2025-05-14T19:25:18-05:00 2024-06-30 991856619 GRANT THORNTON ADVISORS LLC 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2023-07-01 520607949 MERITUS MEDICAL CENTER INC MERI 3077908872 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 JOSHUA REPAC CFO/TREASURER 3077908872 2025-05-14 1 0 MARY TORRETTA P00847851 7038477500 2023 2025-03-06 01:10:19Z MAULIK JOSHI DRPH 11116 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 830689213 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 4129 209 6359311 194540 18654404 10516540 521526448 592233255 22009415 12888489 1180032 17951193 563370299 633589477 17750 10156 0 0 285381216 299156629 0 0 0 238327975 292040758 523726941 591207543 39643358 42381934 836085210 911559587 409153508 422697717 426931702 488861870 X SEE SCHEDULE O 0 0 496686908 10156 590611587 SEE SCHEDULE O 496686908 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 1 334 0 1 4129 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 12 9 0 0 1 0 1 1 1 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 (THRU 9/2023) 20.00 0.00 X 25000 0 0 ERIN HERSHEY DIRECTOR 3.00 0.00 X 0 0 0 SHAHEEN IQBAL MD DIRECTOR 20.00 0.00 X 21242 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 1235915 0 1066354 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 3.00 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 KALIM AHMED MD DIRECTOR (AS OF 10/2023) 20.00 0.00 X 34167 0 0 JOSHUA REPAC CFO/TREASURER 50.00 3.00 X 445608 0 421222 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 50.00 3.00 X 314984 0 66566 CARRIE ADAMS CHIEF OPERATING OFFICER 50.00 0.00 X 487972 0 371921 DAVID LEHR CHIEF STRATEGY OFFICER 50.00 0.00 X 480723 0 472596 VICTORIA GIFFI MD PHYSICIAN 50.00 0.00 X 831366 0 27035 GENTIAN TOSHKEZI MD PHYSICIAN 50.00 0.00 X 641489 0 15099 KIRANPREET KHOSA MD PHYSICIAN 50.00 0.00 X 838318 0 11960 IJEOMA IFEANYI-NWANZE MD PHYSICIAN 50.00 0.00 X 580869 0 40989 MAHINUR KHAN MD PHYSICIAN 50.00 0.00 X 850870 0 31056 THOMAS T CHAN FORMER CFO/TREASURER 50.00 3.00 X 158346 0 26574 6946869 0 2551372 457 1 1 0 QUALIVIS 5930 CORNERSTONE CT ST LOUIS MO 63150 MEDICAL 15684504 TRIMEDX LLC PO BOX 636129 CINCINNATI OH 45263 MEDICAL 4129958 MERCY SPECIALIZED BILLING SVCS PO BOX 505125 DALLAS TX 75312 MEDICAL 2074216 ROCHE DIAGNOSTICS CORP 9115 HAGUE ROAD INDIANAPOLIS IN 46250 MEDICAL 2068448 FIRST COLONIES ANESTHESIA PO BOX 841069 DALLAS TX 75284 MEDICAL 2023896 65 1293880 8946038 276622 10516540 PATIENT REVENUE 621400 569643442 569643442 MDPCP FEES 621400 7117640 7117640 340B PROGRAM REVENUE 621400 6128247 6128247 SCHOOL NURSING PROGRAM 621400 3867583 3867583 CAFETERIA SALES 621400 1621668 1621668 3854675 3854675 592233255 8535416 8535416 489518 1967541 -1478023 -1478023 -1478023 199466668 18600 195132195 0 4334473 18600 4353073 4353073 EQUITY EARNINGS IN SUB 900099 13069905 13069905 RETAIL PHARMACY 456110 3809197 3809197 LAB REVENUE 621500 1491620 1491620 1058494 1058494 19429216 633589477 590611587 6359311 26102039 X 10156 10156 3115339 3115339 245208830 196167064 49041766 8799312 7039450 1759862 24216689 19373351 4843338 17816459 14253167 3563292 694629 555703 138926 591509 473207 118302 59900 47920 11980 382480 305984 76496 95058987 82071748 12987239 180715 180715 789383 631506 157877 7373134 5898507 1474627 8381459 6705167 1676292 536195 428956 107239 833928 667142 166786 11687750 9350200 2337550 30467427 24373942 6093485 5070810 4056648 1014162 DRUGS & PHARMACEUTICALS 58464964 58464964 MEDICAL SUPPLIES 34196855 34196855 BAD DEBT EXPENSE 8531045 8531045 UBI TAXES 110199 110199 28629389 22903511 5725878 591207543 496686908 94520635 0 181309900 161980059 44532910 61394873 148605 107493 7497111 11493721 6791933 6164451 589407051 292875298 235717870 296531753 218499545 248952978 14639232 16287189 8693693 7189281 118254411 101457789 836085210 911559587 70951461 92572255 234212895 225721812 62828036 63716137 41161116 40687513 409153508 422697717 X 413044602 477381639 13887100 11480231 426931702 488861870 836085210 911559587 X 42381934 26922337 -7374103 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 59900 59900 0 PART II-B, LINE 1, LOBBYING ACTIVITIES FOR FISCAL YEAR 2024, MMC PAID DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH PROVIDED MMC WITH THE SPECIFIC PERCENTAGE OF THE AMOUNT PAID THAT IS 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 1028618 1028618 1071947 14167 57496 1028618 1.00000 0 0 8794093 8794093 277658333 136874366 140783967 4130719 2310606 1820113 221139327 153690326 67449001 77684579 77684579 296531753 NET ASSETS HELD BY MHF 10106244 OPERATING LEASES 28099788 OTHER ASSETS 11854016 RETRO PREMIUM CREDIT RECEIVABLE 7880230 EQUITY INVESTMENTS IN AFFILIATES 43517511 101457789 ACCRUED RETIREMENT BENEFITS 7889640 DUE TO RELATED ENTITIES 8231070 OPERATING LEASES 24566803 40687513 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: THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF MERITUS HEALTH, INC. THE RELEVANT TEXT OF THE INCOME TAX FOOTNOTE FROM THOSE FINANCIALS IS: MERITUS 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. MERITUS DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. 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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 FY22 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.MMC ADDRESSED THE COMMUNITY NEEDS IDENTIFIED IN ITS FY22 CHNA DURING FY24 THROUGH VARIOUS PROGRAMS INCLUDING: - DIABETES RISK SCREENINGS WITH REFERRALS TO THE DIABETES PREVENTION PROGRAM OR DIABETES SELF-MANAGEMENT TRAINING FOR PERSONS DIAGNOSED WITH TYPE II DIABETES; - WARM HAND-OFF TO RESIDENTIAL TREATMENT OR IOP AIMED AT DISRUPTING THE CYCLE OF ADDICTION FOR PATIENTS OF THE CRISIS INTERVENTION CENTER; - MD MOM MATERNAL HEALTH EQUITY COLLABORATIVE THAT ADDRESSES EQUITY ISSUES THAT PLACE VULNERABLE OB POPULATIONS AT HIGHER RISK FOR MATERNAL MORALITY/MORBIDITY; - OB EDUCATIONAL OUTREACH PROGRAM THAT TARGETS UNDERSERVED AND VULNERABLE OB POPULATIONS.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 $8,531,045. 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 $20,124,579 DURING FISCAL YEAR 2024. PART II, COMMUNITY BUILDING ACTIVITIES: IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, MMC WAS INVOLVED IN MANY COMMUNITY BUILDING ACTIVITIES THAT FOCUSED ON IMPROVING ACCESS TO ADDICTION TREATMENT, REDUCING THE SUICIDE RATE, INCREASING ACCESS TO CARE, AND PROVIDING ACCESS TO FOOD AND SHELTER. 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, 2024 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 OUR LOCAL HEALTH IMPROVEMENT COALITION, CONSISTING OF OVER 100 OTHER COMMUNITY PARTNERS 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. SINCE 2000, MMC HAS PROVIDED THIS SERVICE FREE OF CHARGE. THE MEDICATION ASSISTANCE CENTER SERVED NEARLY 300 PATIENTS IN FY2024.MEDICAL SCREENINGS KEEP OUR COMMUNITY HEALTHY AND ARE HELD THROUGHOUT THE YEAR. FREE VASCULAR, BLOOD PRESSURE, AND OTHER SCREENINGS ARE HELD AT MMC AND THROUGHOUT THE COMMUNITY. 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.THROUGHOUT THE ENTIRE YEAR, OUR FARMER'S MARKET PRESENTS THE PUBLIC WITH HEALTHY FOOD CHOICES AND GIVES LOCAL FARMERS AN OPPORTUNITY TO MARKET THEIR FRESH PRODUCE. 55 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 6 TIMES PER YEAR TO UNDERSTAND HEALTH TOPICS OF INTEREST.MERITUS MOBILE HEALTH PROVIDES PRIMARY AND ACUTE CARE, WELLNESS SCREENING, AND HEALTH EDUCATION THROUGHOUT WASHINGTON COUNTY, MARYLAND, TO IMPROVE THE HEALTH OF THE COMMUNITY. OUR TEAM PROVIDES HIGH-QUALITY, PATIENT-CENTERED, EQUITABLE CARE AT OUR WALK-UP CLINICS WITH NO APPOINTMENT NECESSARY. MOBILE HEALTH SERVES ALL PATIENTS REGARDLESS OF ABILITY TO PAY.AS PART OF OUR MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY, WE ARE COMMITTED TO ENSURING THAT NO PATIENTS IN OUR COMMUNITY WILL MISS A MEDICAL APPOINTMENT DUE TO TRANSPORTATION ISSUES. OUR MERITUS TRANSPORTATION INITIATIVE CONNECTS OUR PATIENTS WITH FREE RIDES, SCHEDULED THROUGH THEIR PHYSICIAN'S OFFICE, SO THAT THEY CAN FOCUS ON THE CARE, PREVENTATIVE SCREENINGS AND APPOINTMENTS THEY NEED. WHETHER A PATIENT DOESN'T HAVE ACCESS TO A VEHICLE OR THE ABILITY TO DRIVE, THEY ARE EXPERIENCING A SHORT-TERM INJURY OR DRIVING RESTRICTION, OR THEY USE A WHEELCHAIR OR NEED ADDITIONAL ASSISTANCE AMBULATING THAN WHAT MIGHT BE AVAILABLE THROUGH A PUBLIC TRANSPORTATION OFFERING, WE ARE HAPPY TO HELP MAKE SURE THEY HAVE SAFE AND RELIABLE TRANSPORTATION. APPROPRIATE NUTRITION IS IMPORTANT TO THE HEALTH OF OUR COMMUNITY, THE MERITUS CARE TO SHARE BOXES ARE LOCATED THROUGHOUT OUR CAMPUS AND PROVIDE BOTH PERISHABLE AND NON-PERISHABLE FOOD. THE PROGRAM IS BASED ON GIVE WHAT YOU CAN AND TAKE WHAT YOU NEED. AN INCREASE OF COMMUNITY MEMBERS REPORTED THAT THEY WERE LONELY. WITH THE IMPLEMENTATION OF A 15-20 MINUTE CALL PER WEEK TO THOSE SELF-IDENTIFIED 95% OF PEOPLE RECEIVING A CALL STATED THEY FELT LESS LONELY IN 4 MONTHS.THE JOHN R MARSH HAS 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 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.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 INSPIRE OUR HEALTHCARE PROFESSIONALS TO GIVE BACK TO CAUSES NEAR TO THEIR HEARTS AND PROFESSIONS. DURING THE HOLIDAY SEASON, OUR PHYSICIANS AND TEAM MEMBERS MAKE AND DELIVER HOT MEALS TO AREA FAMILIES 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. INCLUDED IN THE SYSTEM ARE MERITUS HEALTHCARE FOUNDATION, INC., WHICH RAISES MONEY FOR MMC'S MEDICAL PROGRAMS, HEALTHCARE OBJECTIVES, SCIENTIFIC RESEARCH, EDUCATIONAL PROGRAMS, AND RELATED COMMUNITY ACTIVITIES, AND THE MSOM, INC., WHICH WAS ESTABLISHED TO OPERATE A SCHOOL OF OSTEOPATHIC MEDICINE. PART VI, LINE 7, REPORTS FILED WITH STATES MD 1 HSCRC NURSING GRANT 9 10156 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 808415 0 405000 0 22500 0 1042993 0 23361 0 2302269 0 0 0 DAVID LEHR CHIEF STRATEGY OFFICER 373623 0 107100 0 0 0 449825 0 22771 0 953319 0 0 0 MAHINUR KHAN MD PHYSICIAN 511071 0 339799 0 0 0 13725 0 17331 0 881926 0 0 0 JOSHUA REPAC CFO/TREASURER 348408 0 97200 0 0 0 394290 0 26932 0 866830 0 0 0 CARRIE ADAMS CHIEF OPERATING OFFICER 345856 0 102375 0 39741 0 347025 0 24896 0 859893 0 39741 0 VICTORIA GIFFI MD PHYSICIAN 485154 0 346212 0 0 0 14850 0 12185 0 858401 0 0 0 KIRANPREET KHOSA MD PHYSICIAN 694315 0 144003 0 0 0 11420 0 540 0 850278 0 0 0 GENTIAN TOSHKEZI MD PHYSICIAN 491489 0 150000 0 0 0 14850 0 249 0 656588 0 0 0 IJEOMA IFEANYI-NWANZE MD PHYSICIAN 511412 0 69457 0 0 0 14850 0 26139 0 621858 0 0 0 LYNN HAINES VP, LEGAL SERVICES/SECRETARY 249608 0 60071 0 5305 0 41606 0 24960 0 381550 0 0 0 THOMAS T CHAN FORMER CFO/TREASURER 0 0 35797 0 122549 0 26553 0 21 0 184920 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 $1,005,643 CARRIE ADAMS $333,326 JOSHUA REPAC $379,700 LYNN HAINES $23,626 DAVID LEHR $434,975 CARRIE ADAMS RECEIVED A 457F DISTRIBUTION OF $39,741. 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 38105000 272785232 252590353 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 $66,322. FORM 990, PART III, LINE 1 DESCRIPTION OF ORGANIZATION MISSION MISSION: TO 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 COMMITMENT 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 FY24, MMC'S PATIENT DAYS TOTALED 74,144, ADMISSIONS TOTALED 17,472, ER VISITS TOTALED 71,281, AND APPROXIMATELY 2 MILLION LABORATORY PROCEDURES WERE PERFORMED. IN ADDITION, THERE WERE 20,421 HOME HEALTH, 74,634 OUTPATIENT REHAB, 12,086 OUTPATIENT BEHAVIORAL HEALTH, AND 23,825 CANCER CENTER VISITS. MMC'S PHYSICIAN PRACTICES COMPLETED 167,326 PRIMARY CARE, 241,961 SPECIALTY CARE, AND 37,063 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 -OVER 149,000 POUNDS LOST AND OVER 7,500 REGISTERED USERS AND 50 EMPLOYERS. -$100K OF FOOD SUPPORT ANNUALLY. -15K+ FREE TRIPS ANNUALLY WITH MPC. -CONTINUED MERITUS CARE CALLER PROGRAM. HEALTHCARE -FOUR HARMS A MONTH, A 33% REDUCTION OVER 3 YEARS. -TRANSPARENT HEALTH EQUITY REPORT AND IMPROVEMENT. -HAPPY TO HELP CULTURE. JOY AT WORK -LEADERSHIP DIVERSITY. -IMPLEMENTED $20/HR MINIMUM WAGE. -RANKED AS A TOP EMPLOYER IN MARYLAND FOR THE 2ND TIME IN 3 YEARS. AFFORDABILITY -NUMBER 5 IN THE STATE IN EFFICIENCY. -SOLAR ENERGY AND COMBINED HEAT AND POWER - $12M COST AND 3.3MW PRODUCED. 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 4 IN APRIL 2024, MERITUS MEDICAL CENTER, INC. AMENDED ITS GOVERNING DOCUMENTS TO NAME MERITUS HEALTH INC. (MHI) AS THE CONTROLLING ENTITY/SOLE MEMBER OF MMC AND GRANTED CERTAIN AUTHORITY TO THE SOLE MEMBER AS OUTLINED BELOW. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS MHI, THE PARENT. MHI HAS THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS OF MMC ARE ELECTED BY THE BOARD OF DIRECTORS OF MHI, THE PARENT, AT THE ANNUAL MEETING OF THE MHI BOARD OF DIRECTORS. AT LEAST THREE (3) OF THE MEMBERS OF THE MMC BOARD SHALL BE COMPRISED OF INDIVIDUALS ALSO SERVING ON THE MHI BOARD. FORM 990, PART VI, SECTION A, LINE 7B MMC SHALL NOT, WITHOUT THE APPROVAL OF MHI, ITS PARENT: 1. ACQUIRE OR DISPOSE OF ANY REAL PROPERTY; 2. CHANGE MMC'S TAX-EXEMPT STATUS, CAUSE MMC TO BE CONVERTED INTO ANY FORM OF ENTITY OTHER THAN A NONPROFIT, NONSTOCK CORPORATION UNDER THE LAWS OF THE STATE OF MARYLAND, OR TAKE ANY ACTION THAT WOULD RESULT IN THE LOSS OF MMC'S TAX-EXEMPT STATUS; 3. APPROVE MMC'S ANNUAL BUDGET AND BUSINESS PLAN; 4. TAKE ANY ACTION THAT MATERIALLY DEVIATES FROM MMC'S ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI; 5. MODIFY THE TERMS OF ANY EXISTING INDEBTEDNESS OF MMC OR INCUR ANY NEW INDEBTEDNESS FROM A LENDER (EXCLUDING TRADE PAYABLES), OR GUARANTEE OR SECURE THE INDEBTEDNESS OF A THIRD PARTY, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS AND OTHER THAN INDEBTEDNESS SET FOR IN THE ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI; 6. LIQUIDATE, DISSOLVE OR WIND-UP THE BUSINESS AND AFFAIRS OF MMC, OR MAKE ANY ASSIGNMENT FOR THE BENEFIT OF THE CREDITORS OF MMC OR A SUBSIDIARY, FILE A VOLUNTARY PETITION IN BANKRUPTCY, OR APPOINT A RECEIVER FOR MMC OR A SUBSIDIARY, OR CONSENT TO ANY OF THE FOREGOING; 7. AMEND MMC'S ARTICLES OF INCORPORATION; 8. ENTER INTO ANY CONSOLIDATION, MERGER OR TRANSFER OF ASSETS AS SUCH ACTIONS ARE DESCRIBED IN SECTION 5-207 OF THE MARYLAND GENERAL CORPORATION LAW; 9. ENTER INTO, MATERIALLY AMEND OR MODIFY ANY AGREEMENT, CONTRACT, OR OTHER ARRANGEMENT, OR INCUR AN EXPENDITURE, WITH A VALUE OF GREATER THAN TWO MILLION DOLLARS ($2,000,000), OTHER THAN ANY AGREEMENT, CONTRACT OR OTHER ARRANGEMENT SET FORTH IN THE ANNUAL BUDGET AND BUSINESS PLAN THAT HAS BEEN APPROVED BY MHI. 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 FINANCE 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. AHMED 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 36,364,584. MANAGEMENT AND GENERAL EXPENSES 9,091,146. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,455,730. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 30,122,791. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,122,791. OTHER: PROGRAM SERVICE EXPENSES 15,584,373. MANAGEMENT AND GENERAL EXPENSES 3,896,093. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,480,466. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS HELD BY MERITUS HEALTHCARE FOUNDATION -2,634,191. EQUITY CAPITAL CONTRIBUTION TO MERITUS ENTERPRISES -4,739,912. 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