2025-05-14T10:46:27+00:00 2024-06-30 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-07-01 520591612 Frederick Health Hospital Inc FRED 2405663300 400 West Seventh Street Frederick MD 21701 Thomas A Kleinhanzl Member 2405663300 2025-05-14 true true Amy Bibby P00445891 8282542254 2025-05-13 2023 2025-03-06 01:10:19Z Thomas A Kleinhanzl 400 West Seventh Street Frederick MD 21701 457151989 false X www.frederickhealth.org X 1897 MD To positively impact the well-being of every individual in our community. 21 17 3406 367 317163 0 3994985 4809982 393938727 410118789 10215091 7935018 62851 2630172 408211654 425493961 0 0 0 0 217762456 219183849 36000 46000 705328 194463709 203860994 412262165 423090843 -4050511 2403118 646339373 665639021 361335102 386247922 285004271 279391099 X To positively impact the well-being of every individual in our community. false false 56237386 93218740 IN FY 2024, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 18,086 INPATIENTS AND OBSERVATION PATIENTS. MAJOR MEDICAL AND SURGICAL SERVICES INCLUDE CARDIOLOGY, CONGESTIVE HEART FAILURE, POST-CARDIAC CATHETERIZATION, CENTER FOR CHEST PAIN, HEMODIALYSIS, PERITONEAL DIALYSIS, NEUROLOGY, NEUROSURGERY, PULMONOLOGY, ONCOLOGY, ORTHOPEDICS, GENERAL MEDICINE AND SURGICAL CARE. INPATIENT CARE IS SUPPORTED BY A TEAM OF BOARD-CERTIFIED PHYSICIAN HOSPITALISTS. IN ADDITION, FHH IS DESIGNATED AS A PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS (MIEMSS) AND IS RECOGNIZED WITH THE STROKE CENTER GOLD PERFORMANCE AWARD BY THE AMERICAN HEART ASSOCIATION. OUR BARIATRIC SURGICAL PROGRAM IS ACCREDITED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AS A BARIATRIC SURGERY CENTER OF EXCELLENCE. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED HERE, FHH INCURRED $60.4 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 41125223 85949875 FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 8,619 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2024. PROCEDURES WERE PERFORMED IN OUR STATE OF THE ART FACILITY WHICH INCLUDES A DEDICATED IMAGING ROOM FOR VASCULAR AND OTHER PROCEDURES. WE HAVE PARTICIPATED IN THE SCIP QUALITY IMPROVEMENT PROJECT FOR CONTINUAL IMPROVEMENTS IN CARE FOLLOWING EVIDENCE BASED MEDICINE. WE TRACKED OUR PATIENT SATISFACTION THROUGH PRESS GANEY TO BENCHMARK OUR RESULTS TO THE NATIONAL DATA BASE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $60.4 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 19909823 32987259 FREDERICK HEALTH HOSPITAL'S CLINICAL LABORATORY PLAYS A VITAL ROLE ACROSS THE ENTIRE CONTINUUM OF HEALTH CARE BOTH WITHIN THE HOSPITAL AND THE COMMUNITY. CLINICAL LABORATORY TESTING HEAVILY IMPACTS CLINICAL DECISION MAKING BY PROVIDING PHYSICIANS, NURSES AND OTHER HEALTH CARE PROVIDERS WITH IMPORTANT INFORMATION NEEDED FOR THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF DISEASE. UP TO 85 PERCENT OF DIAGNOSIS AND TREATMENT DECISIONS ARE BASED ON LABORATORY RESULTS. LABORATORY TEST RESULTS COMPRISE ABOUT 70 PERCENT OF THE AVERAGE PATIENT'S MEDICAL RECORD. VIRTUALLY EVERY PRACTICING PHYSICIAN DEPENDS UPON THE CLINICAL LABORATORY FOR THE CARE OF HIS OR HER PATIENT. FREDERICK HEALTH HOSPITAL LABORATORY PERFORMED OVER 1.6 MILLION BILLABLE LABORATORY TESTS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED HERE, FHH INCURRED $60.4 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 244310469 199058393 OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN AND CHILDREN AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $60.4 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 244310469 199058393 361582901 true true false true false false false false true true false true true true false false true false false true false false true false false true true false false true true true false false false false false false true false false true false false false false true true true false false true 286 0 true 3406 true true true false false false false false false false false false true false X 21 17 false false false false true true true true true false true true true true true true true true true true true true MD X Hannah R Jacobs 2405663350 400 West Seventh Street Frederick MD 21701 Daryl Boffman Secretary 2.0 1.0 X X 0 0 0 Gordon Cooley Chairman 6.0 2.0 X X 0 0 0 Nikki Moberly Vice Charmian 2.0 2.0 X X 0 0 0 Richard H Ohnmacht Treasurer 2.0 1.0 X X 0 0 0 Thomas A Kleinhanzl President and CEO 45.0 6.0 X X 1211984 0 379796 Andrea Vaughan Director 0.0 1.0 X 0 0 0 Arthur Sagoskin MD Director 0.0 1.0 X 0 0 0 Daniela Mihova MD Vice Chief of Staff 0.0 1.0 X 0 0 0 David Brinkley Director 0.0 1.0 X 0 0 0 Denise Rollins PhD Director 0.0 1.0 X 0 0 0 George Littrell III Director 2.0 1.0 X 0 0 0 Gerrit Schipper MD Past Chief of Staff end 9/23 2.0 1.0 X 0 0 0 Harriet Brown Auxiliary President 0.0 1.0 X 0 0 0 James Plamondon Director 2.0 1.0 X 0 0 0 Jason Lee Director 1.0 1.0 X 0 0 0 Karlys Kline Director 2.0 1.0 X 0 0 0 Michele Ghim MD Chief of Staff 2.0 1.0 X 48840 0 0 Mihir Jani MD Past Chief of Staff start 10/23 40.0 2.0 X 0 571100 32417 Patricia Hanberry Director 2.0 1.0 X 0 0 0 Pierre Reed Dsc Director 0.0 1.0 X 0 0 0 Shuchi Sharma Director 2.0 2.0 X 0 0 0 Stephen Johnson Past Chairman 2.0 2.0 X 0 0 0 Hannah R Jacobs SVP and CFO 45.0 6.0 X 482490 0 69160 Brent L Purscelley AVP Ambulatory Services 40.0 X 218431 0 25324 Cheryl L Cioffi SVP COO 14.0 26.0 X 703846 0 77377 Christopher M Bumbaugh VP Human Resources 30.0 10.0 X 317338 0 30633 Diane M McFarland Chief Nursing Officer - End 7/30/23 40.0 X 208224 0 10644 Donald R Schilling VP Ambulatory Services 6.0 34.0 X 347866 0 29400 Heather R Kirby VP Integrated Care & CPHO 36.0 4.0 X 308019 0 31506 Jackie L Rice VP Chief Information Officer 33.0 7.0 X 353365 0 15647 James B Sherwood VP Business Dev And Strategy 40.0 X 326962 0 32417 James C Devlin AVP Finance 40.0 X 211536 0 27843 Jamie B White VP Qlty Assurance & Cqo 40.0 X 296612 0 20003 Kathy J Weishaar VP Medical Affairs & Cmo 40.0 2.0 X 346877 0 17458 Kristen B Fletcher VP Chief Compliance Officer 40.0 X 226341 0 11873 Leudvig Sardarian MD AVP Medical Affairs 40.0 X 211075 0 10554 Michael G Mclane Jr VP Support Svcs 40.0 X 244359 0 27039 Robin R Rose VP Development 40.0 X 206656 0 25536 Shawn Mccardell AVP Revenue Cycle 40.0 X 177735 0 25031 Shelby L Boggs AVP Clinical Int & Payor Contracting 40.0 X 248563 0 12999 Cherryl A Peterson Director Pharmacy 40.0 X 251871 0 26904 Dustin M Simonson Chief Physicist Supv 40.0 X 274397 0 29604 Joyce O Boateng Registered Nurse 40.0 X 260180 0 0 Mary A Mcdonald Medical Dir Hospice 4.0 36.0 X 339942 0 32417 Tamara L Kile Medical Director 40.0 X 291939 0 30945 8115448 571100 1032527 371 true true false GILBANE BUILDING CO 1215 E Fort Avenue Suite 100 baltimore MD 21230 Construction Services 15219766 TXTEAM REHAB INC 8910 Purdue Road Suite 700 indianapolis IN 46268 Rehabilitation Services 9583305 QUALIVIS 5930 Cornerstone Court West Suite san diego CA 92121 Staffing 6859679 USAP STIPENED PAYMENTS 12222 Merit Drive Suite 700 dallas TX 75251 Anesthesia Services 1805697 QUEST DIAGNOSTICS PO Box 740709 atlanta GA 30374 Laboratory Services 1668902 75 4809982 161027 4809982 INPATIENT REVENUE 624110 209705254 209705254 OUTPATIENT REVENUE 624110 191293639 191293639 ALL OTHER PROGRAM SERVICE 525990 4204963 4204963 COVID RELIEF FUNDS 900099 4914933 4914933 0 0 0 0 410118789 3190647 317163 2873484 1534694 1534694 0 1534694 1534694 36368707 33692 31658028 4710679 33692 4744371 4744371 CAFETERIA REVENUE 722511 1095478 1095478 0 0 0 0 1095478 425493961 411214267 317163 9152549 X 7657531 7657531 172825076 151214107 21333403 277566 6678525 5595482 1072772 10271 18792806 15884281 2879196 29329 13229911 11345107 1864728 20076 2028419 2028419 883268 883268 508382 508382 22000 22000 46000 46000 411756 411756 71295984 65652750 5630047 13187 1071527 82250 741729 247548 7546756 5584328 1950681 11747 15097037 14957138 139899 5762504 5588694 173810 62914 38615 24270 29 86882 53326 33516 40 7388361 6922894 450690 14777 28530400 20273699 8225380 31321 2065307 2065307 SUPPLIES & COGS 61099497 58390230 2705830 3437 0 0 0 0 423090843 361582901 60802614 705328 16061772 312262 4569636 3496554 65867619 81940928 0 0 8414116 7963816 6178875 6460634 692753287 429886850 269813857 262866437 171510402 183329547 0 40326329 41880204 63596767 77388639 646339373 665639021 71328462 88284083 229365591 226574232 0 10000000 6899685 50641049 64489922 361335102 386247922 X 277262963 273922317 7741308 5468782 285004271 279391099 646339373 665639021 X 2403118 10158086 -18174376 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 19195 19195 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND THE HOSPICE AND PALLIATIVE CARE NETWORK OF MARYLAND. 976177 976177 976177 976177 976177 976177 976177 976177 976177 976177 0.0 1.0 0.0 false false 2793774 2793774 351619774 160541950 191077824 22679704 18280243 4399461 301889052 251064657 50824395 13770983 13770983 262866437 INVESTMENTS IN SUBSIDIARIES 31078745 F ASSETS LIMITED AS TO USE 10801459 F 41880204 RIGHT OF USE ASSETS 17375150 INTERCOMPANY RECEIVABLES 46300516 OTHER ASSETS 13712973 77388639 Right of Use Liabilities 20335078 ADVANCES FROM THIRD PARTIES 21981868 AR CREDIT LIABILITY 4771000 MALPRACTICE LIABILITY 4766000 OTHER LIABILITIES 304000 DEFERRED COMP TRUST 4894614 LEASES - FINANCING 7437362 64489922 Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. Central America and the Caribbean 1 0 Investments 28149190 Central America and the Caribbean 1 0 Program Services SELF INSURANCE 6043664 2 0 0 0 2 0 34192854 0 34192854 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA X X X X X X true Pride Philanthropy 885 Woodstock rd roswell GA 30075 Dev CNSL SV SRVCS false 46000 0 46000 46000 0 46000 true true X true X true X 500 true true true false true true 5490100 5490100 0.0130 61259306 53244515 8014791 0.0189 0 0.0 0 0 66749406 53244515 13504891 0.0319 4981926 665817 4316109 0.0102 0 0.0 45934357 45934357 0.1086 701069 318073 382996 0.0009 85000 85000 0.0002 0 0 51702352 983890 50718462 0.1199 0 0 118451758 54228405 64223353 0.1518 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 9059941 679496 135350123 128073267 7276856 X true true 1 1 FREDERICK HEALTH HOSPITAL INC 400 WEST SEVENTH STREET FREDERICK MD 21701 WWW.FREDERICKHEALTH.ORG 10001 X X X FREDERICK HEALTH HOSPITAL INC 1 false false true X X X X X X X X X 22 true false true true X https://www.frederickhealth.org/DOCUMENTS/PAGE%20LINKS/COMMUNITY%20HEALTH/2 X true 22 true https://www.frederickhealth.org/DOCUMENTS/CHNA-IMPLEMENTATION-STRATEGY-FINA false true X 200.0 500.0 X X X true true X X X X true X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND THE FREDERICK COUNTY HEALTH DEPARTMENT. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH ISSUES. FREDERICK HEALTH HOSPITAL IS A FOUNDING MEMBER OF THE COALITION AND SERVES ON THE BOARD. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS, AND TO CONVENE INTERESTED PARTIES AND THE PUBLIC TO ESTABLISH A LOCAL HEALTH IMPROVEMENT PLAN TO ADDRESS THE TOP HEALTH PRIORITIES. A HEALTH IMPROVEMENT PRIORITY PLANNING SUMMIT WAS HELD ON JANUARY 19, 2022 WITH MORE THAN 140 COMMUNITY PARTICIPANTS. THE SUMMIT INCLUDED REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, BUSINESS, GOVERNMENT, ADVOCATES AND CITIZENS WHO PROVIDED INPUT INTO THE CHNA PRIORITIES. PARTICIPANTS INCLUDED: - HEALTH CARE (INCLUDING PROVIDERS OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES) - FREDERICK HEALTH, MISSION OF MERCY, MENTAL HEALTH ASSOCIATION OF FREDERICK COUNTY, CORELIFE, DANY INSTITUTE/CENTRAL EAST MENTAL HEALTH TECHNOLOGY GROUP, ENCOMPASS INTEGRATIVE WELLNESS, LLC, HOME CENTRIS PERSONAL CARE, SHEPPARD PRATT FREDERICK INSURANCE INDUSTRY - AETNA BETTER HEALTH OF MARYLAND, NCI/NIH, - LOCAL GOVERNMENT/LAW ENFORCEMENT - OFFICE OF THE FREDERICK COUNTY EXECUTIVE, FREDERICK COUNTY GOVERNMENT (INCLUDING CITIZENS & SENIOR SERVICES, HEALTH DEPARTMENT DEVELOPMENT CENTER, TRANSIT, FIRE AND RESCUE SERVICES, FAMILY PARTNERSHIP, CHILDREN AND FAMILIES), FREDERICK COUNTY COUNCIL, MARYLAND DEPARTMENT OF HEALTH, OFFICE OF SENATOR VANHOLLEN - SOCIAL SERVICES ORGANIZATIONS - FREDERICK CITY DEPARTMENT OF HOUSING AND HUMAN NEEDS (ALSO A FEDERALLY QUALIFIED HEALTH CENTER), FREDERICK COUNTY DEPARTMENT OF SOCIAL SERVICES - NONPROFIT ORGANIZATIONS - ASIAN AMERICAN CENTER OF FREDERICK, CHILDREN OF INCARCERATED PARENTS PARTNERSHIP, COMMUNITY COLLABORATION CENTER, CORE SERVICE AGENCY, THE FREDERICK CENTER, THE RANCH, WELLS HOUSE, YMCA OF FREDERICK COUNTY, COMMUNITY ENGAGEMENT AND CONSULTATIVE GROUP, FREDERICK COUNTY HEALTH CARE COALITION, GOLDEN MILE ALLIANCE, HEALTHCARE IS A HUMAN RIGHT FREDERICK CHAPTER, MARYLAND HUNGER SOLUTIONS, NIGERIAN IN FREDERICK, ON OUR OWN - EDUCATIONAL INSTITUTIONS - FREDERICK COUNTY PUBLIC SCHOOLS (INCLUDING NUTRITION SERVICES AND SCHOOL HEALTH COUNCIL), HOOD COLLEGE, UNIVERSITY OF MARYLAND EXTENSION SERVICE, FREDERICK COMMUNITY COLLEGE, GEORGE WASHINGTON UNIVERSITY, UNIVERSITY OF MARYLAND SPH HOROWITZ CENTER FOR HEALTH LITERACY, ZERO TO THREE - PHILANTHROPY - THE UNITED WAY OF FREDERICK COUNTY, THE COMMUNITY FOUNDATION OF FREDERICK, AUSHERMAN FAMILY FOUNDATION, HELEN J. SERINI FOUNDATION, LISTEN LOVE PRAY FOUNDATION, LOVE FOR LOCHLIN FOUNDATION, - BUSINESS - FREDERICK COUNTY CHAMBER OF COMMERCE, LEIDOS BIOMEDICAL RESEARCH, THE FREDERICK NEWS POST, RESTORATION FAMILY CHIROPRACTIC, ANALYTIC-COMMUNICATIONS LLC, CURA STRATEGIES, - RELIGIOUS ORGANIZATIONS - SETON CENTER NATIONAL ACADEMIES/QUINN CHAPEL AMC CHURCH, - SENIOR CARE- ADVOCATES FOR THE AGING IN FREDERICK COUNTY, FREDERICK COUNTY SENIOR SERVICES DIVISION, SENIOR SERVICES ADVISORY BOARD - COMMUNITY REPRESENTATIVES - GENERAL PUBLIC, FREDERICK NEWS POST, ONE FREDERICK COLLABORATIVE, DR. RACHEL MANDEL, SENIOR SERVICES ADVISORY BOARD, - SERVICE/CARE PROVIDERS - COMMUNITY LIVING, INC Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. THREE CHNA PRIORITIES WERE IDENTIFIED IN THE 2022 ASSESSMENT: - DIABETES - ADVERSE CHILDHOOD EXPERIENCES - MENTAL HEALTH FREDERICK HEALTH HOSPITAL HAS ADOPTED IMPLEMENTATION STRATEGIES AROUND THESE INITIATIVES, AS DESCRIBED BELOW. 1.DIABETES: THE GOALS ARE (1) TO INCREASE AWARENESS OF WHAT PRE-DIABETES AND DIABETES IS, INCLUDING MODIFIABLE RISK FACTORS, PARTICULARLY IN POPULATIONS EXPERIENCING A HEALTH DISPARITY, (2) INCREASE SCREENING FOR PRE-DIABETES RISK, ESPECIALLY IN PRIORITY POPULATIONS, TO REDUCE THE INCIDENCE OF DIABETES, (3) IMPROVE THE MANAGEMENT OF INDIVIDUALS WITH DIABETES, ESPECIALLY IN PRIORITY POPULATIONS, OR POPULATIONS EXPERIENCING A HEALTH DISPARITY. FREDERICK HEALTH'S IMPLEMENTATION STRATEGY INCLUDES: (1) CONDUCTING LISTENING SESSIONS AND GATHER INPUT FROM PRIORITY POPULATIONS, (2) PROVIDE HEALTH LITERACY TRAINING, (3) LAUNCH A PRE-DIABETES/DIABETES AWARENESS CAMPAIGN, (4) EDUCATE PROVIDERS AND COMMUNITY ORGANIZATIONS, ENGAGE THEM IN RECRUITMENT AND REFERRAL OF PATIENTS/CLIENTS TO PROGRAMS INCLUDING DIABETES PREVENTION AND DIABETES SELF-MANAGEMENT WORKSHOPS, (5) CONDUCT COOKING/MEAL PREP CLASSES, (6) CONDUCT AT LEAST ONE GROCERY STORE TOUR PER MONTH, (7) CONDUCT AT LEAST ONE 5K FUN RUN WITH WALKING OPTIONS. 2.ADVERSE CHILDHOOD EXPERIENCES: THE GOALS ARE (1) INCREASE AWARENESS REGARDING ACES - ALL SECTORS OF FREDERICK COUNTY WILL RECOGNIZE THE IMPACT OF TRAUMA ON HEALTH FROM PRECONCEPTION ONWARD AND PROVIDE OR SUPPORT SERVICES FOR RAISING HEALTHY CHILDREN IN SAFE, STABLE AND NURTURING ENVIRONMENTS (2) PREVENTION: ALL FREDERICK COUNTY RESIDENTS WILL HAVE ACCESS TO EVIDENCE BASED OR RESEARCH-INFORMED PROGRAMS, RESOURCES, INFORMATION, AND SKILLS TO RAISE HEALTHY CHILDREN IN SAFE, STABLE AND NURTURING ENVIRONMENTS (3) TREATMENT AND INTERVENTION: AN EQUITABLE COMMUNITY-WIDE SYSTEM FOR TRAUMA-INFORMED CARE PROVIDES ACCESSIBLE EVIDENCE-BASED TREATMENTS FROM TRAINED, KNOWLEDGEABLE, AND CULTURALLY LITERATE SPECIALIST IN ADEQUATE SUPPLY. FREDERICK HEALTH'S IMPLEMENTATION STRATEGY INCLUDES: (1) PROMOTE TRAININGS AND WORKSHOPS PROVIDING CMES AND CEUS AS ABLE, (2) PLAN AND IMPLEMENT THE FAMILY CONNECTS UNIVERSAL HOME VISITING PROGRAM, (3) COLLABORATE WITH THE ADVERSE CHILDHOOD EXPERIENCES WORKGROUP TO OUTREACH AND ENGAGE PEDIATRIC PRACTICES TO ENSUE KNOWLEDGE AND UNDERSTANDING OF ACES AND THE IMPORTANCE OF PREVENTION, TREATMENT AND INTERVENTION. 3.MENTAL HEALTH: THE GOALS ARE: (1) REDUCE THE NUMBER OF PEOPLE THAT DIE BY SUICIDE IN FREDERICK COUNTY, (2) REDUCE THE STIGMA ABOUT MENTAL HEALTH ISSUES AND SERVICES, (3) FREDERICK COUNTY RESIDENTS WILL BE ABLE TO ACCESS THE FULL CONTINUUM OF CULTURALLY COMPETENT, TRAUMA-INFORMED, HIGH QUALITY MENTAL HEALTH TREATMENT SERVICES IN A TIMELY MANNER, THROUGH AN INCREASED CAPACITY FOR MENTAL HEALTH PROFESSIONALS AND OTHER TRAINED SUPPORT PERSONS. FREDERICK HEALTH IMPLEMENTATION STRATEGY INCLUDES: (1) ACTIVELY ENGAGE IN SUICIDE PREVENTIONS COALITION, (2) COLLABORATE WITH THE LHIP WORKGROUP IN A SUSTAINABLE CAMPAIGN THAT REDUCES MENTAL HEALTH STIGMA THROUGH EDUCATION ABOUT THE IMPORTANCE OF NORMALCY OF MENTAL HEALTH NEEDS AND SERVICES, (3) PROVIDE EDUCATION FROM THE ANTI-STIGMA CAMPAIGN TO STAFF AND PATIENTS FROM A PERSONAL AND PROFESSIONAL PERSPECTIVE, (4) EXPLORE OPPORTUNITIES TO EXPAND BEHAVIORAL HEALTH AVAILABILITY AT THE COMPREHENSIVE CARE CENTER TO ASSIST WITH MEDICATION MANAGEMENT AND TO BRIDGE SERVICES TO COMMUNITY BASED MENTAL HEALTH PROVIDERS, (5) PROVIDE OPPORTUNITIES FOR COMMUNITY HEALTH WORKERS AND PEER RECOVERY SPECIALIST TO ASSIST PROVIDERS IN ALLEVIATING THE BARRIERS TO CARE AND ASSIST WITH ADDRESSING SOCIAL DETERMINANTS OF HEALTH, (6) EXPLORE PARTNERSHIPS WITH ORGANIZATIONS ENROLLED IN HRSA PROGRAMS THAT MAY PROVIDE OPPORTUNITIES FOR PAID INTERNSHIPS AND OR CREATE A PROFESSIONAL PIPELINE FOR INDIVIDUALS INTERESTED IN MENTAL HEALTH PROFESSIONS. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. STATE REGULATIONS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. FHH REVIEWS THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE COMMUNICATION METHODOLOGY WE EMPLOY ON A REGULAR BASIS TO MAKE SURE OUR PATIENTS HAVE EASY ACCESS TO THIS INFORMATION IN A VARIETY OF FORMATS AND THAT IT IS CULTURALLY AND LINGUISTICALLY SENSITIVE. WE REVIEW THE FAP TO MAKE SURE THE READING COMPREHENSION LEVEL IS APPROPRIATE FOR OUR AUDIENCE AND WE PROVIDE ENGLISH AND SPANISH VERSIONS TO MEET THE NEEDS OF OUR CBSA. WE HAVE SERVICES AVAILABLE TO PROVIDE ANY OTHER LANGUAGES WHEN NEEDED. THE FAP IS SHOWN ON OUR WEBSITE (HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIALASSISTANCE/) AND IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS AT TIME OF REGISTRATION IN THE HOSPITAL AND IN THE EMERGENCY DEPARTMENT. OUR BILLING STATEMENTS REFERENCE OUR FINANCIAL ASSISTANCE POLICY AND INCLUDE THE URL FOR THE ONLINE VERSION. THE BILLING STATEMENTS INCLUDE DETAILED EXPLANATION OF THE FAP. FHH PROVIDES ASSISTANCE TO OUR PATIENTS WHO NEED TO APPLY FOR GOVERNMENT BENEFITS WHEN APPROPRIATE. MOST COMMON EXAMPLES ARE "SELF-PAY" INPATIENTS WHO ADMIT THROUGH THE EMERGENCY DEPARTMENT AND PATIENTS WHO COME TO OUR PRENATAL CLINIC. WE HAVE A DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE ONSITE AT OUR PRENATAL CLINIC TO WORK DIRECTLY WITH THE PATIENTS. ALL PATIENTS RECEIVE THE PATIENT INFORMATION SHEET, AVAILABLE IN ENGLISH AND SPANISH, WHICH INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE. 0 FREDERICK HEALTH TOLL HOUSE 501 West Seventh Street Frederick MD 21701 OUTPATIENT HEALTH CARE FREDERICK HEALTH MOUNT AIRY 504 E Ridgeville Blvd Mount Airy MD 21771 OUTPATIENT HEALTH CARE FREDERICK HEALTH ROSEHILL 1562 Opposumtown Pike frederick MD 21702 OUTPATIENT HEALTH CARE FREDERICK HEALTH CRESTWOOD 7211 Bank Court Frederick MD 21703 OUTPATIENT HEALTH CARE FREDERICK HEALTH ASPEN RIDGE 163 Thomas Johnson Drive Suite A Frederick MD 21702 OUTPATIENT HEALTH CARE FREDERICK HEALTH URBANA 3430 Worthington BLVD Urbana MD 21704 OUTPATIENT HEALTH CARE FREDERICK HEALTH EMMITSBURG 16403 Old Emmitsburg RD Emmitsburg MD 21727 OUTPATIENT HEALTH CARE FREDERICK HEALTH LIBERTY 194 Thomas Johnson Dr Frederick MD 21702 OUTPATIENT HEALTH CARE Frederick health brunswick 1194 dutchmans creek drive brunswick MD 21716 OUTPATIENT HEALTH CARE Schedule H, Part V, Section B, Line 7 THE CHNA IS AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEM WEBSITE, THE FREDERICK COUNTY HEALTH DEPARTMENT WEBSITE, and the Coalition for a Healthier Frederick County website (formerly the Frederick County Health Care Coalition). FORUMS WERE CONDUCTED IN SEVERAL LOCATIONS WITHIN FREDERICK COUNTY TO REVIEW THE STUDY FINDINGS AND TO ADDRESS PUBLIC QUESTIONS. ADDITIONALLY, THE INTERIM CHNA REPORT WAS POSTED ON THE HEALTH SYSTEM AND FREDERICK COUNTY HEALTH DEPARTMENT WEBSITES FOR PUBLIC COMMENT PRIOR TO FINALIZATION. Schedule H, Part I, Line 3c The Organization offers financial assistance on a sliding scale for up to 500% of the FPL. Additionally, a patient could qualify for medical hardship assistance if their medical debt is 25% or great than their income. Schedule H, Part I, Line 6a THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION (COALITION) TO IDENTIFY HEALTH ISSUES IN FREDERICK COUNTY AND TO PROVIDE CRITICAL INFORMATION TO THOSE IN A POSITION TO TAKE POSITIVE STEPS THAT WILL IMPACT THE HEALTH OF AREA RESIDENTS. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION'S MISSION IS TO PROMOTE QUALITY HEALTH CARE IN FREDERICK COUNTY THROUGH COLLECTIVE IMPACT EFFORTS THAT ENGAGE LOCAL ORGANIZATIONS AND CITIZENRY. A CORE RESPONSIBILITY OF THE COALITION IS THE COMPLETION OF A PERIODIC ASSESSMENT THAT INFORMS AND ENGAGES THE COMMUNITY IN HEALTH IMPROVEMENT INITIATIVES. THE ASSESSMENT PROCESS IS REPEATED EVERY THREE YEARS TO REFLECT CHANGING LOCAL CONDITIONS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT VALUATION WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. WE ESTIMATE APPROXIMATELY 7.5% OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE CONTINUE OUR EFFORTS TO QUALIFY PATIENTS FOR FREE OR REDUCED CARE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. Schedule H, Part V, Section B, Line 16a FAP website - FREDERICK HEALTH HOSPITAL, INC.: Line 16a URL: HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - FREDERICK HEALTH HOSPITAL, INC.: Line 16b URL: HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - FREDERICK HEALTH HOSPITAL, INC.: Line 16c URL: HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT. THE HEALTH CARE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS USING APPROPRIATE PLANNING METHODOLOGIES AND SUBJECT MATTER EXPERTS TO GUIDE THE PLANNING PROCESS. THE CHNA PROCESS INCLUDED THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA TO UNDERSTAND THE HEALTH HABITS, PRIORITIES AND ACCESS TO CARE BARRIERS OF THE COMMUNITY AT LARGE, AND AMONG VULNERABLE AND HEALTH DISPARITY POPULATIONS WITHIN FREDERICK COUNTY. THE DATA COLLECTION PROCESS WAS DESIGNED TO SOLICIT INPUT FROM REPRESENTATIVE SAMPLES OF DEMOGRAPHICS, GEOGRAPHIC DISTRIBUTION AND TARGETED POPULATIONS. PUBLIC INPUT WAS OBTAINED THROUGH TWO FORMAL MECHANISMS - COMMUNITY SURVEY AND POPULATION-SPECIFIC FOCUS GROUPS. THE COMMUNITY SURVEY WAS CONDUCTED VIA WEB, WITH AN OPTION TO COMPLETE A WRITTEN SURVEY FOR THOSE WITHOUT INTERNET ACCESS. THE SURVEY CONSISTED OF 50 QUESTIONS, WHICH INCLUDED DEMOGRAPHICS, PERCEPTIONS OF COMMUNITY HEALTH STATUS, BARRIERS TO ACCESSING HEALTH CARE, OPPORTUNITIES TO INCREASE ACCESS TO HEALTH CARE, ENGAGEMENT WITH HEALTH CARE, PERSONAL HEALTH, AND EXPERIENCES WITH SOCIAL DETERMINANTS OF HEALTH. THE WEB SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH; WRITTEN SURVEYS WERE AVAILABLE IN ENGLISH, SPANISH. THE SELECTION OF LANGUAGE OPTIONS WAS BASED ON COUNTY DEMOGRAPHICS AS REPORTED TO LOCAL GOVERNMENT. PARTNER ORGANIZATIONS WERE ENGAGED TO PROMOTE THE SURVEY AND TO PROVIDE ASSISTANCE TO THOSE WHO HAD LITERACY OR LANGUAGE BARRIERS. PRESS RELEASES, AS WELL AS WEB AND SOCIAL MEDIA OUTLETS WERE ALSO UTILIZED TO PROMOTE THE SURVEY TO THE COMMUNITY, YIELDING A STATISTICALLY RELEVANT SAMPLE OF 4,094 RESPONSES. OVERALL, SURVEY RESPONDENTS REFLECTED THE RACIAL AND ETHNICITY COMPOSITION OF THE POPULATION OF FREDERICK COUNTY. FOUR FOCUS GROUPS WERE CONDUCTED ON POPULATIONS FOR WHICH THERE WAS HEALTH DISPARITY OUTCOME DATA. TWO OF THE FOCUS GROUP POPULATIONS WERE IDENTIFIED IN THE PRIOR CHNA AS HAVING ACCESS CONCERNS. THE FOCUS GROUPS INCLUDED AFRICAN AMERICAN WOMEN (PREGNANT/CHILDBEARING), HISPANIC/LATINO WOMEN, VULNERABLE NEIGHBORHOOD (BASED ON SOCIAL VULNERABILITY INDEX SCORES VIA CENSUS TRACT DATA), LOW-INCOME/ALICE SENIORS. THE GOAL OF THE FOCUS GROUPS WS TO UNDERSTAND THE TARGET POPULATIONS' HEALTH PRIORITIES AND UNDERLYING REASONS, IDENTIFY PERCEIVED/ACTUAL BARRIERS TO CARE, ASSESS POPULATION KNOWLEDGE OF PREVENTATIVE SCREENINGS AND SELF-CARE, UNDERSTAND THE RELATIONSHIP OF HEALTH LITERACY TO PERSONAL HEALTH MANAGEMENT, AND IDENTIFY UNIQUE CULTURAL BELIEFS OR BEHAVIORS THAT AFFECT HEALTH OUTCOMES AND HEALTH EQUITY. IN GENERAL, FOCUS GROUP PARTICIPANTS WERE LOWER INCOME, OLDER, AND OF POORER HEALTH THAN THE COMMUNITY POPULATION. FINALLY, A HEALTH EQUITY SURVEY WAS CONDUCTED TO CAPTURE FURTHER INFORMATION ON POTENTIAL VULNERABLE OR OTHER SUB-POPULATIONS IN THE COMMUNITY FOR WHICH HEALTH OUTCOME DATA WAS LIMITED. EIGHT RESPONDENTS PARTICIPATED IN THE HEALTH EQUITY SURVEY WITH INSIGHTS ON ACCESS TO CARE AND SUGGESTIONS FOR IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. THE ADVOCATES REPRESENTED ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED), DISABLED, HISPANIC, HOMELESS, LBGTQ, SENIORS AND YOUTH POPULATIONS. Schedule H, Part VI, Line 4 Community information FREDERICK HEALTH HOSPITAL'S SERVICE AREA IS DEFINED IN A WRITTEN AGREEMENT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION, THE DESIGNATED STATE ENTITY CHARGED WITH OVERSIGHT OF COMMUNITY BENEFIT. THE SERVICE AREA IS DETERMINED BASED ON HISTORICAL FACILITY UTILIZATION BY ZIP CODE. THE SERVICE AREA DEFINITION FOR FREDERICK HEALTH HOSPITAL IS ALL ZIP CODES IN FREDERICK COUNTY. THEREFORE, FOR CHNA PLANNING PURPOSES, FREDERICK COUNTY IS THE POPULATION SERVED. Schedule H, Part VI, Line 5 Promotion of community health DURING FY 2023, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: (TAKEN FROM THE FY 2023 HSCRC COMMUNITY BENEFIT REPORT) - CARE TRANSITIONS PROGRAM - THIS PROGRAM PROVIDES INTENSIVE COMMUNITY-BASED CARE MANAGEMENT SERVICES TO INDIVIDUALS WITH CHRONIC CONDITIONS AND THOSE WITH LIMITED ACCESS TO CARE, LOW HEALTH LITERACY AND OTHER SOCIAL DETERMINANTS OF HEALTH TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE INDIVIDUAL HEALTH STATUS. BY PROVIDING INFRASTRUCTURE TO SUPPORT SOME OF THE MOST CHRONICALLY ILL, FRAGILE AND SOCIALLY COMPLEX PATIENT POPULATIONS, HOSPITAL READMISSION RATES CAN BE REDUCED. HISTORICALLY, THESE PATIENTS RECEIVED LITTLE OR NO GUIDANCE RELATIVE TO FOLLOW-UP WITH PHYSICIANS, FILLING AND TAKING THEIR PRESCRIBED MEDICATIONS, AND MAKING APPOINTMENT FOR OTHER SERVICES. PATIENTS IDENTIFIED AS HIGH EMERGENCY DEPARTMENT UTILIZERS, AND/OR PATIENTS RETURNING TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE MEET WITH AN RN OR SOCIAL WORK CASE MANAGER IN AN EFFORT TO UNDERSTAND WHY THEY HAVE RETURNED TO THE HOSPITAL FOR CARE. AN INDIVIDUALIZED COMPREHENSIVE POST DISCHARGE PLAN IS CREATED TO MEET THE SPECIFIC PATIENT NEEDS. THE SERVICES OFTEN INCLUDE FINANCIAL SUPPORT OF MEDICATIONS, TRANSPORTATION AND VARIOUS OTHER MEDICAL AND SOCIAL SUPPORT SERVICES IN THE COMMUNITY. THE HEALTH CARE TEAM PROVIDING SERVICES TO THESE INDIVIDUALS CONSISTS OF REGISTERED NURSES, SOCIAL WORKERS, PHARMACISTS, DIETITIANS AND A NURSE PRACTITIONER. - FAMILY CONNECTS FREDERICK COUNTY UNIVERSAL HOME VISITING PROGRAM - Frederick Health implemented the Family Connects Frederick County Universal Home Visiting Program, which is an evidence-based intervention to reduce ACEs (Adverse Childhood Experiences) and improve maternal child health outcomes overall. The model offers a visit at home with an experienced nurse to all families with newborns about three weeks after a baby's arrival - at no charge to the family. Nurses conduct a comprehensive assessment across the domains of maternal, infant, and parent wellbeing as well as a safe home. Families are connected to services to meet the needs they identify during the visit. Nurses can visit families up to 3 times and stay in touch with families as needed for 12 weeks. Frederick Health conducted 3 internal training sessions for Frederick Health staff; Conducted 4 training sessions for community partners, completed 1,026 visits and successfully completed over 2,300 post visit connections to community services/resources. - DIABETES - FREDERICK HEALTH PROVIDED PREDIABETES AND DIABETES SCREENING AT A VARIETY OF LOCAL EVENTS. SUCCESSFULLY TRAINED A TOTAL OF 22 DPP (CDC DIABETES PREVENTION PROGRAM COACHES) AND LAUNCHED 8 SEPARATE DIABETES PREVENTION PROGRAM COHORTS (IN ENGLISH AND SPANISH). FREDERICK HEALTH SUCCESSFULLY LAUNCHED A PROVIDER REFERRAL PROCESS AND ESTABLISHED PATIENT REGISTRIES TO SUPPORT NAVIGATION EFFORTS. BEHAVIORAL HEALTH SCREENINGS WERE INTEGRATED INTO THE REFERRAL PROCESS AND WE EXPANDED OUR COMMUNITY HEALTH WORKER WORKFORCE TO SUPPORT TARGETED OUTREACH TO COMMUNITIES EXPERIENCING A HEALTH DISPARITY. - PHYSICIAN SUBSIDIES - FREDERICK HEALTH HOSPITAL CONTRACTS FOR HOSPITAL-BASED PHYSICIANS COVERAGE FOR SPECIALIZED CARE. CONTRACTED SERVICES INCLUDE INTENSIVE CARE, OBSTETRICAL/LABOR CARE, NEONATAL INTENSIVE CARE NEUROLOGY/STROKE CARE, INPATIENT PEDIATRICS, PEDIATRIC OPHTHALMOLOGY, ANESTHESIA, EMERGENCY MEDICINE AND INTERVENTIONAL CARDIOLOGY. THE DEMAND FOR THESE SERVICES CANNOT BE MET BY PROVIDERS IN THE FREDERICK COMMUNITY, AS THERE ARE NO COMMUNITY BASED PROVIDERS. - THERE IS AN INSUFFICIENT NUMBER OF PRIMARY CARE PROVIDERS IN FREDERICK COUNTY WHO CARE FOR PATIENTS THAT REQUIRE ACUTE CARE SERVICES. THE MAJORITY OF PRIMARY CARE PHYSICIANS IN THE COMMUNITY DO NOT MAINTAIN HOSPITAL PRIVILEGES; THEREFORE, THE HOSPITAL CONTRACTS FOR HOSPITALIST SERVICES FOR RESIDENTS WHO REQUIRE ACUTE CARE DIAGNOSIS AND MANAGEMENT. - FREDERICK HEALTH HOSPITAL ALSO CONTRACTS WITH SPECIALTY PROVIDERS TO PROVIDE EMERGENCY CARE COVERAGE ON A 24/7 BASIS. CONTRACTUAL SERVICES INCLUDES ANESTHESIOLOGY, BARIATRIC SURGERY, CARDIOLOGY, ENT, GASTROENTEROLOGY, GENERAL DENTISTRY, GENERAL SURGERY, HEMATOLOGY/ONCOLOGY, INTERVENTIONAL CARDIOLOGY, NEPHROLOGY, NEUROLOGY, OPHTHALMOLOGY, ORAL/MAXILLO FACIAL, ORTHOPEDICS, PEDIATRICS, PLASTIC SURGERY, PULMONARY MEDICINE, UROLOGY, VASCULAR SURGERY AND NEUROSURGERY. WITHOUT SUBSIDIES FROM THE ORGANIZATION TO COMPENSATE PROVIDERS FOR THIS COVERAGE, MEDICAL PRACTICES WOULD NOT BE ABLE TO RECRUIT A SUFFICIENT NUMBER OF PERSONNEL TO PROVIDE COVERAGE TO THE EMERGENCY DEPARTMENT. Schedule H, Part VI, Line 6 Affiliated health care system FREDERICK HEALTH HOSPITAL, INC. ('FHH') IS A PRIVATE, NON-STOCK, NOT-FOR-PROFIT 501(C)(3) MARYLAND CORPORATION ORGANIZED IN 1897. AS OF JULY 1, 2011, FREDERICK HEALTH, INC. ( F.K.A. FREDERICK REGIONAL HEALTH SYSTEM) BECAME THE PARENT CORPORATION UNDER WHICH THE ENTITIES DESCRIBED BELOW EXIST AND OPERATE. FREDERICK HEALTH, INC. IS GOVERNED BY a 21 MEMBER BOARD OF DIRECTORS. THE BOARD MEETS MONTHLY, WITH ELECTION OF OFFICERS AND MEMBERS OCCURRING AT THE SEPTEMBER MEETING. MUCH OF THE BOARD'S WORK IS ACCOMPLISHED THROUGH STANDING COMMITTEES, INCLUDING THE EXECUTIVE, FINANCE, GOVERNANCE, EXECUTIVE COMPENSATION, JOINT CONFERENCE (WITH MEDICAL STAFF), PLANNING, AND HOSPITAL PERFORMANCE REVIEW COMMITTEES. FREDERICK HEALTH HOSPITAL IS A 314-BED ACUTE CARE HOSPITAL LOCATED IN FREDERICK, MARYLAND, APPROXIMATELY 50 MILES WEST OF BALTIMORE AND 45 MILES NORTHWEST OF WASHINGTON D. C. THE HOSPITAL OPENED IN 1902 AND IS CURRENTLY THE ONLY ACUTE CARE HOSPITAL IN FREDERICK COUNTY AND THE ONLY ACUTE CARE HOSPITAL WITHIN A 25-MILE RADIUS OF THE CITY OF FREDERICK. THE MAIN CAMPUS OF THE HOSPITAL IS LOCATED ON AN APPROXIMATELY 15.85-ACRE SITE IN FREDERICK, MARYLAND. THE TOTAL SQUARE FOOTAGE OF THE HOSPITAL IS APPROXIMATELY 596,000 SQUARE FEET. FHH'S HOSPIT.AL-BASED AND OFF-SITE OUTPATIENT SERVICES ACCOUNT FOR OVER 385,000 VISITS ANNUALLY INCLUDING HOME HEALTH SERVICES, WHICH MAKES APPROXIMATELY 39,000 VISITS PER YEAR. FREDERICK HEALTH HOSPITAL, INC. PROVIDES A FULL RANGE OF ACUTE CARE SERVICES INCLUDING: MEDICINE, SURGERY, OBSTETRICS, GYNECOLOGY, PEDIATRICS, INTENSIVE CARE, CORONARY CARE, INTERVENTIONAL CARDIOLOGY, PRIMARY STROKE PROGRAM, WOUND CARE, JOINT REPLACEMENT PROGRAM, CYBERKNIFE RADIOSURGERY CENTER, PSYCHIATRIC CARE, MEDICAL FITNESS, WELLNESS PROGRAM/CENTER AND EMERGENCY SERVICES. IN ADDITION, FREDERICK HEALTH HOSPITAL, INC. PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES, INCLUDING: EMERGENCY MEDICINE, OUTPATIENT SURGERY, HOME HEALTH, RADIATION THERAPY, MRI, PET AND CT SCANNING, MEDICAL ONCOLOGY, AND COMPREHENSIVE WOMEN'S SERVICES. THROUGH THE SATELLITE LOCATIONS AND OUTPATIENT CENTERS, THE HEALTH SYSTEM PROVIDES: URGENT CARE, LABORATORY, DIAGNOSTIC RADIOLOGY, AMBULATORY SURGERY, VASCULAR IMAGING, REHABILITATION SERVICES, PAIN AND PALLIATIVE CARE. X X X X X false true false false false false false false false Thomas A Kleinhanzl President and CEO 935282 0 273348 0 3354 0 363879 0 15917 0 1591780 0 0 0 Mihir Jani MD Past Chief of Staff start 10/23 0 489655 0 80893 0 552 0 16500 0 15917 0 603517 0 0 Hannah R Jacobs SVP and CFO 403189 0 77507 0 1794 0 55960 0 13200 0 551650 0 0 0 Shelby L Boggs AVP Clinical Int & Payor Contracting 223949 0 21260 0 3354 0 12470 0 529 0 261562 0 0 0 Christopher M Bumbaugh VP Human Resources 271146 0 42838 0 3354 0 14716 0 15917 0 347971 0 0 0 Cheryl L Cioffi SVP COO 614354 0 88322 0 1170 0 61460 0 15917 0 781223 0 0 0 James C Devlin AVP Finance 192387 0 15795 0 3354 0 10854 0 16989 0 239379 0 0 0 Kristen B Fletcher VP Chief Compliance Officer 194783 0 30388 0 1170 0 11344 0 529 0 238214 0 0 0 Heather R Kirby VP Integrated Care & CPHO 268647 0 37578 0 1794 0 15589 0 15917 0 339525 0 0 0 Shawn Mccardell AVP Revenue Cycle 163133 0 13432 0 1170 0 8042 0 16989 0 202766 0 0 0 Diane M McFarland Chief Nursing Officer - End 7/30/23 207063 0 0 0 1161 0 7153 0 3491 0 218868 0 0 0 Michael G Mclane Jr VP Support Svcs 212220 0 30969 0 1170 0 10268 0 16771 0 271398 0 0 0 Brent L Purscelley AVP Ambulatory Services 196903 0 18174 0 3354 0 9625 0 15699 0 243755 0 0 0 Jackie L Rice VP Chief Information Officer 304124 0 44093 0 5148 0 15271 0 376 0 369012 0 0 0 Robin R Rose VP Development 171794 0 31508 0 3354 0 10575 0 14961 0 232192 0 0 0 Leudvig Sardarian MD AVP Medical Affairs 198569 0 11726 0 780 0 10554 0 0 0 221629 0 0 0 Donald R Schilling VP Ambulatory Services 292195 0 45765 0 9906 0 15274 0 14126 0 377266 0 0 0 James B Sherwood VP Business Dev And Strategy 274245 0 50923 0 1794 0 16500 0 15917 0 359379 0 0 0 Kathy J Weishaar VP Medical Affairs & Cmo 303111 0 42596 0 1170 0 11329 0 6129 0 364335 0 0 0 Jamie B White VP Qlty Assurance & Cqo 259369 0 35449 0 1794 0 13666 0 6337 0 316615 0 0 0 Dustin M Simonson Chief Physicist Supv 273321 0 524 0 552 0 13687 0 15917 0 304001 0 0 0 Cherryl A Peterson Director Pharmacy 234693 0 16662 0 516 0 12778 0 14126 0 278775 0 0 0 Mary A Mcdonald Medical Dir Hospice 331150 0 8240 0 552 0 16500 0 15917 0 372359 0 0 0 Tamara L Kile Medical Director 272435 0 18472 0 1032 0 13956 0 16989 0 322884 0 0 0 Joyce O Boateng Registered Nurse 260180 0 0 0 0 0 0 0 0 0 260180 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan FREDERICK HEALTH HOSPITAL HAS ONE 457(F) NON QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE AS FOLLOWS: THOMAS A. KLEINHANZL $324,879 CHERYL L. CIOFFI $28,172 Hannah Jacobs - $40,658 A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A 520936091 57421CAD6 2020-06-25 62645000 SEE PART VI false false false B MHHEFA 2022 Bonds 520936091 2022-07-01 93550100 SEE PART VI false false false C MHHEFA Series 2023 Bonds 520936091 57421CEV1 2023-06-29 73740742 SEE PART VI false false false A 65768798 1159217 40000000 24890857 2022 true false false true B 3550000 93550100 93550100 false true true true C 73740742 15585740 58152002 2026 true true false true A false false false false 0.0 0.0 0.0 false false false B false true true true true false 0.0106 0.0 0.0106 false false false C false true true true true true 0.0016 0.0 0.0016 false false true A false true false false false false false true true B false false false false false false false false true C false true false false false false false false false A true B true C false Schedule K, Part I, Column (a) Issuer Name: MD Health and Higher Education Facilities Authority A: Revenue Bonds, Frederick Health System Issue, Series 2020 B: Revenue Bond, Frederick Health System Issue, 2022 C: Revenue Bonds, Frederick Health System Issue, Series 2023 D: Revenue Bond, Frederick Memorial Health Issue (2017B) Schedule K, Part I, Column (f) Description of Purpose A: Series 2020 Bonds - Fund new capital projects and refinance the Issuer's 2017A Bonds. B: 2022 Bonds - Refund the conduit borrower's taxable note, the proceeds of which were used to refinance the Issuer's 2012A Bonds. C: Series 2023 Bonds - Fund new capital projects, refinance a portion of the Issuer's 2017B Bonds, and refinance a portion of the conduit borrower's taxable Line of Credit Agreement. D: 2017B: Fund new capital projects and refinance the Issuer's 2012B Bonds. Lee building Maintence Inc Owned by board member - Jason Lee 1680083 payments for services provided to FHH false X 5 161027 Market value 0 false false false Form 990, Part III, Line 4d Description of other program services (Expenses $ 244,310,469 including grants of $)(Revenue $ 199,058,393) OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN AND CHILDREN AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $60.4 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. Form 990, Part VI, Line 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER, FREDERICK HEALTH, INC., HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK HEALTH HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER, FREDERICK HEALTH, INC., MUST APPROVE THE INCURRENCE OF DEBT IF SUCH DEBT EXCEEDS A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, CAPITAL EXPENDITURES EXCEEDING A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, THE DECISION TO DISSOLVE OR LIQUIDATE, THE CREATION OF A SUBSIDIARY, AND AMENDMENTS TO THE BYLAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE FREDERICK HEALTH HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK HEALTH HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT https://www.frederickhealth.org/documents/FY24-Frederick-Health-Inc.-and-Subsidiaries_24-23.pdf Form 990, Part IX, Line 11g Other Fees CONTRACT SERVICES - Total Expense: 32232226, Program Service Expense: 28125971, Management and General Expenses: 4093812, Fundraising Expenses: 12443; PROFESSIONAL FEES - Total Expense: 21293020, Program Service Expense: 20426904, Management and General Expenses: 866116, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 10207753, Program Service Expense: 10207753, Management and General Expenses: , Fundraising Expenses: ; OTHER EXPENSES - Total Expense: 7562985, Program Service Expense: 6892122, Management and General Expenses: 670119, Fundraising Expenses: 744; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances INTERCOMPANY LOAN FORGIVENESS - -26033000; ASSETS RELEASED FROM RESTRICTIONS - 4647000; JOINT VENTURE INCOME - 3267348; RESTRICTED GIFTS, BEQUESTS & CONTRIBUTIONS - -55724; Form 990, Part XII, Line 2c Change of oversight process or selection process The process has not changed since the prior year. FREDERICK HEALTH HOSPICE INC 400 West Seventh Street Frederick MD 21701 521164513 HOSPICE CARE MD 501(c)(3) 10 Frederick Health Hospital Inc true FREDERICK HEALTH INC 400 West Seventh Street Frederick MD 21701 454133096 HEALTH SYSTEM MD 501(c)(3) Type II NA false Frederick Health Medical Group LLC 400 West Seventh Street Frederick MD 21701 453001639 PHYSICIAN ORG MD 501(c)(3) 7 Frederick Health Inc true Frederick Health Services Corporation 400 West Seventh Street Frederick MD 21701 521851661 Health Care MD NA C Corporation true Monocacy Insurance LTD PO Box 1159 Grand Cayman CJ KY11 981011570 SELF INSURANCE CJ NA C Corporation true false false true false false false false false false true true false false false true false true true true FREDERICK HEALTH HOSPICE INC S 692258 Cash FREDERICK HEALTH HOSPICE INC O 376307 Direct Costing FREDERICK HEALTH MEDICAL GROUP LLC Q 99244702 Direct Costing FREDERICK HEALTH MEDICAL GROUP LLC S 45470000 Cash FREDERICK HEALTH MEDICAL GROUP LLC J 2804924 FMV FREDERICK HEALTH MEDICAL GROUP LLC O 916987 Direct Costing FREDERICK HEALTH SERVICES CORP K 332568 FMV FREDERICK HEALTH SERVICES CORP S 160042 FMV FREDERICK HEALTH VILLAGE LLC Q 606581 Direct Costing FREDERICK HEALTH INC S 2900000 Cash FREDERICK HEALTH INC O 1827417 Direct Costing FREDERICK HEALTH INC Q 50001 Direct Costing FREDERICK HEALTH INC R 1669956 Cash MONOCACY INSURANCE LTD C 50000 Cash