2023-05-10T13:56:55-05:00 2022-06-30 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2021-07-01 521452024 CARROLL HOSPITAL CENTER INC % AMY ENGLE CARR 4108716859 200 MEMORIAL AVENUE WESTMINSTER MD 21157 MICHAEL MYERS CFO 4108717114 2023-05-08 true MICHAEL MYERS 999009999 Marc Berger P01871563 7038930600 2023-05-07 2 2021 2023-04-26 12:10:37Z GARRETT HOOVER 200 MEMORIAL AVENUE WESTMINSTER MD 21157 320839839 false X WWW.LIFEBRIDGEHEALTH.ORG/CARROLL/CARROLL.AS X 1957 MD OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. (CONTINUED IN SCH O) 17 15 1837 190 0 12789736 4516854 247918374 256734696 10773655 11430237 2359537 6459285 273841302 279141072 1276000 1273443 0 0 131299683 131391024 0 0 0 108077703 122797019 240653386 255461486 33187916 23679586 464037898 414506635 210798370 185239052 253239528 229267583 X SEE SCHEDULE O false false 192669433 1273443 231636218 SEE SCHEDULE O 21108142 0 26387167 CARROLL COUNTY RADIOLOGY - PROVIDING A FULL ARRAY OF RADIOLOGY SERVICES TO PATIENTS IN THE CARROLL COUNTY AREA. 213777575 true true false true false false false false false true true true true true true true false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false true true true true false false true 165 0 true 1837 true false false false false false false false false false false false false X 17 15 false false false false true true true true true false false true true true true true true true false true true CA MD X AMY ENGLE 4108717114 200 MEMORIAL AVE WESTMINSTER MD 21157 X NEIL M MELTZER Director/LBH President/CEO 1.0 40.0 X 0 3103147 60154 David Krajewski Assistant Treasurer 1.0 40.0 X 0 1586119 227190 LESLIE R SIMMONS FORMER DIR./PRES. CHC/COO LBH 1.0 40.0 X 0 1404398 201758 FLAVIO W KRUTER MD PHYSICIAN 40.0 0.0 X 1080740 0 48962 QIWEI GAI MD PHYSICIAN 40.0 0.0 X 775079 0 33378 MARK D OLSZYK CHIEF MEDICAL OFFICER/VP 35.0 5.0 X 541348 135337 57778 DARLENE GABEAU MD PHYSICIAN 40.0 0.0 X 578916 0 35932 Garrett W Hoover Director/President/COO OF CHC 1.0 40.0 X X 555722 0 32575 James Roberge VP Capital Improv. & Support 1.0 40.0 X 0 433348 78485 Michael Myers VP Rates & Reimb. & CFO CHC 20.0 20.0 X 399430 0 80252 Terrence Carney VP Supply Chain 1.0 40.0 X 0 454580 21228 MARLANA OTTINGER MD PHYSICIAN 40.0 0.0 X 451693 0 13216 Nancy Kane VP FInancial Reporting 1.0 40.0 X 0 368542 88810 JED S ROSEN MD CHIEF OF SURGERY 40.0 0.0 X 410827 0 30932 CRIS COLEMAN VP FIN CARROLL, CFO LEVINDALE 10.0 30.0 X 92236 276711 50986 STEPHANIE J REID CNO/VP PATIENT CARE SERVICES 40.0 0.0 X 374706 0 12677 SHARON L MCCLERNAN VP OF CLINICAL INTEGRATION 40.0 0.0 X 308562 0 67889 Alec Yeo Chair 1.0 0.0 X X 0 0 0 Thomas Zirpoli Vice Chair 1.0 0.0 X X 0 0 0 Martin KP HIll Secretary 1.0 0.0 X X 0 0 0 DAVID S BOLLINGER Director 1.0 1.0 X 0 0 0 Sue Chambers Director 1.0 0.0 X 0 0 0 Mark Debinski thru 0322 DIRECTOR/FOUNDATION CHAIR 1.0 1.0 X 0 0 0 Mark Goldstein DIRECTOR/PRES. MEDICAL STAFF 1.0 1.0 X 0 0 0 Todd Herring Director 1.0 0.0 X 0 0 0 Kiran Kuna MD Director 1.0 1.0 X 0 0 0 Brian Moffet Director/Chairman of LBH 1.0 1.0 X 0 0 0 ALEX MYERS 422 - 622 DIRECTOR/INTERIM FDN CHAIR 1.0 0.0 X 0 0 0 Marcus L Primm Director 1.0 0.0 X 0 0 0 Deborah Seidel Director 1.0 0.0 X 0 0 0 JACK Tevis Director 1.0 0.0 X 0 0 0 Thomas D Welliver Director 1.0 0.0 X 0 0 0 Drewry White MD Director 1.0 0.0 X 0 0 0 5569259 7762182 1142202 239 true true false ALTEON HEALTH LLC 5700 DARROW ROAD 106 HUDSON OH 44236 PHYSICIAN SERVICES 3085120 CARROLL COUNTY ANESTHESIA ASSOCIATE PO BOX 75193 BALTIMORE MD 21275 ANESTHESIA SERVICES 2750000 MD SPORTSCARE REHABILITATION LLC 501 FAIRMOUNT AVENUE SUITE 302 TOWSON MD 21286 REHABILITATION SVCS 2256824 UNIVERSITY OF MD PHYSICIANS PA 419 W REDWOOD STREET SUITE 660 BALTIMORE MD 212017000 PHYSICIAN SERVICES 1828249 OBHG MARYLAND PC 777 LOWNDES HILL ROAD BUILDING 1 GREENVILLE SC 296072131 PHYSICIAN SERVICES 1754290 37 3080982 329294 1106578 4516854 NET PATIENT SERVICE REVENUE 621300 250655556 250655556 CANCER CENTER LEASE TO SINAI HOSP 621300 6079140 6079140 256734696 6600831 0 6600831 0 0 586118 0 586118 0 586118 586118 46528173 41698767 4829406 4829406 4829406 0 0 0 0 0 0 0 0 0 NON UNION PENSION 900099 3765144 3765144 CAFETERIA/VENDING 722210 819334 819334 LAB CONTRACT REVENUE - CANCER CENTER 900099 744713 744713 543976 543976 5873167 279141072 258023385 0 16600833 X 1273443 1273443 0 0 0 1305836 839393 466443 0 105265777 90012114 15253663 1725212 1725212 16093409 12569915 3523494 7000790 7000790 0 0 0 59022 59022 0 392952 392952 61084886 44574979 16509907 0 561185 560581 604 3626675 1723293 1903382 50727 45401 5326 0 2975360 2970774 4586 60100 56157 3943 0 0 3610407 3610407 0 13671104 13362154 308950 748321 748321 MEDICAL SUPPLIES 20637158 20620968 16190 0 OTHER GENERAL SUPPLIES 5204442 2984571 2219871 0 LOSS ON REFINANCING DEBT 3505765 3505765 0 0 MAINTENANCE REPAIRS 2362711 2361834 877 0 4246204 3231503 1014701 255461486 213777575 41683911 0 2475 2475 59640896 48885035 0 12696 19340587 20749177 0 0 0 0 0 0 5148662 5293921 910990 791367 375544244 245250243 139063867 130294001 74582 76175 116569794 103318402 28670049 29907685 8828785 8158349 85787211 67017352 464037898 414506635 152457216 32778708 0 0 0 997869 3695000 1885000 0 0 0 0 0 0 0 0 54646154 149577475 210798370 185239052 X 193576069 168339645 59663459 60927938 253239528 229267583 464037898 414506635 X 23679586 -24898055 -22753476 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 20714 false false true 38308 59022 false SCHEDULE C, PART II-B, LINE 1, LOBBYING ACTIVITIES: ATTORNEY FEES RELATED TO LOBBYING ACTIVITIES. LOBBYING ALSO INCLUDES A PORTION OF THE MARYLAND HOSPITAL ASSOCIATION DUES RELATED TO LOBBYING ACTIVITIES DURING THE YEAR ENDED JUNE 2022 AND OTHER LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL REGARDING COMMUNITY STABILIZATION AND DEVELOPMENT, HEALTH CARE MALPRACTICE, HEALTH CARE FACILITIES AND BUDGETS. 106873143 523132 -14675522 7500 92713253 84992485 5000 24025800 13500 2136642 106873143 84798824 20626 3711535 13500 3525000 84992485 82495552 16413 3600365 9500 1304006 84798824 75148952 204650 7353450 11500 200000 82495552 0.26860 0.01280 0.71860 false true true 1983973 1983973 181659703 85912340 95747363 110634116 93652798 16981318 81266452 65685105 15581347 130294001 INVESTMENT IN FOUNDATION 97530382 F INVESTMENT IN PREMIER 4496782 F HEALTH SERVICE 1219178 F EXECUTIVE OPTION PLAN 152490 F INVESTMENT IN CMOA -80430 F 103318402 INVESTMENT IN BRIDGING LIFE 22092923 F COUNTY RADIOLOGY 7814762 F 29907685 DUE FROM AFFILIATES 47383646 PREPAID PENSION ASSET 14838473 TRUSTEE FUNDS PRINCIPAL 2012A 1887045 OTHER RECEIVABLES 1611230 TRUSTEE BOND CONST. FUND 2015 1259213 TRUSTEE FUNDS INTEREST 2012A 37745 67017352 0 ADVANCES FROM THIRD PARTIES 15321912 FINANCE LEASE 3660991 DUE TO AFFILIATES 2090209 OTHER LIABILITIES 1903053 ACCRUED PENSION 1129313 DEFERRED COMPENSATION 94803 DUE TO AFFILIATES BONDS 125377194 149577475 X SCHEDULE D, PART V, LINE 4: THE CARROLL HOSPITAL CENTER ENDOWMENT FUNDS ARE USED TO PROVIDE INCOME ON AN ONGOING BASIS TO MEET THE PURPOSES OF SUPPORTING THE MISSION OF CARROLL HOSPITAL AND OTHER CHARITABLE CARROLL AFFILIATES. THE FUNDS ARE USED TO FURTHER ADVANCE THE CHARITABLE PURPOSES OF THE ORGANIZATIONS. Schedule D, Part X, Line 2: LifeBridge ("The Corporation") and its not-for-profit subsidiaries have been recognized by the Internal Revenue Service as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. LifeBridge's incorporated for-profit subsidiaries account for income taxes in accordance with FASB ASC Topic 740, Income Taxes. Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period that includes the enactment date. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change. The Corporation accounts for uncertain tax positions in accordance with ASC Topic 740. true true true X 300. true X 500. true true true false true true 6658573 6658573 0.02610 6658573 6658573 0.02610 4620746 561296 4059450 0.01590 1162523 1162523 0.00460 11755500 11755500 0.04600 159410 159410 0.00060 142807 142807 0.00060 17840986 561296 17279690 0.06770 24499559 561296 23938263 0.09380 239507 130620 108887 0.00050 385925 385925 0.00170 625432 130620 494812 0.00220 false 3824801 267736 99923517 82498202 17425315 X true true CARROLL CT RADIOLOGY Imaging Center 0.6 0.0 0.4 1 1 CARROLL HOSPITAL CENTER INC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 CARROLLHOSPITALCENTER.ORG X X X CARROLL HOSPITAL CENTER INC 1 false false true X X X X X X X X X 20 true false false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 300. 500. X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECT C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, AS WELL AS LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE CHNA WRITTEN REPORT INCORPORATED EXPERTISE AND PARTICIPATION FROM SUCH COMMUNITY LEADERS AND REPRESENTATIVES, AS WELL AS LEADERS IN PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE CARROLL COUNTY HEALTH DEPARTMENT. AS PART OF THE CHNA, A KEY INFORMANT SURVEY OF 56 COMMUNITY LEADERS FROM A BROAD RANGE OF SECTORS, INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY, WAS CONDUCTED. IN ADDITION, THE CHNA INCLUDES FINDINGS FROM THE MARYLAND STATE HEALTH IMPROVEMENT PROCESS (SHIP) AND LOCAL HEALTH DEPARTMENT IMPROVEMENT PLAN. FURTHERMORE, LEADERS FROM THE CARROLL COUNTY HEALTH DEPARTMENT AND THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY ARE MEMBERS OF A COMMITTEE THAT HELPS OVERSEE THE DEVELOPMENT AND EXECUTION OF THE CHNA PLAN. PART V, SECTION B, LINE 7A AND 7B: https://healthycarroll.org/wp-content/uploads/2021/04/chna-final-consolida ted-report-2021.pdf PART V, SECTION B, LINE 10A: HTTPS://HEALTHYCARROLL.ORG/CB-HIP/ PART V, SECTION B, LINE 11: PURSUANT TO THE CHNA UNDERTAKEN BY CARROLL HOSPITAL, 13 COMMUNITY HEALTH NEEDS WERE IDENTIFIED. THEN, WORKING COLLABORATIVELY, HOSPITAL AND COMMUNITY PUBLIC HEALTH LEADERS, AS WELL AS THE HOSPITAL'S COMMUNITY BENEFIT PLANNING COMMITTEE, BEGAN PRIORITIZING THE FOCUS FOR ACTION IN THE NEXT THREE YEARS. IN PARTICULAR, A JOINT STRATEGY MEETING WAS CONVENED TO HELP DETERMINE THE PRIORITIZATION OF THE IDENTIFIED COMMUNITY HEALTH NEEDS. DURING THE JOINT STRATEGY MEETING, EACH OF THE 13 IDENTIFIED COMMUNITY HEALTH NEEDS WAS ADDRESSED. THE 13 IDENTIFIED NEEDS WERE PRIORITIZTED BY HOSPITAL AND COMMUNITY PUBLIC HEALTH LEADERS ON THE FOLLOWING CRITERIA: SERIOUSNESS/SIGNIFICANCE/PERVASIVENESS AND THE ABILITY TO IMPACT. FINAL CRITERIA SELECTION WAS DETERMINED BY THE EXECUTIVE COUNCIL MEMBERS OF CARROLL HOSPITAL, IN COLLABORATION WITH THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY BOARD. PURSUANT TO THIS PRIORITIZATION PROCESS, IT WAS DETERMINED THAT THE NEEDS CARROLL HOSPITAL WOULD ATTEMPT TO ADDRESS WOULD BE NARROWED DOWN TO FOUR KEY COMMUNITY BENEFIT ISSUES, SO AS TO MAXIMIZE THE HOSPITAL'S RESOURCES TO ADDRESS NEEDS THE HOSPITAL FELT IT WAS IN THE BEST POSITION TO ATTEMPT TO MEET. THE NEEDS IN PRIORITY ORDER ARE: MENTAL HEALTH, DIABETES, CANCER, AND HEART HEALTH. OBESITY EFFORTS THAT ARE INTERRELATED WITH THE KEY ISSUES OF DIABETES, CANCER AND HEART HEALTH WILL BE A MAIN CONCENTRATION. THESE SAME FOUR KEY ISSUES WILL SIMULTANEOUSLY BE ADDRESSED COLLABORATIVELY WITH OTHER COMMUNITY PARTNERS UNDER THE LEADERSHIP OF THE PARTNERSHIP. IDENTIFIED NEEDS NOT SPECIFICALLY ADDRESSED: AREAS NOT SPECIFICALLY ADDRESSED IN THE HOSPITAL'S PLAN WERE ADDRESSED THROUGH CARROLL COUNTY HEALTH DEPARTMENT'S LOCAL HEALTH IMPROVEMENT PLAN, SUCH AS ILLEGAL SUBSTANCE ABUSE AND OTHER ADDICTIONS. AREAS SUCH AS PHYSICAL INACTIVITY AND AGE-RELATED DISEASES WILL BE ADDRESSED THROUGH THE PARTNERSHIPS ADVANCING HEALTH AND HEALTHY AGING LEADERSHIP TEAMS. PART V, SECTION B, LINE 16A, FAP: https://www.lifebridgehealth.org/main/financial-assistance PART V, SECTION B, LINE 16B, FAP APPLICATION: https://www.lifebridgehealth.org/main/financial-assistance PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY: https://www.lifebridgehealth.org/main/financial-assistance PART V, SECTION B, LINE 22C: CHARGES FOR ALL HOSPITAL PATIENTS ARE STATE REGULATED. SERVICES ARE CHARGED TO ALL HOSPITAL PATIENTS AT THE SAME RATE. CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON 300% OR LESS OF THE FEDERAL POVERTY LEVEL (FPL) ARE WRITTEN-OFF IN FULL TO FAP (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS WHOSE PRESUMPTIVE FPL SCORE IS < 200% ARE WRITTEN OFF TO FAP IN FULL (THERE IS NO PATIENT LIABILITY). CHARGES FOR INDIVIDUALS FOUND ELIGIBLE FOR FAP BASED ON THE HSCRC'S FINANCIAL HARDSHIP CRITERIA OF 301%-500% OF FPL ARE CAPPED AT 25% OF THE ANNUAL HOUSEHOLD INCOME PER THE HSCRC'S FINANCIAL HARDSHIP CRITERIA. THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND THE CALCULATED 25% OF THE ANNUAL HOUSEHOLD INCOME IS WRITTEN OFF AS CHARITY CARE. 5 Carroll County Radiology 7253 Ambassador Road Baltimore MD 21244 Imaging Center Carroll County Radiology 1430 Progress Way Suite 108 Eldersburg MD 21784 Imaging Center Carroll County Radiology 193 Stoner Avenue Suite 200 Westminster MD 21157 Imaging Center Carroll County Radiology 1011 Baltimore Boulevard Westminster MD 21157 Imaging Center Carroll County Radiology 844 Washington Road Suite 102 Westminster MD 21157 Imaging Center PART I, LINE 3C: CARROLL HOSPITAL CENTER, INC. PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. IT DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THOSE AMOUNTS ARE NOT REPORTED AS REVENUE. THE CRITERIA CONSIDERS GROSS INCOME AND FAMILY SIZE ACCORDING TO CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY, THE PATIENT MUST HAVE INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. A SLIDING SCALE IS USED TO DETERMINE ELIGIBILITY FOR THOSE WHOSE INCOME EXCEEDS 300%. ELIGIBILITY IS CALCULATED BASED ON THE NUMBER OF PEOPLE LIVING IN THE HOUSEHOLD. THE PROGRAM COVERS UNINSURED, UNDER-INSURED AND PATIENT LIABILITY AFTER INSURANCE(S) PAY. APPROVALS ARE GRANTED FOR A TWELVE-MONTH PERIOD OF TIME AND PATIENTS ARE ENCOURAGED TO RE-APPLY FOR CONTINUED ELIGIBILITY. PART I, LINE 6A: Carroll Hospital Center, Inc. is included in the Community Health Needs assessment (CHNA) of The Partnership for a Healthier Carroll County. PART I, LINE 7: MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAK-OUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. PART I, Line 7A - I: THE FOLLOWING COSTING METHODOLOGIES WERE USED TO CALCULATE LINES 7A THROUGH 7I ON THE COMMUNITY BENEFIT REPORT. OFFSETTING REVENUE - REVENUE FROM THE ACTIVITY DURING THE YEAR THAT OFFSETS THE TOTAL COMMUNITY BENEFIT EXPENSE OF THAT ACTIVITY, IT INCLUDES ANY REVENUE GENERATED BY THE ACTIVITY OR PROGRAM, SUCH AS A PAYMENT OR REIMBURSEMENT FOR SERVICES PROVIDED TO PROGRAM PATIENTS. OFFSETTING REVENUE INCLUDES RESTRICTED GRANTS OR CONTRIBUTIONS USED TO PROVIDE A COMMUNITY BENEFIT, BUT DOES NOT INCLUDE UNRESTRICTED GRANTS OR CONTRIBUTIONS THAT THE ORGANIZATION USES TO PROVIDE COMMUNITY BENEFIT. DIRECT COSTS - DIRECT COSTS INCLUDE SALARIES, EMPLOYEE BENEFITS, SUPPLIES, INTEREST ON FINANCING, TRAVEL AND OTHER COSTS THAT ARE DIRECTLY ATTRIBUTABLE TO THE SPECIFIC SERVICE AND THAT WOULD NOT EXIST IF THE SERVICE OR EFFORT DID NOT EXIST. INDIRECT COSTS - INDIRECT COSTS ARE COSTS NOT ATTRIBUTED TO PRODUCTS AND/OR SERVICES THAT ARE INCLUDED IN THE CALCULATION OF COSTS FOR COMMUNITY BENEFIT. THESE COULD INCLUDE, BUT ARE NOT LIMITED TO, SALARIES FOR HUMAN RESOURCES AND FINANCE DEPARTMENTS, INSURANCE AND OVERHEAD EXPENSES. PART I, LINE 7E: CARROLL HOSPITAL PROVIDES MEDICAL SERVICES TO ACCESS CARROLL PATIENTS. FOUNDED IN 2005, ACCESS CARROLL IS A JOINT VENTURE BETWEEN CARROLL HOSPITAL, THE CARROLL COUNTY HEALTH DEPARTMENT AND THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY THAT PROVIDES FREE HEALTH CARE TO UNINSURED, LOW-INCOME CARROLL COUNTY RESIDENTS WHO MEET CERTAIN ELIGIBILITY REQUIREMENTS. ACCESS CARROLL CONSISTS OF A HEALTH CARE TEAM INVOLVING VOLUNTEER PHYSICIANS, NURSES AND OTHER MEDICAL PROFESSIONALS WHO WORK TOGETHER TO PROVIDE PATIENTS WITH PRIMARY MEDICAL CARE. MEDICATION ASSISTANCE, SPECIALITY CARE, DIAGNOSTIC AND LABORATORY TESTING, AND PATIENT EDUCATION ARE ALSO AVAILABLE ONSITE. CARROLL HOSPITAL INCURRED $ 1,074,713 IN COST TREATING ACCESS CARROLL PATIENTS IN FISCAL YEAR 2022. PART I, Line 7G: INCLUDED IN THESE EXPENSES ARE DIRECT AND INDIRECT COSTS ATTRIBUTABLE TO PHYSICIANS' CLINICS TOTALING $11,427,450. Part II - Community Building THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, INC., AN AFFILIATE OF CARROLL HOSPITAL AND THE CARROLL COUNTY HEALTH DEPARTMENT, IS A PRIVATE NONPROFIT ORGANIZATION WORKING TO IMPROVE HEALTH BY CONNECTING PEOPLE, INSPIRING ACTION, AND STRENGTHENING COMMUNITY. THE PARTNERHSIP IS A RELATED SECTION 501(c)(3) TAX-EXEMPT ORGANZIATION, AND RECEIVES A MAJORITY OF ITS OPERATING FUNDS FROM CONTRIBUTIONS MADE DIRECTLY BY THE HOSPITAL. THEY SPONSOR PROGRAMS SUCH AS SAFE IN THE SHADE AND FUN IN THE SUN TO HELP REDUCE SUN EXPOSURE AND PROMOTE CANCER PREVENTION. THE CARROLL ANTI-STIGMA RESILIENCE EFFORT (CARE) CAMPAIGN PROMOTES REMOVING THE STIGMA AROUND MENTAL HEALTH TREATMENT. THE PARTNERSHIP ALSO PROMOTES PHYSICAL ACTIVITY WITH THE WALK CARROLL, FITNESS FRIDAYS AND TRYVENT PROGRAMS. CARROLL'S COOKING, COMMUNITY GARDENS AND HEALTHY LIVING SERIES ROUNDS OUT THE PROGRAMS FOR ADVANCING HEALTH AND WELLNESS. CARROLL HOSPITAL ALSO WORKS WITH THE GREATER BALTIMORE REGIONAL INTEGRATED CRISIS SYSTEM TO PROVIDE ALTERNATIVES TO THE EMERGENCY ROOM FOR INDIVIDUALS IN CRISIS. PART III, LINE 2: BAD DEBT EXPENSE IS ESTIMATED BY USING HISTORICAL RATES FOR EACH PAYOR AND THE LENGTH OF TIME THE RECEIVABLE HAS BEEN OUTSTANDING. THESE RATES ARE REVISITED FROM TIME TO TIME AND ADJUSTED WHEN DEEMED APPROPRIATE. ANY ADDITIONAL RESERVES ARE DETERMINED BY THE HOSPITAL'S EXECUTIVES. PART III, LINE 3: CARROLL HOSPITAL CENTER, INC. DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH OTHER VARIOUS MEANS (CREDIT REPORTS, DEBT AND ASSET REVIEWS, AND REFERRALS FROM THE HOSPITAL'S BILLING AGENTS) WHEN THE PATIENT HAS NOT COMPLETED THE FINANCIAL ASSISTANCE APPLICATION. IF A DETERMINATION IS MADE REGARDING THE PATIENT'S INABILITY TO PAY, THE ACCOUNT CAN BE APPROVED FOR FINANCIAL ASSISTANCE ON A PRESUMPTIVE BASIS RATHER THAN BE REFLECTED AS BAD DEBT EXPENSE. OF THE REMAINING BAD DEBT EXPENSE, IT IS ESTIMATED THAT $267,736 IN COST MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE. AS DESCRIBED ELSEWHERE, THE HOSPITAL ENGAGES IN MULTIPLE EFFORTS TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE AMOUNT WAS BILLED TO PATIENTS ONLY BECAUSE THEY, DESPITE THE HOSPITAL'S EFFORTS, DID NOT REQUEST, OR DID NOT COOPERATE WITH, THE HOSPITAL'S EFFORTS TO PROVIDE THEM WITH THE AVAILABLE FINANCIAL ASSISTANCE. PART III, LINE 4: ALL PATIENT ACCOUNTS ARE HANDLED CONSISTENTLY AND APPROPRIATELY TO MAXIMIZE CASH FLOW AND TO IDENTIFY BAD DEBT ACCOUNTS TIMELY. ACTIVE ACCOUNTS ARE CONSIDERED BAD DEBT ACCOUNTS WHEN THEY MEET SPECIFIC COLLECTION ACTIVITY GUIDELINES AND/OR ARE REVIEWED BY THE APPROPRIATE MANAGEMENT AND DEEMED TO BE UNCOLLECTIBLE. EVERY EFFORT IS MADE TO IDENTIFY AND PURSUE ALL ACCOUNT BALANCE LIQUIDATION OPTIONS INCLUDING BUT NOT LIMITED TO THIRD PARTY PAYOR REIMBURSEMENT, PATIENT PAYMENT ARRANGEMENTS, MEDICAID ELIGIBILITY AND FINANCIAL ASSISTANCE. THIRD PARTY RECEIVABLE MANAGEMENT AGENCIES PROVIDE EXTENDED BUSINESS OFFICE SERVICES AND INSURANCE OUTSOURCE SERVICES TO ENSURE MAXIMUM EFFORT IS TAKEN TO RECOVER INSURANCE AND SELF-PAY DOLLARS BEFORE TRANSFER TO BAD DEBT. CONTRACTUAL ARRANGEMENTS WITH THIRD PARTY COLLECTION AGENCIES ARE USED TO ASSIST IN THE RECOVERY OF BAD DEBT DOLLARS AFTER ALL INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED. IN SO DOING, THE COLLECTION AGENCIES MUST OPERATE CONSISTENTLY WITH CARROLL HOSPITAL CENTER'S GOAL OF MAXIMUM BAD DEBT RECOVERY AND STRICT ADHERENCE WITH FAIR DEBT COLLECTIONS PRACTICES ACT (FDCPA) RULES AND REGULATIONS, WHILE MAINTAINING POSITIVE PATIENT RELATIONS. SEE AUDITED FINANCIAL STATEMENTS PAGE 16. PART III, Line 8: COSTING METHODOLOGY: TOTAL REVENUE RECEIVED FROM MEDICARE (DSH & IME) AND MEDICARE ALLOWABLE COSTS ARE DERIVED FROM THE ANNUAL MEDICARE COST REPORT. THE INPATIENT ROUTINE COSTS ARE DERIVED FROM THE STEP-DOWN METHODOLOGY BASED ON ACCEPTED STATISTICAL ALLOCATION WITH A UNIFORM PER DIEM COST FOR EACH PAYOR TYPE. THE ANCILLARY MEDICARE ALLOWABLE COSTS ARE INITIALLY DERIVED FROM THE STEP-DOWN METHODOLOGY BUT ARE ALLOCATED TO THE PAYOR TYPES BASED ON THE RATIO OF COST TO CHARGE FOR EACH PAYOR. PART III, Line 9B: PATIENTS CAN BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE (F.A.) PROSPECTIVELY OR RETROSPECTIVELY. THE F.A. ELIGIBILITY PERIOD EXPIRES ONE YEAR FROM THE MONTH ELIGIBILITY IS APPROVED FOR MEDICALLY NECESSARY SERVICES. THE PATIENT IS ASKED TO PROVIDE THE F.A. APPROVAL LETTER FOR SERVICES PROVIDED WITHIN THE ELIGIBILITY PERIOD. THE HOSPITAL WILL MAKE EVERY EFFORT TO IDENTIFY PATIENTS ELIGIBLE FOR F.A. BY UPDATING A USER-DEFINED FIELD IN CERNER TO IDENTIFY PATIENTS RETURNING FOR SERVICE WHO ARE ALREADY QUALIFIED FOR FINANCIAL ASSISTANCE. BALANCES APPROVED FOR FINANCIAL ASSISTANCE ARE WRITTEN-OFF TO A ZERO BALANCE AND THEREFORE NOT PURSUED BY INTERNAL COLLECTION PROCESSES OR THIRD-PARTY AGENCIES. BALANCES ALREADY PLACED WITH THIRD PARTY AGENCIES ARE WRITTEN-OFF TO A ZERO BALANCE AND THE ACCOUNTS ARE CLOSED AND RETURNED BY THE THIRD-PARTY AGENCY. PART VI, LINE 2: MONITORING THE HEALTH STATUS OF THE COMMUNITY IS AN ONGOING AND INTERACTIVE PROCESS ENGAGED IN BY THE HOSPITAL, WITH SUBSTANTIAL INVOLVEMENT FROM OUR COMMUNITY VIA THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, INC. ("THE PARTNERSHIP"), AN ENTITY ESTABLISHED BY THE HOSPITAL AND THE CARROLL COUNTY HEALTH DEPARTMENT SPECIFICALLY TO ASSESS UNMET HEALTH NEEDS IN THE COMMUNITY, EXPAND THE CAPACITY FOR HEALTH AND QUALITY OF LIFE IMPROVEMENT IN THE COMMUNITY, SERVE AS A COLLABORATIVE VEHICLE FOR INTERACTION WITH THE COMMUNITY, AND WITH OUR COMMUNITY, TO DRIVE THE EFFORT TO CREATE A HEALTHIER CARROLL COUNTY. THE PARTNERSHIP IS A RELATED SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND RECEIVES A MAJORITY OF ITS OPERATING FUNDS FROM CONTRIBUTIONS MADE DIRECTLY BY THE HOSPITAL. IMPROVEMENT IN THE COMMUNITY HEALTH IMPROVEMENT AREAS (CHIA) IS ONE OF THE HOSPITAL'S GOALS. THE CHIA ARE THE AREAS REQUIRING INDIVIDUAL AND ORGANIZATIONAL ACTION TO ACHIEVE TARGETED IMPROVED STATUS USING THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTHY PEOPLE 2030 TARGETS AS THE PRIMARY BENCHMARK. THE HOSPITAL PARTICIPATES ACTIVELY IN MANY OF THE CHIA LEADERSHIP TEAMS COMPRISED OF DIVERSE INDIVIDUALS AND ORGANIZATIONS FROM THROUGHOUT THE HOSPITAL'S SERVICE AREA, WHO SHARE EXPERTISE AND INTEREST IN THE CHIA. WITH SUPPORT AND GUIDANCE FROM THE PARTNERSHIP, THOSE LEADERSHIP TEAMS DEVELOP AND IMPLEMENT ACTION PLANS SPECIFICALLY INTENDED TO ACCOMPLISH TARGETED RESULTS. "HEALTHY CARROLL VITAL SIGNS" (DESCRIBED BELOW) ARE THEN AFFIRMED, ARE SPECIFIC TO EACH CHIA LEADERSHIP TEAM AND SERVE AS ONE OF THE PRIMARY TOOLS FOR MEASURING AND REPORTING RESULTS TO THE HOSPITAL LEADERSHIP AND TO THE COMMUNITY. RECENTLY THE HOSPITAL HAS COLLABORATED WITH THE PARTNERSHIP WITH RESPECT TO AN ASSESSMENT OF HEALTH NEEDS VIA MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS (S.H.I.P.), WHICH WAS ORGANIZED TO PRODUCE A LOCAL HEALTH IMPROVEMENT PLAN (L.H.I.P.). THE PARTNERSHIP ORGANIZATION ENTHUSIASTICALLY AGREED TO SERVE AS THE LOCAL COALITION REQUIRED IN THE OPPORTUNITY FOR LINKAGE TO IMPORTANT, VALIDATED INFORMATION ABOUT HEALTH NEEDS IN OUR COMMUNITY AND ONGOING OPPORTUNITIES TO COLLABORATE WITH OUR LOCAL AND STATE HEALTH DEPARTMENT REGARDING IMPLEMENTATION STRATEGIES FOR TARGETED RESULTS. PURSUANT TO THE S.H.I.P. ASSESSMENT, THIRTY-NINE "HIGH IMPACT OBJECTIVES" WERE IDENTIFIED BY THE STAFF AT MARYLAND'S DEPARTMENT OF HEALTH AND MENTAL HYGIENE. A CARROLL COUNTY SPECIFIC DATA PROFILE SERVED AS THE BASELINE DOCUMENT. AFTER THOROUGH ANALYSIS, A LEADERSHIP TEAM, WHICH INCLUDED THE HOSPITAL, PRODUCED A LOCAL HEALTH IMPROVEMENT PLAN (L.H.I.P.) ADDRESSING FIVE PRIORITY NEED AREAS. THE S.H.I.P. AND L.H.I.P. PROVIDE ANOTHER IMPORTANT SET OF VERY USEFUL INFORMATION THAT IS BEING FULLY INTEGRATED WITHIN THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY BENEFIT PLANNING PROCESSES. THE HOSPITAL AND THE PARTNERSHIP HAVE CONDUCTED MULTIPLE PREVIOUS NEEDS ASSESSMENTS, HAVE MADE REAL PROGRESS TOWARD COMMUNITY ENGAGEMENT IN THESE PROCESSES AND HAVE INTEGRATED ANNUAL MEASUREMENT SYSTEMS INTO THE HEALTH IMPROVEMENT WORK KNOWN AS "HEALTHY CARROLL VITAL SIGNS (HCVS)." DURING THE 2021 FISCAL YEAR, THE HOSPITAL CONDUCTED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT IN COMPLIANCE WITH IRS REQUIREMENTS ("CHNA"). SHORTLY THEREAFTER, THE HOSPITAL BEGAN TO UNDERTAKE CERTAIN INITIATIVES IDENTIFIED IN THE CHNA IMPLEMENTATION STRATEGY TO BEGIN TO ATTEMPT TO MEET IDENTIFIED COMMUNITY HEALTH NEEDS. PART VI, LINE 3: THE FOLLOWING DESCRIBES MEANS USED AT CARROLL HOSPITAL TO INFORM AND ASSIST PATIENTS REGARDING ELIGIBLITY FOR FINANCIAL ASSISTANCE UNDER GOVERNMENTAL PROGRAMS AND THE HOSPITAL'S CHARITY CARE PROGRAM. FINANCIAL ASSISTANCE NOTICES, INCLUDING CONTACT INFORMATION, ARE POSTED IN THE BUSINESS OFFICE AND ADMITTING, AS WELL AS POINTS OF ENTRY AND REGISTRATION THROUGHOUT THE HOSPITAL. PATIENT FINANCIAL SERVICES BROCHURE 'FREEDOM TO CARE' IS AVAILABLE TO ALL INPATIENTS. BROCHURES ARE ALSO AVAILABLE IN ALL OUTPATIENT REGISTRATION AND SERVICE AREAS. CARROLL HOSPITAL EMPLOYS A FINANICAL ASSISTANCE LIAISON WHO IS AVAILABLE TO ANSWER QUESTIONS AND TO ASSIST PATIENTS AND FAMILY MEMBERS WITH THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE. A PATIENT INFORMATION SHEET IS MADE AVAILABLE TO ALL INPATIENTS PRIOR TO DISCHARGE. CARROLL HOSPITAL'S UNINSURED (SELF-PAY) AND UNDER-INSURED (MEDICARE BENEFICIARY WITH NO SECONDARY) MEDICAL ASSISTANCE ELIGIBILITY PROGRAM SCREENS, ASSISTS WITH THE APPLICATION PROCESS AND ULTIMATELY CONVERTS PATIENTS TO VARIOUS MEDICAL ASSISTANCE COVERAGE AND INCLUDES ELIGIBILITY SCREENING AND ASSISTANCE WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AS PART OF THAT PROCESS. ALL HOSPITAL STATEMENTS AND ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS INCLUDE A MESSAGE REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS CARROLL HOSPITAL CENTER'S FINANCIAL ASSISTANCE PROGRAM. COLLECTION AGENCIES' INITIAL STATEMENT REFERENCES THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THOSE WHO ARE EXPERIENCING FINANCIAL DIFFICULTY AND PROVIDES CONTACT INFORMATION TO DISCUSS CARROLL'S FINANCIAL ASSISTANCE PROGRAM. ALL HOSPITAL PATIENT FINANCIAL SERVICES STAFF, ACTIVE ACCOUNTS RECEIVABLE OUTSOURCE VENDORS, COLLECTION AGENCIES AND MEDICAID ELIGIBILITY VENDORS ARE TRAINED TO IDENTIFY POTENTIAL FINANCIAL ASSISTANCE ELIGIBILITY AND ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS COVER SHEET IS AVAILABLE IN RUSSIAN, SPANISH, AND FRENCH. CARROLL HOSPITAL HOSTS AND PARTICIPATES IN VARIOUS DEPARTMENT OF HEALTH AND MENTAL HYGIENE AND MARYLAND HOSPITAL ASSOCIATION SPONSORED CAMPAIGNS LIKE COVER THE UNINSURED WEEK. PART VI, LINE 4: AS THE ONLY HOSPITAL IN THE COUNTY, CHC'S PRIMARY SERVICE AREA IS THE ENTIRE COUNTY. THE HOSPITAL DOES, HOWEVER, ALSO SERVE PORTIONS OF BALTIMORE, FREDERICK AND MONTGOMERY COUNTIES, AS WELL AS AREAS IN SOUTHERN PENNSYLVANIA. THE GENERAL DEMOGRAPHICS FOR OUR PRIMARY COMMUNITY (CARROLL COUNTY) ARE LISTED BELOW: POPULATION TOTAL POPULATION 2021: 173,873 POPULATION PERCENTAGE CHANGE FROM 2020 TO 2021: 0.6% PERSONS UNDER 5 YEARS OLD, PERCENTAGE IN 2021: 5.4% PERSONS UNDER 18 YEARS OLD, PERCENTAGE IN 2021: 21.9% PERSONS 65 YEARS OLD AND OVER, PERCENTAGE IN 2021: 17.5% FEMALE PERSONS, PERCENTAGE IN 2021: 50.1% PERSONS OF WHITE RACE, PERCENTAGE IN 2021: 90.9% PERSONS OF BLACK RACE, PERCENTAGE IN 2021: 4.1% PERSONS OF HISPANIC OR LATINO ORIGIN, PERCENTAGE IN 2021: 4.3% SOURCE: US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. FAMILY TOTAL NUMBER OF HOUSEHOLDS (2021): 66,197 AVERAGE HOUSEHOLD SIZE (2021): 2.68 PERSONS SOURCE: US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. ECONOMICS MEDIAN HOUSEHOLD INCOME: $104,708 PERCENTAGE OF PERSONS BELOW POVERTY LEVEL: 5.4% SOURCES: CARROLL COUNTY DEPARTMENT OF ECONOMIC DEVELOPMENT AND US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. OTHER SIGNIFICANT DEMOGRAPHIC CHARACTERISTICS ACCORDING TO THE AMERICAN COMMUNITY SURVEY THE PERCENTAGE OF UNINSURED PATIENTS IN CARROLL COUNTY IS 3.7%. IN FY 2020, OF THE CARROLL COUNTY RESIDENTS THAT WERE HOSPITALIZED (EITHER AT CHC OR OTHER HOSPITALS) 14.1% WERE ENROLLED IN MEDICAL ASSISTANCE PROGRAMS IN CARROLL COUNTY, WHICH INCLUDES MCHIP, PAC, AND MEDICAL ASSISTANCE. THE AVERAGE LIFE EXPECTANCY WITHIN CARROLL COUNTY WAS 79 YEARS. PART VI, LINE 5: CARROLL HOSPITAL CENTER, FOUNDED IN 1961, IS THE SOLE HOSPITAL SERVING THE JURISDICTION OF CARROLL COUNTY, MARYLAND WITH A 2021 POPULATION OF MORE THAN 173,000 PERSONS. CARROLL HOSPITAL CENTER IS THE SECOND LARGEST EMPLOYER IN CARROLL COUNTY WITH OVER 2,000 ASSOCIATES IN FY 2022. CARROLL HOSPITAL CENTER IS ACCREDITED BY THE JOINT COMMISSION. OUR GOVERNING BODY IS COMPRISED PREDOMINANTLY OF INDEPENDENT LEADERS REPRESENTATIVE OF OUR COMMUNITY WHO ASSURE THAT ALL FINANCIAL SURPLUSESTHE HOSPITAL GENERATES ARE USED EXCLUSIVELY TO FURTHER THE CHARITABLE PURPOSES OF THE ORGANIZATION. CARROLL HOSPITAL OFFERS DIVERSE SERVICE LINES INCLUDING COMPREHENSIVE ACUTE CARE SUCH AS MEDICAL, SURGICAL, PERI-NATAL, PEDIATRICS, PSYCHIATRY, MEDICAL AND RADIATION ONCOLOGY, ADULT INTENSIVE CARE AND CARDIOVASCULAR SERVICES, INCLUDING EMERGENCY PERCUTANEOUS INTERVENTIONAL CARDIOLOGY. BOTH HOME-BASED AND INPATIENT HOSPICE CARE ARE PROVIDED THROUGH OUR AFFILIATE, BRIDGINGLIFE, INC. (FORMERLY CARROLL HOSPICE, INC.), DIVERSE DIAGNOSTIC SERVICES ARE PROVIDED AT MULTIPLE LOCATIONS AND INCLUDE BOTH LABORATORY AND RADIOLOGIC CAPABILITIES. THE HOSPITAL PARTICIPATES IN MEDICARE AND MEDICAID PROGRAMS. THERE ARE APPROXIMATELY 450 PHYSICIANS REPRESENTING 38 SPECIALTIES ON CARROLL'S MEDICAL STAFF. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT (ED) SERVING ALL PERSONS REGARDLESS OF ABILITY TO PAY. AN EXTENSIVE NETWORK OF HOSPITAL AFFILIATED PHYSICIAN PRACTICES ASSURES ADEQUATE AVAILABILITY OF BOTH PRIMARY AND SPECIALTY CARE PHYSICIANS THROUGHOUT THE SERVICE AREA MEETING THE CARROLL HOSPITAL CENTER STANDARDS OF EXCELLENCE AND INCORPORATING THE SAME VALUES AND PRINCIPLES. BUILDING ON ITS LONG TRADITION OF COLLABORATION WITH OUR LOCAL RESIDENTS, THE HOSPITAL, IN JOINT EFFORT WITH THE CARROLL COUNTY HEALTH DEPARTMENT, ESTABLISHED THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, INC. (THE PARTNERSHIP) IN 1999 TO LINK HOSPITAL STRENGTHS, ALONGSIDE THOSE OF OTHER WELL-ESTABLISHED COMMUNITY PARTNERS, TO ACHIEVE AN IMPROVED HEALTH STATUS. THE PARTNERSHIP IS A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION THAT RECEIVES A MAJORITY OF ITS OPERATING FUNDS FROM CONTRIBUTIONS MADE DIRECTLY BY THE HOSPITAL. THE PARTNERSHIP WAS ESTABLISHED TO: -ASSESS UNMET HEALTH NEEDS IN OUR COMMUNITY -EXPAND THE CAPACITY FOR HEALTH AND QUALITY OF LIFE IMPROVEMENT IN OUR COMMUNITY -SERVE AS OUR COLLABORATIVE VEHICLE FOR INTERACTION WITH THE COMMUNITY -DRIVE THE EFFORT TO CREATE A HEALTHIER CARROLL COUNTY COMMUNITY THIS STRATEGY HAS ALLOWED CARROLL HOSPITAL CENTER TO REMAIN CONTINUALLY WELL-CONNECTED TO THE COMMUNITY, TO LEVERAGE RESOURCES IN ACTION ALONGSIDE THOSE OF OTHER KEY ORGANIZATIONS AND AGENCIES (PARTICULARLY, THE CARROLL COUNTY HEALTH DEPARTMENT) AND TO ASSURE MEASURABLE RESULTS. MONITORING THE HEALTH STATUS OF THE COMMUNITY IS AN ONGOING AND INTERACTIVE PROCESS ENGAGED IN BY CARROLL HOSPITAL CENTER AND THE PARTNERSHIP. CARROLL HOSPITAL CENTER AND THE PARTNERSHIP PURSUE IMPROVEMENT IN THE COMMUNITY HEALTH IMPROVEMENT AREAS (CHIAS) VIA LEADERSHIP TEAMS COMPRISED OF DIVERSE INDIVIDUALS AND ORGANIZATIONS WHO SHARE EXPERTISE AND INTEREST IN THE CHIA. THOSE LEADERS DEVELOP AND IMPLEMENT ACTION PLANS SPECIFICALLY INTENDED TO ACCOMPLISH TARGETED RESULTS. "HEALTHY CARROLL VITAL SIGNS" ARE THEN AFFIRMED, ARE SPECIFIC TO EACH CHIA LEADERSHIP TEAM AND SERVE AS ONE OF THE PRIMARY TOOLS FOR RESULTS REPORTING. WWW.HEATLHYCARROLL.ORG IS THE PARTNERSHIP'S WEBSITE WHERE CURRENT SECONDARY DATA, NATIONAL BENCHMARKS, IMPROVEMENT TARGETS AND BEST PRACTICE REFERENCES ARE EASILY AVAILABLE, ARE AS CURRENT AS AVAILABLE, AND ARE AVAILABLE TO ANYONE AT NO COST. CARROLL HOSPITAL CENTER HAS LONG RECOGNIZED THAT PROMOTING THE HEALTH OF ITS COMMUNITY IS ONE OF ITS ESSENTIAL RESPONSIBILITIES. EXTENSIVE COMMUNITY OUTREACH AND LEARNING PROGRAMS ARE OFFERED BY THE HOSPITAL WITH AN EMPHASIS ON DISEASE PREVENTION, EARLY INTERVENTION AND WELLNESS. OUR INTEGRATED APPROACH RECOGNIZES AND STRIVES TO ELIMINATE BARRIERS SUCH AS TRANSPORTATION CHALLENGES OR LIMITED ABILITIES TO PURCHASE ESSENTIAL PRESCRIPTION PRODUCTS; IT ALSO INCLUDES MORE IN-COMMUNITY CARE COORDINATION AND ASSISTANCE WITH NAVIGATING THE OFTEN COMPLEX WORLD OF HEALTH CARE ASSOCIATED SERVICES. CHC IS ONE OF THE FOUNDING AND FUNDING PARTNERS IN A UNIQUE AND HIGHLY SUCCESSFUL INTEGRATED PRIMARY CARE CENTER KNOWN AS ACCESS CARROLL, INC. AT ACCESS CARROLL, INC. THE BARRIERS OF LOW INCOME AND INELIGIBILITY FOR STATE, FEDERAL OR OTHER INSURANCE ASSISTANCE ARE BEING ELIMINATED FOR SIGNIFICANT NUMBERS OF CARROLL COUNTY RESIDENTS WHO ARE RECEIVING THE SAME INTEGRATED PRIMARY AND SPECIALTY CARE SERVICES NEEDED TO MANAGE THEIR ACUTE AND/OR CHRONIC DISEASE ISSUES AS THEIR HIGHER INCOME AND INSURED NEIGHBORS. IN ADDITION TO THE PRIMARY AND SPECIALTY MEDICAL CARE AND CARE MANAGEMENT NAVIGATION ASSISTANCE, THE ACCESS CARROLL PATIENTS RECEIVE DIAGNOSTIC LABORATORY AND RADIOLOGY SERVICES, DENTAL SERVICES, PRESCRIPTION ASSISTANCE AND MORE. CARROLL HOSPITAL CENTER CONTRIBUTED $1,071,508 TO ACCESS CARROLL IN FY22 TO COVER SALARY AND BENEFIT EXPENSES FOR THE EXECUTIVE DIRECTOR, BUSINESS OPERATIONS MANAGER AND RN HEALTH NAVIGATOR, AS WELL AS OPERATIONAL EXPENSES. THE HOSPITAL ALSO PROVIDES LABORATORY AND DIAGNOSTIC IMAGING SERVICES TO ACCESS CARROLL, CAPTURED UNDER CHARITY CARE, WHICH TOTALED $6,049 IN FY22. THESE HEALTH PROMOTION EFFORTS ARE IN ADDITION TO PROGRAMS AND SERVICES THAT SEEK TO HELP PEOPLE CHANGE THEIR LIFESTYLES TO MOVE TOWARD A STATE OF OPTIMAL HEALTH IN MIND, BODY AND SPIRIT. CARROLL HOSPITAL CENTER DEMONSTRATES ITS COMMITMENT TO IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITIES IT SERVES BY PROVIDING SERVICES AND PROGRAMS THAT ADDRESS CRITICAL NEEDS, INCLUDING HEALTH CARE TO VULNERABLE OR UNDERSERVED PEOPLE, PUBLIC HEALTH PROGRAMS, AND HEALTH EDUCATION, SCREENING AND PREVENTION SERVICES. THESE PROGRAMS AND ACTIVITIES INCLUDED HOSPICE SERVICES, PHYSICIAN SUPPORT, CHARITY/UNCOMPENSATED CARE, EDUCATION PROGRAMS, HEALTH SCREENINGS, SUPPORT GROUPS, HEALTH PROFESSIONS EDUCATION AND COMMUNITY CONTRIBUTIONS. CARROLL HOSPITAL CENTER OFFERS THESE PROGRAMS AND SERVICES NOT ONLY TO ADDRESS THE NEEDS OF PEOPLE WITH CHRONIC OR ACUTE MEDICAL ISSUES, BUT ALSO TO ADDRESS PREVENTION AND EDUCATION TO KEEP OUR POPULATION WELL. Part VI, Line 6: CARROLL HOSPITAL, A LIFEBRIDGE HEALTH CENTER, IS PART OF AN AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES AN ARRAY OF HEALTH CARE SERVICES TO ITS COMMUNITY. THE HOSPITAL, AS A SOLE COMMUNITY PROVIDER, PROVIDES BOTH INPATIENT AND OUTPATIENT CARE, INCLUDING ESSENTIAL HEALTH CARE SERVICES SUCH AS OBSTETRICS, EMERGENCY SERVICES, PEDIATRIC, AND CRITICAL CARE, WHICH WOULD LIKELY OTHERWISE NOT BE PROVIDED WITHIN CARROLL COUNTY DUE TO THEIR UNPROFITABLE NATURE (HIGH COST SERVICES WITH RELATIVELY LOW REIMBURSEMENT). ADDITIONALLY, THE HOSPITAL IS RELATED TO A GROUP PHYSICIAN PRACTICE (CARROLL HEALTH GROUP), WHICH PROVIDES PRIMARY AND SPECIALTY CARE SERVICES TO THE COMMUNITY. THE PROVISION OF PHYSICIAN SERVICES HELPS MEET AN IDENTIFIED COMMUNITY HEALTH NEED FOR ADDITIONAL PRIMARY AND SPECIALTY CARE PHYSICIANS AND PROVIDERS IN THE COMMUNITY. BRIDGINGLIFE, INC. (FORMERLY KNOWN AS CARROLL HOSPICE, INC.), AN AFFILIATE OF CARROLL HOSPITAL, PROVIDES INPATIENT HOSPICE CARE, AS WELL AS RESIDENTIAL HOSPICE AND PALLIATIVE CARE, TO PATIENTS NEARING THE END OF LIFE. BRIDGINGLIFE PROVIDES PAIN MANAGEMENT AND SYMPTOM CONTROL AND HELPS COORDINATE HOME AND INPATIENT SERVICES. IN ORDER TO PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE, BRIDGINGLIFE UTILIZES AN INTERDISCIPLINARY TEAM, INCLUDING PHYSICIANS, NURSES, SOCIAL WORKERS, CLERGY, PHARMACISTS, AND HOME HEALTH AIDES. FURTHER, BRIDGINGLIFE PROVIDES BEREAVEMENT CARE FOR FAMILY MEMBERS FOR UP TO THIRTEEN MONTHS, AS WELL AS FOR THE BROADER COMMUNITY AS NEEDED. Part VI, Line 7: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: MD true Access Carroll 10 Distillery Dr Westminster MD 21157 202146701 501(C)(3) 1071508 SEE PART IV Partnership for a Healthier Carroll County 535 Old West Pike Westminster MD 21157 522156892 501(C)(3) 201935 SEE PART IV 2 SCHEDULE I, PART I, LINE 2: THE FIRST GRANT PROVIDED IS TO ACCESS CARROLL, WHICH IS A JOINT VENTURE BETWEEN CARROLL HOSPITAL, THE CARROLL COUNTY HEALTH DEPARTMENT AND THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY. ACCESS CARROLL IS A 501(C)(3) TAX EXEMPT ORGANIZATION THAT PROVIDES FREE HEALTH CARE TO UNINSURED, LOW-INCOME CARROLL COUNTY RESIDENTS WHO MEET CERTAIN ELIGIBILITY REQUIREMENTS. THE SECOND GRANT PROVIDED IS TO THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, A RELATED ORGANIZATION THAT IS CONTROLLED BY THE ORGANIZATION AND IS A JOINT VENTURE WITH THE CARROLL COUNTY HEALTH DEPARTMENT. THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY IS A 501(C)(3) TAX EXEMPT ORGANIZATION THAT IS DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF INDIVIDUALS LIVING IN CARROLL COUNTY, MARYLAND. SCHEDULE I, PART I, LINE 1H: NAME OF THE ORGANIZATION: ACCESS CARROLL EIN: 20-2146701 PURPOSE: TO SUPPORT THE OPERATIONS OF ACCESS CARROLL. NAME OF THE ORGANIZATION: PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY EIN: 52-2156892 PURPOSE: TO SUPPORT THE OPERATIONS OF PARTNERSHIP X true false true false false false false false false false NEIL M MELTZER Director/LBH President/CEO 0 1052468 0 1442162 0 608517 0 34349 0 25805 0 3163301 0 402199 LESLIE R SIMMONS FORMER DIR./PRES. CHC/COO LBH 0 681592 0 459362 0 263444 0 176752 0 25006 0 1606156 0 172791 Michael Myers VP Rates & Reimb. & CFO CHC 292841 0 67706 0 38883 0 47442 0 32810 0 479682 0 26408 0 Garrett W Hoover Director/President/COO OF CHC 365446 0 153808 0 36468 0 1960 0 30615 0 588297 0 0 0 STEPHANIE J REID CNO/VP PATIENT CARE SERVICES 244401 0 54314 0 75991 0 10874 0 1803 0 387383 0 0 0 SHARON L MCCLERNAN VP OF CLINICAL INTEGRATION 207288 0 51126 0 50148 0 34938 0 32951 0 376451 0 0 0 MARK D OLSZYK CHIEF MEDICAL OFFICER/VP 366556 91639 91860 22965 82932 20733 46052 11513 170 43 587570 146893 0 0 CRIS COLEMAN VP FIN CARROLL, CFO LEVINDALE 77345 232035 14285 42855 606 1821 9930 29790 2816 8450 104982 314951 0 0 JED S ROSEN MD CHIEF OF SURGERY 384391 0 24150 0 2286 0 3946 0 26986 0 441759 0 0 0 FLAVIO W KRUTER MD PHYSICIAN 853153 0 225301 0 2286 0 23716 0 25246 0 1129702 0 0 0 QIWEI GAI MD PHYSICIAN 529294 0 245011 0 774 0 2712 0 30666 0 808457 0 0 0 DARLENE GABEAU MD PHYSICIAN 540869 0 18277 0 19770 0 2108 0 33824 0 614848 0 0 0 MARLANA OTTINGER MD PHYSICIAN 450934 0 0 0 759 0 331 0 12885 0 464909 0 0 0 James Roberge VP Capital Improv. & Support 0 286771 0 74413 0 72164 0 48087 0 30398 0 511833 0 34939 Terrence Carney VP Supply Chain 0 276300 0 96129 0 82151 0 19147 0 2081 0 475808 0 42464 David Krajewski Assistant Treasurer 0 743929 0 505741 0 336449 0 197271 0 29919 0 1813309 0 280798 Nancy Kane VP FInancial Reporting 0 260208 0 65626 0 42708 0 61651 0 27159 0 457352 0 28164 SCHEDULE J, PART I, LINE 1a: The organization pays membership dues for select senior executives at a club used for business meetings and events. Schedule J, Part I, Line 3: THE COMPENSATION OF CARROLL HOSPITAL CENTER, INC.'S CEO/EXECUTIVE DIRECTOR IS DETERMINED AT THE PARENT LEVEL BY LIFEBRIDGE HEALTH, INC. THE METHODS USED AT LIFEBRIDGE HEALTH, INC. INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b: The following directors and officers participated in a LifeBridge Health sponsored supplemental nonqualified retirement plan during the year. The amounts reported below represent employer contributions to the Section 457(f) plan made during the year: David Krajewski $159,849 LESLIE SIMMONS $145,191 MARK D. OLSZYK $ 50,906 James Roberge $ 34,837 MICHAEL MYERS $ 33,600 CRIS COLEMAN $ 29,727 Nancy Kane $ 29,558 SHARON L. MCCLERNAN $ 24,086 THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN DURING THE YEAR: NEIL MELTZER $550,299 David Krajewski $299,687 LESLIE SIMMONS $239,743 MARK D. OLSZYK $ 98,283 STEPHANIE REID $ 75,991 James Roberge $ 44,830 SHARON L. MCCLERNAN $ 44,810 Terrence Carney $ 42,464 Nancy Kane $ 36,030 MICHAEL MYERS $ 34,849 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. MELTZER RECEIVED COMPENSATION AS PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MS. SIMMONS RECEIVED COMPENSATION AS EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR. MR. MYERS RECEIVED COMPENSATION AS CFO/VICE PRESIDENT OF CARROLL HOSPITAL CENTER, INC., NOT AS A DIRECTOR. MR. KRAJEWSKI RECEIVED COMPENSATION AS EXECUTIVE VICE PRESIDENT AND CFO OF LIFEBRIDGE HEALTH, INC. AND PRESIDENT OF LIFEBRIDGE HEALTH PARTNERS, INC., NOT AS AN OFFICER. A MARYLAND HEALTH AND HIGHER EDUCATION FAC AUTHORITY 520936091 574218HJ5 2012-05-31 124790000 REFUND 2002 BONDS, FAC ACQ, RENOVA true false false A 15315417 105055980 124790000 0 0 0 100764 0 0 14899236 78596537 0 2012 true false true true A false false true true true true 0.01000 0.01000 0.02000 false false false true A false false false true true false 0 false 0 false true A true SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION FAC AUTHORITY (F) DESCRIPTION OF PURPOSE: REFUND 2002 BONDS, FAC ACQ, RENOVATION SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: MARYLAND HEALTH AND HIGHER EDUCATION FAC AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2020 HEATHER GREEN FAMILY RELATIONSHIP 132919 SEE PART V false ROBERT J BEAUVAIS FAMILY RELATIONSHIP 94083 SEE PART V false RANDY C GREEN JR FAMILY RELATIONSHIP 55989 SEE PART V false SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: HEATHER GREEN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP TO A DIRECTOR, LESLIE SIMMONS (D) DESCRIPTION OF TRANSACTION: EMPLOYEE OF HOSPITAL - DIRECTOR OF CARDIAC VASCULAR LAB (A) NAME OF PERSON: ROBERT J. BEAUVAIS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP TO A DIRECTOR, LESLIE SIMMONS (D) DESCRIPTION OF TRANSACTION: IT SYSTEM ENGINEER (A) NAME OF PERSON: RANDY C. GREEN, JR. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY RELATIONSHIP TO A DIRECTOR, LESLIE SIMMONS (D) DESCRIPTION OF TRANSACTION: REGISTERD NURSE FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTH CARE IN OUR COMMUNITIES. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTH CARE IN OUR COMMUNITIES. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: CARROLL HOSPITAL CENTER (CHC), A 161 LICENSED BED ACUTE CARE FACILITY LOCATED IN WESTMINSTER, MARYLAND, OFFERS THE LATEST IN MEDICAL TECHNOLOGY AND SERVICES, COMBINED WITH A STATE-OF-THE-ART FACILITY AND TOP-NOTCH SKILLED MEDICAL PROFESSIONALS, CARING FOR PATIENTS WITH COMPASSION. CURRENTLY, THERE ARE APPROXIMATELY 2,000 INDIVIDUALS EMPLOYED BY THE HOSPITAL - MAKING CHC THE SECOND LARGEST EMPLOYER IN CARROLL COUNTY. THE ORGANIZATION OPERATES AN ACUTE CARE HOSPITAL SERVING THE COMMUNITIES LOCATED IN CARROLL AND SURROUNDING COUNTIES AS WELL AS PARTS OF PENNSYLVANIA. IN ACCORDANCE WITH OUR TAX-EXEMPT FUNCTION, THE ORGANIZATION OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY AND HAD 42,458 PATIENT VISITS DURING THE FISCAL YEAR. AS THE ONLY HOSPITAL IN CARROLL COUNTY, WE OFFER OUR COMMUNITY A FULL ARRAY OF SERVICES, INCLUDING EMERGENCY SERVICES, COMPREHENSIVE CANCER CARE, PEDIATRICS, MATERNITY, GERIATRICS, THE LATEST MINIMALLY INVASIVE SURGICAL PROCEDURES AND ADVANCED TOTAL AND PARTIAL JOINT REPLACEMENT PROCEDURES. IN THE YEAR ENDING JUNE 2022, CARROLL HOSPITAL CENTER RECORDED 12,726 INPATIENT ADMISSIONS AND OBSERVATION STAY CASES, 1,023 BIRTHS AND 5,440 SURGICAL PROCEDURES, ALL CONTRIBUTING TO A TOTAL OF 104,199 PATIENT ENCOUNTERS FOR THE PERIOD. ALL OF THIS IS IN LINE WITH OUR MISSION: "OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTHCARE IN OUR COMMUNITIES." THE HOSPITAL ALSO PROVIDES PLANNED COMMUNITY BENEFIT ACTIVITIES TO IMPROVE ACCESS TO HEALTH CARE AND IMPROVE THE OVERALL HEALTH OF OUR COMMUNITY. OUR MISSION IS PURSUED IN COLLABORATION WITH OUR RELATED ORGANIZATIONS: CARROLL COUNTY HEALTH SERVICES, BRIDGINGLIFE, THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY (OUR COMMUNITY ADVOCACY ARM), AND THE CARROLL HOSPITAL CENTER FOUNDATION, FOR MORE INFORMATION ON THESE SUBSIDIARIES, PLEASE SEE THEIR INDIVIDUAL FORMS 990, AS WELL AS THOSE OF LIFEBRIDGE HEALTH AND ITS OTHER COMPONENTS. FORM 990, PART VI, SECTION A, LINE 6: THE CORPORATION SHALL HAVE ONE MEMBER: CARROLL COUNTY HEALTH SERVICES CORPORATION (THE "MEMBER"), A MARYLAND NONSTOCK CORPORATION. MEMBERSHIP IN THE CORPORATION SHALL NOT BE TRANSFERABLE. FORM 990, PART VI, SECTION A, LINE 7A: THE MEMBER SHALL HAVE THE EXCLUSIVE POWER AND AUTHORITY TO TAKE THE FOLLOWING ACTIONS: (1) THE BOARD OF DIRECTORS SHALL AT ALL TIMES BE IDENTICAL TO THE BOARD OF DIRECTORS OF THE MEMBER. NONVOTING MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMBERS, AS PROVIDED FOR UNDER THE BYLAWS OF THE MEMBER, SHALL BE NONVOTING DIRECTORS OF THE CORPORATION. (2) THE MEMBER MAY REMOVE ANY DIRECTOR AT ANY TIME, WITH OR WITHOUT CAUSE. REMOVAL FROM THE BOARD OF DIRECTORS OF THE MEMBER CONSTITUTES REMOVAL FROM THE BOARD OF DIRECTORS OF THE CORPORATION. (3) THE INDIVIDUAL SERVING AS PRESIDENT OF THE MEMBER WILL SERVE AS THE PRESIDENT OF THE CORPORATION. REMOVAL OR RESIGNATION OF THE PRESIDENT OF THE MEMBER WILL CONSTITUTE REMOVAL OR RESIGNATION AS THE PRESIDENT OF THE CORPORATION, AND APPOINTMENT AS THE PRESIDENT OF THE MEMBER WILL CONSTITUTE APPOINTMENT AS PRESIDENT OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B: THE MEMBER HAS POWER TO APPOINT AND/OR REMOVE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: THE LIFEBRIDGE EXEMPT ENTITIES' 990S ARE INITIALLY REVIEWED BY THE ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING. IN ADDITION, AN INDEPENDENT ACCOUNTING FIRM ALSO REVIEWS ALL THE 990 RETURNS. A FORMAL MEETING IS THEN SCHEDULED WITH THE CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE, GENERAL COUNSEL, AND ASSISTANT VICE PRESIDENT OF FINANCIAL REPORTING TO REVIEW IN THEIR ENTIRETY ALL THE LIFEBRIDGE EXEMPT ENTITIES 990'S. MANAGEMENT THEN PROVIDES A COPY OF THE 990'S TO THE CARROLL HOSPITAL CENTER, INC. BOARD AND TO EACH INDIVIDUAL BOARD DIRECTOR PRIOR TO THE FILING DATE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C: ALL DIRECTORS, OFFICERS, EMPLOYEES, MEDICAL STAFF MEMBERS, AND VOLUNTEERS ARE EXPECTED TO RECOGNIZE AND DISCLOSE AT THE EARLIEST POSSIBLE TIME ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE HEALTH. ADDITIONAL INFORMATION REGARDING WHAT CONSTITUTES A CONFLICT OF INTEREST AND HOW TO DISCLOSE A CONFLICT IS OUTLINED BELOW. LIFEBRIDGE AND ALL OF ITS SUBSIDIARIES SHALL REQUIRE ALL EMPLOYEES, MEDICAL STAFF, AND MEMBERS OF THE BOARD TO DISCLOSE ANY ACTIVITIES THAT COULD RESULT IN A POSSIBLE CONFLICT OF INTEREST. IF A CONFLICT IS IDENTIFIED, THE PERSON INVOLVED WOULD RECUSE HIM/HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTIONS. AN INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST WITH REGARD TO A MATTER OR TRANSACTION IF THE INDIVIDUAL HAS A PERSONAL OR FINANCIAL INTEREST THAT HAS THE POTENTIAL TO INFLUENCE THE ACTION TAKEN BY THE INDIVIDUAL ON BEHALF OF LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES. AN INDIVIDUAL IS CONSIDERED TO HAVE A "PERSONAL INTEREST" IN A MATTER IF IT IS LIKELY TO HAVE A DIRECT AND MATERIAL IMPACT ON THE INDIVIDUAL'S RELATIONSHIP WITH LIFEBRIDGE OR ANY OF ITS SUBSIDIARIES (E.G., THE INDIVIDUAL'S CONTINUED MEMBERSHIP ON A SUBSIDIARY HOSPITAL'S MEDICAL STAFF), OR ON THE INDIVIDUAL'S OWN HEALTH CARE, OR THE INDIVIDUAL IS PERSONALLY INVOLVED IN A SUBSTANTIAL WAY (E.G., SERVES AS AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE) WITH ANOTHER ORGANIZATION THAT HAS A SIGNIFICANT INTEREST IN THE MATTER. AN INDIVIDUAL IS CONSIDERED TO HAVE A "FINANCIAL INTEREST" IN A TRANSACTION IF THE INDIVIDUAL, OR THEIR FAMILY MEMBER, (I) IS A PARTY TO THE TRANSACTION, (II) WILL BENEFIT PERSONALLY FROM THE TRANSACTION, OR (III) HAS, DIRECTLY OR INDIRECTLY, A CURRENT OR ANTICIPATED OWNERSHIP OR INVESTMENT IN, OR COMPENSATION ARRANGEMENT WITH, A PARTY TO THE TRANSACTION. AN OWNERSHIP INTEREST OF LESS THAN 5% IN AN ENTITY WILL NOT, IN AND OF ITSELF, GENERALLY BE CONSIDERED A FINANCIAL INTEREST; HOWEVER, TO THE EXTENT THE INDIVIDUAL'S COMPENSATION FROM THE ENTITY IS DIRECTLY LINKED TO THE ENTITY'S BUSINESS WITH LIFEBRIDGE HEALTH, SUCH COMPENSATION WILL CONSTITUTE A FINANCIAL INTEREST. FOR THE PURPOSES OF THIS POLICY, A "FAMILY MEMBER" INCLUDES SPOUSE OR DOMESTIC PARTNER, PARENTS, BROTHERS AND SISTERS, CHILDREN (WHETHER NATURAL OR ADOPTED), GRANDPARENTS, GRANDCHILDREN, GREAT-GRANDCHILDREN, AND IN-LAWS, SPOUSES OF BROTHERS, SISTERS, CHILDREN, GRANDCHILDREN, AND GREAT GRANDCHILDREN, AND ANY OTHER MEMBER OF A HOUSEHOLD OF THE INDIVIDUAL. CONFLICTS OF INTEREST ARE TO BE REPORTED BY EMPLOYEES TO THEIR SUPERVISOR, WHO WILL BE RESPONSIBLE FOR DETERMINING WHETHER FURTHER DISSEMINATION IS NECESSARY. MEMBERS OF THE MEDICAL STAFF SHOULD REPORT CONFLICTS TO THE CHIEF OF THEIR DEPARTMENT, AND MEMBERS OF THE BOARD SHOULD REPORT THEM TO THE CHIEF COMPLIANCE OFFICER. QUESTIONNAIRES ARE SENT OUT TO MEMBERS OF THE BOARD ON AN ANNUAL BASIS. IF QUESTIONS ARISE OR FURTHER GUIDANCE IS SOUGHT, INDIVIDUALS CAN CONTACT THE CHIEF COMPLIANCE OFFICER OR CONFIDENTIAL COMPLIANCE HOTLINE. NOTHING IN THIS DEFINITION IS INTENDED TO RELIEVE ANY PERSON OF ANY ADDITIONAL OBLIGATIONS THAT MAY BE IMPOSED BY STATE OR FEDERAL LAW. FORM 990, PART VI, SECTION b, LINE 15: THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF LIFEBRIDGE HEALTH, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HEALTH SYSTEMS AND HOSPITALS ACROSS THE REGION AND NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, REVENUES, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS ESTABLISHED COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19: IT IS THE POLICY OF LIFEBRIDGE HEALTH INC. AND ITS SUBSIDIARIES TO MAKE AVAILABLE UPON REQUEST THE AUDITED FINANCIAL STATEMENTS TO THE GENERAL PUBLIC. THE LIFEBRIDGE HEALTH INC. AND SUBSIDIARY GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST OR VIA A WEBSITE. THE CONFLICT OF INTEREST POLICY IS INCLUDED ON SCHEDULE O. FORM 990, PART VII: UNDER THE BYLAWS OF CARROLL HOSPITAL CENTER, INC. THE BOARD OF CARROLL HOSPITAL CENTER, INC. MUST AT ALL TIMES BE IDENTICAL TO THE BOARD OF CARROLL COUNTY HEALTH SERVICES CORPORATION. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: CHANGE IN TEMPORARY RESTRICTED ASSETS (FOUNDATION) 2,638,914 CHANGE IN INVESTMENT IN BRIDGINGLIFE UNRESTRICTED 2,444,660 TRANSFERS FROM AFFILIATES 385,000 CHANGE IN INVESTMENT IN FOUNDATION UNRESTRICTED (16,091,735) CHANGE IN MINIMUM PENSION LIABILITY (5,318,272) TRANSFERS TO AFFILIATES (2,254,787) CARROLL COUNTY RADIOLOGY, LLC MINORITY INTEREST (2,111,610) CHANGE IN TEMPORARY RESTRICTED ASSETS (BRIDGINGLIFE) (1,374,440) OTHER CHANGES - ACCESS CARROLL DONATION (1,071,206) ------------- TOTAL (22,753,476) ============= Form 990, Part XII, Line 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASE & PATIENT SRVCS TOTAL FEES:20583667 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:18534933 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:16303077 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:5188500 FORM 990 PART IX LINE 11G DESCRIPTION:CANCER CENTER PROF. FEES TOTAL FEES:300000 FORM 990 PART IX LINE 11G DESCRIPTION:FOOD SERVICES TOTAL FEES:97962 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:76747 CARROLL HOSP CENTER MOB INVESTMENT LLC 200 MEMORIAL AVENUE WESTMINSTER MD 21157 271528335 INVESTMENTS MD -614629 0 CHC CARROLL REGIONAL CANCER CENTER PHYSICIAN 200 MEMORIAL AVENUE WESTMINSTER MD 21157 422463175 HEALTHCARE MD -1622334 0 CHC Bridginglife Inc 292 Stoner Avenue Westminster MD 21157 521565870 Hospice MD 501(C)(3) 7 CHC true Carroll Hospital Center Foundation Inc 200 Memorial Avenue Westminster MD 21157 521115038 Foundation MD 501(C)(3) 12A, I CHC true Partnership for a Healthier Carroll Cty 535 Old Westminster Pike 102 Westminster MD 21157 522156892 Health Svcs MD 501(C)(3) 7 CHC true Levindale Hebrew Geriatric Center Hosp 2434 West Belvedere Avenue Baltimore MD 21215 520607913 Hospital MD 501(C)(3) 3 LBH false Sinai Hospital of Baltimore Inc 2401 West Belvedere Avenue Baltimore MD 21215 520486540 Hospital MD 501(C)(3) 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