOCUS GROUPS WERE CONDUCTED BETWEEN SEPTEMBER 25, 2021 AND OCTOBER 27, 2021, AND INCLUDED INPUT FROM UNDER-REPRESENTED POPULATIONS SUCH AS BLACK/AFRICAN AMERICAN AND HISPANIC. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 6B: THE OTHER GROUPS INVOLVED IN THE CHNA CREATION ARE BROOK LANE, HEALTHY WASHINGTON COUNTY, AND WASHINGTON COUNTY HEALTH DEPARTMENT. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: AS A COMMUNITY HOSPITAL, MMC PURPOSEFULLY INCORPORATES OUR COMMITMENT TO COMMUNITY SERVICE INTO OUR INTERNAL MANAGEMENT AND GOVERNANCE STRUCTURES AS WELL AS STRATEGIC AND OPERATIONAL PLANS. MMC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS AND SERVICE GAPS. AN ACTION PLAN OF INITIATIVES AND GOALS IS DEVELOPED TO ADDRESS THE PRIORITIZED HEALTH NEEDS. THE ACTION PLAN IS REVIEWED BY THE MMC STRATEGIC PLANNING COMMITTEE AND APPROVED BY THE MMC BOARD.THE MOST RECENT PRIORITIZED COMMUNITY NEEDS FROM FY 2022 CHNA INCLUDE:1. OBESITY; LOSE 1 MILLION COMMUNITY POUNDS BY PROMOTING INCREASED PHYSICAL ACTIVITY (DO), EATING A HEALTHY DIET (EAT), AND ACHIEVE EMOTIONAL BALANCE (BELIEVE);2. IMPROVE BEHAVIORAL HEALTH BY ENSURING TIMELY ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH TREATMENT AND SUPPORT, AND REDUCE ADDITION AND OVERDOSE FATALITIES TO PROTECT THE HEALTH, SAFETY, AND QUALITY OF LIFE FOR ALL;3. IMPROVE PREVENTION AND MANAGEMENT OF TYPE II DIABETES AND REDUCE MORTALITY; 4. PREVENT HEART DISEASE, REDUCE MORTALITY, AND MANAGE HYPERTENSION;5. INCREASE HEALTH EQUITY BY HELPING ALL PEOPLE ATTAIN THE HIGHEST LEVEL OF HEALTH;6. ENGAGE AND EMPOWER PEOPLE TO CHOOSE HEALTHY BEHAVIORS AND MAKE CHANGES TO REDUCE RISKS.OTHER IDENTIFIED CHNA NEEDS NOT ADDRESSED:THE HOSPITAL HAS LIMITED, FINITE RESOURCES AND CANNOT SUCCESSFULLY MEET ALL OF THE IDENTIFIED HEALTH NEEDS OF THE COMMUNITY. SOME OF THE HEALTH NEEDS FOR THE COMMUNITY INCLUDE CANCER, ACCESS TO DENTAL CARE, ACCESS TO AFFORDABLE HEALTHCARE, TEEN PREGNANCY, SENIOR NEEDS, HOMELESSNESS, AND POVERTY. FINDINGS FROM THE FY2022 CHNA MAY BE USED TO SUPPORT GRANT PROCUREMENT, DONATIONS, AND GIFTS TO FUND NEW PROGRAMS SERVICES. THE PRIORITIZATION CRITERION AND ASSIGNED WEIGHTS ASSISTED THE COALITION TO NARROW THE FOCUS AND DIRECTLY ADDRESS THE ISSUES THAT WOULD HAVE THE GREATEST IMPACT FOR IMPROVING THE HEALTH OF PEOPLE IN OUR COMMUNITY. WHEN OTHER COMMUNITY ORGANIZATIONS HAVE A MISSION ALIGNED TO MEET THE CHNA NEEDS THAT WERE IDENTIFIED, THE NEED WAS SCORED AS A LOWER PRIORITY FOR MMC, AVOIDING THE DUPLICATION OF EXISTING COMMUNITY SERVICES AND PROVIDING AN OPPORTUNITY TO COORDINATE THE LINKAGE OF PATIENTS TO ALTERNATIVE SERVICES WHENEVER APPROPRIATE. OUR COMMUNITY PROVIDERS ARE USING THE RESULTS OF THE CHNA TO HELP TARGET THESE UNMET NEEDS BASED ON STRENGTHS, EXPERTISE, AND RESOURCES OF INDIVIDUAL ORGANIZATIONS, AND WHERE INTERESTS ARE SHARED, NEW COLLABORATIVE RELATIONSHIPS BETWEEN ORGANIZATIONS WILL BE FORMED IF INTERESTS ARE SHARED. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 13B: MMC STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH CARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. MMC RESERVES THE RIGHT TO GRANT FINANCIAL ASSISTANCE WITHOUT FORMAL APPLICATION BEING MADE BY PATIENTS. THESE PATIENTS MAY INCLUDE THE HOMELESS OR INDIVIDUALS WITH RETURNED MAIL AND NO FORWARDING ADDRESS. PATIENTS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE MAY BE ELIGIBLE FOR MMC'S FINANCIAL ASSISTANCE PROGRAM. MERITUS MEDICAL CENTER, INC. PART V, SECTION B, LINE 16J: MMC MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES ARE AVAILABLE THROUGHOUT THE COMMUNITY WITHIN MMC LOCATIONS. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT APPROPRIATE ADMISSION AREAS, THE PATIENT FINANCIAL SERVICES DEPARTMENT, AND OTHER KEY PATIENT ACCESS AREAS. A STATEMENT ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT BILLING STATEMENTS. IF THERE ARE ANY QUESTIONS REGARDING THE FINANCIAL ASSISTANCE POLICY, THE PATIENT ACCESS/REGISTRATION PERSONNEL REFER THE UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. THE FINANCIAL ASSISTANCE POLICY FOR MMC IS AVAILABLE ON THE WEBSITE AND IS TRANSLATED INTO SPANISH. PART I, LINE 6A: MMC PREPARES A COMMUNITY BENEFITS REPORT THROUGH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), AND IT IS AVAILABLE VIA THEIR WEBSITE. THIS IS IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT PREPARED BY MMC IN ACCORDANCE WITH IRC SECTION 501(R). PART I, LINE 7: THE DIRECT COST WAS CALCULATED USING THE EXPENSE CATEGORIES FOR SALARIES AND WAGES, BENEFITS, EXPENDABLE SUPPLIES, PURCHASED SERVICES, REPAIRS AND MAINTENANCE, AND DEPRECIATION. THE INDIRECT COST WAS CALCULATED USING THE APPROVED METHODOLOGY ON THE COMMUNITY BENEFIT REPORT. PART I, LINE 7G: THE COMMUNITY THAT MMC SERVES HAS BEEN DESIGNATED AS A MEDICALLY UNDERSERVED AREA. MMC SUBSIDIZES CERTAIN MEDICAL SERVICES SO THAT THE COMMUNITY HAS ACCESS TO THE MEDICAL CARE THAT IS NEEDED. SUBSIDIZED HEALTH SERVICES FOR MMC INCLUDE THE FOLLOWING: (1) HOSPITAL OWNED PRACTICES(2) THE MEDICATION ASSISTANCE CENTER(3) MMG PHYSICIAN PRACTICES(4) LEVEL III TRAUMA PROGRAM(5) ON-CALL FEES FOR EMERGENCY SPECIALISTS(6) VOLUNTARY WRITE-OFFS ON INPATIENT HOSPICE ACCOUNTS (HOSPICE OF WASHINGTON COUNTY)(7) MEDICAL URGENT CARE(8) HOSPITALIST SUBSIDY(9) COMMUNITY HEALTH (COMMUNITY HEALTH, EMPLOYEE WELLNESS, PARISH NURSING)(10) FAMILY PRACTICE RESIDENCY PROGRAM(11) HEALTH@WORK PART I, LN 7 COL(F): MMC COMPLIES WITH APPLICABLE FEDERAL CIVIL RIGHTS LAWS AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, DISABILITY, SEXUAL ORIENTATION, OR GENDER IDENTITY AND EXPRESSION. IT IS THE POLICY OF MMC TO ENSURE THAT ALL APPROPRIATE AND REASONABLE EFFORTS HAVE BEEN MADE PRIOR TO REFERRING AN ACCOUNT TO BAD DEBT, A COLLECTION AGENCY, OR OUTSIDE ATTORNEY. IN ADDITION, A SATISFACTORY LEVEL OF CONTROL IS MAINTAINED OVER BAD DEBTS AND LEVELS OF MANAGEMENT ARE INVOLVED IN THE DECISION-MAKING PROCESS PRIOR TO WRITE-OFF AND/OR ASSIGNMENT OF BAD DEBT. THE PERCENTAGES IN COLUMN F ARE BASED ON COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSE LESS BAD DEBT EXPENSE OF $8,785,670. PART I, LINES 7A & 7B, COLUMNS (C) THROUGH (F) MARYLAND'S UNIQUE ALL-PAYER SYSTEM INCLUDES A METHOD FOR FACTORING IN UNCOMPENSATED CARE IN EACH PAYER'S RATES. THEREFORE, MARYLAND HOSPITALS CANNOT ATTRIBUTE ANY DIRECT REVENUE OFFSET TO UNCOMPENSATED CARE, EXCEPT FOR ITS EFFECT ON THE HOSPITAL'S SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS ADDRESSED FISCAL SHORTFALLS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM.THE LEGAL ENTITIES REFLECTED ON THIS FORM 990 INCLUDE MMC AND ITS CONSOLIDATED SUBSIDIARIES, WHICH ARE DISREGARDED ENTITIES STRUCTURE IN THE FORM OF LIMITED LIABILITY COMPANIES. MMC ACHIEVES ITS MISSION TO PROVIDE CARE TO PATIENTS AND COMMUNITY BENEFITS THROUGH ITS CONTROLLED ENTITIES. THESE ENTITIES ARE RESPONSIBLE FOR MANAGING AND OPERATING A RANGE OF HEALTHCARE SERVICES. THROUGH THESE ENTITIES, MMC PROVIDES CRITICAL MEDICAL SERVICES TO INDIVIDUALS WHO MAY NOT OTHERWISE HAVE ACCESS TO AFFORDABLE HEALTHCARE. IN TOTAL, THE CONTROLLED ENTITIES PROVIDED CHARITY CARE IN THE AMOUNT OF $14,046,548 DURING FISCAL YEAR 2023. PART II, COMMUNITY BUILDING ACTIVITIES: IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, MMC WAS INVOLVED IN MANY COMMUNITY BUILDING ACTIVITIES. IN FY23, MMC SPENT $7,025 ON COALITION BUILDING AND $25,556 OF OTHER EXPENSES RELATED TO COMMUNITY BENEFIT REPORTING COMPLIANCE. PART III, LINE 2: MMC USES HISTORICAL REIMBURSEMENT TRENDS IN DETERMINING BAD DEBT EXPENSE AND ADJUSTS THE ACCOUNTING BASED ON KNOWN VARIANCES OR ADJUSTMENTS. MMC UTILIZES HFMA STATEMENT #15 TO REPORT BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED AT THE UNDISCOUNTED RATE WHICH MATCHES THE REPORTING OF THE BAD DEBT ON THE FINANCIAL STATEMENTS. PART III, LINE 3: THE COSTS FOR PATIENTS ACCEPTED UNDER MMC'S FINANCIAL ASSISTANCE POLICY ARE INCLUDED IN CHARITY CARE AND ARE NOT A PART OF MMC'S BAD DEBT EXPENSE. MMC USES AN ESTIMATION PROCESS TO CALCULATE MMC'S BAD DEBT EXPENSE. MMC TAKES INTO ACCOUNT THE NUMBER OF FINANCIAL ASSISTANCE APPLICATIONS THAT ARE DENIED. MMC HAS DETERMINED THERE IS HISTORICALLY A DENIAL RATE THAT EQUATES TO APPROXIMATELY 15% OF TOTAL BAD DEBT EXPENSE. THESE DENIED FINANCIAL ASSISTANCE APPLICANTS PRESENT AS FUTURE BAD DEBT CASES THAT ARE WRITTEN OFF. THERE IS NO BAD DEBT EXPENSE INCLUDED IN THE NET COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: ESTIMATES FOR UNCOLLECTIBLE AMOUNTS ARE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE FOR SIMILAR PAYORS AND PATIENTS, CURRENT MARKET CONDITIONS, AND OTHER RELEVANT FACTORS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PAYOR'S OR PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED JUNE 30, 2023 WAS NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: MMC USES THE COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO TOTAL REVENUE RECEIVED FROM MEDICARE. MMC DID NOT REPORT A SHORTFALL IN MEDICARE REVENUE RECEIVED THAT WOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 9B: 1. MERITUS EXPECTS PATIENT PAYMENT AT THE TIME SERVICE IS PROVIDED OR WITHIN THIRTY (30) DAYS OF THE FIRST BILLING TO PATIENT FOR SERVICES NOT COVERED BY INSURANCE OR FINANCIAL ASSISTANCE.2. MERITUS MUST TAKE EFFECTIVE ACTION TO MAINTAIN TIMELY ACCOUNTS RECEIVABLE TURNOVER AND ENSURE THAT THE VALUE OF ACCOUNTS RECEIVABLE IS ACCURATELY STATED. TO DO THIS, PATIENT ACCOUNTS WILL BE AGED AND WRITTEN OFF AS BAD DEBTS OR CHARITY AND MAY BE OUTSOURCED TO COLLECTION AGENCIES FOR FURTHER FOLLOW-UP.3. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. SCHEDULED SERVICES WILL BE PROVIDED AFTER APPROPRIATE FINANCIAL ARRANGEMENTS ARE CONFIRMED BY MERITUS. DEPOSITS MAY BE REQUIRED PRIOR TO SCHEDULING SERVICES. FAILURE TO PAY REQUIRED DEPOSITS MAY RESULT IN THE RESCHEDULING OF THE SERVICE.4. FINANCIAL ASSISTANCE IS POTENTIALLY AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN MERITUS' FINANCIAL ASSISTANCE POLICY. IT IS THE PATIENT'S RESPONSIBILITY TO PROVIDE ACCURATE INFORMATION REGARDING ADDRESS, EMPLOYMENT, AND HEALTH INSURANCE IN ORDER TO DETERMINE ELIGIBILITY FOR SERVICES, AMOUNTS DUE FROM THE PATIENT AND/OR ELIGIBILITY FOR FINANCIAL ASSISTANCE.5. MERITUS COMPLIES WITH ALL STATE AND FEDERAL LAW AND THIRD-PARTY REGULATIONS TO PERFORM CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER.6. MMC DOES NOT DISCRIMINATE ON THE BASIS OF AGE, RACE, CREED, SEX, OR ABILITY TO PAY.7. MERITUS WILL NOT SELL THE BAD DEBT RECEIVABLES OR CHARGE A PREJUDGMENT INTEREST RATE FOR SELF-PAY OR BALANCES AFTER INSURANCE.8. MERITUS MAY USE EXTERNAL COLLECTION AGENCIES FOR EXTENDED BUSINESS OFFICE, LEGAL AND/OR COLLECTION ACTIVITY TO ASSIST WITH COLLECTING ON PATIENT ACCOUNTS. THESE AGENCIES DO NOT SELL THE RECEIVABLE AND ACT AS AN EXTENDED BUSINESS OFFICE ON BEHALF OF MERITUS.9. MERITUS PROVIDES WRITTEN NOTICE TO THE PATIENT OR RESPONSIBLE PARTY AT LEAST THIRTY (30) DAYS PRIOR TO INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECAS). THIS WRITTEN NOTICE INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND IDENTIFY THE ACTIONS THAT MERITUS INTENDS TO INITIATE TO OBTAIN PAYMENTS. THESE ACTIONS INCLUDE REPORTING ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR CREDIT BUREAU, AND INITIATING A CIVIL ACTION WHICH MAY RESULT IN WAGE GARNISHMENT OR ATTACHMENT OF BANK ACCOUNTS.THE ABOVE LISTED COLLECTION PRACTICES ARE FOR ALL PATIENTS. PART VI, LINE 2: MMC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT CONFORMS TO THE IRS DEFINITION. THIS REPORT INCLUDES A COMPREHENSIVE REVIEW AND ANALYSIS OF THE DATA REGARDING HEALTH ISSUES AND NEEDS OF WASHINGTON COUNTY, MD.UPON FULL REVIEW OF THE CHNA FINDINGS THE MMC BOARD OF DIRECTORS APPROVED AND ADOPTED THE PLAN OF ACTION ON FEBRUARY 24, 2022. FOLLOWING BOARD APPROVAL, THE FY2022 CHNA WAS PUBLICLY POSTED AT: HTTPS://WWW.MERITUSHEALTH.COM/FILES/FY2022-BOOKLETPDF.PDF PART VI, LINE 3: FINANCIAL ASSISTANCE IS OFFERED BEFORE, DURING, OR AFTER SERVICES ARE RENDERED AT MMC. MMC OFFERS FINANCIAL ASSISTANCE APPLICATION AND A SELF-PAY BROCHURE AT THE POINT OF REGISTRATION. AFTER APPLYING, THE HOSPITAL WILL SEND AN ACKNOWLEDGEMENT LETTER TO THE PATIENT WITHIN TWO (2) BUSINESS DAYS AND AN ELIGIBILITY DETERMINATION WILL BE MADE WITHIN THIRTY (30) DAYS.NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE:A. MMC MADE AVAILABLE BROCHURES INFORMING THE PUBLIC OF ITS FINANCIAL ASSISTANCE POLICY. SUCH BROCHURES WILL BE AVAILABLE THROUGHOUT THE COMMUNITY AND WITHIN MMC LOCATIONS.B. NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED AT APPROPRIATE ADMISSION AREAS, THE PATIENT FINANCIAL SERVICES DEPARTMENT, THE ER, AND OTHER KEY PATIENT ACCESS AREAS.C. A STATEMENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON PATIENT BILLING STATEMENTS.D. A PLAIN LANGUAGE SUMMARY OF MMC'S FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS RECEIVING INPATIENT SERVICES WITH THEIR SUMMARY BILL AND IS MADE AVAILABLE TO ALL PATIENTS UPON REQUEST.E. MMC'S FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE TO PATIENTS UPON REQUEST AT MMC, THROUGH MAIL (POSTAL SERVICE), AND ON MMC'S WEBSITE AT WWW.MERITUSHEALTH.COM/ABOUT/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.F. MMC'S FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE IN SPANISH.G. ON AN ANNUAL BASIS, MMC SHALL ASSESS THE NEEDS OF OUR LIMITED ENGLISH PROFICIENCY COMMUNITY AND DETERMINE WHETHER ADDITIONAL TRANSLATIONS ARE NEEDED.H. MMC CONTRACTS WITH AN ON-SITE WASHINGTON COUNTY SOCIAL WORKER THAT SCREENS AND NOTIFIES PATIENTS AND POTENTIAL PATIENTS OF THEIR ELIGIBILITY FOR ALL PUBLIC ASSISTANCE PROGRAMS OFFERED BY THE COUNTRY, STATE, AND FEDERAL GOVERNMENTS. MMC HAS POLICIES INCLUDING FINANCIAL ASSISTANCE, BILLING AND COLLECTIONS, AND EMERGENCY CARE THAT INSURE COMPLIANCE WITH THE LEGISLATION OF SECTION 501(R). PART VI, LINE 4: IN ADDITION TO THE 154,705 RESIDENTS OF WASHINGTON COUNTY, MARYLAND, MMC CARES FOR PEOPLE LIVING THROUGHOUT A 60-MILE RADIUS OF THE QUAD-STATE AREA, WHICH INCLUDES MARYLAND, PENNSYLVANIA, VIRGINIA, AND WEST VIRGINIA. ACCORDING TO THE 2022 CHNA, A PORTION OF THE POPULATION MMC SERVES INCLUDES THOSE CONSIDERED 'MEDICALLY UNDERSERVED" AS WELL AS POPULATIONS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL, OR OTHER BARRIERS.THE RACIAL DEMOGRAPHICS OF WASHINGTON COUNTY INCLUDES WHITE 75.9%, BLACK OF AFRICAN AMERICAN 11.4%, ASIAN 2%, AMERICAN INDIAN 0.3%, SOME OTHER RACE 3%, AND TWO OR MORE RACES 7.3%. THE MEDIAN AGE IN WASHINGTON COUNTY IS 41. THE AGE DEMOGRAPHICS IN WASHINGTON COUNTY INCLUDE PERSONS UNDER 5 YEARS 5.7%, PERSONS UNDER 18 YEARS 21.7%, PERSONS 65 YEARS AND OLDER 17.5%. THE MEDIAN HOUSEHOLD INCOME IS $60,860. THE PERCENTAGE OF FAMILIES LIVING AT OR BELOW THE POVERTY LINE IS 12.3%, AND THE PERCENTAGE OF UNINSURED RESIDENTS IS 6.7%. PART VI, LINE 5: MMC BELIEVES THAT HEALTHCARE IS NOT JUST FOR PEOPLE WHEN THEY ARE SICK OR INJURED. THROUGH MANY AVENUES, WE REACH OUT TO THE COMMUNITY AND OFFER WAYS TO HELP YOU STAY HEALTHY. ONE EXAMPLE IS THE COLLABORATION WITH THE HERALD MAIL, MMC, AND WASHINGTON COUNTY PUBLIC SCHOOLS KNOWN AS "HEALTHY WASHINGTON COUNTY." THE GOAL OF HEALTHY WASHINGTON COUNTY IS TO EDUCATE AS MANY ADULTS IN THE REGION AS POSSIBLE ABOUT THE IMPORTANCE OF UNDERSTANDING YOUR OWN PERSONAL HEALTH NUMBERS AND WHAT THEY MEAN FOR YOUR OVERALL HEALTH STATUS.THE MEDICATION ASSISTANCE CENTER (MAC) PROVIDES ACCESS TO FREE OR REDUCED-COST PRESCRIPTION DRUGS TO LOW-INCOME OR CHRONICALLY ILL PATIENTS WITH NO PRESCRIPTION INSURANCE. THE CENTER SERVES SOME 3,400 RESIDENTS OF WASHINGTON COUNTY AND THOSE WHO ARE TREATED BY PHYSICIANS LOCATED IN WASHINGTON COUNTY OR AT MMC. SINCE 2000, MMC HAS PROVIDED THIS SERVICE FREE OF CHARGE.MEDICAL SCREENINGS KEEP OUR COMMUNITY HEALTHY AND ARE HELD THROUGHOUT THE YEAR. FREE VASCULAR, BLOOD PRESSURE, AND OTHER SCREENINGS ARE HELD AT MMC, THE WALNUT STREET HEALTH FAIR, AND OTHER COMMUNITY EVENTS. THE MAKE A DIFFERENCE BREAST CANCER PROGRAM IS A BREAST CANCER OUTREACH, EDUCATION, AND SCREENING PROJECT THAT PROVIDE SERVICES TO UNINSURED AND UNDERINSURED WOMEN OF WASHINGTON COUNTY AND THE TRI-STATE AREA. THE PROGRAM IS FUNDED BY A GRANT FROM THE MARYLAND AFFILIATE OF SUSAN G. KOMEN FOR THE CURE, MMC'S JOHN R. MARSH CANCER CENTER, WASHINGTON COUNTY HEALTH DEPARTMENT'S BREAST AND CERVICAL CANCER PROGRAM (BCCP), AND BREAST CANCER AWARENESS CUMBERLAND VALLEY (BCA-CV) AND DIAGNOSTIC IMAGING SERVICES.OUR FINANCIAL ASSISTANCE PROGRAM SERVICES MMC PATIENTS WHO ARE UNABLE TO PAY FOR ALL OR PART OF THEIR MEDICAL BILLS. IMPROVING HEALTHCARE ACCESS TO THOSE WITH LIMITED INCOMES AND RESOURCES IS AN IMPORTANT PART OF MMC'S MISSION.THE YOUR HEALTH MATTERS PROGRAM USES MAGAZINE, RADIO, AND NEWSLETTERS TO KEEP THE PUBLIC INFORMED OF MMC-SPONSORED COMMUNITY WORKSHOPS, SUPPORT GROUPS, CLASSES AND OFFERS TIPS ON LIVING A HEALTHIER LIFE.SPRING THROUGH FALL OUR FARMER'S MARKET PRESENTS THE PUBLIC WITH HEALTHY FOOD CHOICES AND GIVES LOCAL FARMERS AN OPPORTUNITY TO MARKET THEIR FRESH PRODUCE. 55 AND UP IS FOR PEOPLE AGE 55 AND OLDER WHO ENJOY LEARNING ABOUT HEALTH-RELATED TOPICS OVER LUNCH. THE GROUP MEETS WITH PHYSICIANS AND HEALTHCARE PROFESSIONALS ONCE A MONTH TO UNDERSTAND HEALTH TOPICS OF INTEREST.PARISH NURSING, OR FAITH COMMUNITY NURSING, ENCOURAGES PARISHIONERS OF ALL AGES AND FAITHS TO BECOME ACTIVE PARTNERS IN THE MANAGEMENT OF THEIR HEALTH. PARISH NURSES ACT AS A VITAL LINK BETWEEN THE FAITH AND MEDICAL COMMUNITIES.THE SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) PROGRAM IS A COMPREHENSIVE AND COMPASSIONATE APPROACH TO THE TREATMENT OF VICTIMS OF SEXUAL ASSAULT AND ABUSE. THE PROGRAM USES TRAINED AND CERTIFIED SAFE EXAMINERS TO PROVIDE SPECIALIZED MEDICAL CARE, EVIDENCE COLLECTION, AND EMOTIONAL SUPPORT TO VICTIMS OF SEXUAL ASSAULT.EACH YEAR MMC EMPLOYEES CONTRIBUTE TIME AND MONEY TO IMPROVE THE WELL-BEING OF OUR FRIENDS AND NEIGHBORS. FUNDRAISING CAMPAIGNS, LIKE THE UNITED WAY, MARCH OF DIMES, AND THE WALK TO END ALZHEIMER'S, INSPIRE OUR HEALTHCARE PROFESSIONALS TO GIVE BACK TO CAUSES NEAR TO THEIR HEARTS AND PROFESSIONS. DURING THE HOLIDAY SEASON, OUR PHYSICIANS AND EMPLOYEES MAKE AND DELIVER HOT MEALS TO AREA FAMILIES AND SENIORS THROUGH OUR LEND-A-HAND EVENT. CANCER SURVIVORS CELEBRATE THE GIFT OF LIFE EACH JUNE WHEN THE JOHN R. MARSH CANCER CENTER SPONSORS A FAMILY PICNIC FOR THOSE TOUCHED BY THIS LIFE-CHANGING DISEASE.CANCER CONTINUES TO BE THE SECOND LEADING CAUSE OF DEATH FOR WASHINGTON COUNTY RESIDENTS. MMC WILL CONTINUE INVESTMENT IN THE CANCER SERVICE PROGRAMS TO INCLUDE THE DEVELOPMENT OF THE MERITUS HEMATOLOGY ONCOLOGY SPECIALISTS PRACTICE, PROVIDING FOUR REGISTERED NURSE CLINICAL NAVIGATORS, ADDING REGISTERED DIETICIAN SERVICES, AND INITIATING THE HOPE SOARS SURVIVORSHIP PROGRAM AS A SUPPORT TO PATIENTS IN RECOVER.THE JOHN R. MARSH CANCER CENTER, ACCREDITED WITH COMMENDATION BY THE COMMISSION ON CANCER, IS PART OF COMPREHENSIVE CANCER SERVICES THAT INCLUDE SCREENINGS, DIAGNOSIS, TREATMENT, AND RECOVERY. A PART OF THE MMC COMMITMENT TO OFFER PATIENTS EXPERT CARE, CLOSE TO HOME, IS MERITUS MEDICAL GROUP, A MEDICAL NEIGHBORHOOD OF PRIMARY AND SPECIALTY CARE PRACTICES, PROVIDING A FULL SPECTRUM OF OUTPATIENT SERVICES FROM A TEAM OF MORE THAN 100 HEALTH CARE PROFESSIONALS LOCATED THROUGHOUT THE COMMUNITY. PART VI, LINE 6: MERITUS HEALTH IS THE HOSPITAL ENTITY IN AN INTEGRATED HEALTH DELIVERY SYSTEM, AND THE SYSTEM INCLUDES OTHER LEGAL ENTITIES WHICH ARE ORGANIZED IN A WAY TO SERVE THE MERITUS HEALTH COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 HSCRC NURSING GRANT 14 17750 PART I, LINE 2: THE HSCRC GRANT PROVIDES MONEY TO EMPLOYEES OF THE HOSPITAL WHO ARE ENROLLED IN THE HAGERSTOWN COMMUNITY COLLEGE NURSING PROGRAM. THE GRANT PROGRAM PAYS FOR ALL OF THE STUDENT'S TUITION, BOOKS, AND FEES WITH AN AGREEMENT THAT UPON GRADUATION THE STUDENT WILL WORK FOR THE HOSPITAL AS A REGISTERED NURSE. THE GRANT ALSO PROVIDES MONIES FOR REGISTERED NURSES WHO ARE WORKING ON THEIR MSN IN EDUCATION. EACH AWARD RECIPIENT WILL BE REQUIRED TO SIGN A SERVICE CARD AGREEMENT WITH MMC. THE LENGTH OF PAYBACK WILL BE ONE YEAR OF SERVICE (EQUIVALENT TO 2,080 HOURS OF SERVICE) FOR EACH YEAR OF THE GRANT YOU RECEIVE. THE PROGRAM IS FIVE SEMESTERS LONG AND MOST RECIPIENTS WILL OWE 4,160 HOURS. X X X X 0 1 0 0 0 0 0 1 0 MAULIK JOSHI DR PH PRESIDENT & CEO 728283 0 347094 0 20500 0 194494 0 21852 0 1312223 0 0 0 THOMAS T CHAN FORMER CFO/TREASURER 426140 0 87706 0 289578 0 56375 0 18929 0 878728 0 269078 0 VICTORIA GIFFI MD PHYSICIAN 440983 0 384751 0 0 0 11403 0 23799 0 860936 0 0 0 JOSEPH SCHULZ DO PHYSICIAN 647673 0 2929 0 0 0 13725 0 18203 0 682530 0 0 0 KIRANPREET KHOSA PHYSICIAN 540758 0 65522 0 0 0 9245 0 12793 0 628318 0 0 0 MICHAEL MCCORMACK MD PHYSICIAN 594858 0 0 0 0 0 13725 0 17331 0 625914 0 0 0 IJEOMA IFEANYI-NWANZE PHYSICIAN 488203 0 63425 0 0 0 13725 0 23668 0 589021 0 0 0 CARRIE ADAMS CHIEF OPERATING OFFICER 326173 0 90845 0 14348 0 45187 0 24967 0 501520 0 14348 0 DAVID LEHR CHIEF STRATEGY OFFICER 344720 0 92718 0 0 0 32912 0 20722 0 491072 0 0 0 JOSHUA REPAC CFO/TREASURER (AS OF 7/2022) 287404 0 63909 0 0 0 39622 0 27287 0 418222 0 0 0 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 226816 0 45554 0 569 0 32383 0 24552 0 329874 0 0 0 PART I LINE 4B SEVERAL OFFICERS ARE PARTICIPANTS IN A 457F PLAN THAT WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD OF DIRECTORS. FOR THE CURRENT YEAR, THE FOLLOWING AMOUNTS WERE DEFERRED BY MMC AND ARE NOT SUBSTANTIALLY VESTED AND SUBJECT TO CREDITOR CLAIMS AND FORFEITURES: MAULIK JOSHI $180,769 THOMAS CHAN $42,650 CARRIE ADAMS $31,462 JOSHUA REPAC $26,340 LYNN HAINES $20,750 DAVID LEHR $32,500 THOMAS CHAN RECEIVED A 457F DISTRIBUTION OF $269,078 AND CARRIE ADAMS RECEIVED A 457F DISTRIBUTION OF $14,348. PART I, LINE 7 INCENTIVE BASED COMPENSATION IS DETERMINED BY AGREED UPON INDIVIDUAL AND CORPORATE GOALS BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD EXECUTIVE COMPENSATION IS PREDETERMINED AT THE BEGINNING OF THE FISCAL YEAR BY THE EXECUTIVE COMMITTEE WITH THE HELP OF INDEPENDENT CONSULTANTS USING BENCHMARKED INFORMATION TO ENSURE MARKET COMPETITIVENESS ON AN ANNUAL BASIS. TOTAL COMPENSATION RECEIVED BY EACH INDIVIDUAL IS REVIEWED FOR REASONABLENESS BY THOSE TASKED WITH GOVERNANCE PRIOR TO ALL DISTRIBUTIONS. SCHEDULE J, PART III CERTAIN MMC EXECUTIVES RECEIVE TAXABLE FRINGE BENEFITS, SUCH AS EXECUTIVE LIFE INSURANCE. THE VALUE OF THESE TAXABLE FRINGE BENEFITS IS INCLUDED IN FORM W-2 WAGES. TOTAL COMPENSATION OF ALL EXECUTIVES IS ADJUSTED TO MARKET COMPETITIVENESS, REVIEWED TO ENSURE REASONABLENESS, AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE MMC BOARD. THE EXECUTIVE COMMITTEE OF THE MMC BOARD, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS ON AN ANNUAL BASIS THE FOLLOWING AS IT RELATES TO THE COMPENSATION OF THE CEO AND OTHER KEY EXECUTIVES: 1) ANNUAL PERFORMANCE EVALUATIONS OF THE CEO AND EXECUTIVES; 2) ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN ACHIEVEMENT OF STRATEGIC AND INDIVIDUAL INCENTIVE GOALS; AND 3) MARKET DATA PRESENTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT; AND 4) BASE SALARY AND INCENTIVE RECOMMENDATIONS. THE INDEPENDENT THIRD-PARTY CONSULTANT CONDUCTS AND PRESENT A REASONABLENESS REVIEW OF BOTH BASE SALARY AND TOTAL COMPENSATION FOR THE CEO AND KEY EXECUTIVES. THE COMMITTEE DISCUSSES, DELIBERATES, AND APPROVES BASE SALARY AND INCENTIVE COMPENSATION RECOMMENDATIONS. RESULTS ARE REPORTED TO THE MMC BOARD. A MD HITH & HID ED FAC AUT 520936091 574218YA5 2015-07-09 272718910 REFUND O/S BONDS/CONS PROJECTS 0 0 0 A 32510000 272773243 252578364 180518 20014308 2017 0 1 1 1 A 0 0 1 1 1 1 0.00010 0.00010 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C (A) ISSUER NAME: MD HITH & HID ED FAC AUT DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2021 PART II, LINE 3, COLUMN A THE DIFFERENCE BETWEEN THE ISSUE PRICE OF THE BONDS AND THE TOTAL PROCEEDS OF THE ISSUE IS INVESTMENT EARNINGS IN THE AMOUNT OF $55,053. FORM 990, PART III, LINE 1 DESCRIPTION OF ORGANIZATION MISSION MISSION: IMPROVE THE HEALTH OF OUR COMMUNITY. VISION: TO BE THE BEST HEALTH SYSTEM. OUR VALUES AT MMC, WE EACH SUPPORT OUR MISSION AND VISION BY LIVING OUR VALUES EACH AND EVERY DAY. BY FOLLOWING OUR PLEDGE, "I ACT", WE EACH SUPPORT MMC WITH: I=INTEGRITY - WE DO THE RIGHT THING, NO MATTER WHAT. A=ALL IN FOR QUALITY OUTCOMES - QUALITY IMPROVEMENT ISN'T JUST SOMETHING WE TALK ABOUT, IT'S A COMMITTMENT WE EACH LIVE. C=COMMUNITY OBSESSED - WE ARE OUR COMMUNITY AND WE ARE HERE TO TAKE CARE OF OUR NEIGHBORS. THIS ISN'T JUST ABOUT MEDICAL CARE, IT'S ABOUT CARING FOR THE WHOLE PERSON. T=TEAMWORK - NOBODY CAN DO IT ALONE. AT MMC, WE ARE ONE TEAM THAT IS DIVERSE AND INCLUSIVE, AND WE SUPPORT ONE ANOTHER AND OUR GOALS. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS MMC IS AN ACUTE CARE HOSPITAL LOCATED IN HAGERSTOWN, MARYLAND AND SERVES THE RESIDENTS OF WESTERN MARYLAND, SOUTHERN PENNSYLVANIA, AND THE EASTERN PANHANDLE OF WEST VIRGINIA. DURING FY23, MMC'S PATIENT DAYS TOTALED 66,871, ADMISSIONS TOTALED 16,004, ER VISITS TOTALED 64,722, AND NEARLY 2 MILLION LABORATORY PROCEDURES WERE PERFORMED. IN ADDITION, THERE WERE 20,893 HOME HEALTH, 62,313 OUTPATIENT REHAB, AND 22,284 CANCER CENTER VISITS. MMC'S PHYSICIAN PRACTICES COMPLETED 152,709 PRIMARY CARE, 189,609 SPECIALTY CARE, AND 34,417 URGENT CARE VISITS. THE MMC STRATEGIC PLAN HAS BOLD GOALS TO BE ACHIEVED BY 2030. UTILIZING THE QUADRUPLE AIM FRAMEWORK, THE 2030 BOLD GOALS CONSIST OF THE FOLLOWING PILLARS OF SUCCESS: IMPROVE HEALTH IN OUR COMMUNITY, IMPROVE HEALTHCARE, HAVE JOY AT WORK, PROVIDE MEDICAL CARE THAT IS AFFORDABLE FOR OUR COMMUNITY. LISTED BELOW ARE THE ACCOMPLISHMENTS UNDER EACH PILLAR. HEALTH - RANKED IN THE TOP 1% FROM 1,800 NOT FOR PROFIT HOSPITALS NATIONALLY IN TERMS OF COMMUNITY HEALTH INVESTMENT. - OVER 100,000 POUNDS LOST AND OVER 6,000 REGISTERED USERS. - IMPLEMENTED MERITUS CARE TO SHARE PROGRAM THAT PROVIDES FREE FOOD THROUGH FOOD BOXES ON CAMPUS. - IMPLEMENTED MERITUSNOW FOR TELEHEALTH. - CONTINUED MERITUS CARE CALLER PROGRAM HEALTHCARE - RECEIVED LEAPFROG SAFETY GRADE OF A. - TOP 10% NATIONALLY FOR SEPSIS CARE OUTCOMES. - PARTNERSHIP WITH BROOK LANE TO PROVIDE EPIC AND MEDICAL COVERAGE. - FAMILY MEDICINE PHYSICIAN RESIDENCY PROGRAM RECEIVED FULL ACCREDITATION WITH NO CITATIONS. JOY AT WORK - WORKFORCE DIVERSITY INCREASED FROM 15% TO 18%. - IMPLEMENTED $17/HR MINIMUM WAGE. - FORBES TOP EMPLOYER IN MARYLAND RECOGNITION. - DEVELOPED CERTIFIED NURSING ASSISTANT (CNA) INTERNSHIP TRAINING PROGRAM FOR EMPLOYEES. - LOWEST VACANY RATE IN 3 YEARS AT 7.9%. - HIRED 72 INTERNATIONAL NURSES. - AWARDED $500K GRANT FROM AARP TO LEAD HEALTH EQUITY AND DIVERSITY EFFORTS ACCROSS 7 STATES. AFFORDABILITY - 2ND MOST EFFICIENT HOSPITAL IN STATE - AWARDED $31M IN PERMANENT REVENUE FOR FY2024. - EXCEEDED OPERATING BUDGET BY 2.5%. - FEMA AND HRSA FUNDING OF OVER $14M IN FY2023 AND ANOTHER $2.4M OF FEMA IN FY2024. - MEDICAID VBC EARNINGS OF $1.3M. - 340B CONTRACT PHARMACY OPERATING PROFIT OF $9M. - MPC DISTRIBUTION OF $20M. - REDUCED AGENCY EXPENSE BY HALF FROM PRIOR YEAR. - REDUCED ADMINISTRATIVE OVERHEAD AS A PERCENT OF REVENUE BY 13%. - SUPPLY CHAIN SAVINGS OF $3.5M. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF UP TO SEVEN (7) DIRECTORS, AS DETERMINED BY THE BOARD IN ACCORDANCE WITH THE BYLAWS. THE COMMITTEE, WHICH MEETS BI-MONTHLY BETWEEN REGULARLY SCHEDULED BOARD MEETINGS, MAY IN ITS DISCRETION EXERCISE THE FULL POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT WHERE PROHIBITED BY LAW AND SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BYLAWS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 MMC BOARD DIRECTOR MARY J.C. HENDRIX IS THE PRESIDENT OF SHEPHERD UNIVERSITY AND MMC BOARD DIRECTOR SHARON MAILEY, PHD, RN, IS THE DEAN OF THE COLLEGE OF NURSING, EDUCATION AND HEALTH SCIENCES AND DIRECTOR OF THE SCHOOL OF NURSING AT SHEPHERD UNIVERSITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE AUDIT AND BUSINESS INTEGRITY COMMITTEE OF THE BOARD. ACTING UNDER THE AUTHORITY OF THE BOARD, THE COMMITTEE REVIEWED THE FORM 990 PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. IN ADDITION, THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL DISCLOSURE OF INTEREST IS REQUIRED FOR ALL OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES. THESE DISCLOSURES ARE REVIEWED AGAINST THE ACCOUNTS PAYABLE SYSTEM TO IDENTIFY TRANSACTIONS WITH THE ORGANIZATION. ALL DISCLOSURES AND TRANSACTIONS ARE REVIEWED BY THE AUDIT & BUSINESS INTEGRITY COMMITTEE AND THEN PROVIDED TO THE CHAIR OF THE BOARD AND THE APPLICABLE COMMITTEE CHAIR. ANY DIRECTOR WITH A DETERMINED CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE BOARD'S OR COMMITTEE'S DISCUSSIONS AND DECISIONS WITH REGARDS TO THAT TRANSACTION AND MUST NOT ONLY RECUSE THEMSELVES BUT LEAVE THE ROOM DURING THE DISCUSSIONS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE MMC BOARD, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS, REVIEWS ON AN ANNUAL BASIS THE FOLLOWING AS IT RELATES TO THE COMPENSATION OF THE CEO AND OTHER KEY EXECUTIVES: 1) ANNUAL PERFORMANCE EVALUATIONS OF THE CEO AND EXECUTIVES; 2) ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE IN ACHIEVEMENT OF STRATEGIC AND INDIVIDUAL INCENTIVE GOALS; 3) MARKET DATA PRESENTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT; AND 4) BASE SALARY AND INCENTIVE RECOMMENDATIONS. THE INDEPENDENT THIRD-PARTY CONSULTANT CONDUCTS AND PRESENTS A REASONABLENESS REVIEW OF BOTH BASE SALARY AND TOTAL COMPENSATION FOR THE CEO AND KEY EXECUTIVES. THE COMMITTEE DISCUSSES, DELIBERATES, AND APPROVES BASE SALARY AND INCENTIVE COMPENSATION RECOMMENDATIONS. RESULTS ARE REPORTED TO THE MMC BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS FOR MMC ARE LOCATED ON THE STATE OF MARYLAND DEPARTMENT OF TAXATION'S WEBSITE. MMC'S FINANCIAL STATEMENTS ARE MADE PUBLIC THROUGH THE STATE OF MARYLAND CHARITABLE REGISTRATION DIVISION. FINANCIAL STATEMENTS FOR MMC ARE ALSO AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE VIA THE CONTINUING DISCLOSURE DOCUMENT. MMC MAKES ALL RELEVANT DOCUMENTS AVAILABLE TO THE EXTENT REQUIRED BY LAW. PART VII, SECTION A THE COMPENSATION THAT DR. IQBAL, DR. AMALFITANO, AND DR. SALVAGNO RECEVEIVED WAS FOR THEIR SERVICES AS PHYSICIANS. COMPENSATION FOR THESE INDIVIDUALS WAS FOR SERVICES PROVIDED IN THEIR CAPACITY AS INDEPENDENT CONTRACTORS/EMPLOYEES OF MMC AND AFFILIATES, NOT IN THEIR CAPACITIES AS DIRECTORS. THE AVERAGE HOURS PER WEEK LISTED FOR ALL OF THE OFFICERS AND DIRECTORS INCLUDES, BUT IS NOT LIMITED TO, THEIR TIME SPEND PREPARING FOR AND ATTENDING BOARD COMMITTEE MEETINGS, FUNDRAISING AND ATTENDANCE AT COMMUNITY FUNCTIONS ON BEHALF OF MMC. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 33,208,398. MANAGEMENT AND GENERAL EXPENSES 8,302,099. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,510,497. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 18,295,009. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,295,009. OTHER: PROGRAM SERVICE EXPENSES 3,578,531. MANAGEMENT AND GENERAL EXPENSES 894,633. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,473,164. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS HELD BY MERITUS HEALTHCARE FOUNDATION 11,866,902. 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