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MERITUS MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MERITUS MEDICAL CENTER INC (EIN 52-0607949)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-07
IRS object ID
202001899349301860
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-07T12:21:57-07:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN520607949PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Meritus Medical Center IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111116 Medical Campus RoadAddressLine1Txt
CityHagerstownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21742ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520607949EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Meritus Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERIBusinessNameControlTxt
Phone3017908872PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111116 Medical Campus RoadAddressLine1Txt
CityHagerstownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21742ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas ChanPersonNm
Person TitleVP/TreasurerPersonTitleTxt
Signature2020-07-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDale BusheyPreparerPersonNm
Phone3017908872PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMaulik Joshi Dr PHPrincipalOfficerNm
Gross Receipts$456,898,024GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.meritushealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1904FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionMeritus Medical Center, Inc. (MMC) is an acute care hospital located in Hagerstown, Maryland and serves the residents of western Maryland, southern Pennsylvania and the eastern panhandle of West Virginia.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3095TotalEmployeeCnt
Total Volunteers246TotalVolunteersCnt
Total Gross UBI$1,657,420TotalGrossUBIAmt
PY Contributions Grants$512,301PYContributionsGrantsAmt
CY Contributions Grants$1,064,843CYContributionsGrantsAmt
PY Program Service Revenue$401,585,026PYProgramServiceRevenueAmt
CY Program Service Revenue$394,035,295CYProgramServiceRevenueAmt
PY Investment Income$7,308,238PYInvestmentIncomeAmt
CY Investment Income$9,007,903CYInvestmentIncomeAmt
PY Other Revenue$2,582,212PYOtherRevenueAmt
CY Other Revenue$834,114CYOtherRevenueAmt
PY Total Revenue$411,987,777PYTotalRevenueAmt
CY Total Revenue$404,942,155CYTotalRevenueAmt
PY Grants And Similar Paid$354,038PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$357,430CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$178,072,801PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$194,386,436CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$217,051,022PYOtherExpensesAmt
CY Other Expenses$217,036,123CYOtherExpensesAmt
PY Total Expenses$395,477,861PYTotalExpensesAmt
CY Total Expenses$411,779,989CYTotalExpensesAmt
PY Revenues Less Expenses$16,509,916PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,837,834CYRevenuesLessExpensesAmt
Total Assets BOY$611,483,521TotalAssetsBOYAmt
Total Assets EOY$607,113,019TotalAssetsEOYAmt
Total Liabilities BOY$330,046,121TotalLiabilitiesBOYAmt
Total Liabilities EOY$328,208,265TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$281,437,400NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$278,904,754NetAssetsOrFundBalancesEOYAmt
MissionMissionMMC exists to improve the health status of our region by providing comprehensive health services to patients and families.The mission emphasizes three core activities of MMC:1. Providing patient and family centered care by bringing patient and family perspectives into the planning, delivery, and evaluation of care to improve healthcare quality and safety at MMC.2. Improving the health status of our region by responding to national healthcare reform and total patient revenue economic structures that incentivize value by expanding the focus of MMC to include improving the health status of our region.3. Functioning as a regional health system by meeting the healthcare needs of the communities beyond MMC's traditional service area of Washington County.VisionMMC will relentlessly pursue excellence in quality, service, and performance.ValuesThe culture of MMC is driven by a set of values that focus on the patient and family first: respect, integrity, service, excellence and teamwork.TMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$340,955,827ExpenseAmt
Grant$357,430GrantAmt
Revenue$394,149,294RevenueAmt
DescMMC participates in a variety of activities that focus on the well-being of the patients, including committees and teams that evaluate the progress in the areas of quality patient care, patient safety and professional development. Many staff members provide outreach to the community through educational offerings which have been identified by a survey of community health education needs.As a tax exempt hospital, MMC contributes funds to help many people who might not be able to afford their healthcare. These dollars are used to provide free, reduced-cost or subsidized services to many individuals in the community. It's a collaborative effort involving numerous areas of the health system in activities such as health education and outreach, screenings, programs and events, as well as helping individuals obtain prescription medications, access to needed services, and even transportation to healthcare appointments.MMC is governed by a local board of directors made up entirely of volunteers. In addition to attending bimonthly meetings to determine the direction that MMC will take, the board members, who are community and business leaders as well as physicians, serve on various committees, including quality & safety, finance, audit and business integrity, executive, governance and strategic planning.The board and its committees ensure that MMC complies with state and federal requirements, while keeping the organization's mission of providing quality care front and center. By working together toward this goal, the board members create policies and procedures that help deliver results.MMC, an acute care hospital, has 272 single-patient rooms, along with the most advanced technologies available. MMC offers a variety of specialized services to meet the healthcare needs of the tri-state region.The John R. Marsh Cancer Center offers chemotherapy, intensity modulated radiation therapy, and image guided radiation therapy. The center also offers MammoSite whichdelivers partial irradiation treatment for breast cancer patients in just five days.As a level III trauma service, MMC offers twenty four hour a day, seven days a week access to trauma surgeons, neurosurgeons, and orthopedic surgeons, as well as a specialized trauma team and consulting physicians.The vision of the Nursing Department at MMC is to be a dynamic force in the advancement of nursing practice and an advocate for the promotion of quality healthcare for all. Their mission is to foster the development and advancement of nursing practice and to work to achieve quality healthcare for all. They believe that the excellence of care for patients and families matters the most and that superior customer service and constant innovation sustains excellence.The Cardiac Catheterization Lab has focused on bringing the very best in cardiac services to the community. Services in cardiac screening, diagnosis, intervention, and rehabilitation are offered. MMC has invested in the most up-to-date technologies to assist physicians in diagnosing and treating heart disease. The board certified cardiologists and interventional cardiologists offer patients a highly specialized experience in structual heart disease and electrical heart malfunctions. They are supported by a team of highly-trained nurses and technicians.The Center for Clinical Research is a growing program that manages from fifteen to twenty active research studies at any given time. The researchers are certified by the Association of Clinical Research Professionals. Physicians serve as the principal investigators for the research studies performed by the center.The Center for Joint Replacement offers a comprehensive program that includes pre- and postoperative therapy as well as the actual surgery. The program has clearly demonstrated a decreased length of hospital stay and improved recovery rates.The Family Birthing Center is a special place where single-room maternity care provides privacy and family bonding. The room is equipped for labor, delivery, postpartum, and newborn care. The special care nursery allows babies born as early as 32 weeks gestation to be treated at MMC.The Home Health Care Services cover the full spectrum of care, ranging from skilled nursing to assistance with the activities of daily living. They also can help with medication management issues.Total Rehab Care is a comprehensive service providing a full range of rehabilitation programs, including pediatric services, traumatic brain injury rehab, outpatient therapies, inpatient joint replacement, occupational rehabilitation, and support groups. Skilled physicians, nurses, and therapists develop individualized treatment plans for every patient.The Weight Loss Clinic offers bariatric surgery which includes the most common procedures of gastric bypass and adjustable gastric banding. This can be a treatment for the lifelong condition of morbid obesity.The Wound Center care is customized to each patient's unique situation to promote the healing process. The Wound Center team specializes in diabetic foot and leg ulcers, bone infections, preparation and preservation of skin grafts, crash injuries, and thermal burns.Meritus Medical Group, a medical neighborhood of primary and specialty care practices, offers a full spectrum of patient and family-centered care for residents of the tristate region. More than 100 providers work with a health care team dedicated to partnering with patients to improve their overall wellbeing. The team is proud to offer patients and families an improved experience through excellent communication and comprehensive, coordinated health care services.Care delivery is undergoing unprecedented change and new, more coordinatedmodels of care delivery have arrived. Ultimately enacted as part of healthcare reform, accountable care organizations (ACOs) link physiciansand hospitals together with the goal of keeping patients healthy and helpingpatients manage their conditions. MMC created the Meritus Health ACO, LLC which works to achieve this objective. Meritus Health ACO will optimize the delivery of health care through coordination among providers and the persistent management of care transitions to improve the patient experience, the health of our community and the quality and affordability of health care. The vision of Meritus Health ACO, LLC is to create an integrated system that delivers patient-centered, high-quality care through innovative partnerships and care redesign for all members of our community. MMC is a member of Premiers Partnership for Care Transformation (PACT), a collaboration of health systems that share knowledge and best practices while measuring and benchmarking care to improve population health and contain costs.Desc
Total Program Service Expenses$340,955,827TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpYes (true)ActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document422IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3095EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonThomas T ChanPersonNm
Phone3017908872PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111116 Medical Campus RoadAddressLine1Txt
CityHagerstownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21742ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Wayne Alter Jr
Director3.000.00Yes (X)$0$0$0
Sharon Mailey PhD RN
Director3.000.00Yes (X)$0$0$0
Alfred E Martin
Director3.000.00Yes (X)$0$0$0
William Su MD
Director20.000.00Yes (X)$39,877$0$0
Barbara Miller RN
Director3.000.00Yes (X)$0$0$0
Erin E Hershey MHA
Director3.000.00Yes (X)$0$0$0
James R Stojak
Director3.000.00Yes (X)$0$0$0
The Rev Dr D Stuart Dunnan
Director3.000.00Yes (X)$0$0$0
Debra Ann Gorbskyoff 11118
Director3.000.00Yes (X)$0$0$0
George Newman II PhD MD
Director50.000.00Yes (X)$157,275$0$0
William Reuter
Director3.000.00Yes (X)$0$0$0
Brendan D Fitzsimmons PhD
Director3.000.00Yes (X)$0$0$0
Mary JC Hendrix PhD
Director3.000.00Yes (X)$0$0$0
Shaheen Iqbal MD
Director20.000.00Yes (X)$70,645$0$0
Kent R Reynolds
Director3.000.00Yes (X)$0$0$0
Scott Worrell MD
Director10.000.00Yes (X)$3,000$0$0
Ralph Salvagno MD
Director20.000.00Yes (X)$35,000$0$0
Frederick C Wright III
Director3.000.00Yes (X)$0$0$0
Gregory Snook
Vice Chairman3.000.00Yes (X)$0$0$0Yes (X)
Steven Hull
Chairman5.000.00Yes (X)$0$0$0Yes (X)
Joseph P Rossoff 12818
Former Pres&CEO50.003.00Yes (X)$897,046$0$91,864Yes (X)
Carolyn M Simonsen
Interim CEO50.003.00Yes (X)$416,026$0$63,407Yes (X)
Stephen Nelsonstart 11419
Secretary50.000.00$0$0$0Yes (X)
Thomas T Chan
VP/Treasurer50.003.00$486,178$0$118,844Yes (X)
Anthony Shaver
Vice President50.000.00$232,546$0$48,103Yes (X)
Carrie Adams
Vice President50.000.00$334,070$0$82,356Yes (X)
Jason Cole
Vice President50.000.00$264,497$0$79,829Yes (X)
Melanie Heuston
Vice President50.000.00$311,919$0$104,863Yes (X)
Douglas Spotts MD
Vice President50.000.00$323,044$0$88,589Yes (X)
Amy Dilcher off 72718
VP/General Council50.000.00$218,618$0$25,556Yes (X)
Ali Akmal
Physician50.000.00$828,345$0$68,777Yes (X)
Hemant Chatrath MD
Physician50.000.00$738,471$0$53,276Yes (X)
Frank Collins MD
Physician50.000.00$634,897$0$67,052Yes (X)
Stephen Sachs MD
Physician50.000.00$536,740$0$50,810Yes (X)
Michael McCormack MD
Physician50.000.00$506,669$0$56,840Yes (X)
Melinda Cannon
Vice President50.000.00$253,482$0$31,116Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,288,345TotalReportableCompFromOrgAmt
Total Other Compensation$1,031,282TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K218IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Mercy Specialized Billing Services
PO Box 505125St LouisMO63150Information Services$8,468,505
MDICS Physicians Inpatient Care
7250 Parkway Drive Suite 500HanoverMD21076Medical$3,855,871
Shock Trauma Associates PA
11 S Paca St Ste 500BaltimoreMD21201Medical$3,177,021
Quest Diagnostics Nichols Institute
PO Box 740709AtlantaGA30374Medical$1,056,119
Roche Diagnostics Corp
9115 Hague RoadIndianapolisIN46250Medical$963,401
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K81CntrctRcvdGreaterThan100KCnt
Related Organizations$577,091RelatedOrganizationsAmt
Government Grants$299,714GovernmentGrantsAmt
All Other Contributions$188,038AllOtherContributionsAmt
Total Contributions$1,064,843TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria sales900099$2,020,438$2,020,438
Partnership income541900$444,722$444,722
Patient revenue900099$387,045,865$387,045,865
Retrospective Health Prem900099$653,798$653,798
School Nursing Program900099$3,245,454$3,245,454

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$625,018TotalRevenueColumnAmt
Related Or Exempt Func Income$625,018RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$394,035,295TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,085,017TotalRevenueColumnAmt
Unrelated Business Revenue$11,962UnrelatedBusinessRevenueAmt
Exclusion$7,073,055ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$543,323RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,354,667RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$811,344RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$811,344TotalRevenueColumnAmt
Exclusion-$811,344ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$51,343,636SecuritiesAmt
Other$1,180,452OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$50,601,202SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$742,434SecuritiesAmt
Other$1,180,452OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,922,886TotalRevenueColumnAmt
Exclusion$1,922,886ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Clinical Trials541700$443,220$443,220
Lab Revenue621500$1,202,238$1,202,238
FieldValueIRS element (for citing)
Other Revenue Total$1,645,458OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$404,942,155TotalRevenueColumnAmt
Related Or Exempt Func Income$394,035,295RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,657,420UnrelatedBusinessRevenueAmt
Exclusion$8,184,597ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$357,430TotalAmt
Program Services$357,430ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,522,439TotalAmt
Management And General$4,522,439ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$154,203,404TotalAmt
Program Services$123,362,723ProgramServicesAmt
Management And General$30,840,681ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,675,188TotalAmt
Program Services$4,540,150ProgramServicesAmt
Management And General$1,135,038ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,858,675TotalAmt
Program Services$15,086,940ProgramServicesAmt
Management And General$3,771,735ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,126,730TotalAmt
Program Services$8,901,384ProgramServicesAmt
Management And General$2,225,346ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$23,529,406TotalAmt
Program Services$18,823,525ProgramServicesAmt
Management And General$4,705,881ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,716,068TotalAmt
Program Services$1,372,854ProgramServicesAmt
Management And General$343,214ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$286,102TotalAmt
Program Services$228,882ProgramServicesAmt
Management And General$57,220ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,375TotalAmt
Program Services$8,300ProgramServicesAmt
Management And General$2,075ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$489,675TotalAmt
Program Services$391,740ProgramServicesAmt
Management And General$97,935ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,730,805TotalAmt
Program Services$36,584,643ProgramServicesAmt
Management And General$9,146,162ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,034,239TotalAmt
Program Services$2,034,239ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$536,668TotalAmt
Program Services$429,334ProgramServicesAmt
Management And General$107,334ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,267,517TotalAmt
Program Services$5,014,014ProgramServicesAmt
Management And General$1,253,503ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,421,295TotalAmt
Program Services$5,137,036ProgramServicesAmt
Management And General$1,284,259ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$914,339TotalAmt
Program Services$731,471ProgramServicesAmt
Management And General$182,868ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$917,601TotalAmt
Program Services$734,081ProgramServicesAmt
Management And General$183,520ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,443,483TotalAmt
Program Services$9,154,786ProgramServicesAmt
Management And General$2,288,697ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,763,342TotalAmt
Program Services$19,810,674ProgramServicesAmt
Management And General$4,952,668ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,952,821TotalAmt
Program Services$1,562,257ProgramServicesAmt
Management And General$390,564ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Drugs & pharmaceuticals$30,875,891$30,875,891
Medical supplies$26,705,333$26,705,333
Bad debt expense$15,776,057$15,776,057
Equipment and maintenance$6,067,459$4,853,967$1,213,492

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,597,647TotalAmt
Program Services$8,478,116ProgramServicesAmt
Management And General$2,119,531ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$411,779,989TotalAmt
Program Services$340,955,827ProgramServicesAmt
Management And General$70,824,162ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$95,136,745BOYAmt
EOY$76,880,175EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,281,366BOYAmt
EOY$40,605,866EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$334,928BOYAmt
EOY$301,357EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,296,619BOYAmt
EOY$5,424,683EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,961,789BOYAmt
EOY$3,761,299EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$437,834,050LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$194,760,707LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$250,236,731BOYAmt
EOY$243,073,343EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$156,651,490BOYAmt
EOY$161,572,674EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$14,808,000BOYAmt
EOY$18,160,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$4,015,385EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$46,775,853BOYAmt
EOY$53,318,237EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$611,483,521BOYAmt
EOY$607,113,019EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$59,232,528BOYAmt
EOY$60,323,498EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$260,573,437BOYAmt
EOY$256,143,438EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,901,465BOYAmt
EOY$1,574,266EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,338,691BOYAmt
EOY$10,167,063EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$330,046,121BOYAmt
EOY$328,208,265EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$275,084,652BOYAmt
EOY$272,883,811EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,324,130BOYAmt
EOY$4,992,325EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,028,618BOYAmt
EOY$1,028,618EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$281,437,400BOYAmt
EOY$278,904,754EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$611,483,521BOYAmt
EOY$607,113,019EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,837,834ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,768,100NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$462,912OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$10,375OtherActivitiesAmt
Total Lobbying Expenditures$10,375TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,045,925BeginningYearBalanceAmt
Investment Earnings Or Losses$26,022InvestmentEarningsOrLossesAmt
End Year Balance$1,071,947EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,031,912BeginningYearBalanceAmt
Investment Earnings Or Losses$14,013InvestmentEarningsOrLossesAmt
End Year Balance$1,045,925EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,035,650BeginningYearBalanceAmt
Investment Earnings Or Losses$8,501InvestmentEarningsOrLossesAmt
Other Expenditures$12,239OtherExpendituresAmt
End Year Balance$1,031,912EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,003,685BeginningYearBalanceAmt
Investment Earnings Or Losses$37,181InvestmentEarningsOrLossesAmt
Other Expenditures$5,216OtherExpendituresAmt
End Year Balance$1,035,650EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,032,034BeginningYearBalanceAmt
Investment Earnings Or Losses$2,233InvestmentEarningsOrLossesAmt
Other Expenditures$582OtherExpendituresAmt
End Year Balance$1,033,685EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,670,317OtherCostOrOtherBasisAmt
Book Value$6,670,317BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$214,299,988OtherCostOrOtherBasisAmt
Depreciation$76,830,449DepreciationAmt
Book Value$137,469,539BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,977,828OtherCostOrOtherBasisAmt
Depreciation$11,377,818DepreciationAmt
Book Value$10,600,010BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,087,268OtherCostOrOtherBasisAmt
Depreciation$106,552,440DepreciationAmt
Book Value$86,534,828BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,798,649OtherCostOrOtherBasisAmt
Book Value$1,798,649BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$243,073,343TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Net assets held by MHF$4,583,356
Other assets$1,646,851
Retro premium credit receivable$10,462,461
FieldValueIRS element (for citing)
Total Book Value Other Assets$53,318,237TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Accrued retirement benefits$2,392,343
Due to related entities$7,774,720
FieldValueIRS element (for citing)
Total Liability$10,167,063TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.The purpose of the Endowment Funds is to pay the outstanding balances for those patients who meet certain criteria. In order to qualify, individuals must have made 10 consecutive payments, have not been turned over to collections, and have never applied for financial assistance.
Part X : FIN48 FootnoteMMC follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. MMC does not believe its consolidated financial statements include any material uncertain tax positions. As of June 30, 2019, the Meritus tax years ended June 30, 2016 through June 30, 2019 for federal tax jurisdiction remain open to examination.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCen Ame and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedProgram servicesTypeOfActivitiesConductedTxt
Specific Services ProvidedInsuranceSpecificServicesProvidedTxt
Region Total Expenditures$1,528,530RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$1,528,530SubtotalSpentAmt
Total Spent$1,528,530TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1695PersonsServedCnt
Total Community Benefit Expns$3,979,627TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,979,627NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served1695PersonsServedCnt
Total Community Benefit Expns$3,979,627TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,979,627NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served59444PersonsServedCnt
Total Community Benefit Expns$1,213,113TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,190,875NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served4472PersonsServedCnt
Total Community Benefit Expns$222,424TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$219,724NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served269478PersonsServedCnt
Total Community Benefit Expns$71,508,910TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,888,262DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,620,648NetCommunityBenefitExpnsAmt
Total Expense0.08490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served1905PersonsServedCnt
Total Community Benefit Expns$767,159TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,531DirectOffsettingRevenueAmt
Net Community Benefit Expns$726,628NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served335299PersonsServedCnt
Total Community Benefit Expns$73,711,606TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,953,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,757,875NetCommunityBenefitExpnsAmt
Total Expense0.09030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served336994PersonsServedCnt
Total Community Benefit Expns$77,691,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,953,731DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,737,502NetCommunityBenefitExpnsAmt
Total Expense0.10030TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$189,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$189,018NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,864TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,864NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,952TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,952NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$200,834TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$200,834NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$15,776,057BadDebtExpenseAmt
Bad Debt Expense Attributable$2,366,409BadDebtExpenseAttributableAmt
Reimbursed By Medicare$187,085,175ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$183,157,549CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,927,626MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPct
Maryland Care Inc
Healthcare0.25000
Tri-State Health Part Inc
PHO1.00000
THP-Meritus ACO LLC
ACO1.00000
Trivergent Health Alliance
Management Services0.33330
Meritus Health ACO LLC
ACO1.00000
MD Care Management Inc
Healthcare0.25000
General Surgery Re LLC
Real Estate0.50000
GI Real Estate Company LLC
Real estate0.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Meritus Medical Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111116 Medical Campus RoadAddressLine1Txt
CityHagerstownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21742ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.meritushealth.comWebsiteAddressTxt
State License21-0001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Meritus Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.meritushealth.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.meritushealth.com/documents/CHNA/CHNA-FY19-AppenStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLsee Part VI, line 3eFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLsee Part VI, line 3eFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLsee Part VI, line 3eFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Meritus Medical Center, Inc. - Part V, Section B, Line 5The primary data collection process included the development of a health needs survey that was designed, approved, and distributed by the steering committee throughout the community. The survey questions were developed based on the Behavioral Risk Factor Surveillance Survey (BRFSS) questions that allowed comparison of our results with data from the most recent BRFSS information collected by the Maryland Department of Health and Centers for Disease Control. In addition, feedback from the membership of the local health improvement coalition was obtained to help explain the perceived barriers that prevent people from accessing health care services; finances, transportation, hours of operation, social needs, limitations, etc.The community survey was written in English and translated to Spanish, and was distributed both electronically via email and websites as well as via written copies. The survey period was open from June 25, 2018 September 14, 2018. A representative sample of 1,514 Washington County adults responded and completed the survey questionnaire. The survey process was designed to obtain a sample that mirrored the census population, racial/ethnic and socio-demographic make-up of the community. This was accomplished by coordinating the promotion of the survey county-wide by the health systems and providers including the free clinic, government, school system, social service organizations and the local chamber of commerce.While the community survey process obtained an excellent representative sample of the Washington County, we wanted to ensure that input was obtained directly from members of the community who were not well represented in the survey sample. We focused on the under-represented percentages in the survey that included men, African Americans andHispanic communities. In an effort to obtain in-depth feedback related to the biggest health challenges and assets in the community are, we interviewed physicians and hospital care managers. Finally, we focused on populations with specific health challenges to include seniors and behavioral health (mental health and substance abuse). The series of focus groups and interviews were conducted from August 28, 2018, to November 2, 2018. Finally a public meeting was held November 20, 2018 to review the data and prioritize the health needs for our community.
Facility: Meritus Medical Center, Inc. - Part V, Section B, Line 11As a community hospital, MMC purposefully incorporates our commitment to community service into our internal management and governance structures as well as strategic and operational plans. MMC conducts a community health needs assessment every three years to identify and prioritize community health needs and service gaps. An action plan of initiatives and goals is developed to address the prioritized health needs. The action plan is reviewed by the MMC Strategic Planning Committee and approved by the MMC Board.The most recent prioritized community health needs from FY 2019 MMC CHNA include:1.Reduce substance abuse to protect the health, safety and quality of life2.Improve mental health through prevention and by ensuring access to appropriate, quality mental health treatment3.Promote health and reduce risk of chronic disease through the promotion of consuming a healthy diet and physical activity4.Improve health related quality of life and well-being for persons living in the community, smoking cessation and medication adherence5.Improve the management of diabetes and reduce mortality 6.Reduce heart disease mortality and manage hypertensionAt the conclusion of the CHNA data assessment, it was recognized that many more needs were identified and exist than cannot be successfully met by the hospitals alone due to limited, finite resources. The prioritization criterion and assigned weights assisted the coalition to narrow the focus and directly address the issues that would have the greatest impact for improving the health of people in our community. When other community organizations have a mission aligned to meet the CHNA needs that were identified, the need was scored as a lower priority for MMC, avoiding the duplication of existing community services and providing an opportunity to coordinate the linkage of patients to alternative services whenever appropriate. Our community providers are using the results of the CHNA to help target these unmet needs based on strengths, expertise and resources of individual organizations, and where interests are shared, new collaborative relationships between organizations will be formed. Other identified CHNA needs not addressedAt the conclusion of the CHNA health needs ranking it was recognized that many more needs were identified and exist than the top six identified health needs alone. Some of the health needs that were not identified as the highest ranked priorities for the community include cancer, access to dental care, teen pregnancy, senior needs, homelessness, and poverty among others. Our community providers are using the results of the CHNA to help target these unmet needs based on the strengths, expertise and resources of individual organizations, and when interests are shared, new collaborative relationships between organizations can be formed. Findings from the FY2019 CHNA may be used to support grant procurement, donations and gifts to fund new program services.The local Washington County Health Improvement Coalition is using the CHNA to address access to affordable healthcare issues and a lack of health insurance by providing locations for the MD Health Exchange Navigators to reach uninsured persons. MMC has a financial assistance policy for persons deemed unable to afford the cost of care. The county is fortunate to have two Federally Qualified Health Centers located in Hancock and Hagerstown, MD, both of which are committed to providing quality healthcare services on a sliding-scale basis. The Community Free Clinic located in Hagerstown provides quality, comprehensive outpatient health care services, free of cost, to all Washington County residents who are uninsured.
Facility: Meritus Medical Center, Inc. - Part V, Section B, Line 13bMeritus strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. Meritus reserves the right to grant financial assistance without formal application being made by patients. These patients may include the homeless or individuals with returned mail and no forwarding address. Patients who are uninsured, underinsured, ineligible for a government program or otherwise unable to pay for medically necessary care may be eligible for Meritus' Financial Assistance Program.
Facility: Meritus Medical Center, Inc. - Part V, Section B, Line 16jMeritus made available brochures informing the public of its Financial Assistance Policy. Such brochures are available throughout the community and within MMC locations. Notices of the availablity of financial assistance are posted at appropriate admission areas, the Patient Financial Services department and other key patient access areas. A statement on the availability of financial assistance is included on patient billing statements. If there are any questions regarding the Financial Assistance Policy, the patient access/registration personnel refer the uninsured and/or low-income patients to financial counselors to discuss the policy. The financial assistance policy for MMC is available on the website and is translated into Spanish.
Facility: Meritus Medical Center, Inc. - Part V, Section B, Line 22dAll patients presenting to Meritus for emergency services are treated regardless of their ability to pay. For emergent services, applications to FAP are completed, received and evaluated retrospectively and do not delay patients receiving care.Individuals eligible for reduced-cost care under this policy are not charged more than the hospitals standard charges, as set by Marylands Health Services Cost Review Commission (HSCRC).Meritus rate structure is governed by the HSCRC rate setting authority. As an all-payer system, all patient care is charged according to the resources consumed in treating them regardless of the patients ability to pay. Charges are developed based on a relative predetermined value set by the HSCRC at the approved unit rate developed by the HSCRC.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportMeritus Medical Center (MMC) prepares a community benefits report through the Maryland Health Services Cost Review Commission (HSCRC), and it is available via their website. This is in addition to the Community Health Needs Assessment report prepared by MMC in accordance with IRC Section 501(r).
Part I, Line 7 - Explanation of Costing MethodologyThe direct cost was calculated by using the expense categories for salaries and wages, benefits, expendable supplies, purchased services, repairs and maintenance and depreciation. The indirect cost was calculated using the approved methodology on the community benefit report.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseMeritus Medical Center (MMC) is committed to providing quality health care for all patients regardless of their ability to meet the associated financial obligation and without discrimination on the grounds of race, color, national origin or creed. It is the policy of MMC to ensure that all appropriate and reasonable efforts have been made prior to referring an account to bad debt, a collection agency or outside attorney. In addition, a satisfactory level of control is maintained over bad debts and levels of management are involved in the decision making process prior to write-off and/or assignment of bad debt. The percentages in column F are based on community benefit expense as a percentage of total expense less bad debt expense of $15,776,057.
Part I, Line 7g - Costs Associated With Physicans ClinicsSubsidized health services for Meritus Medical Center include the following: (1) Hospital Owned Practices (2) The Medication Assistance Center (3) MMG Physician Practices (4) Level III Trauma Program (5) On-call Fees for Emergency Specialists (6) Hospice Voluntary Write-offs (Hospice of Washington County) (7) Medical Urgent Care (8) Hospitalist Subsidy (9) Community Health (Community Health, Employee Wellness, Parish Nursing) (10) Family Practice Residency Program (11) Health @ Work
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseMMC uses historical reimbursement trends in determining bad debt expense and adjusts the accounting based on known variances or adjustments. MMC utilizes HFMA statement #15 to report bad debt expense. Bad debt expense is reported at the undiscounted rate which matches the reporting of the bad debt on the financial statements.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe costs for patients accepted under MMCs financial assistance policy are included in charity care and are not a part of MMCs bad debt expense. MMC is using an estimation process to calculate MMCs bad debt expense attributable to patients that are eligible but denied under MMCs financial assistance policy. MMC takes into account the number of financial assistance applications that are denied. MMC has determined there is historically a denial rate that equates to approximately 15% of total bad debt expense. These denied financial assistance applicants normally present as future bad debt cases that are written off. There is no bad debt expense included in the net community benefit expense.
Part III, Line 4 - Bad Debt ExpenseEstimates for uncollectible amounts are based on the aging of accounts receivable, historical collection experience for similar payors and patients, current market conditions, and other relevant factors. Subsequent changes that are determined to be the result of an adverse change in the payor's or patient's ability to pay are recorded as bad debt expense. Bad debt expense for the year ended June 30, 2019 was not significant to the consolidated financial statements.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMMC uses the cost to charge ratio to determine the Medicare allowable costs of care relating to total revenue received from Medicare. MMC did not report a shortfall in Medicare revenue received that would be treated as a community benefit.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients1. Meritus expects patient payment at the time service is provided or within thirty (30) days of the first billing to patient for services not covered by insurance or financial assistance.2. Meritus must take effective action to maintain timely accounts receivable turnover and ensure that the value of accounts receivable is accurately stated. To do this, patient accounts will be aged and written off as bad debts or charity and may be outsourced to collection agencies for further follow-up. 3. Emergency services will be provided to all patients regardless of ability to pay. Scheduled services will be provided after appropriate financial arrangements are confirmed by Meritus. Deposits may be required prior to scheduling services. Failure to pay required deposits may result in the rescheduling of the service.4. Financial Assistance is potentially available for patients based on financial need as defined in the Meritus Financial Assistance Policy. It is the patients responsibility to provide accurate information regarding address, employment and health insurance in order to determine eligibility for services, amounts due from the patient and/or eligibility for Financial Assistance. 5. Meritus complies with all state and federal law and third party regulations to perform credit and collection functions in a dignified and respectful manner.6. Meritus does not discriminate on the basis of age, race, creed, sex or ability to pay.7. Meritus will not sell the bad debt receivables or charge a prejudgment interest rate for self-pay or balances after insurance.8. Meritus may use external collection agencies for extended business office, legal and/or collection activity to assist with collecting on patient accounts. These agencies do not sell the receivable and act as an extended business office on behalf of Meritus. 9. Prior to initiating any extraordinary collection activities (ECAs), Meritus shall provide written notice to the patient or responsible party at least thirty (30) days prior to the referral. Such written notice shall inform the patient of the availability of financial assistance and identify the actions that Meritus intends to initiate to obtain payments as follows:a) Reporting adverse information to a consumer credit reporting agency orcredit bureau;b) Garnishment of wages; orc) Initiating a civil action.The above listed collection practices are followed for all patients.
Part VI, Line 2 - Needs AssessmentCommunity Health Needs Assessment Plan and Implementation as required by IRC Section 501(r).Meritus Medical Center("MMC")conducted a Community Health Needs Assessment that conforms to the IRS definition. This report includes a comprehensive review and analysis of the data regarding health issuesand needs of Washington County, MD. Upon full review of the CHNA findings the MMC Board of Directors approved and adopted the plan of action on March 28, 2019. Following Board approval the FY2019 CHNA was publicly posted at: www.meritushealth.com/financial assistance.The most recent prioritized community health needs from FY2019 MMC CHNA include:#1 To improve access to care and reduce overdose deaths related to substance abuse by incorporating the following: screening for substance use disorder to identify, intervene, and link patients with treatment and supportive resources; provide an inpatient consultative team and peer recovery support program which can successfully help patients establish a plan of recovery; continue crisis stabilization, management of withdrawal, and follow-up treatment for hospitalized patients by transferring the patients directly to drug rehab when indicated; continue participation in a neonatal abstinence syndrome collaborative to intervene with mothers of drug-affected newborns, improve inpatient treatment, and partner to support our community treatment providers; provide free support group and education services to family members of persons with addiction.#2 To improve access to care, earlier identification and to reduce stigma of mental health by incorporating the following: provide targeted mental health education and support groups to decrease stigma and increase awareness of behavioral health issues; provide practical mental health education and support at no cost; provide continued integration of behavioral health professionals in primary care practices to help support depression screening, mental health evaluation, crisis stabilization, and linkage; partner to provide case management services to help link patients at high-risk for a return to the ED with needed community resources; provide expedited access to timely psychiatry evaluation to avoid ED visit or higher level of care when indicated.#3 Weight status; reduce obesity by increasing physical activity and eating a healthy diet by incorporating the following: expand the CATCH program (Coordinated Approach to Child Health) which is a standardized, evidenced-based program proven to reduce the rate of obesity among children in after school clubs; sponsor and promote four large community events centered on promotion of physical activity and health; provide a bi-weekly community weight loss support group led by a registered dietitian that is open to the public and free of charge; offer BMI screening, health and nutrition information at two public health events with a focus on diet, nutrition and exercise.#4 Wellness; promote healthy lifestyles with healthful nutrition, exercise, smoking cessation and stress reduction by incorporating the following: offer non-traditional, alternative health interventions that have demonstrated positive health benefits; provide wellness checks and general health screenings to provide patients with understanding of their health status; partner with local health improvement coalition and partners to provide the community-based One for Good initiative with focus on making healthier food choices, increasing physical activity, stop smoking, and taking medication as prescribed; increase participant awareness to contemplate need to make lifestyle changes; provide wellness education for practical, applicable information to current health topics, exercise, and trends; provide support groups that cover a wide range of health related issues including cancer, stroke, stress and grief.#5 Diabetes; reduce diabetes disease burden through prevention, improved management, access to care and education by incorporating the following: provide targeted diabetes education to patients through care management support directly in PCP offices; provide the evidenced-based Living Well diabetes education series for disease management in the community at no cost; complete initial requirements for establishment of a national diabetes prevention program to teach lifestyle changes and reduce risk of developing Type II diabetes; continue to provide diabetes self-management education services; continue partnership with a local church as a health hub in at-risk neighborhoods by providing diet, nutrition counseling, health education and support groups that ensure direct communication with a physician. #6 Heart disease and hypertension; improve cardiovascular health through prevention, management of blood pressure and early identification of risk by incorporating the following: conduct blood pressure screenings at health outreach events, in churches and community neighborhoods to identify persons with hypertension, provide education and refer to medical management; continue the community wide blood pressure awareness to change the community culture to focus on personal health status; sponsor heart healthy activities and events that promote heart health education; provide telehealth support and monitoring to persons with congestive heart failure to improve overall management.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceFinancial assistance is offered before, during, or after services are rendered at MMC. Meritus offers a financial assistance application and a self pay brochure at the point of registration. After applying, the hospital will send an acknowledgment letter to the patient within two (2) business days and an eligibility determination will be made within thirty (30) days.Notice of the Availability of Financial Assistance:a. Meritus made available brochures informing the public of its Financial Assistance Policy. Such brochures will be available throughout the community and within Meritus locations.b. Notices of the availability of financial assistance are posted at appropriate admission areas, the Patient Financial Services department,the ER and other key patient access areas.c. A statement on the availability of financial assistance is included on patient billing statements.d. A Plain Language Summary of Meritus Financial Assistance Policy is provided to patients receiving inpatient services with their Summary Bill and is made available to all patients upon request.e. Meritus Financial Assistance Policy, a Plain Language Summary of the policy, and the Financial Assistance Application are available to patients upon request at Meritus, through mail (postal service), and on Meritus website at www.meritushealth.com/financialassistance.f. Meritus Financial Assistance Policy, Plain Language Summary, and Financial Assistance Application are available in Spanish.g. On an annual basis, Meritus shall assess the needs of our limited English proficiency community and determine whether additional translations are needed.h. MMC employs an on-site Washington County Social Worker that screens and notifies patients and potential patients of their eligibility for all public assistance programs offered by the county, state and federal governments. MMC has policies including financial assistance, billing and collections and emergency care that insure compliance with the legislation of section 501R.Part V, question 16 a,b & chttps://www.meritushealth.com/patients-vistors/financial assistance
Part VI, Line 4 - Community InformationMMC, western Marylands largest health care provider, is located at the crossroads of western Maryland, southern Pennsylvania and the eastern panhandle of West Virginia. The hospital has committed to caring for the community for more than a century. MMC, a Joint Commission accredited, not-for-profit, state-of-the-art hospital, is the flagship facility of the organization. It received its first Magnet Recognition in April 2019, making it the only hospital in western Maryland and the tri-state region it serves, to receive professional nursings highest honor. The hospital officially added teaching to its list of services with the introduction of the Meritus Family Medicine Residency Program in July 2019. The program is an ACGME accredited graduate medical education initiative and the only one of its kind in western Maryland. MMC directly links to Robinwood Professional Center, creating a one-million square-foot combined campus, the largest health services footprint in the state of Maryland. The hospitals emergency department is a level III trauma center and EMS Base Station as designated by the Maryland Institute for Emergency Medical Services Systems or MIEMSS and its cardiac cath lab, stroke and rehabilitation programs have all received recognition for comprehensive, quality care and service.
Part VI, Line 4 - Community Building ActivitiesPart II, Lines 1-10In order to promote the health of the community, MMC was involved in many community building activities. MMC spent $189,018 on physical improvements to the community and improvements to housing in the community. The physical improvements included contributions to St. Mary's Catholic Church to construct a wall between MMC's Walnut Street Practice building and the Church. MMC also spent $9,952 on leadership development and training by Leadership Washington County for several MMC employees. Lastly, MMC gave $1,864 towards economic development.
Part VI, Line 5 - Promotion of Community HealthMMC believes that healthcare is not just for people when they are sick or injured. Through many avenues, we reach out to the community and offer ways to help you stay healthy. One example is the collaboration with the Herald-Mail, MMC and Washington County Public Schools known as Healthy Washington County. The goal of Healthy Washington County is to educate as many adults in the region as possible about the importance of understanding your own personal health numbers and what they mean for your overall health status. The Medication Assistance Center (MAC) provides access to free or reduced-cost prescription drugs to low-income or chronically ill patients with no prescription insurance. The center serves some 3,400 residents of Washington County and those who are treated by physicians located in Washington County or at MMC. Since 2000, MMC has provided this service free of charge. Medical screenings keep our community healthy and are held throughout the year. Free vascular, blood pressure, and other screenings are held at MMC, the Walnut Street Health Fair, and other community events. The Make a Difference Breast Cancer program is a breast cancer outreach, education and screening project that provide services to uninsured and underinsured women of Washington County and the tri-state area. The program is funded by a grant from the Maryland Affiliate of Susan G. Komen for the Cure, MMC's John R. Marsh Cancer Center, Washington County Health Department's Breast and Cervical Cancer Program (BCCP), Breast Cancer Awareness - Cumberland Valley (BCA-CV) and Diagnostic Imaging Services. Our financial assistance program serves MMC patients who are unable to pay all or part of their medical bills. Improving healthcare access to those with limited incomes and resources is an important part of MMC's mission. The Your Health Matters program uses magazine, radio and newsletters to keep the public informed of MMC-sponsored community workshops, support groups, classes - and offers tips on living a healthier life. Spring through fall our Farmers's Market presents the public with healthy food choices and gives local farmers an opportunity to market their fresh produce. 55 and Up is for people age 55 and older who enjoy learning about health-related topics over lunch. The group meets with physicians and healthcare professionals once a month to understand health topics of interest. Parish Nursing, or faith community nursing, encourages parishioners of all ages and faiths to become active partners in the management of their health. Parish nurses act as a vital link between the faith and medical communities. The Sexual Assault Forensic Examiner (SAFE) program is a comprehensive and compassionate approach to the treatment of victims of sexual assault and abuse. MMC's SAFE program uses trained and certified SAFE examiners to provide specialized medical care, evidence collection, and emotional support to victims of sexual assault. Each year MMC employees contribute time and money to improve the well-being of our friends and neighbors. Fundraising campaigns like the United Way, March of Dimes, and the Walk to End Alzheimers inspire our healthcare professionals to give back to causes near to their hearts and professions. During the holiday season, our physicians and employees make and deliver hot meals for area families and seniors through our Lend-a-Hand event. Cancer survivors celebrate the gift of life each June when the John R. Marsh Cancer Center sponsors a family picnic for those touched by this life-changing disease.Cancer continues to be the second leading cause of death for Washington County residents. Meritus Medical Center will continue investment in the cancer service programs to include the development of the Meritus Hematology Oncology Specialists practice, providing four Registered Nurse Clinical Navigators, adding registered dietitian services, and initiating the Hope Soars Survivorship Program as a support to patients in recovery.The John R. Marsh Cancer Center, accredited with commendation by the Commission on Cancer, is part of comprehensive cancer services that include screenings, diagnosis, treatment and recovery. A part of the MMC commitment to offer patients expert care, close to home, is Meritus Medical Group, a medical neighborhood of primary and specialty care practices, providing a full spectrum of outpatient services from a team of more than 100 health care professionals located throughout the community.
Part VI, Line 7 - States Filing of Community Benefit ReportMD
Part VI - Additional InformationMaryland Healthcare Regulatory SystemPart I, Lines 7a & 7b Columns (c) through (f) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any directed offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system.The legal entities reflected on this Form 990 include Meritus Medical Center and its consolidated affilates that are dis-regarded entities structured in the form of limited liability companies. Meritus accomplishes its missions to provide care to patients and community benefits throughout its controlled entities. The controlled entities in total provided charity care in the amount of $5,711,493 during fiscal year 2019. These amounts are in addition to the community benefits provided by the Meritus Medical Center as reported on Schedule H.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHSCRC Nursing GrantGrantTypeTxt
Recipient13RecipientCnt
Cash Grant$357,430CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationThe HSCRC grant provides money to employees of the Hospital who are enrolled in the Hagerstown Community College nursing program. The grant program pays for all of the student's tuition, books, and fees with an agreement that upon graduation the student will work for the Hospital as a registered nurse. The grant also provides monies for registered nurses who are working on their MSN in education. Each award recipient will be required to sign a Service Card Agreement with the Meritus Medical Center. The length of payback will be one year of service (equivalent to 2,080 hours of service) for each year of the grant you receive. The program is five semesters long and most recipients will owe 4,160 hours.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Ali Akmal
Physician$828,220$125$48,665$20,112$897,122
Amy Dilcher off 72718
VP/General Council$175,962$42,656$25,123$433$244,174
Anthony Shaver
Vice President$207,446$46,898$1,205$280,649$25,100
Carolyn M Simonsen
Interim CEO$330,481$28,601$52,265$11,142$479,433$56,944
Carrie Adams
Vice President$268,297$5,231$60,648$21,708$416,426$60,542
Douglas Spotts MD
Vice President$286,904$11,140$65,261$23,328$411,633$25,000
Frank Collins MD
Physician$634,897$36,875$30,177$701,949
George Newman II PhD MD
Director$157,275$157,275
Hemant Chatrath MD
Physician$667,835$49,636$49,375$3,901$791,747$21,000
Jason Cole
Vice President$229,635$52,265$27,564$344,326$34,862
Joseph P Rossoff 12818
Former Pres&CEO$621,257$103,584$72,546$19,318$988,910$172,205
Melanie Heuston
Vice President$265,172$7,972$82,162$22,701$416,782$38,775
Melinda Cannon
Vice President$32,332$201,061$16,495$14,621$284,598$20,089$36,450
Michael McCormack MD
Physician$506,669$35,556$21,284$563,509
Stephen Sachs MD
Physician$536,740$36,875$13,935$587,550
Thomas T Chan
VP/Treasurer$385,518$29,804$93,977$24,867$605,022$70,856

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.All gross-up payments provided by MMC are solely related to relocation expenses and are approved in advance by the executive committee as part of the compensation analysis. The following individuals received reimbursement for relocation expenses which included a housing allowance during the reporting period: Melanie Heuston $7,972 and Douglas Spotts MD $11,140.
Part I, Line 7: Non-Fixed payments not listed aboveIncentive based compensation is determined by agreed upon individual and corporate goals by the Executive Committee of the MMC Board. Executive compensation is predetermined at the beginning of the fiscal year by the Executive Committee with the help of independent consultants using benchmarked information to ensure market competitiveness on an annual basis. Total compensation received by each individual is reviewed for reasonableness by those tasked with governance prior to all distributions.
Part III, Additional InformationSeveral officers are participants in a 457F plan that was approved by the Executive Committee of the MMC Board of Directors. For the current year, the following amounts were deferred by MMC and are not substantially vested and subject to creditor claims and forfeitures: Thomas Chan $38,648, Anthony Shaver $20,735, Carrie Adams $27,669, Jason Cole $23,385, Melanie Heuston $26,935 and Douglas Spotts $28,942. The 457F plan amount for Carolyn Simonsen was included in Column B(iii).Certain Meritus executives receive taxable fringe benefits, such as executive life insurance and car allowances. The value of these taxable fringe benefits are included in Form W-2 wages. Total compensation of all executives is adjusted to market competitiveness, reviewed to ensure reasonableness, and approved by the Executive Committee of the MMC Board.The following individual received separation pay during the reporting period: Melinda Cannon $159,754.The Executive Committee of the MMC Board, which is comprised of independent board members, reviews on an annual basis the following as it relates to the compensation of the CEO and other key executives: 1) annual performance evaluations of the CEO and executives; 2) organizational and individual performance in achievement of strategic and individual incentive goals; and 3) market data presented by an independent third party compensation consultant; and 4) base salary and incentive recommendations. The independent third party consultant conducts and presents a reasonableness review of both base salary and total compensation for the CEO and key executives. The Committee discusses, deliberates and approves base salary and incentive compensation recommendations. Results are reported to the MMC Board.Positions reviewed in August of 2018 were: President and Chief Executive Officer, Chief Financial Officer, Executive Vice President and Chief Administrative/ Compliance Officer, Chief Nursing Officer, Chief Quality & Transformation Officer, VP Professional & Support Services, VP Physician Services, Chief Information Officer and Chief Population Health Officer.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MD Hlth & Hig Ed Fac AutBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN520936091BondIssuerEIN
CUSIP574218YA5CUSIPNum
Bond Issued2015-07-09BondIssuedDt
Issue Price$272,718,190IssuePriceAmt
PurposeRefund o/s bonds/cons projectsPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$12,575,000RetiredAmt
Total Proceeds$272,754,457TotalProceedsAmt
Refunding Escrow$252,553,239RefundingEscrowAmt
Issuance Costs From Proceeds$180,518IssuanceCostsFromProceedsAmt
Capital Expenditures$20,014,308CapitalExpendituresAmt
Substantial Completion2017SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0.00008PrivateBusUseByOthersPct
Total Private Business Use0.00008TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationThe difference between the issue price of the bonds and the total proceeds of the issue is investment earnings in the amount of $36,267.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonWaheed AlencherryIqbalPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDirectorRelationshipDescriptionTxt
Transaction$153,019TransactionAmt
TransactionSee supp info belowTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationDr. Iqbal is paid under a compensation arrangement MMC has with the medical practice of Drs. Waheed, Alencherry & Iqbal. This is an arms' length transaction disclosed in accordance with the conflict of interest policy. All interested persons recuse themselves from any decision-making surrounding the disclosure.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to CommitteeThe Executive Committee of the MMC Board is comprised of the Board Chairperson, Vice Chairperson and Chairpersons of the following committees: Finance & Capital, Governance, Quality & Safety, Audit & Business Integrity, and Strategic Planning Committees, all whom are Board Members. The Committee, which meets bi-monthly between regularly scheduled Board meetings may in its discretion exercise the full powers, duties, responsibilities and authority of the Board, except where prohibited by law and subject to any limitations imposed by the Bylaws or the Board.
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtMMC board director Mary J.C. Hendrix is the president of Shepherd University and MMC board director Sharon Mailey, PhD, RN is the dean of the College of Nursing, Education and Health Sciences and director of the School of Nursing at Shepherd University.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMMC nominates candidates for their board through the board designated Governance Committee. Final election occurs through the MMC Board.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersAlong with the election of governing members to the board, the MMC Board also needs to review and approve the following before becoming effective and before the action is implemented: 1. Any merger, consolidation or dissolution of the corporation. 2. Annual Business Plan. 3. Annual Budget. 4. Contractual obligations that meet any one of the following criteria: a. Outside the scope of the Corporation's annual business plan. b. Require approval by external health and/or financial regulatory agency. c. Having the potential of adversely impacting the operation of any subsidiary of the Member. 5. Any joint venture between the corporation and another person or entity that meets any one of the following criteria: a. Extends beyond the scope of the annual business plan of the Corporation. b. Requires external approval by external health and/or financial regulatory agency. c. Has the potential of adversely impacting the operation of any subsidiary of the Member. 6. Sales or transfers of all or substantially all of the assets of the Corporation or sales or transfers of assets that meet with any one of the following criteria: a. Fall outside the scope of the Corporation's annual business plan. b. Require approval by external health and/or financial regulatory agency. c. Has the potential of adversely impacting the operations of any subsidiary of the Member. 7. Formation of a subsidiary. 8. Adoption and amendment of the mission and vision statements.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 was prepared by the Finance department and reviewed by an independent accounting firm. A copy of the Form 990 was provided to the Audit and Business Integrity Committee of the Board. Acting under the authority of the Board, the Committee reviewed the Form 990 prior to the submission of the Form 990 to the Internal Revenue Service. In addition, the Form 990 will be provided to all members of the Board on May 28, 2020, due to the COVID-19 pandemic.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAn annual disclosure of interest is required for all officers, directors or trustees, and key employees. These disclosures are then reviewed against the accounts payable system to determine the amount of transactions with the organization. All disclosures and transactions are reviewed by the Audit & Business Integrity Committee. After this review, a copy of the disclosures, by Board or Committee, listing the type of involvement/transactions the entity has with the named disclosure, if any, are provided to the chair of the Board or Committee. Any director with a determined conflict is prohibited from participating in the Board's or committee's discussions and decisions with regards to that transaction and must not only recuse themselves but leave the room during the discussions.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Executive Committee of the MMC Board, which is comprised of independent board members, reviews on an annual basis the following as it relates to the compensation of the CEO and other key executives: 1) annual performance evaluations of the CEO and executives; 2) organizational and individual performance in achievement of strategic and individual incentive goals; and 3) market data presented by an independent third party compensation consultant; and 4) base salary and incentive recommendations. The independent third party consultant conducts and presents a reasonableness review of both base salary and total compensation for the CEO and key executives. The Committee discusses, deliberates and approves base salary and incentive compensation recommendations. Results are reported to the MMC Board.Positions reviewed in August of 2018 were: President and Chief Executive Officer, Chief Financial Officer, Executive Vice President and Chief Administrative/ Compliance Officer, Chief Nursing Officer, Chief Quality & Transformation Officer, VP Professional & Support Services, VP Physician Services, Chief Information Officer and Chief Population Health Officer.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, conflict of interest policy, and financial statements are available upon request. In addition, the annual audited financial statements are available on the organization's website.
Other Changes In Net Assets Or Fund Balances - Other DecreasesPremier Healthcare Alliance = -$462912
Part I, Line 6 - VolunteersMeritus Medical Center receives volunteers that are recruited by the Meritus Medical Center Auxiliary, Inc. ("Auxiliary"). The mission of the Auxiliary is to cooperate and assist in the work of the medical center by promoting the medical center's work in the community and supplementing the work of the staff of the medical center.
Part VI, Line 16aMMC holds a 25% equity interest in Maryland Care, Inc. Maryland Care, Inc. d/b/a Maryland Physicians Care is a managed care organization ("MCO") that was established to serve Maryland's Medicaid population as a result of the State's requirement for Medicaid patients to be a member of an MCO.MMC owns a 25% interest in Maryland Care Management, Inc.("MCMI") MCMI provides management operations and strategic function services.MMC holds a 100% equity interest in Tri-State Health Partners ("THP"). THP is a physician-hospital organization ("PHO") established to organize, assemble and facilitate the provision of cost effective health care services. MMC holds a 100% interest in the THP-Meritus ACO, LLC("ACO") and the Meritus Health ACO, LLC. The ACO was created to participate in CMS Medicare Shared Savings Program (MSSP) and its participants included community doctors, MMC and other health care providers who came together to give coordinated high quality care to their Medicare patients. The goal of the coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unneccessary duplication of services and preventing medical errors.MMC holds a 33.33% interest in Trivergent Health Alliance, LLC. Trivergent Health Alliance, LLC works to improve the health of the population served, improve the quality of care rendered by the hospital, and to reduce the cost of health care provided. Trivergent Health Alliance, LLC owns 100% of Trivergent Health Alliance MSO, LLC, which oversees the service lines of supply chain, laboratory, and pharmacy at the hospital. Trivergent Health Alliance MSO, LLC is dedicated to the development, delivery and sustainability of effective quality and safety improvement products and services designed to provide organizational improvement and increase efficiencies.
Part VI, Line 16bAs defined by the Meritus Medical Center bylaws which state the process for joint venture activity, a joint venture arrangement with a taxable entity would first be evaluated by the the Meritus Medical Center Board. After presentation and approval by the board, the Finance & Capital Committee of Meritus Medical Center, Inc. would evaluate the financial implications of the joint venture. The Audit & Business Integrity Committee of the Meritus Medical Center, Inc. Board would analyze any possible interested party transactions and the limitations and prohibitions associated with the section 501(c)(3) status of the medical center. The Meritus Medical Center, Inc. Board would ultimately need to approve any joint venture resolutions.
Part VII, Section AThe compensation that Dr. Iqbal, Dr. Worrell, Dr. Salvagno, and Dr. Su received were for their services as physicians. Dr. Newman served as CMO of Western Maryland Center until June 30,2018. Compensation provided to these individuals was for services provided in their capacity as independent contractors/employees of MMC and affiliates, not in their capacities as directors.The average hours per week listed for all of the officers and directors includes, but is not limited to ,their time spent preparing for and attending board committee meetings, fundraising and attendance at community functions on behalf of MMC.Maulik Joshi, Dr. P.H. who is listed as the principal officer on page 1 of the Form 990 started in November 2019 as the new President and CEO of MMC.
Part XII, Line 2bMeritus Medical Center received consolidated audited financial statements prepared in accordance with GAAP from an independent accounting firm.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Meritus Holdings LLC
11116 Medical Campus RoadHagerstownMD21742452382196Health servicesMD$44,584$300,253MMC
Meritus Urgent Care LLC
11116 Medical Campus RoadHagerstownMD21742711050982Health servicesMD-$847,009$9,397,193MMC
Meritus Medical Lab LLC
11116 Medical Campus RoadHagerstownMD21742800728035Health servicesMD$3,686,841$3,975,713MMC
Health Work LLC
11116 Medical Campus RoadHagerstownMD21742342014438Health servicesMD-$200,107$497,663MMC
Medical Practices of Antietam LLC
11116 Medical Campus RoadHagerstownMD21742522315129Health servicesMD-$1,443,485-$10,460,151MMC
Meritus Health ACO LLC
11116 Medical Campus RoadHagerstownMD21742812639390Health servicesMD-$726,049$392,054MMC
Tri-State Health Partners Inc
11116 Medical Campus RoadHagerstownMD21742521953898Health servicesMDMMC
THP-Meritus ACO LLC
11116 Medical Campus RoadHagerstownMD21742462800779Health servicesMDMMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Meritus Healthcare Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111116 Medical Campus RoadAddressLine1Txt
CityHagerstownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21742ZIPCd
FieldValueIRS element (for citing)
EIN010639265EIN
Primary ActivitiesFundraisingPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status11cPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Robinwood Surgery Center LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111116 Medical Campus RoadAddressLine1Txt
CityHagerstownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21742ZIPCd
FieldValueIRS element (for citing)
EIN521770185EIN
Primary ActivitiesHealth servicesPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership1.00000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Meritus Enterprises Inc
11116 Medical Campus RoadHagerstownMD21742521393624Health servMDMMCC corp$150,051$17,499,7151.00000Yes (true)
Meritus Insurance Company Ltd
980162257Captive insuranceMMCLtd$18,288,6521.00000Yes (true)PO Box 1109GTGrand CaymanCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Meritus Healthcare Foundation Inc
c$577,091Cost
Meritus Healthcare Foundation Inc
p$365,325Cost

Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Trivergent Health Alliance LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 Dual Highway Suite 304AddressLine1Txt
CityHagerstownCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21740ZIPCd
FieldValueIRS element (for citing)
EIN465555337EIN
Primary ActivitiesManagement ServicesPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
All Partners C3 SYes (true)AllPartnersC3SInd
Share Of Total Income-$77,271ShareOfTotalIncomeAmt
Share Of EOY Assets$3,595,416ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.33330OwnershipPct