FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-15
IRS object ID: 202021979349303432
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-15T12:42:29-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591612	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELLE K MAHAN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2405663350	PhoneNum
Signature	2020-07-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MELANIE A MCPEAK	PreparerPersonNm
PTIN	P01346034	PTIN
Phone	8132254800	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	148.255.224.165	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	59196620201975000015	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	39EE7DD29E90BE0401C8CC276E6B939C34F22AC1	AtSubmissionCreationDeviceId
At Submission Filing Device Id	721E3ACDB1620A7A66E3A23C7EDFA845AECA81ED	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$370,256,261	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.frederickhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1897	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	2583	TotalEmployeeCnt
Total Volunteers	733	TotalVolunteersCnt
Total Gross UBI	-$329,712	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$329,712	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,531,422	PYContributionsGrantsAmt
CY Contributions Grants	$2,630,852	CYContributionsGrantsAmt
PY Program Service Revenue	$361,042,800	PYProgramServiceRevenueAmt
CY Program Service Revenue	$361,885,792	CYProgramServiceRevenueAmt
PY Investment Income	$9,647,166	PYInvestmentIncomeAmt
CY Investment Income	$4,811,639	CYInvestmentIncomeAmt
PY Other Revenue	$404,958	PYOtherRevenueAmt
CY Other Revenue	$927,978	CYOtherRevenueAmt
PY Total Revenue	$375,626,346	PYTotalRevenueAmt
CY Total Revenue	$370,256,261	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$50,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$153,776,754	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$157,989,371	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$54,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$54,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$654,818	CYTotalFundraisingExpenseAmt
PY Other Expenses	$190,547,838	PYOtherExpensesAmt
CY Other Expenses	$182,130,372	CYOtherExpensesAmt
PY Total Expenses	$344,428,592	PYTotalExpensesAmt
CY Total Expenses	$340,223,743	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,197,754	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,032,518	CYRevenuesLessExpensesAmt
Total Assets BOY	$571,551,539	TotalAssetsBOYAmt
Total Assets EOY	$521,826,736	TotalAssetsEOYAmt
Total Liabilities BOY	$267,422,277	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$258,831,421	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$304,129,262	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$262,995,315	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$38,501,231	ExpenseAmt
Grant	$50,000	GrantAmt
Revenue	$64,387,907	RevenueAmt
Desc	ADULT INPATIENT SERVICES IN FY 2019, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 18,706 INPATIENTS AND OBSERVATION PATIENTS. MAJOR MEDICAL AND SURGICAL SERVICES INCLUDE CARDIOLOGY, CONGESTIVE HEART FAILURE, POST-CARDIAC CATHETERIZATION, CENTER FOR CHEST PAIN, HEMODIALYSIS, PERITONEAL DIALYSIS, NEUROLOGY, NEUROSURGERY, PULMONOLOGY, ONCOLOGY, ORTHOPEDICS, GENERAL MEDICINE AND SURGICAL CARE. INPATIENT CARE IS SUPPORTED BY A TEAM OF BOARD CERTIFIED PHYSICIAN HOSPITALISTS. IN ADDITION, FHH IS DESIGNATED AS A PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS (MIEMSS) AND IS RECOGNIZED WITH THE STROKE CENTER GOLD PERFORMANCE AWARD BY THE AMERICAN HEART ASSOCIATION. OUR BARIATRIC SURGICAL PROGRAM IS ACCREDITED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AS A BARIATRIC SURGERY CENTER OF EXCELLENCE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$31,770,140	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$61,868,375	RevenueAmt
Desc	PERIOPERATIVE SERVICES FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 10,473 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2019. PROCEDURES WERE PERFORMED IN OUR STATE OF THE ART FACILITY WHICH INCLUDES A DEDICATED IMAGING ROOM FOR VASCULAR AND OTHER PROCEDURES. WE HAVE PARTICIPATED IN THE SCIP QUALITY IMPROVEMENT PROJECT FOR CONTINUAL IMPROVEMENTS IN CARE FOLLOWING EVIDENCE BASED MEDICINE. WE TRACKED OUR PATIENT SATISFACTION THROUGH PRESS GANEY TO BENCHMARK OUR RESULTS TO THE NATIONAL DATA BASE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$16,455,825	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$32,343,321	RevenueAmt
Desc	INPATIENT WOMEN AND CHILDREN THE BIRTHPLACE ENCOMPASSES THE BIRTHING SUITE, THE FAMILY CENTER, THE NEWBORN NURSERY, AND THE NEONATAL INTENSIVE CARE UNIT. THE BIRTHING SUITE IS WHERE LABOR, BIRTHING AND RECOVERY OCCURS IN A COMFORTABLE, PRIVATE ROOM WITH SUPPORT PEOPLE WHO WILL ENCOURAGE AND COACH YOU THROUGHOUT YOUR LABOR AND DELIVERY. FREDERICK HEALTH HOSPITAL CARES FOR MORE THAN 2,400 FAMILIES EACH YEAR IN THE BIRTHPLACE. WHILE MANY OF THESE BIRTHS ARE HEALTHY NEWBORNS, ABOUT 10% OF ALL BABIES MAY NEED HIGH-RISK CARE FROM OUR NICU TEAM. AS A PERINATAL LEVEL III REFERRAL CENTER, FHH HAS A LEVEL III NICU WITH THE ABILITY TO CARE FOR BABIES OF ALL GESTATIONAL AGES, AND AS YOUNG AS 23 WEEKS PREMATURE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$211,181,891	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$203,279,528	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$297,909,087	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	336	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2583	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TERRENCE MCPHERSON
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
LAURA MELIA
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
THOMAS A KLEINHANZL
PRESIDENT AND CEO	32.0	8.0	Yes (X)	$2,079,039	$0	$317,626	Yes (X)
R CARL BENNA
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
ALLEN D MAWDSLEY
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
ELIZABETH PAKENAS
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
GREGORY P DORMITZER
DIRECTOR	2.0	1.0	Yes (X)	$0	$0	$0
THEODORE LUCK
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
HONORABLE STEPHEN JOHNSON
SECRETARY/TREASURER	2.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
THOMAS MUNRO MD
VC OF STAFF/PHYSICIAN	5.0	0.0	Yes (X)	$20,997	$0	$0
GERRIT SCHIPPER MD
CHIEF OF STAFF/PHYSICIAN	10.0	0.0	Yes (X)	$39,428	$0	$0
JOE COLLINS
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
E JAMES REINSCH
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
J FREDERICK MANNING
VICE CHARMAIN	4.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
PATRICIA HANBERRY
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
KARYLYS KLINE
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
NIKKI MOBERLY
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
GERALD WINNAN MD
CHAIRMAN	2.0	3.0	Yes (X)	$0	$0	$0	Yes (X)
SHAWN WOLF
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
RAVI YALAMANCHILI
DIRECTOR/PHYSICIAN	40.0	0.0	Yes (X)	$428,469	$0	$0
CORNELIUS FAY
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
MICHELLE K MAHAN
SR VP AND CFO	39.0	6.0		$635,679	$0	$64,898	Yes (X)
MANUEL A CASIANO
SVP POPULATION HEALTH	14.0	26.0		$499,905	$0	$55,393		Yes (X)
CHERYL L CIOFFI
SVP COO AND CNO	36.0	4.0		$585,177	$0	$63,068		Yes (X)
HANNAH R JACOBS
VP FINANCE	33.0	7.0		$246,813	$0	$18,374		Yes (X)
RACHEL I MANDEL
VP MEDICAL AFFAIRS (END 10/18)	40.0	0.0		$323,479	$0	$19,640		Yes (X)
CRAIG F ROSENDALE
VP COMPLIANCE	24.0	16.0		$245,372	$0	$31,088		Yes (X)
DONALD R SCHILLING
VP AMBULATORY SERVICES	6.0	34.0		$278,929	$0	$31,967		Yes (X)
JENNIFER G TEETER
VP CLINICAL INTEGRATION	16.0	24.0		$282,020	$0	$34,007		Yes (X)
HEATHER R KIRBY
VP INTEGRATED CARE DELIVERY	36.0	4.0		$205,912	$0	$24,441		Yes (X)
MARY D BARTON
VP-BUSINESS DEVELOP. & STRAT.	40.0	0.0		$306,691	$0	$7,005		Yes (X)
MICHAEL G MCLANE JR
VP SUPPORT SVCS	40.0	0.0		$201,385	$0	$30,637		Yes (X)
ROBIN R ROSE
VP DEVELOPMENT	40.0	0.0		$183,235	$0	$28,525		Yes (X)
DIANE M MCFARLAND
VP PATIENT CARE SVCS	40.0	0.0		$222,047	$0	$20,909		Yes (X)
JACKIE L RICE
VP-CIO	40.0	0.0		$268,085	$0	$11,319		Yes (X)
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST	40.0	0.0		$219,438	$0	$32,659			Yes (X)
JAMES BLAKE TRUMBLE
MEDICAL DIRECTOR (ENDED 11/18)	40.0	0.0		$218,179	$0	$30,131			Yes (X)
CARLOS T GRAVERAN
DIRECTOR OF HOSPICE	40.0	4.0		$203,713	$0	$19,366			Yes (X)
MARK S SOBERMAN
PHYSICIAN	40.0	0.0		$455,595	$0	$36,336			Yes (X)
MARY A MCDONALD
MEDICAL DIRECTOR-HOSPICE	35.0	5.0		$327,624	$0	$17,999			Yes (X)
JIM R WILLIAMS ended 118
FORMER SVP POPULATION HEALTH	0.0	0.0		$131,278	$0	$15,957				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,608,489	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$911,345	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	125	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TXTEAM REHAB INC
9101 WESLEYAN RD SUITE 100	INDIANAPOLIS	IN	46268	REHAB SERVICES	$8,562,033
SOUND PHYSICIANS
PO BOX 742936	LOS ANGELES	CA	90074	PHYSICIAN SERVICES	$4,315,232
QUEST DIAGNOSTICS
PO BOX 740709	ATLANTA	GA	30374	LABORATORY SERVICES	$1,476,295
CRITICAL CARE ASSOCIATES LLC
10711 RED RUN BLVD SUITE 101	OWINGS MILLS	MD	21117	PHYSICIAN SERVICES	$1,203,481
STERIS INSTRUMENT MANAGEMENT
PO BOX 2725	COLUMBUS	GA	319022725	OR SERVICES	$957,376

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$2,630,852	AllOtherContributionsAmt
Noncash Contributions	$64,690	NoncashContributionsAmt
Total Contributions	$2,630,852	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INPATIENT REVENUE	624110	$201,243,113	$201,243,113	$0	$0
OUTPATIENT REVENUE	621410	$157,378,540	$157,378,540	$0	$0
GROUP PURCHASING PREMIER	525990	$76,645	$57,074	$19,571	$0
ALL OTHER PROGRAM SERVICE REVENUE	900099	$3,187,494	$3,187,494	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$361,885,792	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,010,965	TotalRevenueColumnAmt
Unrelated Business Revenue	-$349,283	UnrelatedBusinessRevenueAmt
Exclusion	$4,010,965	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$934,639	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$934,639	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$934,639	TotalRevenueColumnAmt
Exclusion	$934,639	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$781,101	SecuritiesAmt
Other	$19,573	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$781,101	SecuritiesAmt
Other	$19,573	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$800,674	TotalRevenueColumnAmt
Exclusion	$800,674	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722511	$1,195,459	$1,195,459	$0	$0
LOSSES INTEREST RATE SWAP	900099	-$1,202,120	-$1,202,120	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	-$6,661	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$370,256,261	TotalRevenueColumnAmt
Related Or Exempt Func Income	$361,859,560	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$329,712	UnrelatedBusinessRevenueAmt
Exclusion	$5,746,278	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,609,645	TotalAmt
Program Services	$488,894	ProgramServicesAmt
Management And General	$7,120,751	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$120,286,115	TotalAmt
Program Services	$111,234,540	ProgramServicesAmt
Management And General	$8,865,202	ManagementAndGeneralAmt
Fundraising	$186,373	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,782,521	TotalAmt
Program Services	$5,051,326	ProgramServicesAmt
Management And General	$722,769	ManagementAndGeneralAmt
Fundraising	$8,426	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,125,868	TotalAmt
Program Services	$13,203,951	ProgramServicesAmt
Management And General	$1,899,814	ManagementAndGeneralAmt
Fundraising	$22,103	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,185,222	TotalAmt
Program Services	$8,217,621	ProgramServicesAmt
Management And General	$954,336	ManagementAndGeneralAmt
Fundraising	$13,265	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,592,895	TotalAmt
Program Services	$63,639	ProgramServicesAmt
Management And General	$1,475,256	ManagementAndGeneralAmt
Fundraising	$54,000	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,074,658	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,074,658	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$429,241	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$429,241	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$24,293	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$24,293	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$54,000	TotalAmt
Fundraising	$54,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$279,834	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$279,834	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$75,488,251	TotalAmt
Program Services	$66,697,550	ProgramServicesAmt
Management And General	$8,788,593	ManagementAndGeneralAmt
Fundraising	$2,108	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,541,015	TotalAmt
Program Services	$36,863	ProgramServicesAmt
Management And General	$1,268,775	ManagementAndGeneralAmt
Fundraising	$235,377	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,253,360	TotalAmt
Program Services	$6,353,299	ProgramServicesAmt
Management And General	$1,876,298	ManagementAndGeneralAmt
Fundraising	$23,763	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,803,740	TotalAmt
Program Services	$7,562,471	ProgramServicesAmt
Management And General	$240,827	ManagementAndGeneralAmt
Fundraising	$442	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,411,088	TotalAmt
Program Services	$5,285,343	ProgramServicesAmt
Management And General	$125,745	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$159,158	TotalAmt
Program Services	$92,084	ProgramServicesAmt
Management And General	$62,549	ManagementAndGeneralAmt
Fundraising	$4,525	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$219,790	TotalAmt
Program Services	$127,164	ProgramServicesAmt
Management And General	$86,378	ManagementAndGeneralAmt
Fundraising	$6,248	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,836,736	TotalAmt
Program Services	$5,469,022	ProgramServicesAmt
Management And General	$356,041	ManagementAndGeneralAmt
Fundraising	$11,673	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,971,630	TotalAmt
Program Services	$17,541,970	ProgramServicesAmt
Management And General	$4,409,168	ManagementAndGeneralAmt
Fundraising	$20,492	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,180,404	TotalAmt
Program Services	$7,627	ProgramServicesAmt
Management And General	$1,172,777	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	SUPPLIES AND COGS	Desc
Total	$50,864,279	TotalAmt
Program Services	$50,425,723	ProgramServicesAmt
Management And General	$426,533	ManagementAndGeneralAmt
Fundraising	$12,023	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$340,223,743	TotalAmt
Program Services	$297,909,087	ProgramServicesAmt
Management And General	$41,659,838	ManagementAndGeneralAmt
Fundraising	$654,818	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,245,309	BOYAmt
EOY	$24,962,673	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,540,611	BOYAmt
EOY	$4,738,966	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$45,496,416	BOYAmt
EOY	$45,547,718	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,991,906	BOYAmt
EOY	$4,507,924	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,345,944	BOYAmt
EOY	$3,324,816	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$567,889,549	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$342,591,798	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$228,553,048	BOYAmt
EOY	$225,297,751	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$148,266,422	BOYAmt
EOY	$169,920,687	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$94,343,358	BOYAmt
EOY	$29,007,433	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,768,525	BOYAmt
EOY	$14,518,768	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$571,551,539	BOYAmt
EOY	$521,826,736	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,919,788	BOYAmt
EOY	$44,157,466	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$177,594,683	BOYAmt
EOY	$172,390,436	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,907,806	BOYAmt
EOY	$42,283,519	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$267,422,277	BOYAmt
EOY	$258,831,421	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$295,861,898	BOYAmt
EOY	$255,199,544	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,291,187	BOYAmt
EOY	$6,819,594	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$976,177	BOYAmt
EOY	$976,177	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$304,129,262	BOYAmt
EOY	$262,995,315	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$571,551,539	BOYAmt
EOY	$521,826,736	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$30,032,518	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,135,469	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$78,301,934	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$24,293	OtherActivitiesAmt
Total Lobbying Expenditures	$24,293	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$261,496,230	OtherCostOrOtherBasisAmt
Depreciation	$111,613,690	DepreciationAmt
Book Value	$149,882,540	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,951,940	OtherCostOrOtherBasisAmt
Depreciation	$15,674,205	DepreciationAmt
Book Value	$12,277,735	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$265,254,271	OtherCostOrOtherBasisAmt
Depreciation	$215,303,903	DepreciationAmt
Book Value	$49,950,368	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,293,334	OtherCostOrOtherBasisAmt
Book Value	$9,293,334	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$225,297,751	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN SUBSIDIARIES	$19,544,289	F
ASSETS LIMITED AS TO USE	$4,326,518	F
INTERCOMPANY RECEIVABLES	$5,136,626	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$29,007,433	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ADVANCES FROM THIRD PARTIES	$7,721,778
INTEREST RATE SWAP CONTRACT	$8,364,715
PENSION LIABILITY	$14,373,115
MALPRACTICE INSURANCE LIABILITY	$3,301,000
CAPITAL LEASE OBLIGATIONS	$1,218,767
OTHER LIABILITIES	$7,304,144

Field	Value	IRS element (for citing)
Total Liability	$42,283,519	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	INTENDED USE OF ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	1	0	Investments	$21,473,946
Central America and the Caribbean	1	0	Program Services	$4,177,260	SELF INSURANCE

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	2	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$25,651,206	SubtotalSpentAmt
Total Spent	$25,651,206	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	PRIDE PHILANTHROPY	PersonNm
Activity	DEV CNSL SRVCS	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$54,000	RetainedByContractorAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$54,000	TotalRetainedByContractorsAmt
Licensed States	MD	LicensedStatesCd

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,076,766	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,076,766	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,832,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,546,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$2,713,348	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,909,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,546,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,363,418	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,875,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$525,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,349,846	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,014,794	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,014,794	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$421,073	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$240,114	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,959	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,552	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$76,552	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,438,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$765,852	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,672,151	NetCommunityBenefitExpnsAmt
Total Expense	0.06530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,347,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,312,146	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,035,569	NetCommunityBenefitExpnsAmt
Total Expense	0.08060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,356,333	BadDebtExpenseAmt
Bad Debt Expense Attributable	$626,725	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$135,414,427	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$118,594,345	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$16,820,082	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	false	ImplementationStrategyAdoptInd
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INPUT FROM COMMUNITY REPRESENTATIVES	SCHEDULE H, PART V, SECTION B, LINE 5 FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT PARTNERED WITH THE GEORGE WASHINGTON UNIVERSITY, MILKEN INSTITUTE SCHOOL OF PUBLIC HEALTH, TO COLLECT QUALITATIVE DATA. DATA WAS COLLATED USING AN IN-PERSON SURVEY AND SIX FACILITATED FOCUS GROUPS. THE SURVEY WAS ADMINISTERED TO A REPRESENTATIVE SAMPLE OF FREDERICK COUNTY RESIDENTS AND INCLUDED 83 QUESTIONS COVERING DEMOGRAPHICS, ENVIRONMENTAL INFLUENCERS, HEALTH BEHAVIOR, HEALTH STATUS, HEALTH PRIORITIES AND PERCEIVED BARRIERS TO CARE. A TOTAL OF 483 SURVEYS WERE COLLECTED FROM GEOGRAPHIC COMMUNITIES THROUGHOUT FREDERICK COUNTY, AND SURVEY SITES INCLUDED RETAIL LOCATIONS, HEALTH CARE FACILITIES, RELIGIOUS ORGANIZATIONS, COMMUNITY CENTERS, SENIOR CENTERS, RECREATION CENTERS AND A HUMAN SERVICE ORGANIZATION THAT SERVES SPANISH-SPEAKING RESIDENTS. SIX TARGET POPULATIONS WERE IDENTIFIED FOR THE FOCUS GROUPS SENIOR CITIZENS, HEALTH CARE PROVIDERS, COMMUNITY HEALTH EDUCATORS, SPANISH-SPEAKERS AND HOMELESS. FOCUS GROUP TOPICS EXPLORED THE ADVANTAGES AND DISADVANTAGES OF LIVING IN FREDERICK COUNTY, AREAS FOR IMPROVEMENT, BARRIERS TO CARE AND FAMILY HEALTH NEEDS. THE PROVIDER FOCUS GROUP ALSO EXPLORED THE NEEDS OF THE COMMUNITY THEY CARE FOR, AND THE AVAILABILITY AND ACCESSIBILITY OF HEALTH AND SUPPORTIVE SERVICES. ADDITIONAL PUBLIC INPUT WAS RECEIVED UPON PUBLICATION OF THE 2016 CHNA AND HEALTH IMPROVEMENT SUMMIT PRIORITIES REPORTS. WRITTEN REPORTS AND MATERIALS WERE POSTED ON FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT WEB SITES, AND COMMUNITY FORUMS WERE HELD AT VARIOUS SITES, SUCH AS THE LIBRARY AND SENIOR CENTERS, TO SHARE THE FINDINGS OF THE CHNA PROCESS AND TO RESPOND TO QUESTIONS. IN JULY 2018, THE PLANNING PROCESS FOR THE NEXT COMMMUNITY HEALTH NEEDS ASSESSMENT CYCLE WAS INITIATED. ONCE AGAIN, FREDERICK HEALTH HOSPITAL PARTNERED WITH THE FREDERICK COUNTY HEALTH DEPARTMENT TO COLLECT QUALITATIVE DATA, SOLICIT COMMUNITY INPUT AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. THE PLANNING PROCESS WAS STRUCTURED IN A SIMILAR MANNER TO THE 2016 PROCESS THAT IS DETAILED ABOVE. THE 2019 CHNA WAS PUBLISHED IN MAY, 2019 WITH AN IMPLEMENTATION STRATEGY TO BE INITIATED ON 7/1/2019.
SCHEDULE H, PART V, SECTION B, LINE 6B	THE 2016 CHNA WAS COMPLETED IN PARTNERSHIP WITH THE FREDERICK COUNTY HEALTH DEPARTMENT. OTHER COMMUNITY ORGANIZATIONS PARTICIPATED IN THE CHNA PLANNING PROCESS, INCLUDING DATA REVIEW AND INPUT ON PROCESS STEPS. THE CHNA PROCESS CONCLUDED WITH A HEALTH IMPROVEMENT PRIORITY SUMMIT OPEN TO THE PUBLIC. ORGANIZATIONS, OR THEIR REPRESENTATIVES, PARTICIPATING IN THE CHNA PROCESS INCLUDE: - SENIOR CARE- AMADA SENIOR SERVICES, INDEPENDENT LIVING SERVICES, MONTEVUE/CITIZENS AUXILIARY - NONPROFIT- THE FREDERICK WOMEN'S CIVIC CLUB, FREDERICK COUNTY HEALTH CARE COALITION, FEDERATED CHARITIES, WELLS HOUSE, VOLUNTEER MARYLAND, ON OUR OWN, THE CHILD ADVOCACY CENTER, MARYLAND 211, SAFE KIDS FREDERICK COUNTY, ASIAN AMERICAN FOUNDATION CENTER, COMMUNITY ACTION AGENCY - GOVERNMENT- FREDERICK COUNTY GOVERNMENT, CITY OF FREDERICK COUNCIL, FREDERICK COUNTY PARKS & RECREATION, CITY OF MYERSVILLE, STATE OF MARYLAND PLANNING DIVISION - PHILANTHROPY- UNITED WAY OF FREDERICK COUNTY, THE COMMUNITY FOUNDATION OF FREDERICK - BUSINESS- FREDERICK CHAMBER OF COMMERCE, BIOMEDICAL RESEARCH - OTHERS- GRACE EPISCOPAL CHURCH, HOOD COLLEGE, EAST FREDERICK RISING ON JANUARY 15, 2019, A PRIORITY SETTING SUMMIT WAS CONVENED WITH REPRESENTATIVES OF THE COMMUNITY AS PART OF THE PLANNING PROCESS FOR THE 2019 CHNA. THE LIST OF PARTICIPANTS MIRRORS THOSE THAT ATTENDED THE 2016 SESSION.
SCHEDULE H, PART V, SECTION B, LINE 7A	https://www.frederickhealth.org/documents/2019-Frederick-County-CHNA-FINAL -5.1.19.pdf. SCHEDULE H, PART V, SECTION B, LINE 8 EVEN THOUGH NOT IMPLEMENTED BY FISCAL YEAR END, AN IMPLEMENTATION STRATEGY REPORT WAS ADOPTED AND IMPLEMENTED IN SEPTEMBER 2019. THE 2019 IMPLEMENTATION STRATEGY IS POSTED ON THE HOSPITALS WEBSITE: HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/FMH-CHNA-IMPLEMENTATION-STRATEGY -SIGNED-9-24-19.PDF SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/FMH-COMMUNITY-NEEDS-ASSESSMENT-I MPLEMENTATION-STRATEGY-2016.PDF
SCHEDULE H, PART V, SECTION B, LINE 11	THE 2016 CHNA IDENTIFIED THREE HEALTH IMPROVEMENT PRIORITIES: BEHAVIORAL HEALTH, ELDERLY SUPPORT, AND ADVERSE CHILDHOOD EXPERIENCES. THE DATA IN THE CHNA IDENTIFIED THEMES THAT SHOULD BE CONSIDERED DEVELOPMENT OF FREDERICK HEALTH HOSPITALS' IMPLEMENTATION STRATEGIES - ACCESS, SERVICE NAVIGATION, AND HEALTH LITERACY. FREDERICK HEALTH HOSPITAL WAS AN ACTIVE PARTICIPANT IN ALL THREE COMMUNITY WORKGROUPS CHARGED WITH THE RESPONSIBILITY FOR DEVELOPING AN ACTION PLAN FOR THE HEALTH IMPROVEMENT PRIORITIES. FREDERICK HEALTH HOSPITAL HAS ADOPTED IMPLEMENTATION STRATEGIES AROUND THE THREE PRIORITIES. THE STATUS OF THESE STRATEGIES AS OF JUNE 30, 2019 IS AS FOLLOWS. BEHAVIORAL HEALTH: - BEHAVIORAL HEALTH SPECIALISTS WERE EMBEDDED WITH HOSPITAL AFFILIATED PRACTICES. THE PRACTICES UTILIZED THE PHQ9 AND OTHER SCREENING TOOLS TO IDENTIFY PATIENTS WITH BEHAVIORAL HEALTH NEEDS. FOR THE REPORT PERIOD, BEHAVIORAL HEALTH SPECIALISTS ENCOUNTERED 857 UNIQUE PATIENTS WITH A TOTAL OF 2061 INTERVENTIONS INCLUDING TELEPHONE CALLS, FACE TO FACE VISITS AND HOME VISITS. - THROUGH A PARTNERSHIP WITH POTOMAC CASE MANAGEMENT, COMMUNITY CASE MANAGERS PROVIDE INTENSIVE COMMUNITY-BASED MANAGEMENT SERVICES FOR HIGH RISK CLIENTS. FOR THE REPORT PERIOD, 270 CLIENTS WERE ENGAGED IN CASE MANAGEMENT. ENGAGED CLIENTS HAD A 20% EMERGENCY DEPARTMENT RE-VISIT RATE, WHICH IS LOWER THAN HIGH RISK CLIENTS WHO DID NOT RECEIVE CASE MANAGEMENT. - IN PARTNERSHIP WITH THE FREDERICK COUNTY HEALTH DEPARTMENT, PEER RECOVERY SUPPORT SPECIALISTS WERE EMBEDDED IN THE EMERGENCY DEPARTMENT TO ASSIST CLIENTS WITH SUBSTANCE USE DISORDER. PEER RECOVERY SPECIALISTS MET WITH 806 INDIVIDUALS DURING THIS REPORTING PERIOD FOR A TOTAL OF 1153 ENCOUNTERS. APPROXIMATELY 1 IN 3 INDIVIDUALS WERE CONNECTED WITH ADDITIONAL BEHAVIORAL HEALTH SERVICES; WHILE 1 IN 10 ACCESSED PEER SUPPORT SERVICES. -THE HOSPITAL'S BRIDGES PROGRAM TRAINED COMMUNITY 14 HEALTH LAY EDUCATORS ABOUT COMMUNITY BASED CRISIS SERVICES. THE MAJORITY OF THOSE COMPLETING THE PROGRAM ARE MEMBERS OF FAITH BASED COMMUNITIES WHO ARE ABLE TO USE THIS INFORMATION AS THEY PROVIDE ONGOING EDUCATION AND SUPPORT TO OTHER MEMBERS OF THEIR COMMUNITY. BEHAVIORAL HEALTH WAS IDENTIFIED AS A PRIORITY ONCE AGAIN IN 2019 AND HAS BEEN INCLUDED IN THE IMPLEMENTATION STRATEGY THAT HAS BEEN DEVELOPED AS PART OF THE 2019 CHNA PROCESS. ELDERLY SUPPORT: ESTABLISHMENT OF AN ALTERNATIVE PUBLIC TRANSPORTATION SERVICE MODEL FOR SENIOR CITIZENS WAS A PRIMARY GOAL OF THE COMMUNITY ACTION PLAN. LOCAL NONPROFIT ORGANIZATIONS FORMED A TRANSPORTATION AND MOBILE CARE TASK FORCE, WHICH SUBSEQUENTLY EXPANDED TO TRANSIT PROVIDERS AND OTHER AGENCIES INVOLVED IN TRANSPORTATION PLANNING. THIS COLLABORATION WAS LED BY A SENIOR LEADER AT FREDERICK HEALTH HOSPITAL WHO WAS IDENTIFYING TRANSPORTATION COORDINATION SOLUTIONS FOR PATIENTS NEEDING NON-EMERGENCY MEDICAL TRANSPORT TO APPOINTMENTS POST HOSPITAL DISCHARGE. THE TASK FORCE HAS EXPLORED TRANSPORTATION GRANTS AND FUNDING OPPORTUNITIES, EVALUATED ALTERNATIVE TRANSPORTATION SOLUTIONS AND COMPLETED AN INVENTORY OF TRANSPORTATION RESOURCES THAT EXIST IN THE COMMUNITY. FREDERICK HEALTH HOSPITAL SERVED AS AN ADVOCATE AND PARTICIPANT IN THE TASK FORCE, BUT OTHERS WITH EXPERTISE IN TRANSPORTATION, SUCH AS FREDERICK COUNTY TRANSIT, ARE RESPONSIBLE FOR IMPLEMENTATION STRATEGIES. FREDERICK HEALTH HOSPITAL HAS PROVIDED EDUCATIONAL RESOURCES AND PROGRAMMING TO ELDERLY CITIZENS IN THE COMMUNITY TO PROMOTE AGING IN PLACE AS PART OF THE ELDERLY SUPPORT WORKGROUP WHICH HAS COMPLETED ITS IMPLEMENTATION STRATEGY AS OF JUNE 30, 2019. ADVERSE CHILDHOOD EVENTS: INCREASING AWARENESS OF ADVERSE CHILDHOOD EVENTS (ACES) WAS THE PRIMARY FOCUS OF THE COMMUNITY ACTION PLAN. FREDERICK HEALTH HOSPITAL PEDIATRIC SERVICES PARTNERED WITH FREDERICK COUNTY HEALTH DEPARTMENT, CHILD ADVOCACY CENTER AND MENTAL HEALTH ASSOCIATION TO DELIVER AN AWARENESS CAMPAIGN FOR PROVIDERS, COMMUNITY ORGANIZATION AND PUBLIC. THE GOAL OF THE CAMPAIGN WAS TO EXPLAIN WHAT ARE ACES AND THE CONDITIONS THAT LEAD TO ACES. AWARENESS IS A NECESSARY STEP TO GETTING ENGAGEMENT ACROSS GOVERNMENT AND PROVIDER ORGANIZATIONS, AS WELL AS TO ACTIVATE CITIZENS AND PARENTS. THE GOAL OF INCREASED AWARENESS HAS BEEN MET, BUT BASED ON THE NEED TO IMPLEMENT PREVENTION AND TREATMENT MEASURES, ADVERSE CHILDHOOD EVENTS HAS AGAIN BEEN IDENTIFIED AS A COMMUNITY HEALTH PRIORITY IN THE 2019 CHNA. FREDERICK HELTH HOSPITAL WILL BE AN ACTIVE PARTICIPANT IN THIS WORKGROUP AND INCLUDE ACES IN ITS IMPLEMENTATION STRATEGY.
SCHEDULE H, PART V, SECTION B, LINE 13H	STATE REGULATIONS.
SCHEDULE H, PART V, SECTION B, LINE 16A	https://www.frederickhealth.org/documents/PDFs/Financial-Assistance-Policy -100-updated.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B	https://www.frederickhealth.org/documents/FA_327a.pdf
SCHEDULE H, PART V, SECTION B, LINE 16C	https://www.frederickhealth.org/documents/PDFs/Financial-Assistance-Brochu re-FINAL-(rev-20180614).pdf
SCHEDULE H, PART V, SECTION B, LINE 16J	FHH REVIEWS THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE COMMUNICATION METHODOLOGY WE EMPLOY ON A REGULAR BASIS TO MAKE SURE OUR PATIENTS HAVE EASY ACCESS TO THIS INFORMATION IN A VARIETY OF FORMATS AND THAT IT IS CULTURALLY AND LINGUISTICALLY SENSITIVE. WE REVIEW THE FAP TO MAKE SURE THE READING COMPREHENSION LEVEL IS APPROPRIATE FOR OUR AUDIENCE AND WE PROVIDE ENGLISH AND SPANISH VERSIONS TO MEET THE NEEDS OF OUR CBSA. WE HAVE SERVICES AVAILABLE TO PROVIDE ANY OTHER LANGUAGES WHEN NEEDED. THE FAP IS SHOWN ON OUR WEBSITE (https://www.frederickhealth.org/About/Billing-and-Financial-Assistance.as px) AND IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS AT TIME OF REGISTRATION IN THE HOSPITAL AND IN THE EMERGENCY DEPARTMENT. OUR BILLING STATEMENTS REFERENCE OUR FINANCIAL ASSISTANCE POLICY AND INCLUDE THE URL FOR THE ONLINE VERSION. THE BILLING STATEMENTS ARE BEING UPDATED DURING FY18 TOINCLUDE DETAILED EXPLANATION OF THE FAP. FHH PROVIDES ASSISTANCE TO OUR PATIENTS WHO NEED TO APPLY FOR GOVERNMENT BENEFITS WHEN APPROPRIATE. MOST COMMON EXAMPLES ARE "SELF-PAY" INPATIENTS WHO ADMIT THROUGH THE EMERGENCY DEPARTMENT AND PATIENTS WHO COME TO OUR PRENATAL CLINIC. WE HAVE A DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE ONSITE AT OUR PRENATAL CLINIC TO WORK DIRECTLY WITH THE PATIENTS. ALL PATIENTS RECEIVE THE PATIENT INFORMATION SHEET, AVAILABLE IN ENGLISH AND SPANISH, WHICH INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 20E	PATIENTS WITH BALANCES GREATER THAN $10,000 RECEIVE A SPECIAL LETTER STATING THEY MAY QUALIFY FOR CHARITY AND REQUESTS THAT THEY CONTACT THE HOSPITAL.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	SCHEDULE H, PART I, LINE 3C IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $20,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT.
COMMUNITY BENEFIT REPORT - RELATED ORGANIZATION	SCHEDULE H, PART I, LINE 6 THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION (COALITION) TO IDENTIFY HEALTH ISSUES IN FREDERICK COUNTY AND TO PROVIDE CRITICAL INFORMATION TO THOSE IN A POSITION TO TAKE POSITIVE STEPS THAT WILL IMPACT THE HEALTH OF AREA RESIDENTS. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION'S MISSION IS TO PROMOTE QUALITY HEALTH CARE IN FREDERICK COUNTY THROUGH COLLECTIVE IMPACT EFFORTS THAT ENGAGE LOCAL ORGANIZATIONS AND CITIZENRY. A CORE RESPONSIBILITY OF THE COALITION IS THE COMPLETION OF A PERIODIC ASSESSMENT THAT INFORMS AND ENGAGES THE COMMUNITY IN HEALTH IMPROVEMENT INITIATIVES. THE ASSESSMENT PROCESS IS REPEATED EVERY THREE YEARS TO REFLECT CHANGING LOCAL CONDITIONS.
DISCLOSURE IDENTIFYING COSTS	SCHEDULE H, PART I, LINE 6 COSTS INCLUDE HOSPITALIST AND INTENSIVIST SERVICES. ALSO INCLUDES CALL COVERAGE FOR OBSTETRICS, EMERGENCY DEPARTMENT AND PRENATAL AND MENTAL HEALTH OUTPATIENT SERVICES.
TEXT OF BAD DEBT EXPENSE FOOTNOTE	SCHEDULE H, PART III, LINE 4 BAD DEBT VALUATION WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. WE ESTIMATE APPROXIMATELY 7.5% OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE CONTINUE OUR EFFORTS TO QUALIFY PATIENTS FOR FREE OR REDUCED CARE.
MEDICARE COSTING METHODOLOGY	SCHEDULE H, PART III, LINE 8 MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS.
APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL	ASSISTANCE SCHEDULE H, PART III, LINE 9B PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS.
NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2 FREDERICK HEALTH HOSPITAL AND THE FREDERICK COUNTY HEALTH DEPARTMENT COLLABORATED ON THE CHNA PROCESS, BUT IMPLEMENTED THE COMMUNITY PLANNING PROCESS THROUGH THE FREDERICK COUNTY HEALTH CARE COALITION. THE COALITION IS A NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROMOTE QUALITY HEALTH CARE IN FREDERICK COUNTY THROUGH COLLECTIVE IMPACT EFFORTS THAT ENGAGE LOCAL ORGANIZATIONS AND CITIZENRY. THE COALITION MEMBERS INCLUDE FREDERICK HEALTH HOSPITAL, THE FREDERICK COUNTY HEALTH DEPARTMENT, COMMUNITY ORGANIZATIONS AND WORKGROUP LEADERS FROM THE 2013-2016 HEALTH IMPROVEMENT PRIORITIES. THE COALITION APPOINTED AN AD-HOC CHNA PLANNING COMMITTEE COMPRISED OF COALITION BOARD MEMBERS AND INTERESTED COMMUNITY AGENCIES. THIS GROUP HAD OVERSIGHT RESPONSIBILITY FOR THE CHNA PROCESS STEPS AND REVIEWED THE COMPONENTS AS THEY WERE ACCOMPLISHED. DATA COLLECTION AND ANALYSIS WERE CONDUCTED BY STAFF FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT, AND UNDER CONTRACT WITH THE GEORGE WASHINGTON UNIVERSITY, MILKEN INSTITUTE SCHOOL OF PUBLIC HEALTH. THE CHNA INCLUDED COLLATION OF DATA FROM PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) SOURCES. QUALITATIVE DATA PROVIDES INSIGHT ABOUT THE PERSPECTIVE AND PRIORITY OF HEALTH ISSUES AND SOCIAL DETERMINANTS BY THE FREDERICK COUNTY POPULATION. QUANTITATIVE DATA FOCUSES ON HEALTH OUTCOME INDICATORS GATHERED FROM RELIABLE PUBLIC RESOURCES, AND WHERE POSSIBLE, INCLUDES DATA ON HEALTH DISPARITIES. IN ADDITION TO PUBLIC DATA SOURCES, FREDERICK HEALTH HOSPITAL ALSO PROVIDED AGGREGATE DATA ON COMMUNITY UTILIZATION OF ACUTE CARE SERVICES BY GEOGRAPHY, DIAGNOSIS AND PAYER SOURCE. QUALITATIVE DATA WAS COLLECTED THROUGH FOCUS GROUPS AND IN PERSON SURVEYS. A TOTAL OF 483 RESIDENTS SUBMITTED SURVEYS AND SIX FOCUS GROUPS WERE CONDUCTED. SOURCES OF QUANTITATIVE DATA USED IN ASSESSMENT INCLUDE, BUT WERE NOT LIMITED TO, HEALTHY PEOPLE 2020, MARYLAND BEHAVIORAL RISK SURVEILLANCE SYSTEM, MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE VITAL STATISTIC REPORTS, US CENSUS BUREAU QUICK FACTS AND MARYLAND STATE HEALTH IMPROVEMENT PLAN. WHERE POSSIBLE, FREDERICK COUNTY DATA WAS BENCHMARKED AGAINST HEALTH OUTCOME DATA FROM THESE SOURCES. FOLLOWING THE DATA ANALYSIS COMPONENT OF THE CHNA, A PUBLIC SUMMIT WAS HELD TO REVIEW THE FINDINGS AND TO SEEK INPUT ON ESTABLISHING PRIORITIES. THE SUMMIT WAS OPEN TO THE GENERAL PUBLIC AND ATTENDED BY MORE THAN 100 PERSONS REPRESENTING COMMUNITY ORGANIZATIONS, ADVOCACY GROUPS AND PROVIDERS. THE PROCESS INCLUDED PRESENTATIONS, DISCUSSION AND A MULTI-VOTING METHOD TO DETERMINE THE TOP THREE PRIORITIES. AT THE CONCLUSION OF THE SUMMIT, INTERESTED PERSONS WERE ASKED TO JOIN A FACILITATED SMALL GROUP MEETING FOR EACH OF THE THREE PRIORITIES TO ESTABLISH WORKGROUP LEADERS AND CONTACT INFO FOR COMMUNITY PARTICIPANTS. THIS PROCESS WAS REPEATED BETWEEN JULY, 2018 AND MAY, 2019 TO DEVELOP A CHNA REPORT AND IMPLEMENTATION STRATEGY FOR 2019-2021.
COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4 THE SERVICE AREA FOR FREDERICK HEALTH HOSPITAL IS DEFINED BY WRITTEN AGREEMENT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION, THE DESIGNATED STATE ENTITY CHARGED WITH OVERSIGHT OF COMMUNITY BENEFITS AND HOSPITAL RATES. THE SERVICE AREA IS DETERMINED BASED ON INPATIENT UTILIZATION BY ZIP CODE - FREDERICK COUNTY COMPRISES THE HOSPITALS' PRIMARY AND SECONDARY SERVICE AREAS. THE MOST VULNERABLE POPULATION IN FREDERICK COUNTY ARE LOCATED IN THE CITY OF FREDERICK, WHICH IS ANCHORED GEOGRAPHICALLY CENTERED IN THE COUNTY AND ACCESS BY MAJOR INTERSTATE ROUTES FROM BALTIMORE, MARYLAND AND THE DISTRICT OF COLUMBIA. HEALTH DISPARITY POPULATIONS ARE FOUND IN EMMITSBURG AND THURMONT ZIP CODES IN THE NORTHERN SECTOR OF THE COUNTY, AND BRUNSWICK TO THE SOUTH. DATA COLLECTED BY THE US CENSUS BUREAU AND MARYLAND VITAL STATISTICS OFFERS THE FOLLOWING DEMOGRAPHIC PROFILE OF FREDERICK COUNTY AS OF 7/1/18: - TOTAL POPULATION - 255,648 - 50.7% FEMALE - 82.9% WHITE - 14.5 % ARE PERSONS OVER AGE 65 - AVERAGE HOUSEHOLD INCOME OF $91,999/YR - 6.2 % OF HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES - 4.8% ARE UNINSURED AND 13.5% ARE MEDICAID RECIPIENTS - 92.4 % GRADUATED FROM HIGH SCHOOL AND 40.6 % HAVE BACHELOR'S DEGREES.
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 5 FOR THE REPORT PERIOD, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: - CARE TRANSITIONS: THIS PROGRAM PROVIDES INTENSIVE COMMUNITY-BASED CARE MANAGEMENT SERVICES TO INDIVIDUALS WITH CHRONIC CONDITIONS THAT HAVE LIMITED ACCESS TO CARE OR ARE CHALLENGED TO MEET SOCIAL DETERMINANTS OF HEALTH. THE PROGRAM GOAL IS REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE INDIVIDUAL HEALTH. HISTORICALLY, THESE PATIENTS RECEIVED LITTLE GUIDANCE RELATIVE TO FOLLOW-UP WITH PHYSICIANS, FILLING AND TAKING THEIR PRESCRIBED MEDICATIONS, AND MAKING APPOINTMENTS FOR OTHER SERVICES. PATIENTS WITH A HIGH EMERGENCY DEPARTMENT VISIT RATE OR THOSE RETURNING TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE MEET WITH A CASE MANAGER TO IDENTIFY THE ROOT CAUSES OF WHY THE PATIENT RETURNED TO THE HOSPITAL FOR CARE. AN INDIVIDUALIZED COMPREHENSIVE CARE PLAN IS CREATED TO MEET THE SPECIFIC PATIENT NEEDS, SUCH AS FINANCIAL SUPPORT FOR MEDICATIONS, TRANSPORTATION AND OTHER MEDICAL AND SOCIAL SUPPORT SERVICES IN THE COMMUNITY. DURING THE REPORT PERIOD, 6335 PATIENTS RECEIVED HOME OR COMMUNITY-BASED INTERVENTIONS FROM THE CARE TRANSITIONS CLINICAL TEAM. - COMMUNITY HEALTH FAIR: FREDERICK HEALTH HOSPITAL PARTNERS WITH THE ASIAN AMERICAN CENTER OF FREDERICK TO CONDUCT A COMMUNITY HEALTH FAIR THAT INCLUDES HEALTH EDUCATION, HEALTH NAVIGATION SERVICES, VACCINATION AND SCREENINGS FOR FREDERICK COUNTY RESIDENTS WITH A FOCUS ON UNDERSERVED AND UNDERINSURED POPULATIONS WHO MAY NOT HAVE ACCESS TO HEALTH CARE. FLU VACCINES, BLOOD GLUCOSE AND CHOLESTEROL SCREENINGS, BONE DENSITY SCREENING, WOMEN'S HEALTH EDUCATION, PEDIATRIC ASTHMA EDUCATION, CHRONIC DISEASE PREVENTION EDUCATION AND RESULTS COUNSELING WERE PROVIDED BY HOSPITAL EMPLOYEES TO APPROXIMATELY 800 ATTENDEES. - LAY HEALTH EDUCATORS: THE BRIDGES PROGRAM WAS DEVELOPED IN RESPONSE TO AN IDENTIFIED NEED FOR TRUSTED HEALTH ADVOCATES WHO COULD PROVIDE HEALTH CARE INFORMATION, IMPROVE HEALTH LITERACY, AND FACILITATE ACCESS TO RESOURCES AND CARE. THE LAY EDUCATORS SERVE FREDERICK COUNTY RESIDENTS WHO ARE ETHNIC AND CULTURAL MINORITIES, THOSE WITH LIMITED ENGLISH PROFICIENCY, SENIOR CITIZENS OR PERSONS WHO LIVE IN ISOLATED GEOGRAPHIC AREAS. FOR THE REPORT PERIOD, 14 LAY HEALTH EDUCATORS COMPLETED THE BRIDGES TRAINING PROGRAM. THE EDUCATORS ARE AFFILIATED WITH FAITH AND COMMUNITY ORGANIZATIONS THROUGHOUT FREDERICK COUNTY. - PRENATAL CENTER: THE PRENATAL CENTER CARES FOR WOMEN WITH NO INSURANCE OR WHO HAVE MEDICAID BUT ARE NOT ABLE TO OBTAIN CARE FROM PRIVATE PRACTICE PROVIDERS. MANY OF THESE WOMEN ARE HIGH RISK PATIENTS, AND PRESENT WITH MEDICAL CONDITIONS FOR WHICH THEY MAY BE UNAWARE AND POSE SIGNIFICANT RISK TO FULL TERM HEALTHY FETAL DEVELOPMENT. PATIENTS MAY BE SELF-REFERRED OR REFERRED BY THE FREDERICK COUNTY HEALTH DEPARTMENT, MISSION OF MERCY, PRIVATE PHYSICIANS OR OTHER COMMUNITY GROUPS. DURING THE REPORT PERIOD, THERE WERE 297 NEWLY ENROLLED MATERNITY PATIENTS. - PHYSICIAN SERVICES: FREDERICK HEALTH HOSPITAL CONTRACTS FOR PROFESSIONAL SERVICES TO CARE FOR ACUTE CARE NEEDS FOR WHICH THERE ARE NO COMMUNITY PROVIDERS. THESE SERVICES INCLUDE HOSPITALIST CARE, INTENSIVE CARE, OBSTETRICAL LABORISTS, NEONATOLOGY, NEUROLOGY, INPATIENT PEDIATRICS, PEDIATRIC OPHTHALMOLOGY, ANESTHESIA, EMERGENCY MEDICINE AND INTERVENTIONAL CARDIOLOGY. FREDERICK COUNTY HAS A SHORTAGE OF PRIMARY CARE PROVIDERS. MOST PRIMARY CARE PHYSICIANS LIMIT PATIENT CARE TO THEIR OFFICES, THEREFORE THEY DO NOT MAINTAIN HOSPITAL PRIVILEGES TO CARE FOR PATIENTS WHO REQUIRE EMERGENCY OR INPATIENT SERVICES. IN ORDER TO SUPPORT ADEQUATE SERVICES, FREDERICK HEALTH HOSPITAL CONTRACTS FOR HOSPITALISTS AND INTENSIVISTS TO PROVIDE NECESSARY CARE COORDINATION FOR COMMUNITY RESIDENTS WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN OR HAVE A PHYSICIAN WHO DOES NOT PROVIDE HOSPITAL COVERAGE. FREDERICK HEALTH HOSPITAL ALSO CONTRACTS FOR SPECIALTY COVERAGE TO CARE FOR PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT AND FOR THOSE NEEDING INPATIENT CARE. CONTRACTED SERVICES INCLUDE ANESTHESIOLOGY, BARIATRIC SURGERY, CARDIOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, GENERAL DENTISTRY, GENERAL SURGERY, HEMATOLOGY/ONCOLOGY, INTERVENTIONAL CARDIOLOGY, NEPHROLOGY, NEUROLOGY, OPHTHALMOLOGY, ORAL SURGERY, ORTHOPEDICS, PEDIATRICS, PLASTIC SURGERY, PULMONARY MEDICINE, UROLOGY, VASCULAR SURGERY AND NEUROSURGERY. WITHOUT SUBSIDIES TO COMPENSATE PROVIDERS FOR THIS COVERAGE, COMMUNITY MEDICAL PRACTICES WOULD NOT BE ABLE TO RECRUIT A SUFFICIENT NUMBER OF PERSONNEL TO PROVIDE 24/7 SERVICES.
AFFILIATED HEALTH CARE SYSTEM	SCHEDULE H, PART VI, LINE 6 FREDERICK HEALTH HOSPITAL, INC. ('FHH') IS A PRIVATE, NON-STOCK, NOT-FOR-PROFIT 501(C)(3) MARYLAND CORPORATION ORGANIZED IN 1897. AS OF JULY 1, 2011, FREDERICK HEALTH, INC. ( F.K.A. FREDERICK REGIONAL HEALTH SYSTEM) BECAME THE PARENT CORPORATION UNDER WHICH THE ENTITIES DESCRIBED BELOW EXIST AND OPERATE. FREDERICK HEALTH, INC. IS GOVERNED BY A SIXTEEN MEMBER BOARD OF DIRECTORS. THE BOARD MEETS MONTHLY, WITH ELECTION OF OFFICERS AND MEMBERS OCCURRING AT THE SEPTEMBER MEETING. MUCH OF THE BOARD'S WORK IS ACCOMPLISHED THROUGH STANDING COMMITTEES, INCLUDING THE EXECUTIVE, FINANCE, GOVERNANCE, EXECUTIVE COMPENSATION, JOINT CONFERENCE (WITH MEDICAL STAFF), PLANNING, AND HOSPITAL PERFORMANCE REVIEW COMMITTEES. FREDERICK HEALTH HOSPITAL IS A 298-BED ACUTE CARE HOSPITAL LOCATED IN FREDERICK, MARYLAND, APPROXIMATELY 50 MILES WEST OF BALTIMORE AND 45 MILES NORTHWEST OF WASHINGTON D. C. THE HOSPITAL OPENED IN 1902 AND IS CURRENTLY THE ONLY ACUTE CARE HOSPITAL IN FREDERICK COUNTY AND THE ONLY ACUTE CARE HOSPITAL WITHIN A 25-MILE RADIUS OF THE CITY OF FREDERICK. THE MAIN CAMPUS OF THE HOSPITAL IS LOCATED ON AN APPROXIMATELY 15.85-ACRE SITE IN FREDERICK, MARYLAND. THE TOTAL SQUARE FOOTAGE OF THE HOSPITAL IS APPROXIMATELY 596,000 SQUARE FEET. FHH'S HOSPITAL-BASED AND OFF-SITE OUTPATIENT SERVICES ACCOUNT FOR OVER 350,000 VISITS ANNUALLY INCLUDING HOME HEALTH SERVICES, WHICH MAKES APPROXIMATELY 35,000 VISITS PER YEAR. IN ADDITION, HOSPITAL-BASED HOSPICE SERVICES HANDLE APPROXIMATELY 15,000 VISITS PER YEAR. FREDERICK HEALTH, INC. IS THE PARENT CORPORATION FOR FREDERICK HEALTH MEDICAL GROUP, LLC, A PHYSICIAN LED ENTERPRISE COMPOSED OF THE FOLLOWING HEALTH SYSTEM OWNED PRACTICES FREDERICK HEALTH, INC. PROVIDES A FULL RANGE OF ACUTE CARE SERVICES INCLUDING: MEDICINE, SURGERY, OBSTETRICS, GYNECOLOGY, PEDIATRICS, INTENSIVE CARE, CORONARY CARE, INTERVENTIONAL CARDIOLOGY, PRIMARY STROKE PROGRAM, WOUND CARE, JOINT REPLACEMENT PROGRAM, CYBERKNIFE RADIOSURGERY CENTER, PSYCHIATRIC CARE, MEDICAL FITNESS, WELLNESS PROGRAM/CENTER AND EMERGENCY SERVICES. IN ADDITION, FREDERICK HEALTH, INC. PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES, INCLUDING: EMERGENCY MEDICINE, OUTPATIENT SURGERY, HOME HEALTH, RADIATION THERAPY, MRI, PET AND CT SCANNING, MEDICAL ONCOLOGY, AND COMPREHENSIVE WOMEN'S SERVICES. THROUGH THE SATELLITE LOCATIONS AND OUTPATIENT CENTERS, THE HEALTH SYSTEM PROVIDES: URGENT CARE, LABORATORY, DIAGNOSTIC RADIOLOGY, AMBULATORY SURGERY, VASCULAR IMAGING, REHABILITATION SERVICES, PAIN AND PALLIATIVE CARE.
STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VI, LINE 7 MARYLAND.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK COMMUNITY COLLEGE	BusinessNameLine1Txt

US Address USAddress

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

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

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS A KLEINHANZL
PRESIDENT AND CEO	$1,783,095	$0	$294,150	$0	$1,794	$0	$296,960	$0	$20,666	$0	$2,396,665	$0	$993,242	$0
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST	$219,041	$0	$217	$0	$180	$0	$16,809	$0	$15,850	$0	$252,097	$0	$0	$0
JAMES BLAKE TRUMBLE
MEDICAL DIRECTOR (ENDED 11/18)	$217,935	$0	$0	$0	$244	$0	$18,119	$0	$12,012	$0	$248,310	$0	$0	$0
CARLOS T GRAVERAN
DIRECTOR OF HOSPICE	$177,708	$0	$25,489	$0	$516	$0	$4,426	$0	$14,940	$0	$223,079	$0	$0	$0
RAVI YALAMANCHILI
DIRECTOR/PHYSICIAN	$428,469	$0	$0	$0	$0	$0	$0	$0	$0	$0	$428,469	$0	$0	$0
MICHELLE K MAHAN
SR VP AND CFO	$500,012	$0	$130,519	$0	$5,148	$0	$50,741	$0	$14,157	$0	$700,577	$0	$0	$0
MANUEL A CASIANO
SVP POPULATION HEALTH	$396,956	$0	$97,801	$0	$5,148	$0	$41,895	$0	$13,498	$0	$555,298	$0	$0	$0
CHERYL L CIOFFI
SVP COO AND CNO	$499,840	$0	$84,557	$0	$780	$0	$45,990	$0	$17,078	$0	$648,245	$0	$148,794	$0
HANNAH R JACOBS
VP FINANCE	$200,120	$0	$45,523	$0	$1,170	$0	$17,101	$0	$1,273	$0	$265,187	$0	$0	$0
RACHEL I MANDEL
VP MEDICAL AFFAIRS (END 10/18)	$268,873	$0	$54,169	$0	$437	$0	$19,093	$0	$547	$0	$343,119	$0	$0	$0
CRAIG F ROSENDALE
VP COMPLIANCE	$191,960	$0	$43,506	$0	$9,906	$0	$17,114	$0	$13,974	$0	$276,460	$0	$0	$0
DONALD R SCHILLING
VP AMBULATORY SERVICES	$223,631	$0	$50,150	$0	$5,148	$0	$17,983	$0	$13,984	$0	$310,896	$0	$0	$0
MARK S SOBERMAN
PHYSICIAN	$418,661	$0	$35,350	$0	$1,584	$0	$20,500	$0	$15,836	$0	$491,931	$0	$0	$0
JENNIFER G TEETER
VP CLINICAL INTEGRATION	$230,764	$0	$47,902	$0	$3,354	$0	$19,899	$0	$14,108	$0	$316,027	$0	$0	$0
HEATHER R KIRBY
VP INTEGRATED CARE DELIVERY	$173,941	$0	$31,791	$0	$180	$0	$8,342	$0	$16,099	$0	$230,353	$0	$0	$0
MARY D BARTON
VP-BUSINESS DEVELOP. & STRAT.	$250,029	$0	$56,146	$0	$516	$0	$0	$0	$7,005	$0	$313,696	$0	$0	$0
MICHAEL G MCLANE JR
VP SUPPORT SVCS	$164,345	$0	$36,260	$0	$780	$0	$14,460	$0	$16,177	$0	$232,022	$0	$0	$0
ROBIN R ROSE
VP DEVELOPMENT	$146,951	$0	$34,490	$0	$1,794	$0	$12,202	$0	$16,323	$0	$211,760	$0	$0	$0
DIANE M MCFARLAND
VP PATIENT CARE SVCS	$179,378	$0	$40,875	$0	$1,794	$0	$5,123	$0	$15,786	$0	$242,956	$0	$0	$0
JACKIE L RICE
VP-CIO	$218,393	$0	$49,176	$0	$516	$0	$10,219	$0	$1,100	$0	$279,404	$0	$0	$0
MARY A MCDONALD
MEDICAL DIRECTOR-HOSPICE	$318,097	$0	$9,167	$0	$360	$0	$1,900	$0	$16,099	$0	$345,623	$0	$0	$0
JIM R WILLIAMS ended 118
FORMER SVP POPULATION HEALTH	$130,516	$0	$0	$0	$762	$0	$13,741	$0	$2,216	$0	$147,235	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3

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

SCHEDULE J, PART I, LINE 4B

FREDERICK HEALTH HOSPITAL HAS ONE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE AS FOLLOWS: MICHELLE K. MAHAN $30,241 THOMAS A. KLEINHANZL $276,460 MANUEL CASIANO $21,395 CHERYL CIOFFI $24,838

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A
A	520936091	574218LY7	2012-12-05	$100,229,856	SEE PART VI	false	false	false
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017A
B	520936091		2018-06-08	$26,779,579	SEE PART VI	false	false	false
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B
C	520936091		2018-06-08	$57,490,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,400,000	$0	$100,229,856	$0	$1,287,936	$0	$0	$0	$0	$37,200,000	$0	$0	2014	Yes (true)	false	false	Yes (true)
B	$900,000	$0	$26,779,579	$0	$0	$0	$0	$0	$0	$26,779,579	$0	$0	2017	false	false	false	Yes (true)
C	$3,275,000	$0	$57,490,000	$0	$0	$0	$400,000	$0	$0	$0	$57,490,000	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00640	0.00640	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00100	0.00100	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00270	0.00270	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Exception To RebateExceptionToRebateInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
UBS AG
C	false	false	Yes (true)	Yes (true)	false	0	false	Yes (true)	Yes (true)	18.04	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DESCRIPTION OF PURPOSE	SCHEDULE K, PART I, COLUMN F MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A: FINANCE 2012 PROJECT AND CURRENT REFUND 2002 BONDS WHICH FUNDED THE 2002 PROJECT. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017A: COMPLETION OF 2017 PROJECT CONSISTING OF CONSTRUCTION OF CANCER BUILDING, RENOVATIONS TO BUSINESS CTR AND STERILE PROCESSING DEPARTMENT. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B: PAY FINANCING COSTS AND FOR THE REFUNDING OF SERIES 2012B BONDS.
SCHEDULE K, PART II, LINE 3	DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS MARYLAND HEALTH & HIGHER ED AUTHORITY 2012A: ORIGINAL ISSUE PREMIUM OF $3,989,854 AND PREVIOUSLY TRUSTEED HELD FUNDS OF $8,115,951.
SCHEDULE K, PART III, LINE 9	THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX EXEMPT BOND POST ISSUANCE COMPLIANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CHERYL CIOFFI
KEY EMPLOYEE	$29,577	SEE PART V	false
DONALD R SCHILLING
KEY EMPLOYEE	$40,269	SEE PART V	false
J FREDERICK MANNING
OFFICER	$159,103	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail (4 entries)

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

Schedule M IRS990ScheduleM

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

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	819	ContributionCnt
Noncash Contributions Rpt F990	$64,690	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, LABORATORY AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.
CHANGES TO GOVERNING DOCUMENTS SINCE THE PRIOR 990 WAS FILED	FORM 990, PART VI, LINE 4 ON SEPTEMBER 10, 2019, THE SYSTEM FILED ARTICLES OF AMENDMENT OF ARTICLES OF INCORPORATION WITH THE MARYLAND DEPARTMENT OF ASSESSMENTS AND TAXATION FOR THE SOLE PURPOSE OF CHANGING THE NAMES OF THE FOLLOWING ENTITIES: ORIGINAL NAME NEW NAME - FREDERICK MEMORIAL HOSPITAL, INC. FREDERICK HEALTH HOSPITAL, INC. - FREDERICK REGIONAL HEALTH SYSTEM, INC.FREDERICK HEALTH, INC. - MONOCACY HEALTH PARTNERS, LLC FREDERICK HEALTH MEDICAL GROUP, LLC - HOSPICE OF FREDERICK COUNTY, INC FREDERICK HEALTH HOSPICE, INC. - CORPORATE OCCUPATIONAL HEALTH FREDERICK HEALTH EMPLOYER SOLUTIONS CORP. SOLUTIONS, CORP.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC.
POWER TO ELECT OR APPOINT MEMBERS	FORM 990, PART VI, LINE 7A THE SOLE MEMBER, FREDERICK HEALTH, INC., HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK HEALTH HOSPITAL.
DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 7B THE MEMBER, FREDERICK HEALTH, INC., MUST APPROVE THE INCURRENCE OF DEBT IF SUCH DEBT EXCEEDS A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, CAPITAL EXPENDITURES EXCEEDING A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, THE DECISION TO DISSOLVE OR LIQUIDATE, THE CREATION OF A SUBSIDIARY, AND AMENDMENTS TO THE BYLAWS.
PROCESS USED TO REVIEW THE FORM 990	FORM 990, PART VI, LINE 11B THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING.
MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF	INTEREST POLICY FORM 990, PART VI, LINE 12C THE FREDERICK HEALTH HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX-EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS).
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINE 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THECHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT THE PRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT.
PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK HEALTH HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT https://www.frederickhealth.org/About/About-Frederick-Health/Compliance.as px
FORM 990, PART VII	DIRECTORS RAVI YALAMANCHILI, GERRIT SCHIPPER AND THOMAS MUNRO RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PERFORMED AND NOT FOR SERVING ON THE BOARD.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9 UNREALIZED LOSS ON INTEREST RATE SWAP $ (1,659,149) MINIMUM PENSION ADJUSTMENT $ (2,499,893) ASU 2016-01 ADOPTION $ 2,848,000 FORGIVENESS OF INTERCO DEBT WITH RELATED ENTITIES $ (77,931,103) ASSETS RELEASED FROM RESTRICTION FOR THE PURCHASE $ 940,211 OF CAPITAL ITEMS _________________ TOTAL $ (78,301,934)
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:3238542
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11638039
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:54887829
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER EXPENSES TOTAL FEES:5723841

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
FREDERICK HEALTH SERVICES CORPORATION
400 WEST SVENETH STREET	FREDERICK	MD	21701	521851661	MGMT COMPANY	MD	FHI	C Corp	$0	$0	0.00000	false
MONOCACY INSURANCE LTD
				981011570	SELF INSURANCE		FHI	C Corp	$0	$0		false	PO BOX 1159	GRAND CAYMAN	CJ	KY1-1102	CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FREDERICK HEALTH MEDICAL GROUP LLC
q	$46,509,267	DIRECT COSTING
FREDERICK HEALTH INC
q	$1,266,750	DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
s	$39,950,000	CASH
FREDERICK HEALTH HOSPICE INC
o	$906,556	DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
o	$820,548	DIRECT COSTING
FREDERICK HEALTH INC
o	$1,089,662	DIRECT COSTING
FREDERICK HEALTH MEDICAL GROUP LLC
j	$1,142,499	CASH
FREDERICK HEALTH SERVICES CORP
k	$479,452	FMV
FREDERICK HEALTH SERVICES CORP
a	$238,000	FMV
FREDERICK HEALTH SERVICES CORP
o	$179,723	FMV