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FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202201369349314125
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T16:13:35-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 NORTH FRANKLIN ST STE 2400AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591612EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Frederick Health Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% HANNAH R JACOBSInCareOfNm
Business Name ControlFREDBusinessNameControlTxt
Phone2405663000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST SEVENTH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE MAHANPersonNm
Person TitleCFOPersonTitleTxt
Phone2405663350PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHELLEPersonFirstNm
Person LastMAHANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELANIE A MCPEAKPreparerPersonNm
Phone8132254800PhoneNum
Preparation2022-05-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS A KLEINHANZLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST SEVENTH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$502,718,569GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FREDERICKHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee3061TotalEmployeeCnt
Total Volunteers329TotalVolunteersCnt
Total Gross UBI$672,816TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,909,204PYContributionsGrantsAmt
CY Contributions Grants$14,123,721CYContributionsGrantsAmt
PY Program Service Revenue$359,487,890PYProgramServiceRevenueAmt
CY Program Service Revenue$401,077,347CYProgramServiceRevenueAmt
PY Investment Income$4,334,685PYInvestmentIncomeAmt
CY Investment Income$23,432,513CYInvestmentIncomeAmt
PY Other Revenue$573,479PYOtherRevenueAmt
CY Other Revenue$41,288CYOtherRevenueAmt
PY Total Revenue$377,305,258PYTotalRevenueAmt
CY Total Revenue$438,674,869CYTotalRevenueAmt
PY Grants And Similar Paid$50,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$177,525,717PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$194,650,075CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$58,500PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$36,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$522,563CYTotalFundraisingExpenseAmt
PY Other Expenses$179,127,119PYOtherExpensesAmt
CY Other Expenses$189,822,978CYOtherExpensesAmt
PY Total Expenses$356,761,336PYTotalExpensesAmt
CY Total Expenses$384,509,053CYTotalExpensesAmt
PY Revenues Less Expenses$20,543,922PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$54,165,816CYRevenuesLessExpensesAmt
Total Assets BOY$636,115,056TotalAssetsBOYAmt
Total Assets EOY$696,031,572TotalAssetsEOYAmt
Total Liabilities BOY$382,167,934TotalLiabilitiesBOYAmt
Total Liabilities EOY$368,824,007TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$253,947,122NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$327,207,565NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$40,949,876ExpenseAmt
Grant$0GrantAmt
Revenue$78,940,644RevenueAmt
DescADULT INPATIENT SERVICES IN FY 2021, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 17,143 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 $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$31,055,412ExpenseAmt
Grant$0GrantAmt
Revenue$69,019,134RevenueAmt
DescPERIOPERATIVE SERVICES FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 8,594 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2021. 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 $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$24,822,122ExpenseAmt
Grant$0GrantAmt
Revenue$49,840,428RevenueAmt
DescCLINICAL LABORATORY 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 including 150,000 COVID-19 PCR tests.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$232,269,387TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$202,290,201TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$329,096,797TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document296IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3061EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHANNAH R JACOBSPersonNm
Phone2405663350PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST SEVENTH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas A Kleinhanzl
PRESIDENT AND CEO40.08.0Yes (X)Yes (X)$1,365,568$0$367,705
Michelle K Mahan
SR VP AND CFO40.06.0Yes (X)$807,351$0$83,054
Manuel A Casiano
SVP POPULATION HEALTH14.026.0$540,819$0$67,362Yes (X)
Cheryl L Cioffi
SVP COO14.026.0$493,126$0$67,968Yes (X)
Mihir Jani MD
DIRECTOR/PHYSICIAN2.040.0Yes (X)$0$482,351$29,171
Mary A Mcdonald
Medical Dir Hospice4.036.0$360,316$0$29,710Yes (X)
Mary D Barton
VP-BUSINESS DEVELOP. & STRAT.30.010.0$332,675$0$19,072Yes (X)
Christopher M Bumbaugh
VP HUMAN RESOURCES30.010.0$321,952$0$28,352Yes (X)
Donald R Schilling
VP AMBULATORY SERVICES6.034.0$321,221$0$27,857Yes (X)
Jackie L Rice
VP Chief Information Officer33.07.0$307,819$0$13,928Yes (X)
Jennifer G Teeter
VP CLINICAL INTEGRATION16.024.0$294,285$0$25,331Yes (X)
Kathy J Weishaar
VP Medical Affairs & CMO40.02.0$282,587$0$22,962Yes (X)
Heather R Kirby
VP Integrated Care & CPHO36.04.0$278,641$0$25,364Yes (X)
Tamara L Kile
Medical Director40.00.0$274,961$0$26,691Yes (X)
Hannah R Jacobs
VP FINANCE33.07.0$275,949$0$23,026Yes (X)
Diane M McFarland
Chief Nursing Officer40.00.0$282,238$0$13,139Yes (X)
Craig F Rosendale
VP & Chief Compliance Officer40.00.0$265,102$0$24,316Yes (X)
Dustin M Simonson
Chief Physicist Supv40.00.0$244,325$0$28,857Yes (X)
Jamie B White
VP Quality Assurance & CQO40.00.0$241,776$0$16,150Yes (X)
Michael G Mclane Jr
VP SUPPORT SVCS33.07.0$224,071$0$24,184Yes (X)
Carlos T Graveran
DIRECTOR OF HOSPICE24.016.0$220,127$0$22,378Yes (X)
Robin R Rose
VP DEVELOPMENT40.00.0$199,549$0$25,143Yes (X)
Changan Xie
Rad Oncology Medical Phys40.00.0$206,220$0$10,686Yes (X)
GERRIT SCHIPPER MD
DIRECTOR/physician2.00.0Yes (X)$6,313$0$0
ALLEN D MAWDSLEY
Director2.02.0Yes (X)$0$0$0
Cornelius Fay
Director (ended 9/30/20)2.00.0Yes (X)$0$0$0
DARYL BOFFMAN
Director2.00.0Yes (X)$0$0$0
Debra Borden
Director (ended 9/30/20)2.00.0Yes (X)$0$0$0
Douglas Stauffer
Director2.02.0Yes (X)$0$0$0
ELIZABETH PAKENAS
SECRETARY/TREASURER2.02.0Yes (X)Yes (X)$0$0$0
Gerald Winnan MD
DIRECTOR (ended 9/30/20)1.03.0Yes (X)$0$0$0
Gordon Cooley
DIRECTOR2.00.0Yes (X)$0$0$0
HONORABLE STEPHEN JOHNSON
VICE CHAIRMAN2.01.0Yes (X)Yes (X)$0$0$0
J Frederick Manning
CHAIRMAN1.02.0Yes (X)Yes (X)$0$0$0
KARLYS KLINE
DIRECTOR2.00.0Yes (X)$0$0$0
Kaschit Pandya
DIRECTOR2.00.0Yes (X)$0$0$0
Laura Melia
DIRECTOR (ended 9/30/20)2.04.0Yes (X)$0$0$0
MANO KOILPILLAI
DIRECTOR2.00.0Yes (X)$0$0$0
Nancy Newmister
DIRECTOR2.00.0Yes (X)$0$0$0
NIKKI MOBERLY
DIRECTOR2.00.0Yes (X)$0$0$0
PATRICIA HANBERRY
DIRECTOR2.00.0Yes (X)$0$0$0
Patricia L Ray
DIRECTOR4.00.0Yes (X)$0$0$0
Terrence McPherson
DIRECTOR (ended 9/30/20)2.00.0Yes (X)$0$0$0
THOMAS MUNRO MD
VC OF STAFF/physician5.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,146,991TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$482,351TotReportableCompRltdOrgAmt
Total Other Compensation$1,022,406TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K224IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TXTEAM REHAB INC
9101 WESLEYAN RD SUITE 100INDIANAPOLISIN46268REHAB SERVICES$8,511,619
SOUND PHYSICIANS
PO BOX 742936LOS ANGELESCA90074PHYSICIAN SERVICES$3,947,504
QUEST DIAGNOSTICS
PO BOX 740709ATLANTAGA30374LABORATORY SERVICES$2,674,467
BLACKTREE HEALTHCARE CONSULTING
ONE FAYETTE STREET SUITE 425CONSHOHOCKENPA19428REVENUE CYCLE MGMT$1,202,884
CRITICAL CARE ASSOCIATES LLC
10711 RED RUN BLVD SUITE 101OWINGS MILLSMD21117PHYSICIAN SERVICES$1,169,458
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
Government Grants$12,361,067GovernmentGrantsAmt
All Other Contributions$1,762,654AllOtherContributionsAmt
Noncash Contributions$43,576NoncashContributionsAmt
Total Contributions$14,123,721TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INPATIENT REVENUE624110$214,408,049$214,408,049$0$0
OUTPATIENT REVENUE621410$184,025,918$184,025,918$0$0
ALL OTHER PROGRAM SERVICE525990$2,643,380$2,643,380$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$401,077,347TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,016,125TotalRevenueColumnAmt
Unrelated Business Revenue$672,816UnrelatedBusinessRevenueAmt
Exclusion$3,343,309ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,028,228RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,028,228RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,028,228TotalRevenueColumnAmt
Exclusion$1,028,228ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$76,443,870SecuritiesAmt
Other$7,016,218OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$61,967,194SecuritiesAmt
Other$2,076,506OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,476,676SecuritiesAmt
Other$4,939,712OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,416,388TotalRevenueColumnAmt
Exclusion$19,416,388ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA REVENUE722511$756,531$756,531$0$0
LOSSES INTEREST RATE SWAP900099-$1,743,471-$1,743,471$0$0
FieldValueIRS element (for citing)
Other Revenue Total-$986,940OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$438,674,869TotalRevenueColumnAmt
Related Or Exempt Func Income$400,090,407RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$672,816UnrelatedBusinessRevenueAmt
Exclusion$23,787,925ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,151,695TotalAmt
Program Services$0ProgramServicesAmt
Management And General$7,151,695ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$151,374,742TotalAmt
Program Services$132,062,059ProgramServicesAmt
Management And General$19,112,964ManagementAndGeneralAmt
Fundraising$199,719FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,650,430TotalAmt
Program Services$6,373,269ProgramServicesAmt
Management And General$1,267,523ManagementAndGeneralAmt
Fundraising$9,638FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,108,908TotalAmt
Program Services$14,250,691ProgramServicesAmt
Management And General$2,836,649ManagementAndGeneralAmt
Fundraising$21,568FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,364,300TotalAmt
Program Services$9,719,305ProgramServicesAmt
Management And General$1,630,394ManagementAndGeneralAmt
Fundraising$14,601FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,400,609TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,364,609ManagementAndGeneralAmt
Fundraising$36,000FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,094,789TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,094,789ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$530,851TotalAmt
Program Services$0ProgramServicesAmt
Management And General$530,851ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$21,890TotalAmt
Program Services$0ProgramServicesAmt
Management And General$21,890ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$36,000TotalAmt
Fundraising$36,000FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$468,774TotalAmt
Program Services$0ProgramServicesAmt
Management And General$468,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$60,849,685TotalAmt
Program Services$54,596,419ProgramServicesAmt
Management And General$6,253,266ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,282,309TotalAmt
Program Services$40,165ProgramServicesAmt
Management And General$1,101,593ManagementAndGeneralAmt
Fundraising$140,551FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,936,168TotalAmt
Program Services$7,118,891ProgramServicesAmt
Management And General$1,798,544ManagementAndGeneralAmt
Fundraising$18,733FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,201,840TotalAmt
Program Services$11,004,995ProgramServicesAmt
Management And General$196,759ManagementAndGeneralAmt
Fundraising$86FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,253,126TotalAmt
Program Services$6,197,049ProgramServicesAmt
Management And General$56,077ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,973TotalAmt
Program Services$21,013ProgramServicesAmt
Management And General$13,263ManagementAndGeneralAmt
Fundraising$697FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$48,296TotalAmt
Program Services$29,019ProgramServicesAmt
Management And General$18,315ManagementAndGeneralAmt
Fundraising$962FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,154,346TotalAmt
Program Services$4,829,622ProgramServicesAmt
Management And General$314,415ManagementAndGeneralAmt
Fundraising$10,309FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,667,229TotalAmt
Program Services$19,803,716ProgramServicesAmt
Management And General$6,840,136ManagementAndGeneralAmt
Fundraising$23,377FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,399,192TotalAmt
Program Services$5,136ProgramServicesAmt
Management And General$2,394,056ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescSUPPLIES AND COGSDesc
Total$63,478,901TotalAmt
Program Services$63,045,448ProgramServicesAmt
Management And General$423,131ManagementAndGeneralAmt
Fundraising$10,322FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$384,509,053TotalAmt
Program Services$329,096,797ProgramServicesAmt
Management And General$54,889,693ManagementAndGeneralAmt
Fundraising$522,563FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$82,862,545BOYAmt
EOY$85,593,365EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,425,589BOYAmt
EOY$5,084,476EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,957,167BOYAmt
EOY$60,383,921EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,171,648BOYAmt
EOY$8,157,015EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,257,017BOYAmt
EOY$4,809,768EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$621,592,254LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$380,675,969LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$233,427,189BOYAmt
EOY$240,916,285EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$169,326,844BOYAmt
EOY$190,454,663EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$51,317,774BOYAmt
EOY$41,335,598EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$32,369,283BOYAmt
EOY$59,296,481EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$636,115,056BOYAmt
EOY$696,031,572EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,075,187BOYAmt
EOY$57,701,830EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,839,613BOYAmt
EOY$113,909,588EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$93,875,000BOYAmt
EOY$93,875,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120,378,134BOYAmt
EOY$103,337,589EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$382,167,934BOYAmt
EOY$368,824,007EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$246,269,549BOYAmt
EOY$317,424,195EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,677,573BOYAmt
EOY$9,783,370EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$253,947,122BOYAmt
EOY$327,207,565EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$636,115,056BOYAmt
EOY$696,031,572EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$54,165,816ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$23,022,758NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$3,928,131OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$21,890OtherActivitiesAmt
Total Lobbying Expenditures$21,890TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationEXPENSE 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,793,774OtherCostOrOtherBasisAmt
Book Value$2,793,774BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$274,512,094OtherCostOrOtherBasisAmt
Depreciation$126,895,794DepreciationAmt
Book Value$147,616,300BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,430,438OtherCostOrOtherBasisAmt
Depreciation$18,566,023DepreciationAmt
Book Value$10,864,415BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$292,045,684OtherCostOrOtherBasisAmt
Depreciation$235,214,152DepreciationAmt
Book Value$56,831,532BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,810,264OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$22,810,264BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$240,916,285TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS IN SUBSIDIARIES$20,087,086F
ASSETS LIMITED AS TO USE$21,248,512F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$41,335,598TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
RIGHT OF USE ASSETS$16,839,205
RETROSPECTIVE INSURNCE PREMIUM$8,693,949
INTERCOMPANY RECEIVABLES$33,763,327
FieldValueIRS element (for citing)
Total Book Value Other Assets$59,296,481TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
RIGHT OF USE LIABILITIES$21,089,400
ADVANCES FROM THIRD PARTIES$64,039,742
PENSION LIABILITY$360,143
INTEREST RATE SWAP$7,665,796
AR CREDIT LIABILITY$3,637,000
MALPRACTICE LIABILITY$3,709,997
OTHER LIABILITIES$2,835,511
FieldValueIRS element (for citing)
Total Liability$103,337,589TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIntended use of endowment fundsFormAndLineReferenceDesc
ExplanationSCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean1Investments$28,844,034
Central America and the Caribbean1Program Services$4,295,423SELF INSURANCE
FieldValueIRS element (for citing)
Subtotal Offices2SubtotalOfficesCnt
Total Office2TotalOfficeCnt
Subtotal Spent$33,139,457SubtotalSpentAmt
Total Spent$33,139,457TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonPRIDE PHILANTHROPYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1885 WOODSTOCK ROADAddressLine1Txt
CityROSWELLCityNm
State AbbreviationGAStateAbbreviationCd
ZIP300752374ZIPCd
FieldValueIRS element (for citing)
ActivityDEV CNSL SV SRVCSActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Retained By Contractor$36,000RetainedByContractorAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$36,000TotalRetainedByContractorsAmt
Licensed StatesMDLicensedStatesCd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,826,790TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,826,790NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,181,873TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,025,008DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,156,865NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,008,663TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,025,008DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,983,655NetCommunityBenefitExpnsAmt
Total Expense0.02860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,483,275TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$493,522DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,989,753NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,503TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,503NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,211,842TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,211,842NetCommunityBenefitExpnsAmt
Total Expense0.03960TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$413,876TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$91,721DirectOffsettingRevenueAmt
Net Community Benefit Expns$322,155NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$128,675TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$128,675NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,250,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$585,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,664,928NetCommunityBenefitExpnsAmt
Total Expense0.05110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,258,834TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,610,251DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,648,583NetCommunityBenefitExpnsAmt
Total Expense0.07970TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$10,349,696BadDebtExpenseAmt
Bad Debt Expense Attributable$776,227BadDebtExpenseAttributableAmt
Reimbursed By Medicare$142,021,720ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$129,988,376CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$12,033,344MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FREDERICK HEALTH HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST SEVENTH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.FREDERICKHEALTH.ORGWebsiteAddressTxt
State License10001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FREDERICK HEALTH HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INPUT FROM COMMUNITY REPRESENTATIVESSCHEDULE H, PART V, SECTION B, LINE 5 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 THREE FORMAL MECHANISMS - COMMUNITY SURVEY, POPULATION-SPECIFIC FOCUS GROUPS AND ADVOCATES FOR HEALTH EQUITY FORUM. THE COMMUNITY SURVEY WAS CONDUCTED VIA WEB, WITH AN OPTION TO COMPLETE A WRITTEN SURVEY FOR THOSE WITHOUT INTERNET ACCESS. THE SURVEY CONSISTED OF 30 QUESTIONS, WHICH INCLUDED DEMOGRAPHICS, PERCEPTIONS OF COMMUNITY HEALTH STATUS, ACCESS TO HEALTH CARE, PERSONAL HEALTH CONDITION, EXERCISE AND HEALTHY EATING HABITS AND HEALTH SCREENING & PREVENTION BEHAVIORS. THE WEB SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH; WRITTEN SURVEYS WERE AVAILABLE IN ENGLISH, SPANISH AND VIETNAMESE. 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 1657 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 RESIDENTS, SPANISH SPEAKING RESIDENTS, NORTHERN FREDERICK COUNTY RESIDENTS AND HOMELESS/LOW INCOME RESIDENTS. THE GOAL OF THE FOCUS GROUP WAS TO GAIN INSIGHT ON HOW TO MORE EFFECTIVE PREVENT OR DELIVERY SERVICES/INTERVENTIONS WHICH WOULD REDUCE HEALTH DISPARITIES. FOCUS GROUP PARTICIPANTS WERE RECRUITED BY PARTNER ORGANIZATIONS THAT PROVIDE DIRECT SERVICES OR SUPPORT THE TARGET POPULATION. 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 V, SECTION B, LINE 6BTHE 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 15, 2019 WITH MORE THAN 120 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) - BROOK LANE HEALTH SERVICES, MISSION OF MERCY, CONTINUUM RECOVERY CENTER, MENTAL HEALTH ASSOCIATION OF FREDERICK COUNTY, MARYLAND HEROIN AWARENESS ADVOCATES - LOCAL GOVERNMENT/LAW ENFORCEMENT - OFFICE OF THE FREDERICK COUNTY EXECUTIVE, FREDERICK COUNTY GOVERNMENT (INCLUDING CITIZENS SERVICES, FIRE AND RESCUE SERVICES, FAMILY PARTNERSHIP, CHILDREN AND FAMILIES, SUSTAINABILITY AND ENVIRONMENTAL RESOURCES, PARKS AND RECRECREATION) AND FREDERICK COUNTY SHERIFF - SOCIAL SERVICES ORGANIZATIONS - FREDERICK COMMUNITY ACTION AGENCY (ALSO A FEDERALLY QUALIFIED HEALTH CENTER), FREDERICK COUNTY DEPARTMENT OF SOCIAL SERVICES - NONPROFIT ORGANIZATIONS - ASIAN AMERICAN CENTER OF FREDERICK, BOYS & GIRLS CLUB OF FREDERICK, CHILDREN OF INCARERATED PARENTS PARTNERSHIP, COMMUNITY COLLABORATION CENTER, CORE SERVICE AGENCY, THE FREDERICK CENTER, THE RANCH, WELLS HOUSE, YMCA OF FREDERICK COUNTY - EDUCATIONAL INSTITUTIONS - FREDERICK COUNTY PUBLIC SCHOOLS, HOOD COLLEGE, STUDENT HOMELESS INTIIATIVE PARTNERSHIP, UNIVERSITY OF MARYLAND EXTENSION SERVICE - PHILANTROPHY - THE UNITED WAY OF FREDERICK COUNTY, THE COMMUNITY FOUNDATION OF FREDERICK, HOPE FOUNDATION, ZETA PHI BETA SORORITY, DELTA SIGMA THETA SORORITY - BUSINESS - FREDERICK COUNTY CHAMBER OF COMMERCE, LEIDOS BIOMEDICAL RESEARCH, MASTERS SPECIALTY PHARMACY, THE FREDERICK NEWS POST, RESTORATION FAMILY CHIROPRACTIC - RELIGIOUS ORGANIZATIONS - SETON CENTER, THE RELIGIOUS COALITION FOR EMERGENCY NEEDS, THE CHURCH OF THE NAZARENE, CROSSED BRIDGES, - SENIOR CARE- ADVOCATES FOR THE AGING IN FREDERICK COUNTY, FREDERICK COUNTY SENIOR SERVICES DIVISION, SENIOR SERVICES ADVISORY BOARD - COMMUNITY REPRESENTATIVES - EAST FREDERICK RISING, GIRLS ON THE RUN MID-MARYLAND, AND GENERAL PUBLIC.
SCHEDULE H, PART V, SECTION B, LINE 7AYES, THE CHNA IS WIDELY AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEM WEBSITE (HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/CONTENT/2019-FREDERICK-COUNTY-C HNA-FINAL-5.1.19.PDF), FREDERICK COUNTY HEALTH DEPARTMENT WEBSITE AND LIVEWELL FREDERICK, A COMMUNITY HEALTH WEBSITE. PUBLIC 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 V, SECTION B, LINE 10A HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/CONTENT/FMH-CHNA-IMPLEMENTATION- STRATEGY-SIGNED-9-24-19.PDF
SCHEDULE H, PART V, SECTION B, LINE 11THREE CHNA PRIORITIES WERE IDENTIFIED IN THE 2019 ASSESSMENT: - CHRONIC CONDITIONS - BEHAVIORAL HEALTH - ADVERSE CHILDHOOD EXPERIENCES AND INFANT HEALTH FREDERICK HEALTH HOSPITAL HAS ADOPTED IMPLEMENTATION STRATEGIES AROUND THESE INITIATIVES, AS DESCRIBED BELOW. STRATEGIES RELATED TO CHRONIC CONDITIONS FOCUS ON TWO TARGET OPPORTUNITIES: 1. CHRONIC DISEASE SCREENING IN DISPARITY COMMUNITIES. THE GOAL IS TO INCREASE EARLY SCREENING IN POPULATIONS EXPERIENCING A HEALTH DISPARITY TO REDUCE THE INCIDENCE OF, AND MORTALITY FROM, CHRONIC DISEASES. ACTIVITIES PLANNED TO MEET THIS GOAL ARE TO INCREASE THE NUMBER OF PERSONS SCREENED AND TREATED FOR COLORECTAL CANCER AND HYPERTENSION; ENGAGE PROVIDERS AT COMMUNITY AWARENESS EVENTS; AND, INCREASE LONG TERM PREVENTIVE FOLLOW-UP RATES IN DISPARITY COMMUNITIES. 2. HEALTHY EATING AND LIVING PRACTICES. THE GOAL OF THIS INITIATIVE IS TO REDUCE UNHEALTHY BEHAVIORS AND INCREASE HEALTHY BEHAVIOR CHOICES AS EVIDENCED BY THE 2020 YOUTH RISK BEHAVIOR SURVEY (YRBS) IN FREDERICK COUNTY. TO MEET THIS OBJECTIVE FREDERICK COUNTY YOUTH AND FAMILIES WILL DEMONSTRATE HEALTHY EATING AND BEHAVIOR PRACTICES BY PARTICIPATING IN ACTIVITIES OFFERED THROUGH LIVEWELL FREDERICK'S 5-2-10 PROGRAM. ESTABLISHMENT OF EFFECTIVE, TARGETED RESPONSES TO BEHAVIORAL HEALTH NEEDS THROUGH IMPLEMENTATION OF DATA DRIVEN PLANNING AND TREATMENT PROCESSES WAS THE FOCUS OF COLLABORATIVE EFFORTS BETWEEN FREDERICK HEALTH HOSPITAL AND ITS COMMUNITY PARTNERS. AN AREA OF FOCUS SPECIFIC TO FREDERICK HEALTH HOSPITAL WAS IMPLEMENTING A MEDICATION ASSISTED TREATMENT (MAT) PROTOCOL FOR OPOID USE DISORDER IN THE EMERGENCY DEPARTMENT. EFFORTS TO ESTABLISH THIS PROTOCOL INCLUDED DEVELOPMENT OF PATIENT SCREENING TOOLS TO GUIDE TREATMENT WITH BUPRENOPHRINE(SUBOXONE) AND TO ESTABLISH RELEATIONSHIPS WITH COMMUNITY TREATMENT PROGRAMS TO CONTINUE THE THERAPY ONCE THE INDIVIDUAL IS DISCHARGED BACK INTO THE COMMUNITY. UNFORTUNATELY, DUE TO THE COVID PANDEMIC FHH WAS UNABLE IMPLEMENT THIS STRATEGY. PROMOTION OF HEALTH PRACTICES TO DIMINISH ADVERSE CHILDHOOD EVENTS (ACES) WAS THE FOCUS OF THE FINAL IMPLEMENTATION STRATEGY. ACTIVITIES WERE DESIGNED TO ESTABLISH A BASELINE AWARENESS OF CHILDHOOD TRAUMA AND ITS LIFELONG EFFECT ON THE INDIVIDUAL IN THE HEALTH COMMUNTIY. EARLY INTERVENTION MEASURES DESIGNED TO DIMINISH THE PREVALENCE OF CHILDHOOD TRAUMA INCLUDED THE ESTABLISHMENT OF A FACILITATED PERINATAL MOOD DISORDER SUPPORT GROUP AT FREDERICK HEALTH HOSPITAL. POST PARTUM WOMEN WHO WERE IDENTIFIED AS AT RISK FOR DEVELOPING PREGNANCY RELATED MENTAL HEALTH DISORDERS WERE INVITED TO PARTICIPATE IN THIS ACTIVITY (PLACED ON HOLD IN 2021 DUE TO THE PANDEMIC). IN ADDITION TO DECREASING THE FREQUENCY OF CHILDHOOD TRAUMA IN CHILDREN BORN TO THESE MOTHERS, IT ALSO SUPPORTS SUICIDE PREVENTION, AN IDENTIFIED BEHAVIORAL HEALTH NEED. FREDERICK HEALTH HOSPITAL ALSO SUPPORTS INFANT HEALTH THROUGH A COLLABORATION WITH OUR COMMUNITY PARTNERS AT THE FREDERICK COUNTY HEALTH DEPARTMENT IN A PROJECT TO IMPLEMENT UNIVERSAL NEWBORN HOME VISITS FOR ALL INFANTS RESIDING IN FREDERICK COUNTY. OTHER SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THIS PROCESS INCLUDED BREAST AND ORAL CANCERS, MELANOMA, HIV, SEXUALLY TRANSMITTED INFECTIONS, AND ALCOHOL AND TOBACCO USE. THESE HEALTH ISSUES WERE NOT SELECTED AS HEALTH PRIORITIES FOR THE LOCAL HEALTH IMPROVEMENT PLAN, WHICH IS THE COMMUNITY-WIDE IMPLEMENTATION PLAN ASSOCIATED WITH THE CHNA. HOWEVER, FREDERICK HEALTH HOSPITAL DOES PROVIDE DIAGNOSIS AND TREATMENT OF PATIENTS WITH CANCER, HIV, SEXUALLY TRANSMITTED DISEASE AND ALCOHOL AND SUBSTANCE EMERGENCY DETOXIFICATION. IN ADDITION, THE HOSPITAL OFFERS SMOKING CESSATION CLASSES AND ACCESS TO NICOTINE RELACEMENT THERAPY TO DIMINISH TOBACCO USE.
SCHEDULE H, PART V, SECTION B, LINE 13HSTATE REGULATIONS.
SCHEDULE H, PART V, SECTION B, LINE 16Ahttps://www.frederickhealth.org/documents/content/Financial-Assistance-Pol icy-FN-100.pdf
SCHEDULE H, PART V, SECTION B, LINE 16Bhttps://www.frederickhealth.org/documents/content/FrederickHealth_FA_327a. pdf
SCHEDULE H, PART V, SECTION B, LINE 16Chttps://www.frederickhealth.org/documents/content/Financial-Assistance_08_ 20_Web.pdf
SCHEDULE H, PART V, SECTION B, LINE 16JFHH 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-financial-assistance/) 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.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
FREDERICK HEALTH TOLL HOUSE
501 WEST SEVENTH STREETFREDERICKMD21701OUTPATIENT HEALTH CARE
FREDERICK HEALTH MOUNT AIRY
504 E RIDGEVILLE BLVDMOUNT AIRYMD21771OUTPATIENT HEALTH CARE
FREDERICK HEALTH ROSEHILL
1562 OPPOSUMTOWN PIKEFREDERICKMD21702OUTPATIENT HEALTH CARE
FREDERICK HEALTH CRESTWOOD
7211 BANK COURTFREDERICKMD21703OUTPATIENT HEALTH CARE
FREDERICK HEALTH ASPEN RIDGE
163 THOMAS JOHNSON DRIVE SUITE AFREDERICKMD21702OUTPATIENT HEALTH CARE
FREDERICK HEALTH URBANA
3430 WORTHINGTON BLVDURBANAMD21704OUTPATIENT HEALTH CARE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceCriteria for Determining eligibility for free or discounted careFormAndLineReferenceDesc
ExplanationSCHEDULE H, PART I, LINE 3C IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $25,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT. UP TO $150,000 OF PRIMARY RESIDENCE EQUITY IS EXEMPT FROM CONSIDERATION. COMMUNITY BENEFIT REPORT - RELATED ORGANIZATION SCHEDULE H, PART I, LINE 6 THE 2019 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. Text of bad debt expense footnote SCHEDULE H, PART III, LINE 4 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. Medicare Costing Methodology SCHEDULE H, PART III, LINE 8 MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS. Application of Collection Practices to those Qualifying for Financial Assistance SCHEDULE H, PART III, LINE 9B PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 THE CHNA PLANNING PROCESS WAS LED BY AN AD-HOC PLANNING COMMITTEE COMPRISED OF HEALTH CARE COALITION BOARD MEMBERS AND SENIOR STAFF FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT. THIS GROUP HAD OVERSIGHT RESPONSIBILITY FOR THE CHNA PROCESS AND REVIEWED THE PLANNING COMPONENTS AS THEY WERE ACCOMPLISHED. ADDITIONALLY, A CHNA DATA SUB-COMMITTEE WAS FORMED TO CONDUCT THE DETAILED DATA ANALYSIS, WHICH WAS THEN REPORTED TO THE CHNA PLANNING COMMITTEE. THE 2019 CHNA INCLUDED COLLATION OF DATA FROM PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) SOURCES. FOUR INPUTS WERE IDENTIFIED FOR INCLUSION IN THE DATA ANALYSIS. THREE OF THE INPUTS PROVIDE INSIGHTS ABOUT THE PERSPECTIVE AND PRIORITY OF HEALTH ISSUES AND SOCIAL DETERMINANTS BY THE FREDERICK COUNTY POPULATION. THE FOURTH INPUT INCLUDES HEALTH OUTCOME INDICATORS GATHERED FROM RELIABLE PUBLIC RESOURCES, AND WHERE POSSIBLE, INCLUDES DATA ON HEALTH DISPARITIES. THE CHNA PROCESS BEGAN WITH A COMMUNITY SURVEY AVAILABLE TO ANY ADULT (OVER 18 YEARS OF AGE) FREDERICK COUNTY RESIDENT. THE SURVEY WAS DESIGNED TO ASSESS RESPONDENTS' PERSONAL HEALTH STATUS, HEALTH RISK BEHAVIORS, AND PREVENTIVE HEALTH PRACTICES. THE SURVEY WAS DISTRIBUTED IN THREE PRIMARY LANGUAGES USED BY COUNTY RESIDENTS. THE NEXT STEP IN THE CHNA PROCESS FOCUSED ON INPUT FROM VULNERABLE AND KNOWN HEALTH DISPARITY POPULATIONS AS GATHERED VIA FOUR FOCUS GROUPS. THE FOCUS GROUPS WERE CONDUCTED BY A QUALITATIVE RESEARCH FIRM AND THE GOAL WAS TO DELVE DEEPER INTO HEALTH BEHAVIORS AND ACCESS ISSUES IN THE TARGETED POPULATIONS, IN ORDER TO LEARN HOW TO MORE EFFECTIVELY TAILOR SERVICES AND INTERVENTIONS THAT WILL RESULT IN A REDUCTION IN HEALTH DISPARITIES. FINALLY, A HEALTH EQUITY SURVEY WAS DEVELOPED TO IDENTIFY ISSUES AND OPPORTUNITIES IN COUNTY POPULATIONS FOR WHICH THERE WAS INSUFFICIENT DATA. THE ADVOCATES REPRESENTED ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED), DISABLED, HISPANIC, HOMELESS, LGBTQ, SENIORS, AND YOUTH POPULATIONS. SECONDARY DATA WAS GATHERED ON 45 HEALTH INDICATORS. THE DATA WAS SOURCED FROM FEDERAL AND STATE VITAL STATISTICS, HEALTH REPORTS AND DATABASES. HEALTH OUTCOME DATA WAS REVIEWED FOR THE MOST RECENT TIME PERIOD, AS WELL AS TRENDS OVER TIME THAT WOULD INDICATE CHANGES IN CONDITION. THE QUALITATIVE AND QUANTITATIVE INFORMATION COLLECTIVELY INFORMS LOCAL ADVOCACY EFFORTS AND CAN BE USED FOR PROGRAM PLANNING. COMMUNITY SURVEY AND SECONDARY DATA WERE COMPILED FOR THE PRIORITIZATION COMPONENT OF THE CHNA PROCESS. A MODIFIED PRIORITIZATION MATRIC METHOD WAS USED FOR PRIORITIZATION OF THE DATA ACROSS SEVERAL CRITERIA IN ORDER TO NARROW DOWN THE INFORMATION INTO THE TOP HEALTH CONCERNS. THE INFORMATION WAS ALSO SYNTHESIZED INTO A CONSUMER-FRIENDLY PRESENTATION FOR PUBLIC INPUT THROUGH A LOCAL HEALTH SETTING SUMMIT. SUMMIT PARTICIPANTS, REPRESENTING MORE THAN 120 ORGANIZATIONS AND PUBLIC, NARRROWED DOWN THE HEALTH CONCERNS INTO THE TOP THREE PRIORITIES, OF WHICH TWO WERE CONTINUATIONS OF PRIOR CHNA PRIORITIES. THE CHNA PROCESS DID INCLUDE A REVIEW OF FOUR OTHER RECENT COMMUNITY ASSESSMENTS. THE ASSESSMENTS INCLUDED THE COUNTY COMPREHENSIVE PLAN, A REGIONAL REPORT ON HEALTH INEQUITY, A HUMAN SERVICES ASSESSMENT AND COUNTY ECONOMIC ASSESSMENT. FINDINGS AND ISSUES EMPHASIZED IN THESE ASSESSMENTS WERE SIMILAR TO CONCERNS EXPRESSED BY THE PUBLIC IN THE CHNA PROCESS. THESE ASSESSMENTS WERE CONSIDERED MOST USEFUL FOR THE COMMUNITY HEALTH PRIORITY WORKGROUPS AS THEY IDENTIFY TARGET POPULATIONS AND DESIGN IMPLEMENTATION STRATEGIES. SCHEDULE H, PART VI, LINE 4 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. FREDERICK HEALTH HOSPITAL INC. IS THE ONLY HOSPITAL IN FREDERICK COUNTY. PATIENT ORIGIN DATA INDICATE THAT THE HOSPITAL SERVES ALL GEOGRAPHIC LOCATIONS WITHIN FREDERICK COUNTY. THE MOST VULNERABLE POPULATIONS (AS IDENTIFIED BY INCOME AND OTHER SOCIAL DETERMINANT INDICATORS) IS LOCATED IN FREDERICK CITY, WHICH IS IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE IMMEDIATE AREA ADJACENT TO THE HOSPITAL'S PHYSICAL LOCATION IS A MEDICALLY UNDERSERVED AREA AS DESIGNATED BY HRSA. THE SECONDARY SERVICE AREA INCLUDES ADDITIONAL VULNERABLE POPULATIONS IN THE NORTHERN (THURMONT) AND SOUTHERN (BRUNSWICK) AREAS OF FREDERICK COUNTY. UNITED STATES CENSUS BUREAU AND MARYLAND VITAL STATISTICS PROVIDE A DEMOGRAPHIC PROFILE OF FREDERICK COUNTY RESIDENTS AS OF JULY 1, 2019: - POPULATION OF 259,547 - 50.7% OF RESIDENTS ARE FEMALE - 80.7% ARE WHITE - MEDIAN HOUSEHOLD INCOME OF $97,730 PER YEAR - 5.7% OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINES - 5.6% OF COUNTY RESIDENTS ARE UNINSURED - 15% OF RESIDENTS ARE MEDICAID RECIPIENTS. - 14.8% OF RESIDENTS ARE OVER THE AGE OF 65 - 92.5 % HAVE GRADUATED FROM HIGH SCHOOL AND 41.4 % OF RESIDENTS HAVE BACHELOR'S DEGREES. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 DURING FY 2021, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: (TAKEN FROM THE FY 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 INFASTRUCTUE 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. IN FY 2021 1978 UNIQUE PATIENTS RECEIVED HOME/COMMUNITY BASED INTERVENTIONS FROM THE CARE TRANSITIONS TEAM, FOR A TOTAL OF 8,818 ENCOUNTERS. THE HEALTH CARE TEAM PROVIDING SERVICES TO THESE INDIVIDUALS CONSISTS OF REGISTERED NURSES, SOCIAL WORKERS, PHARMACISTS, DIETITIANS AND A NURSE PRACTITIONER. - COLORECTAL CANCER SCREENING - THIS PROGRAM FOCUSED ON IDENTIFIED DISPARITY COMMUNITIES WITHIN FREDERICK COUNTY, PRIMARILY THE AFRICANExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas A Kleinhanzl
PRESIDENT AND CEO$824,793$0$537,421$0$3,354$0$348,489$0$19,216$0$1,733,273$0$0$0
Michelle K Mahan
SR VP AND CFO$544,932$0$252,513$0$9,906$0$67,196$0$15,858$0$890,405$0$0$0
Manuel A Casiano
SVP POPULATION HEALTH$429,792$0$105,879$0$5,148$0$55,408$0$11,954$0$608,181$0$0$0
Cheryl L Cioffi
SVP COO$400,747$0$91,209$0$1,170$0$50,806$0$17,162$0$561,094$0$0$0
Mary A Mcdonald
Medical Dir Hospice$334,493$0$25,547$0$276$0$14,000$0$15,710$0$390,026$0$0$0
Mary D Barton
VP-BUSINESS DEVELOP. & STRAT.$268,727$0$58,800$0$5,148$0$12,948$0$6,124$0$351,747$0$0$0
Christopher M Bumbaugh
VP HUMAN RESOURCES$260,941$0$57,657$0$3,354$0$13,100$0$15,252$0$350,304$0$0$0
Donald R Schilling
VP AMBULATORY SERVICES$262,356$0$53,717$0$5,148$0$13,702$0$14,155$0$349,078$0$0$0
Jackie L Rice
VP Chief Information Officer$253,152$0$53,635$0$1,032$0$12,728$0$1,200$0$321,747$0$0$0
Jennifer G Teeter
VP CLINICAL INTEGRATION$238,775$0$52,156$0$3,354$0$11,866$0$13,465$0$319,616$0$0$0
Kathy J Weishaar
VP Medical Affairs & CMO$231,068$0$50,484$0$1,035$0$10,689$0$12,273$0$305,549$0$0$0
Heather R Kirby
VP Integrated Care & CPHO$225,860$0$51,611$0$1,170$0$10,112$0$15,252$0$304,005$0$0$0
Tamara L Kile
Medical Director$251,473$0$23,087$0$401$0$10,254$0$16,437$0$301,652$0$0$0
Hannah R Jacobs
VP FINANCE$225,592$0$49,187$0$1,170$0$9,798$0$13,228$0$298,975$0$0$0
Diane M McFarland
Chief Nursing Officer$231,080$0$49,364$0$1,794$0$11,757$0$1,382$0$295,377$0$0$0
Craig F Rosendale
VP & Chief Compliance Officer$209,552$0$45,644$0$9,906$0$10,161$0$14,155$0$289,418$0$0$0
Dustin M Simonson
Chief Physicist Supv$242,937$0$1,114$0$274$0$12,425$0$16,432$0$273,182$0$0$0
Jamie B White
VP Quality Assurance & CQO$200,110$0$40,496$0$1,170$0$8,881$0$7,269$0$257,926$0$0$0
Michael G Mclane Jr
VP SUPPORT SVCS$183,185$0$40,106$0$780$0$9,034$0$15,150$0$248,255$0$0$0
Carlos T Graveran
DIRECTOR OF HOSPICE$193,545$0$26,066$0$516$0$6,856$0$15,522$0$242,505$0$0$0
Robin R Rose
VP DEVELOPMENT$160,687$0$35,508$0$3,354$0$8,442$0$16,701$0$224,692$0$0$0
Changan Xie
Rad Oncology Medical Phys$205,978$0$0$0$242$0$9,415$0$1,271$0$216,906$0$0$0
Mihir Jani MD
DIRECTOR/PHYSICIAN$0$409,680$0$72,311$0$360$0$14,000$0$15,171$0$511,522$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE 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 4BFREDERICK 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: MICHELLE K. MAHAN $33,696 THOMAS A. KLEINHANZL $314,989 MANUEL A. CASIANO $22,624 CHERYL L. CIOFFI $22,556

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A
A52093609157421CAD62020-06-25$66,050,074SEE PART VIfalsefalsefalse
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A
B520936091574218LY72012-12-05$96,240,000SEE PART VIfalsefalsefalse
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B
C5209360912017-06-15$60,645,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$0$0$66,050,074$0$0$0$1,159,217$0$0$23,823,814$24,890,857$16,176,186Yes (true)falsefalseYes (true)
B$8,655,000$86,290,000$108,345,805$0$1,648,756$0$1,203,561$0$0$37,200,000$68,293,488$0Yes (true)falseYes (true)Yes (true)2014
C$0$0$67,991,181$0$352,666$0$0$0$0$69,292,334$0$0Yes (true)falseYes (true)Yes (true)2017

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndTotal Private Business UseTotalPrivateBusinessUsePct
Afalsefalsefalsefalse0falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)0.00640falsefalsefalseYes (true)Yes (true)Yes (true)0.00640
CfalseYes (true)Yes (true)Yes (true)0.00270falsefalsefalseYes (true)Yes (true)Yes (true)0.00270

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndException To RebateExceptionToRebateInd
0
AfalseYes (true)falsefalsefalse0Yes (true)Yes (true)
0
Bfalsefalsefalsefalse0falseYes (true)false
0
CfalsefalseYes (true)falsefalse0falseYes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDESCRIPTION OF PURPOSEFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I, COLUMN F, LINE A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A: CURRENT REFUND 2017A BONDS ON 6/25/2020, FINANCE 2020 PROJECT AND PAY ISSUANCE COSTS. SCHEDULE K, PART I, COLUMN F, LINE B MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A: FINANCE 2012 PROJECT AND CURRENT REFUND 2002 BONDS WHICH FUNDED THE 2002 PROJECT. A REFUNDING ESCROW HAS BEEN ESTABLISHED WITH PROCEEDS OF TAXABLE DEBT TO REDEEM 86,290,000 OF 2012A BONDS ON JULY 1, 2022. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B: TO REFUND THE 2012B BONDS. SCHEDULE K, PART II, COLUMN B, LINE 3 DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS MARYLAND HEALTH & HIGHER ED AUTHORITY 2012A: ORIGINAL ISSUE PREMIUM OF $3,989,854 AND PREVIOUSLY TRUSTEED HELD FUNDS OF $8,115,951. SCHEDULE K, PART III, LINE 9 THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX EXEMPT BOND POST ISSUANCE COMPLIANCE.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CHERYL CIOFFI
KEY EMPLOYEE$30,598SEE PART Vfalse
DONALD R SCHILLING
KEY EMPLOYEE$14,784SEE PART Vfalse
J FREDERICK MANNING
OFFICER$195,324SEE PART Vfalse

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Business TransactionsALL TRANSACTIONS DISCLOSED ARE MADE AT ARMS-LENGTH AND AT FAIR MARKET VALUE IN RETURN FOR SERVICES PROVIDED.
SCHEDULE L, PART IV, LINE 1, COLUMN DFAMILY MEMBER EMPLOYED BY FREDERICK HEALTH HOSPITAL, INC. AS A UNIT SECRETARY.
SCHEDULE L, PART IV, LINE 2, COLUMN DFAMILY MEMBER IS EMPLOYED BY FREDERICK HEALTH MEDICAL GROUP, LLC. AS A REGISTERED NURSE.
SCHEDULE L, PART IV, LINE 3, COLUMN DPAYMENTS TO MANNING BROADCASTING, INC. FOR RADIO ADVERTISING. THE REALTIONSHIP BETWEEN THE HOSPITAL AND RADIO STATION EXISTED PRIOR TO MR. MANNING OWNING THE RADIO STATION AND PRIOR TO HIM BEING ON THE BOARD OF FHH.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution487ContributionCnt
Noncash Contributions Rpt F990$43,576NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DESCRIPTION OF OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4D 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 $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. CHANGES TO GOVERNING DOCUMENTS SINCE THE PRIOR 990 WAS FILED FORM 990, PART VI, LINE 4 ON SEPTEMBER 22, 2020, FREDERICK HEALTH HOSPITAL'S BYLAWS WERE AMENDED TO CHANGE THE COMPOSITION OF THE ORGANIZATION'S BOARD.
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC.
POWER TO ELECT OR APPOINT MEMBERSFORM 990, PART VI, LINE 7A THE SOLE MEMBER, FREDERICK HEALTH, INC., HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK HEALTH HOSPITAL. DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 7B 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.
Process used to review the Form 990FORM 990, PART VI, LINE 11B 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.
MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OFINTEREST POLICY FORM 990, PART VI, LINE 12C 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).
PROCESS FOR DETERMINING COMPENSATIONFORM 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 HAVE A WRITTEN EMPLOYMENT CONTRACT.
PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19 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/page%20links/about/FY21210838373 93FrederickHealthIcCFSSI21-20.pdf FORM 990, PART VII DIRECTORS GERRIT SCHIPPER AND MIHIR JANI RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PERFORMED AND NOT FOR SERVING ON THE BOARD.
Other Changes in Net AssetsForm 990, Part XI, Line 9 Unrealized Losses - Interest Rate Swap $ 2,738,526 Released from restrictions - Operating $ 159,075 Other Revenue Recon $ 49,314 Minimum Pension Adjustment $ 12,355,000 Intercompany Loan Foregiveness $(21,343,653) Change in temp restricted Net Assets $ 2,105,797 Assets Release from Restric. to Purch. capital $ 7,810 ------------ Total $ (3,928,131)
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT SERVICES TOTAL FEES:40669608
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11239642
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:3780146
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER EXPENSES TOTAL FEES:5160289

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
FREDERICK HEALTH HOSPICE INC
400 WEST SEVENTH STREETFREDERICKMD21701521164513HOSPICE CAREMD501(c)(3)10FHH INCYes (true)
FREDERICK HEALTH INC
400 WEST SEVENTH STREETFREDERICKMD21701454133096HEALTH SYSTEMMD501(c)(3)12bNAfalse
FREDERICK HEALTH MEDICAL GROUP LLC
400 WEST SEVENTH STREETFREDERICKMD21701453007639PHYSICIAN ORGMD501(c)(3)10FHIYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
FREDERICK HEALTH SERVICES CORPORATION
400 WEST SEVENTH STREETFREDERICKMD21701521851661MGMT COMPANYMDFHIC Corp$0$0false
MONOCACY INSURANCE LTD
981011570SELF INSURANCEFHIC Corp$0$0falsePO BOX 1159GRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FREDERICK HEALTH MEDICAL GROUP LLC
q$58,564,194DIRECT COSTING
FREDERICK HEALTH INC
q$90,453DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
s$39,870,000CASH
FREDERICK HEALTH HOSPICE INC
o$310,961DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
o$1,336,083DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
j$2,551,762FMV
FREDERICK HEALTH SERVICES CORP
k$519,546FMV
FREDERICK HEALTH SERVICES CORP
a$82,000FMV
FREDERICK HEALTH INC
o$1,385,838DIRECT COSTING
FREDERICK HEALTH VILLAGE LLC
q$970,936DIRECT COSTING