2020-07-07T12:21:57-07:00 2019-06-30 520607949 Meritus Medical Center Inc 11116 Medical Campus Road Hagerstown MD 21742 990 2018-07-01 520607949 Meritus Medical Center Inc MERI 3017908872 11116 Medical Campus Road Hagerstown MD 21742 Thomas Chan VP/Treasurer 2020-07-07 true Dale Bushey 3017908872 2018 2020-09-23 17:36:50Z Maulik Joshi Dr PH 456898024 false false X www.meritushealth.com X 1904 MD Meritus 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. 20 14 3095 246 1657420 512301 1064843 401585026 394035295 7308238 9007903 2582212 834114 411987777 404942155 354038 357430 0 178072801 194386436 0 0 217051022 217036123 395477861 411779989 16509916 -6837834 611483521 607113019 330046121 328208265 281437400 278904754 MissionMMC 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.T false false 340955827 357430 394149294 MMC 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. 340955827 true true false true false false false false false true true false false true true true false true false false true false false false false false true true false true true true false false false false false false false true false false false false false false true true true true false true true 422 0 true 3095 true true false false false false false false false 0 false false false false false false false false false false false false X 20 14 true false false false false true true true true false false true true true true true true true true true true MD X Thomas T Chan 3017908872 11116 Medical Campus Road Hagerstown MD 21742 Wayne Alter Jr Director 3.00 0.00 X 0 0 0 Sharon Mailey PhD RN Director 3.00 0.00 X 0 0 0 Alfred E Martin Director 3.00 0.00 X 0 0 0 William Su MD Director 20.00 0.00 X 39877 0 0 Barbara Miller RN Director 3.00 0.00 X 0 0 0 Erin E Hershey MHA Director 3.00 0.00 X 0 0 0 James R Stojak Director 3.00 0.00 X 0 0 0 The Rev Dr D Stuart Dunnan Director 3.00 0.00 X 0 0 0 Debra Ann Gorbskyoff 11118 Director 3.00 0.00 X 0 0 0 George Newman II PhD MD Director 50.00 0.00 X 157275 0 0 William Reuter Director 3.00 0.00 X 0 0 0 Brendan D Fitzsimmons PhD Director 3.00 0.00 X 0 0 0 Mary JC Hendrix PhD Director 3.00 0.00 X 0 0 0 Shaheen Iqbal MD Director 20.00 0.00 X 70645 0 0 Kent R Reynolds Director 3.00 0.00 X 0 0 0 Scott Worrell MD Director 10.00 0.00 X 3000 0 0 Ralph Salvagno MD Director 20.00 0.00 X 35000 0 0 Frederick C Wright III Director 3.00 0.00 X 0 0 0 Gregory Snook Vice Chairman 3.00 0.00 X X 0 0 0 Steven Hull Chairman 5.00 0.00 X X 0 0 0 Joseph P Rossoff 12818 Former Pres&CEO 50.00 3.00 X X 897046 0 91864 Carolyn M Simonsen Interim CEO 50.00 3.00 X X 416026 0 63407 Stephen Nelsonstart 11419 Secretary 50.00 0.00 X 0 0 0 Thomas T Chan VP/Treasurer 50.00 3.00 X 486178 0 118844 Anthony Shaver Vice President 50.00 0.00 X 232546 0 48103 Carrie Adams Vice President 50.00 0.00 X 334070 0 82356 Jason Cole Vice President 50.00 0.00 X 264497 0 79829 Melanie Heuston Vice President 50.00 0.00 X 311919 0 104863 Douglas Spotts MD Vice President 50.00 0.00 X 323044 0 88589 Amy Dilcher off 72718 VP/General Council 50.00 0.00 X 218618 0 25556 Ali Akmal Physician 50.00 0.00 X 828345 0 68777 Hemant Chatrath MD Physician 50.00 0.00 X 738471 0 53276 Frank Collins MD Physician 50.00 0.00 X 634897 0 67052 Stephen Sachs MD Physician 50.00 0.00 X 536740 0 50810 Michael McCormack MD Physician 50.00 0.00 X 506669 0 56840 Melinda Cannon Vice President 50.00 0.00 X 253482 0 31116 7288345 1031282 218 true true false Mercy Specialized Billing Services PO Box 505125 St Louis MO 63150 Information Services 8468505 MDICS Physicians Inpatient Care 7250 Parkway Drive Suite 500 Hanover MD 21076 Medical 3855871 Shock Trauma Associates PA 11 S Paca St Ste 500 Baltimore MD 21201 Medical 3177021 Quest Diagnostics Nichols Institute PO Box 740709 Atlanta GA 30374 Medical 1056119 Roche Diagnostics Corp 9115 Hague Road Indianapolis IN 46250 Medical 963401 81 577091 299714 188038 1064843 Cafeteria sales 900099 2020438 2020438 Partnership income 541900 444722 444722 Patient revenue 900099 387045865 387045865 Retrospective Health Prem 900099 653798 653798 School Nursing Program 900099 3245454 3245454 625018 625018 394035295 7085017 11962 7073055 0 0 543323 1354667 -811344 -811344 -811344 51343636 1180452 50601202 742434 1180452 1922886 1922886 0 0 0 Clinical Trials 541700 443220 443220 Lab Revenue 621500 1202238 1202238 1645458 404942155 394035295 1657420 8184597 X 0 357430 357430 0 0 4522439 4522439 0 154203404 123362723 30840681 5675188 4540150 1135038 18858675 15086940 3771735 11126730 8901384 2225346 23529406 18823525 4705881 1716068 1372854 343214 286102 228882 57220 10375 8300 2075 0 489675 391740 97935 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false false false false false false false false false true 10375 10375 false false 1045925 26022 1071947 1031912 14013 1045925 1035650 8501 12239 1031912 1003685 37181 5216 1035650 1032034 2233 582 1033685 1.00000 false false false 6670317 6670317 214299988 76830449 137469539 21977828 11377818 10600010 193087268 106552440 86534828 1798649 1798649 243073343 Net assets held by MHF 4583356 Other assets 1646851 Retro premium credit receivable 10462461 53318237 Accrued retirement benefits 2392343 Due to related entities 7774720 10167063 X 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 Footnote MMC 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. Cen Ame and the Caribbean 0 0 Program services Insurance 1528530 1528530 1528530 true false true false false false true true true X true X true true true false true true 1695 3979627 3979627 0.01000 1695 3979627 3979627 0.01000 59444 1213113 22238 1190875 0.00300 4472 222424 2700 219724 0.00060 269478 71508910 37888262 33620648 0.08490 1905 767159 40531 726628 0.00180 335299 73711606 37953731 35757875 0.09030 336994 77691233 37953731 39737502 0.10030 189018 189018 0.00050 1864 1864 9952 9952 200834 200834 0.00050 true 15776057 2366409 187085175 183157549 3927626 X true true Maryland Care Inc Healthcare 0.25000 Tri-State Health Part Inc PHO 1.00000 THP-Meritus ACO LLC ACO 1.00000 Trivergent Health Alliance Management Services 0.33330 Meritus Health ACO LLC ACO 1.00000 MD Care Management Inc Healthcare 0.25000 General Surgery Re LLC Real Estate 0.50000 GI Real Estate Company LLC Real estate 0.50000 1 1 Meritus Medical Center Inc 11116 Medical Campus Road Hagerstown MD 21742 www.meritushealth.com 21-0001 X X X X Meritus Medical Center Inc 1 false false true X X X X X X X X X 19 true false true true X www.meritushealth.com X true 19 true https://www.meritushealth.com/documents/CHNA/CHNA-FY19-Appen false false true X 200.0000 250.0000 X X X X X true true X X X X true X see Part VI, line 3e X see Part VI, line 3e X see Part VI, line 3e X X X X X X true X false X X X X true X false false Facility: Meritus Medical Center, Inc. - Part V, Section B, Line 5 The 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 11 As a community hospital, MMC purposefully incorporates our commitment to community service into our internal management and governance structures as well as strategic and operational plans. MMC conducts a community health needs assessment every three years to identify and prioritize community health needs and service gaps. An action plan of initiatives and goals is developed to address the prioritized health needs. The action plan is reviewed by the MMC Strategic Planning Committee and approved by the MMC Board.The most recent prioritized community 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 13b Meritus 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 16j Meritus 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 22d All 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. Part I, Line 6a - Related Organization Community Benefit Report Meritus 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 Methodology The 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 Expense Meritus 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 Clinics Subsidized 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 Expense MMC uses historical reimbursement trends in determining bad debt expense and adjusts the accounting based on known variances or adjustments. MMC utilizes HFMA statement #15 to report bad debt expense. Bad debt expense is reported at the undiscounted rate which matches the reporting of the bad debt on the financial statements. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The 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 Expense Estimates for uncollectible amounts are based on the aging of accounts receivable, historical collection experience for similar payors and patients, current market conditions, and other relevant factors. Subsequent changes that are determined to be the result of an adverse change in the payor's or patient's ability to pay are recorded as bad debt expense. Bad debt expense for the year ended June 30, 2019 was not significant to the consolidated financial statements. Part III, Line 8 - Explanation Of Shortfall As Community Benefit MMC uses the cost to charge ratio to determine the Medicare allowable costs of care relating to total revenue received from Medicare. MMC did not report a shortfall in Medicare revenue received that would be treated as a community benefit. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients 1. Meritus expects patient payment at the time service is provided or within thirty (30) days of the first billing to patient for services not covered by insurance or financial assistance.2. Meritus must take effective action to maintain timely accounts receivable turnover and ensure that the value of accounts receivable is accurately stated. To do this, patient accounts will be aged and written off as bad debts or charity and may be outsourced to collection agencies for further follow-up. 3. Emergency services will be provided to all patients regardless of ability to pay. Scheduled services will be provided after appropriate financial arrangements are confirmed by Meritus. Deposits may be required prior to scheduling services. Failure to pay required deposits may result in the rescheduling of the service.4. Financial Assistance is potentially available for patients based on financial need as defined in 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 Assessment Community 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 Assistance Financial 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 Information MMC, 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 Activities Part 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 Health MMC believes that healthcare is not just for people when they are sick or injured. Through many avenues, we reach out to the community and offer ways to help you stay healthy. One example is the collaboration with 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 Report MD Part VI - Additional Information Maryland 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. true 0 0 HSCRC Nursing Grant 13 357430 N/A N/A Grantmaker's Description of How Grants are Used The HSCRC grant provides money to employees of the Hospital who are enrolled in the Hagerstown Community College nursing program. The grant program pays for all of the student's tuition, books, and fees with an agreement that upon graduation the student will work for the Hospital as a registered nurse. The grant also provides monies for registered nurses who are working on their MSN in education. Each award recipient will be required to sign a Service Card Agreement with 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. X X true true X X X X true true false false false false false true false false Ali Akmal Physician 828220 125 48665 20112 897122 Amy Dilcher off 72718 VP/General Council 175962 42656 25123 433 244174 Anthony Shaver Vice President 207446 25100 46898 1205 280649 Carolyn M Simonsen Interim CEO 330481 56944 28601 52265 11142 479433 Carrie Adams Vice President 268297 60542 5231 60648 21708 416426 Douglas Spotts MD Vice President 286904 25000 11140 65261 23328 411633 Frank Collins MD Physician 634897 36875 30177 701949 George Newman II PhD MD Director 157275 157275 Hemant Chatrath MD Physician 667835 21000 49636 49375 3901 791747 Jason Cole Vice President 229635 34862 52265 27564 344326 Joseph P Rossoff 12818 Former Pres&CEO 621257 172205 103584 72546 19318 988910 Melanie Heuston Vice President 265172 38775 7972 82162 22701 416782 Melinda Cannon Vice President 32332 20089 201061 16495 14621 284598 36450 Michael McCormack MD Physician 506669 35556 21284 563509 Stephen Sachs MD Physician 536740 36875 13935 587550 Thomas T Chan VP/Treasurer 385518 70856 29804 93977 24867 605022 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 above Incentive based compensation is determined by agreed upon individual and corporate goals by the Executive Committee of the MMC Board. Executive compensation is predetermined at the beginning of the fiscal year by the Executive Committee with the help of independent consultants using benchmarked information to ensure market competitiveness on an annual basis. Total compensation received by each individual is reviewed for reasonableness by those tasked with governance prior to all distributions. Part III, Additional Information Several officers are participants in a 457F plan that was approved by the Executive Committee of the MMC Board of Directors. For the current year, the following amounts were deferred by MMC and are not substantially vested and subject to creditor claims and forfeitures: 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. A MD Hlth & Hig Ed Fac Aut 520936091 574218YA5 2015-07-09 272718190 Refund o/s bonds/cons projects false false false A 12575000 272754457 252553239 180518 20014308 2017 false true true true A false false true true true true 0.00008 0.00008 false false true A false true false false false true A true Part VI The difference between the issue price of the bonds and the total proceeds of the issue is investment earnings in the amount of $36,267. Waheed AlencherryIqbal Director 153019 See supp info below false Schedule L, Part V Supplemental Information Dr. 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. Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee The 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, Et MMC 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 Body MMC 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 Shareholders Along 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 Process The Form 990 was prepared by the Finance department and reviewed by an independent accounting firm. A copy of the Form 990 was provided to the 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 Conflicts An 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 Employees 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. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing 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 Decreases Premier Healthcare Alliance = -$462912 Part I, Line 6 - Volunteers Meritus 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 16a MMC 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 16b As 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 A The 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 2b Meritus Medical Center received consolidated audited financial statements prepared in accordance with GAAP from an independent accounting firm. Meritus Holdings LLC 11116 Medical Campus Road Hagerstown MD 21742 452382196 Health services MD 44584 300253 MMC Meritus Urgent Care LLC 11116 Medical Campus Road Hagerstown MD 21742 711050982 Health services MD -847009 9397193 MMC Meritus Medical Lab LLC 11116 Medical Campus Road Hagerstown MD 21742 800728035 Health services MD 3686841 3975713 MMC Health Work LLC 11116 Medical Campus Road Hagerstown MD 21742 342014438 Health services MD -200107 497663 MMC Medical Practices of Antietam LLC 11116 Medical Campus Road Hagerstown MD 21742 522315129 Health services MD -1443485 -10460151 MMC Meritus Health ACO LLC 11116 Medical Campus Road Hagerstown MD 21742 812639390 Health services MD -726049 392054 MMC Tri-State Health Partners Inc 11116 Medical Campus Road Hagerstown MD 21742 521953898 Health services MD MMC THP-Meritus ACO LLC 11116 Medical Campus Road Hagerstown MD 21742 462800779 Health services MD MMC Meritus Healthcare Foundation Inc 11116 Medical Campus Road Hagerstown MD 21742 010639265 Fundraising MD 501(c)(3) 11c MMC true Robinwood Surgery Center LLC 11116 Medical Campus Road Hagerstown MD 21742 521770185 Health services MD N/A false false 1.00000 Meritus Enterprises Inc 11116 Medical Campus Road Hagerstown MD 21742 521393624 Health serv MD MMC C corp 150051 17499715 1.00000 true Meritus Insurance Company Ltd PO Box 1109GT Grand Cayman CJ 980162257 Captive insurance CJ MMC Ltd 18288652 1.00000 true false false true false false false false false false false false false false false false true false false false Meritus Healthcare Foundation Inc c 577091 Cost Meritus Healthcare Foundation Inc p 365325 Cost Trivergent Health Alliance LLC 1800 Dual Highway Suite 304 Hagerstown MD 21740 465555337 Management Services MD true -77271 3595416 false false 0.33330