FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-14
IRS object ID: 202121349349306942
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-14T17:22:48-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 NORTH FRANKLIN STREET STE 2400	AddressLine1Txt
City	TAMPA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33602	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591612	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Frederick Health Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MICHELLE K MAHAN	InCareOfNm
Business Name Control	FRED	BusinessNameControlTxt
Phone	2405663000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELLE K MAHAN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2405663350	PhoneNum
Signature	2021-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MELANIE A MCPEAK	PreparerPersonNm
PTIN	P01346034	PTIN
Phone	8132254800	PhoneNum
Preparation	2021-05-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS A KLEINHANZL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 W 7TH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$414,580,373	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FREDERICKHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1897	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2930	TotalEmployeeCnt
Total Volunteers	508	TotalVolunteersCnt
Total Gross UBI	$54,569	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,630,852	PYContributionsGrantsAmt
CY Contributions Grants	$12,909,204	CYContributionsGrantsAmt
PY Program Service Revenue	$361,885,792	PYProgramServiceRevenueAmt
CY Program Service Revenue	$359,487,890	CYProgramServiceRevenueAmt
PY Investment Income	$4,811,639	PYInvestmentIncomeAmt
CY Investment Income	$4,334,685	CYInvestmentIncomeAmt
PY Other Revenue	$927,978	PYOtherRevenueAmt
CY Other Revenue	$573,479	CYOtherRevenueAmt
PY Total Revenue	$370,256,261	PYTotalRevenueAmt
CY Total Revenue	$377,305,258	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$50,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$157,989,371	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$177,525,717	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$54,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$58,500	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$610,293	CYTotalFundraisingExpenseAmt
PY Other Expenses	$182,130,372	PYOtherExpensesAmt
CY Other Expenses	$179,127,119	CYOtherExpensesAmt
PY Total Expenses	$340,223,743	PYTotalExpensesAmt
CY Total Expenses	$356,761,336	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,032,518	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,543,922	CYRevenuesLessExpensesAmt
Total Assets BOY	$521,826,736	TotalAssetsBOYAmt
Total Assets EOY	$636,115,056	TotalAssetsEOYAmt
Total Liabilities BOY	$258,831,421	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$382,167,934	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$262,995,315	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$253,947,122	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$40,745,269	ExpenseAmt
Grant	$50,000	GrantAmt
Revenue	$71,993,056	RevenueAmt
Desc	ADULT INPATIENT SERVICES IN FY 2020, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 17,395 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 SERVICES EXPENSE LISTED HERE, FHH INCURRED $48.8 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$29,562,823	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$60,761,258	RevenueAmt
Desc	PERIOPERATIVE SERVICES FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 8,905 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2020. 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 $48.8 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$17,133,160	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$31,052,557	RevenueAmt
Desc	INPATIENT WOMEN AND CHILDREN THE BIRTHPLACE ENCOMPASSES THE BIRTHING SUITE, THE FAMILY CENTER, THE NEWBORN NURSERY, AND THE NEONATAL INTENSIVE CARE UNIT. THE BIRTHING SUITE IS WHERE LABOR, BIRTHING AND RECOVERY OCCURS IN A COMFORTABLE, PRIVATE ROOM WITH SUPPORT PEOPLE WHO WILL ENCOURAGE AND COACH YOU THROUGHOUT YOUR LABOR AND DELIVERY. FREDERICK HEALTH HOSPITAL CARES FOR MORE THAN 2,400 FAMILIES EACH YEAR IN THE BIRTHPLACE. WHILE MANY OF THESE BIRTHS ARE HEALTHY NEWBORNS, ABOUT 10% OF ALL BABIES MAY NEED HIGH-RISK CARE FROM OUR NICU TEAM. AS A PERINATAL LEVEL III REFERRAL CENTER, FHH HAS A LEVEL III NICU WITH THE ABILITY TO CARE FOR BABIES OF ALL GESTATIONAL AGES, AND AS YOUNG AS 23 WEEKS PREMATURE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $48.8 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$219,944,900	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$195,319,949	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$307,386,152	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	363	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2930	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHELLE K MAHAN	PersonNm
Phone	2405663350	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 W 7TH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21701	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas A Kleinhanzl
President and CEO	40.0	8.0	Yes (X)	Yes (X)	$1,422,493	$0	$349,499
Michelle K Mahan
Sr VP and CFO	40.0	6.0		Yes (X)	$741,958	$0	$77,310
Manuel A Casiano
SVP POPULATION HEALTH	14.0	26.0			$549,401	$0	$66,334	Yes (X)
Cheryl L Cioffi
SVP COO AND CNO	36.0	4.0			$469,052	$0	$63,822	Yes (X)
Mihir Jani MD
DIRECTOR/PHYSICIAN	2.0	40.0	Yes (X)		$0	$466,588	$27,826
Mary A Mcdonald
Medical Dir Hospice	4.0	36.0			$332,638	$0	$28,509		Yes (X)
MARY D BARTON
vp-business develop. & Strat.	30.0	10.0			$318,729	$0	$15,507	Yes (X)
Donald R Schilling
VP Ambulatory Services	6.0	34.0			$304,102	$0	$26,055	Yes (X)
Jennifer G Teeter
VP CLINICAL INTEGRATION	16.0	24.0			$296,665	$0	$24,610	Yes (X)
Christopher M Bumbaugh
VP Human Resources	30.0	10.0			$279,699	$0	$27,835	Yes (X)
Jackie L Rice
VP Chief Information Officer	33.0	7.0			$283,556	$0	$12,750	Yes (X)
Hannah R Jacobs
VP Finance	33.0	7.0			$259,594	$0	$21,837	Yes (X)
Craig F Rosendale
VP COMPLIANCE	24.0	16.0			$250,841	$0	$23,621	Yes (X)
HEATHER R KIRBY
VP INTEGRATED CARE DELIVERY	36.0	4.0			$243,940	$0	$21,943	Yes (X)
Diane M Mcfarland
VP PT Care Svcs	40.0	0.0			$244,520	$0	$11,101	Yes (X)
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST	40.0	0.0			$225,277	$0	$26,954		Yes (X)
MICHAEL G MCLANE JR
VP SUPPORT SVCS	33.0	7.0			$212,859	$0	$24,179	Yes (X)
CARLOS T GRAVERAN
DIRECTOR OF HOSPICE	24.0	16.0			$205,276	$0	$19,419		Yes (X)
Jennifer D Hulvey
Director Reimbursement	35.0	5.0			$188,757	$0	$24,779		Yes (X)
ROBIN R ROSE
VP DEVELOPMENT	40.0	0.0			$187,764	$0	$23,295	Yes (X)
Jamie B White
VP Quality Assurance Patient	40.0	0.0			$174,273	$0	$21,866	Yes (X)
Changan Xie
Oncology Medical Physicist	40.0	0.0			$185,806	$0	$10,239		Yes (X)
Kathy J Weishaar
VP Medical Affairs	40.0	2.0			$179,748	$0	$8,946	Yes (X)
GERRIT SCHIPPER MD
DIRECTOR/physician	2.0	0.0	Yes (X)		$6,850	$0	$0
Terrence McPherson
Director	2.0	0.0	Yes (X)		$0	$0	$0
Laura Melia
Director	2.0	2.0	Yes (X)		$0	$0	$0
ALLEN D MAWDSLEY
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
ELIZABETH PAKENAS
SECRETARY/TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Gregory P Dormitzer
Director (ended 9/30/19)	2.0	1.0	Yes (X)		$0	$0	$0
HONORABLE STEPHEN JOHNSON
VICE PRESIDENT	2.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS MUNRO MD
VC OF STAFF/physician	5.0	0.0	Yes (X)		$0	$0	$0
J Frederick Manning
CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
PATRICIA HANBERRY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
KARLYS KLINE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
NIKKI MOBERLY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Gerald Winnan MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Debra Borden
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Gordon Cooley
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Nancy Newmister
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Kaschit Pandya
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Patricia L Ray
DIRECTOR	4.0	0.0	Yes (X)		$0	$0	$0
Douglas Stauffer
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
Shawn Wolf
Director (ended 9/30/19)	2.0	0.0	Yes (X)		$0	$0	$0
Cornelius Fay
Director	2.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,563,798	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$466,588	TotReportableCompRltdOrgAmt
Total Other Compensation	$958,236	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	158	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TXTEAM REHAB INC
9101 WESLEYAN RD SUITE 100	INDIANAPOLIS	IN	46268	REHAB SERVICES	$9,226,686
SOUND PHYSICIANS
PO BOX 742936	LOS ANGELES	CA	90074	PHYSICIAN SERVICES	$4,827,303
QUEST DIAGNOSTICS
PO BOX 740709	ATLANTA	GA	30374	LABORATORY SERVICES	$1,544,963
BLACKTREE HEALTHCARE CONSULTING
ONE FAYETTE STREET SUITE 425	CONSHOHOCKEN	PA	19428	REVENUE CYCLE MGMT	$1,264,622
CRITICAL CARE ASSOCIATES LLC
10711 RED RUN BLVD SUITE 101	OWINGS MILLS	MD	21117	PHYSICIAN SERVICES	$1,176,438

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	60	CntrctRcvdGreaterThan100KCnt
Government Grants	$10,440,739	GovernmentGrantsAmt
All Other Contributions	$2,468,465	AllOtherContributionsAmt
Noncash Contributions	$73,604	NoncashContributionsAmt
Total Contributions	$12,909,204	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INPATIENT REVENUE	624110	$200,762,984	$200,762,984	$0	$0
OUTPATIENT REVENUE	621410	$155,996,604	$155,996,604	$0	$0
GROUP PURCHASING PREMIER	525990	$2,728,302	$2,716,709	$11,593	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$359,487,890	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,798,581	TotalRevenueColumnAmt
Unrelated Business Revenue	$42,976	UnrelatedBusinessRevenueAmt
Exclusion	$3,755,605	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$934,549	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$934,549	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$934,549	TotalRevenueColumnAmt
Exclusion	$934,549	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$37,796,364	SecuritiesAmt
Other	$14,855	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$37,275,115	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$521,249	SecuritiesAmt
Other	$14,855	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$536,104	TotalRevenueColumnAmt
Exclusion	$536,104	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722511	$1,013,101	$1,013,101	$0	$0
LOSSES INTEREST RATE SWAP	900099	-$1,375,084	-$1,375,084	$0	$0
All other revenue	900099	$913	$913	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	-$361,070	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$377,305,258	TotalRevenueColumnAmt
Related Or Exempt Func Income	$359,115,227	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$54,569	UnrelatedBusinessRevenueAmt
Exclusion	$5,226,258	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$50,000	TotalAmt
Program Services	$50,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,851,639	TotalAmt
Program Services	$6,850	ProgramServicesAmt
Management And General	$6,844,789	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$137,774,734	TotalAmt
Program Services	$123,180,540	ProgramServicesAmt
Management And General	$14,393,572	ManagementAndGeneralAmt
Fundraising	$200,622	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,941,642	TotalAmt
Program Services	$6,764,397	ProgramServicesAmt
Management And General	$1,166,229	ManagementAndGeneralAmt
Fundraising	$11,016	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,623,298	TotalAmt
Program Services	$12,445,032	ProgramServicesAmt
Management And General	$2,157,907	ManagementAndGeneralAmt
Fundraising	$20,359	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,334,404	TotalAmt
Program Services	$9,058,205	ProgramServicesAmt
Management And General	$1,261,829	ManagementAndGeneralAmt
Fundraising	$14,370	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,534,602	TotalAmt
Program Services	$100,423	ProgramServicesAmt
Management And General	$1,386,179	ManagementAndGeneralAmt
Fundraising	$48,000	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,502,100	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,502,100	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$493,050	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$493,050	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$20,159	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$20,159	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$58,500	TotalAmt
Fundraising	$58,500	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$383,849	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$383,849	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$66,373,173	TotalAmt
Program Services	$60,590,881	ProgramServicesAmt
Management And General	$5,772,872	ManagementAndGeneralAmt
Fundraising	$9,420	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,928,350	TotalAmt
Program Services	$25,961	ProgramServicesAmt
Management And General	$1,729,291	ManagementAndGeneralAmt
Fundraising	$173,098	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,495,131	TotalAmt
Program Services	$6,984,359	ProgramServicesAmt
Management And General	$1,482,789	ManagementAndGeneralAmt
Fundraising	$27,983	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,070,122	TotalAmt
Program Services	$9,890,716	ProgramServicesAmt
Management And General	$179,406	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,255,675	TotalAmt
Program Services	$6,132,967	ProgramServicesAmt
Management And General	$122,708	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

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

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$108,539	TotalAmt
Program Services	$53,792	ProgramServicesAmt
Management And General	$51,832	ManagementAndGeneralAmt
Fundraising	$2,915	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$149,886	TotalAmt
Program Services	$74,284	ProgramServicesAmt
Management And General	$71,577	ManagementAndGeneralAmt
Fundraising	$4,025	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,013,801	TotalAmt
Program Services	$4,697,931	ProgramServicesAmt
Management And General	$305,842	ManagementAndGeneralAmt
Fundraising	$10,028	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,044,257	TotalAmt
Program Services	$17,741,289	ProgramServicesAmt
Management And General	$5,281,324	ManagementAndGeneralAmt
Fundraising	$21,644	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,731,119	TotalAmt
Program Services	$5,136	ProgramServicesAmt
Management And General	$3,725,983	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES AND COGS	$50,022,508	$49,582,591	$431,604	$8,313
ALL OTHER EXPENSES	$798	$798	$0	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$356,761,336	TotalAmt
Program Services	$307,386,152	ProgramServicesAmt
Management And General	$48,764,891	ManagementAndGeneralAmt
Fundraising	$610,293	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,962,673	BOYAmt
EOY	$82,862,545	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,738,966	BOYAmt
EOY	$4,425,589	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$45,547,718	BOYAmt
EOY	$49,957,167	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,507,924	BOYAmt
EOY	$7,171,648	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,324,816	BOYAmt
EOY	$5,257,017	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$594,473,388	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$361,046,199	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$225,297,751	BOYAmt
EOY	$233,427,189	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$169,920,687	BOYAmt
EOY	$169,326,844	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$29,007,433	BOYAmt
EOY	$51,317,774	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,518,768	BOYAmt
EOY	$32,369,283	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$521,826,736	BOYAmt
EOY	$636,115,056	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$44,157,466	BOYAmt
EOY	$49,075,187	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$172,390,436	BOYAmt
EOY	$118,839,613	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$93,875,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,283,519	BOYAmt
EOY	$120,378,134	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$258,831,421	BOYAmt
EOY	$382,167,934	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$255,199,544	BOYAmt
EOY	$246,269,549	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,795,771	BOYAmt
EOY	$7,677,573	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$262,995,315	BOYAmt
EOY	$253,947,122	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$521,826,736	BOYAmt
EOY	$636,115,056	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,543,922	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,715,492	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$32,307,607	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$20,159	OtherActivitiesAmt
Total Lobbying Expenditures	$20,159	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION, VISITING NURSES ASSOCIATIONS OF AMERICA AND HOSPICE & PALLIATIVE CARE NETWORK OF MD.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$3,893,774	OtherCostOrOtherBasisAmt
Book Value	$3,893,774	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$266,458,000	OtherCostOrOtherBasisAmt
Depreciation	$120,763,319	DepreciationAmt
Book Value	$145,694,681	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$28,897,000	OtherCostOrOtherBasisAmt
Depreciation	$16,950,986	DepreciationAmt
Book Value	$11,946,014	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$280,304,000	OtherCostOrOtherBasisAmt
Depreciation	$223,331,894	DepreciationAmt
Book Value	$56,972,106	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$14,920,614	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$14,920,614	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$233,427,189	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN SUBSIDIARIES	$19,525,031	F
ASSETS LIMITED AS TO USE	$31,792,743	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$51,317,774	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSETS	$19,391,452
RETROSPECTIVE INSURNCE PREMIUM	$9,119,853
OTHER	$3,857,978

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$32,369,283	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
RIGHT OF USE LIABILITIES	$23,726,829
ADVANCES FROM THIRD PARTIES	$67,736,045
PENSION LIABILITY	$15,519,577
INTEREST RATE SWAP	$10,404,322
OTHER	$2,991,361

Field	Value	IRS element (for citing)
Total Liability	$120,378,134	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Intended use of endowment funds	FormAndLineReferenceDesc
Explanation	SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	1	Investments	$25,431,557
Central America and the Caribbean	1	Program services	$4,283,050	SELF INSURANCE

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Total Office	2	TotalOfficeCnt
Subtotal Spent	$29,714,607	SubtotalSpentAmt
Total Spent	$29,714,607	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Procedures for Monitoring Use of Grants	FormAndLineReferenceDesc
Explanation	PART I, LINE 2 THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE 501(C)(3) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	PRIDE PHILANTHROPY	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	885 WOODSTOCK ROAD	AddressLine1Txt
City	ROSWELL	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	300752374	ZIPCd

Field	Value	IRS element (for citing)
Activity	DEV CNSL SV SRVCS	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$58,500	RetainedByContractorAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$58,500	TotalRetainedByContractorsAmt
Licensed States	MD	LicensedStatesCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,589,261	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,589,261	NetCommunityBenefitExpnsAmt
Total Expense	0.01570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,158,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,551,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,607,202	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,747,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,551,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,196,463	NetCommunityBenefitExpnsAmt
Total Expense	0.02580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,582,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$567,234	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,015,461	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,743,233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,743,233	NetCommunityBenefitExpnsAmt
Total Expense	0.04970	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$455,398	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$379,243	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,780	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,780	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,917,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$643,389	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,273,717	NetCommunityBenefitExpnsAmt
Total Expense	0.06240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,664,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,194,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,470,180	NetCommunityBenefitExpnsAmt
Total Expense	0.08820	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$9,438,138	BadDebtExpenseAmt
Bad Debt Expense Attributable	$707,860	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$132,843,259	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$125,783,072	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,060,187	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK HEALTH HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21701	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.FREDERICKHEALTH.ORG	WebsiteAddressTxt
State License	210005	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK HEALTH HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INPUT FROM COMMUNITY REPRESENTATIVES	SCHEDULE 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 ORGANIZATIONSWERE 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 O 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 WASLIMITED. 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 6B	THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND THE FREDERICK COUNTY HEALTH DEPARTMENT. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN REPONSE 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 AWARENSS 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 7A	YES, 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 11	THREE 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 HEATING 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 DICHARGED BACK INTO THE COMMUNITY. THIS PROGRAM WILL BE PILOTED IN 2021 WITH FULL IMPLEMENTATION IN 2022. PROMOTION OF HEALTH PRACTICES TO DIMINISH ADVERSE CHILDHOOD EVENTS (ACES) WAS THE FOCUS OF THE FINAL IMPLEMENTATION STRATEGY. ACTIVITIES WERE DESIGNED TO ESTABLISH A BASELEINE 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. 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 13H	STATE REGULATIONS.
SCHEDULE H, PART V, SECTION B, LINE 16A	https://www.frederickhealth.org/documents/content/Financial-Assistance-Pol icy-FN-100.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B	https://www.frederickhealth.org/documents/content/FrederickHealth_FA_327a. pdf
SCHEDULE H, PART V, SECTION B, LINE 16C	https://www.frederickhealth.org/documents/content/Financial-Assistance_08_ 20_Web.pdf
SCHEDULE H, PART V, SECTION B, LINE 16J	FHH REVIEWS THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE COMMUNICATION METHODOLOGY WE EMPLOY ON A REGULAR BASIS TO MAKE SURE OUR PATIENTS HAVE EASY ACCESS TO THIS INFORMATION IN A VARIETY OF FORMATS AND THAT IT IS CULTURALLY AND LINGUISTICALLY SENSITIVE. WE REVIEW THE FAP TO MAKE SURE THE READING COMPREHENSION LEVEL IS APPROPRIATE FOR OUR AUDIENCE AND WE PROVIDE ENGLISH AND SPANISH VERSIONS TO MEET THE NEEDS OF OUR CBSA. WE HAVE SERVICES AVAILABLE TO PROVIDE ANY OTHER LANGUAGES WHEN NEEDED. THE FAP IS SHOWN ON OUR WEBSITE (https://www.frederickhealth.org/about/billing-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 ARE BEING UPDATED DURING FY18 TOINCLUDE 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.
SCHEDULE H, PART V, SECTION B, LINE 20E	PATIENTS WITH BALANCES GREATER THAN $10,000 RECEIVE A SPECIAL LETTER STATING THEY MAY QUALIFY FOR CHARITY AND REQUESTS THAT THEY CONTACT THE HOSPITAL.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
FREDERICK HEALTH TOLL HOUSE
501 WEST SEVENTH STREET	FREDERICK	MD	21701	OUTPATIENT HEALTH CARE FACILITY
FREDERICK HEALTH MOUNT AIRY
504 E RIDGEVILLE BLVD	MOUNT AIRY	MD	21771	OUTPATIENT HEALTH CARE
FREDERICK HEALTH ROSEHILL
1562 OPPOSUMTOWN PIKE	FREDERICK	MD	21702	OUTPATIENT HEALTH CARE
FREDERICK HEALTH CRESTWOOD
7211 BANK COURT	FREDERICK	MD	21703	OUTPATIENT HEALTH CARE
FREDERICK HEALTH ASPEN RIDGE
163 THOMAS JOHNSON DRIVE SUITE A	FREDERICK	MD	21702	OUTPATIENT REHABILITATION
FREDERICK HEALTH URBANA
3430 WORTHINGTON BLVD	URBANA	MD	21704	OUTPATIENT HEALTHCARE CENTER
FREDERICK HEALTH HOSPICE INC
516 TRAIL AVENUE	FREDERICK	MD	21701	HOSPICE CARE ORGANIZATION

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Criteria for Determining eligibility for free or discounted care	FormAndLineReferenceDesc
Explanation	SCHEDULE H, PART I, LINE 3C IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $20,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT. 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 WASTHEN 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 DEFINITIONFOR FREDERICK HEALTH HOSPITAL IS ALL ZIP CODES IN FREDERICK COUNTY. THEREFORE, FOR CHNA PLANNING PURPOSES, FREDERICK COUNTY IS THE POPULATION SERVED. FREDERICK HEALTH HOSPITAL 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 2020, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: - 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 RECDEIVED 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 FY2020 3,229 UNIQUE PATIENTS RECEIVED HOME/COMMUNITY BASED INTERVENTIONS FROM THE CARE TRANSITIONS TEAM, FOR A TOTAL OF 15,921 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 AFRICAN-AMERICAN COMMUNITY. THE GOAL OF THE PROBRAM WAS TO INCREASE THE NUMBER OF PERSONS SCREENED AND TREATED FOR COLORECTAL CONCANER T	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Frederick Community College	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7932 OPOSSUMTOWN PIKE	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21702	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	520743590	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$50,000	CashGrantAmt
Purpose Of Grant	SUPPORT OF ALLIED HEALTH PROGRAM	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURES FOR MONITORING THE USE OF GRANTS	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE I, PART I, LINE 2 THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE 501(C)(3) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Manuel A Casiano
SVP POPULATION HEALTH	$449,118	$0	$99,373	$0	$910	$0	$53,547	$0	$12,787	$0	$615,735	$0	$58,324	$0
Cheryl L Cioffi
SVP COO AND CNO	$377,252	$0	$90,890	$0	$910	$0	$47,722	$0	$16,100	$0	$532,874	$0	$0	$0
Hannah R Jacobs
VP Finance	$211,455	$0	$47,229	$0	$910	$0	$9,549	$0	$12,288	$0	$281,431	$0	$0	$0
Thomas A Kleinhanzl
President and CEO	$1,110,217	$0	$311,366	$0	$910	$0	$329,811	$0	$19,688	$0	$1,771,992	$0	$298,762	$0
Michelle K Mahan
Sr VP and CFO	$603,728	$0	$137,320	$0	$910	$0	$63,996	$0	$13,314	$0	$819,268	$0	$87,490	$0
Craig F Rosendale
VP COMPLIANCE	$205,591	$0	$44,340	$0	$910	$0	$10,480	$0	$13,141	$0	$274,462	$0	$0	$0
Donald R Schilling
VP Ambulatory Services	$250,936	$0	$52,256	$0	$910	$0	$12,914	$0	$13,141	$0	$330,157	$0	$0	$0
Jennifer G Teeter
VP CLINICAL INTEGRATION	$242,767	$0	$52,988	$0	$910	$0	$11,329	$0	$13,281	$0	$321,275	$0	$0	$0
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST	$224,888	$0	$152	$0	$237	$0	$11,542	$0	$15,412	$0	$252,231	$0	$0	$0
HEATHER R KIRBY
VP INTEGRATED CARE DELIVERY	$202,884	$0	$40,146	$0	$910	$0	$6,174	$0	$15,769	$0	$265,883	$0	$0	$0
MARY D BARTON
vp-business develop. & Strat.	$258,081	$0	$59,738	$0	$910	$0	$8,555	$0	$6,952	$0	$334,236	$0	$0	$0
CARLOS T GRAVERAN
DIRECTOR OF HOSPICE	$178,864	$0	$26,217	$0	$195	$0	$4,183	$0	$15,236	$0	$224,695	$0	$0	$0
MICHAEL G MCLANE JR
VP SUPPORT SVCS	$171,281	$0	$40,668	$0	$910	$0	$8,812	$0	$15,367	$0	$237,038	$0	$0	$0
ROBIN R ROSE
VP DEVELOPMENT	$153,078	$0	$33,776	$0	$910	$0	$7,935	$0	$15,360	$0	$211,059	$0	$0	$0
Diane M Mcfarland
VP PT Care Svcs	$204,892	$0	$38,718	$0	$910	$0	$10,290	$0	$811	$0	$255,621	$0	$0	$0
Jackie L Rice
VP Chief Information Officer	$230,608	$0	$52,948	$0	$0	$0	$11,570	$0	$1,180	$0	$296,306	$0	$0	$0
Christopher M Bumbaugh
VP Human Resources	$248,340	$0	$30,449	$0	$910	$0	$12,335	$0	$15,500	$0	$307,534	$0	$0	$0
Kathy J Weishaar
VP Medical Affairs	$161,928	$0	$17,820	$0	$0	$0	$0	$0	$8,946	$0	$188,694	$0	$0	$0
Jamie B White
VP Quality Assurance Patient	$160,720	$0	$12,810	$0	$743	$0	$8,903	$0	$12,963	$0	$196,139	$0	$0	$0
Mary A Mcdonald
Medical Dir Hospice	$322,443	$0	$10,000	$0	$195	$0	$14,000	$0	$14,509	$0	$361,147	$0	$0	$0
Jennifer D Hulvey
Director Reimbursement	$171,965	$0	$16,597	$0	$195	$0	$9,646	$0	$15,133	$0	$213,536	$0	$0	$0
Mihir Jani MD
DIRECTOR/PHYSICIAN	$0	$406,263	$0	$60,000	$0	$325	$0	$14,000	$0	$13,826	$0	$494,414	$0	$0
Changan Xie
Oncology Medical Physicist	$185,426	$0	$152	$0	$228	$0	$8,965	$0	$1,274	$0	$196,045	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3

THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT.

SCHEDULE J, PART I, LINE 4B

FREDERICK HEALTH HOSPITAL HAS ONE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE AS FOLLOWS: MICHELLE K. MAHAN $30,942 THOMAS A. KLEINHANZL $296,811 MANUEL CASIANO $20,547 CHERYL CIOFFI $14,722

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A
A	520936091	57421CAD6	2020-06-25	$66,050,074	SEE PART VI	false	false	false
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A
B	520936091	574218LY7	2012-12-05	$96,240,000	SEE PART VI	false	false	false
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B
C	520936091		2017-06-15	$60,645,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$66,050,074	$0	$0	$0	$1,159,217	$0	$0	$11,869,923	$24,890,857	$28,130,077	Yes (true)	false	false	Yes (true)
B	$6,405,000	$86,290,000	$108,345,805	$0	$1,648,756	$0	$1,203,561	$0	$0	$37,200,000	$68,293,488	$0	Yes (true)	false	Yes (true)	Yes (true)	2014
C	$9,855,000	$0	$60,645,000	$0	$352,666	$0	$0	$0	$0	$0	$60,292,334	$0	Yes (true)	false	Yes (true)	Yes (true)	2017

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	0.00640		0.00640	false	false	false	Yes (true)	Yes (true)	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	0.00270		0.00270	false	false	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Exception To RebateExceptionToRebateInd
0
A	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	false
0
C	false	false	Yes (true)	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF PURPOSE	FormAndLineReferenceDesc
Explanation	SCHEDULE 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. 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 (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CHERYL CIOFFI
KEY EMPLOYEE	$30,130	SEE PART V	false
DONALD R SCHILLING
KEY EMPLOYEE	$33,174	SEE PART V	false
J FREDERICK MANNING
OFFICER	$153,039	SEE PART V	false
ROBIN R ROSE
KEY EMPLOYEE	$11,981	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Business Transactions	ALL TRANSACTIONS DISCLOSED ARE MADE AT ARMS-LENGTH AND AT FAIR MARKET VALUE IN RETURN FOR SERVICES PROVIDED.
SCHEDULE L, PART IV, LINE 1, COLUMN D	FAMILY MEMBER EMPLOYED BY FREDERICK HEALTH HOSPITAL, INC. AS A UNIT SECRETARY.
SCHEDULE L, PART IV, LINE 2, COLUMN D	FAMILY MEMBER IS EMPLOYED BY FREDERICK HEALTH MEDICAL GROUP, LLC. AS A REGISTERED NURSE.
SCHEDULE L, PART IV, LINE 3, COLUMN D	PAYMENTS 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 L, PART IV, LINE 4, COLUMN D	FAMILY MEMBER EMPLOYED BY FREDERICK HEALTH HOSPITAL, INC. AS A PART-TIME MEDICAL AID.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	579	ContributionCnt
Noncash Contributions Rpt F990	$73,604	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, LABORATORY AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $48.8 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC.
POWER TO ELECT OR APPOINT MEMBERS	FORM 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 990	FORM 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 OF	INTEREST 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 COMPENSATION	FORM 990, PART VI, LINE 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THECHAIRMAN 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 PUBLIC	FORM 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/ABOUT/ABOUT-FREDERICK-HEALTH/COMPLIANCE.AS PX FORM 990, PART VII DIRECTOR GERRIT SCHIPPER RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PERFORMED AND NOT FOR SERVING ON THE BOARD.
Other Changes in Net Assets	Form 990, Part XI, Line 9 Unrealized Losses - Interest Rate Swap $ (2,089,611) Minimum Pension Adjust $ (3,696,262) Intercompany Loan Forgiveness $(22,106,224) Assets released From Restriction $ 283,054 Loss On EXT. OF DEBT $ (5,478,630) Other Changes in restricted net assets $ 1,019,000 Contrib Released From Restriction $ (239,803) Rounding $ 869 ------------ Total $(32,307,607)
FORM 990 PART IX LINE 11G	DESCRIPTION:SALARIES AND CONTRACT LABOR TOTAL FEES:4547050
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11898342
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:43940758
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER EXPENSES TOTAL FEES:5987023

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FREDERICK HEALTH HOSPICE INC
400 WEST SEVENTH STREET	FREDERICK	MD	21701	521164513	HOSPICE CARE	MD	501(c)(3)	10	FHH INC	Yes (true)
FREDERICK HEALTH INC
400 WEST SEVENTH STREET	FREDERICK	MD	21701	454133096	HEALTH SYSTEM	MD	501(c)(3)	12b	NA	false
FREDERICK HEALTH MEDICAL GROUP LLC
400 WEST SEVENTH STREET	FREDERICK	MD	21701	453007639	PHYSICIAN ORG	MD	501(c)(3)	10	FHI	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
FREDERICK HEALTH SERVICES CORPORATION
400 WEST SEVENTH STREET	FREDERICK	MD	21701	521851661	MGMT COMPANY	MD	FHI	C Corp	$0	$0	false
MONOCACY INSURANCE LTD
				981011570	SELF INSURANCE		FHI	CORP	$0	$0	false	PO BOX 1159	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FREDERICK HEALTH MEDICAL GROUP LLC
q	$55,502,833	DIRECT COSTING
FREDERICK HEALTH INC
q	$446,279	DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
s	$41,850,000	CASH
FREDERICK HEALTH HOSPICE INC
o	$998,003	DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
o	$513,523	DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
j	$2,227,122	CASH
FREDERICK HEALTH SERVICES CORP
k	$433,139	FMV
FREDERICK HEALTH SERVICES CORP
a	$166,000	FMV
FREDERICK HEALTH SERVICES CORP
o	$73,631	FMV
FREDERICK HEALTH INC
o	$1,417,584	DIRECT COSTING