2020-06-18T17:40:14-05:00 2019-06-30 KPMG LLP 8350 Broad Street Suite 900 McLean VA 22102 990 2018-07-01 520591531 UPMC Western Maryland Corporation % MICHELE MARTZ UPMC 2409648002 PO BOX 539 CUMBERLAND MD 215010539 MICHELE MARTZ SR. VP/CFO 2409648002 2020-06-18 true JG WHITE P01498698 7032868000 2020-06-17 199.207.253.96 54028020201705000000 2020-06-18 P CD1E5CCB2BE3C840F7484A12C7B19BF4FDF69301 560CC40BA92587350842C847239EEE3A41E536FA 2018 2020-09-23 17:36:50Z MICHELE MARTZ PO BOX 539 CUMBERLAND MD 215010539 369392774 false X WWW.WMHS.COM X 1905 MD UPMC WESTERN MARYLAND IS DEDICATED TO PROVIDING PATIENT CENTERED CARE AND IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE. 14 13 2371 349 815949 36408 2638765 2629401 328157673 333666515 6422820 5916131 4489864 4109560 341709122 346321607 0 425817 0 0 151864389 168333277 0 0 0 171709679 165545761 323574068 334304855 18135054 12016752 537411756 536398919 334814185 342693428 202597571 193705491 X THE MISSION OF UPMC WESTERN MARYLAND IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE INDIVIDUALS AND THE COMMUNITIES SERVED, ESPECIALLY THOSE IN NEED - SUPERIOR CARE FOR ALL WE SERVE. false false 169057139 25817 194596421 ANCILLARY CARE - REGULATED UPMC WESTERN MARYLAND (WMHS) OFFERS A COMPREHENSIVE RANGE OF GENERAL AND SPECIALTY SERVICES FOR PATIENTS INCLUDING INPATIENT AND OUTPATIENT CARE. SURGICAL, LABORATORY, RADIOLOGY, CARDIOLOGY, CANCER, RESPIRATORY AND PULMONARY ARE THE LARGER SERVICES PROVIDED AT THE HOSPITAL. A SMALLER SCALE OF ANCILLARY SERVICES ARE PROVIDED AT THE NURSING HOME. 54945067 0 63429448 INPATIENT ROUTINE CARE - REGULATED UPMC WESTERN MARYLAND (WMHS) IS A FULL SERVICE COMMUNITY HOSPITAL LICENSED FOR 233 BEDS INCLUDING MEDICAL-SURGICAL INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC REHABILITATION, NURSERY, AND 88 NURSING HOME BEDS. FOR THE YEAR, 11,936 PATIENTS WERE ADMITTED TO THE HOSPITAL AND FOR THE NURSING HOME, THE AVERAGE DAILY CENSUS WAS 70 PATIENTS. THE HEALTH SYSTEM ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THOSE PATIENTS WHO MEET CERTAIN CRITERIA UNDER WMHS'S CHARITY CARE POLICIES RECEIVE SERVICES AT NO CHARGE OR AT AN AMOUNT LESS THAN FULL CHARGES. 57430321 400000 55114316 PHYSICIAN PRACTICES, CLINICS, AND HOME CARE UPMC WESTERN MARYLAND (WMHS) OPERATES 15 PHYSICIAN PRACTICES, 3 URGENT CARE CLINICS, AND A HOME CARE PRACTICE OUTSIDE THE HOSPTIAL SETTING. THE PHYSICIAN PRACTICES HAD 143,018 ENCOUNTERS; THE CLINICS HAD 29,654 ENCOUNTERS AND HOME CARE HAD 35,578 VISITS FOR THE YEAR. 17995632 20777738 EMERGENCY CARE - REGULATED 17995632 20777738 299428159 true true false false false false false false false true true true true false true true false true false true true false false false true false true true true true true true false false false false false false false false false false false false false false false true false false false true 91 0 true 2371 true true true true CJ false false false true false false false false false false false X 14 13 true false false false false false false true true false false true true true true true true true true true true MD X MICHELE MARTZ 2409648004 PO BOX 539 CUMBERLAND MD 21501 X ROLF K HAARSTAD AIA CHAIRMAN 4.0 0.0 X X 0 0 0 MARY ANN JENKINS VICE CHAIR 4.0 0.0 X X 0 0 0 JOYCE K LAPP TREASURER 4.0 0.0 X X 0 0 0 DAVID C MATHEWS SECRETARY 4.0 0.0 X X 0 0 0 MURTAZA AMIR MD BOARD MEMBER 3.0 0.0 X 70049 0 0 KEITH FUNKHOUSER BOARD MEMBER 3.0 0.0 X 0 0 0 DAVID GILLES BOARD MEMBER 3.0 0.0 X 0 0 0 JONATHAN HUTCHERSON BOARD MEMBER 3.0 0.0 X 0 0 0 KIM B LEONARD BOARD MEMBER 3.0 0.0 X 0 0 0 PATRICIA NOBLE RN BOARD MEMBER 3.0 0.0 X 0 0 0 RONALD H NOWACZYK PHD BOARD MEMBER 3.0 0.0 X 0 0 0 JOHN N PAPPAS MD BOARD MEMBER 3.0 0.0 X 0 0 0 CARISSA l RODEHEAVER CPA BOARD MEMBER 3.0 0.0 X 0 0 0 COURTNEY A THOMAS BOARD MEMBER 3.0 0.0 X 0 0 0 BARRY P RONAN PRESIDENT/CEO 40.0 0.0 X 1069116 0 229778 KIMBERLY S REPAC SR VP/CFO 40.0 0.0 X 584650 0 71527 NANCY D ADAMS SR VP/COO 40.0 0.0 X 582417 0 89961 GERALD GOLDSTEIN MD SR VP/CMO 40.0 0.0 X 491910 0 70969 JO M WILSON VP, POPULATION HEALTH 40.0 0.0 X 250170 0 39751 KEVIN R TURLEY VP, SUPPORT OPERATIONS 40.0 0.0 X 302839 0 45573 MICHELE R MARTZ VP, PHYSICIAN ENTERPRISE 40.0 0.0 X 278932 0 44840 WILLIAM BYERS VP, CIO 40.0 0.0 X 376570 0 52144 JAMES KARSTETTER VP, CNO 40.0 0.0 X 261966 0 44469 STEVEN R SMITH MD MEDICAL DIRECTOR 40.0 0.0 X 445193 0 206622 MARK G NELSON MD PHYSICIAN 40.0 0.0 X 672652 0 65988 NII LAMPTEY-MILLS MD PHYSICIAN 40.0 0.0 X 616306 0 66240 BLANCHE MAVROMATIS MD PHYSICIAN 40.0 0.0 X 581674 0 61416 KENNETH G JUDSON MD PHYSICIAN 40.0 0.0 X 569435 0 64880 FAYE YIN MD PHYSICIAN 40.0 0.0 X 539045 0 40197 7692924 0 1194355 112 false true false HAYSTACK IMAGING SERVICES PO BOX 539 CUMBERLAND MD 215010539 DIAGNOSTIC 6054057 NORTH AMERICAN PARTNERS IN ANESTHES 68 SOUTH SERVICE ROAD STE 350 MELVILLE NY 11747 ANESTHESIA 3029690 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 PHYSICIAN STAFFING 2763831 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 900742936 PHYSICIAN STAFFING 2612693 ARAMARK PO BOX 978839 DALLAS TX 753978839 DIETARY 1917076 77 108000 349056 1336047 836298 2629401 ANCILLARY CARE 621990 194657032 194191813 465219 INPATIENT ROUTINE CARE 621990 63297947 63297947 PHYSICIAN PRACTICES, CLINICS, HH, & HOSPICE 621990 54976867 54976867 EMERGENCY CARE 621990 20734669 20734669 333666515 3774965 44639 3730326 0 0 755060 4500 577228 177832 4500 182332 182332 24343347 18534 22217404 3311 2125943 15223 2141166 2141166 69634 108000 83441 -13807 -13807 0 0 0 258173 189783 68390 68390 AMORTIZATION - 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MARYLAND CARE 31158575 C INVESTMENT - CUMBERLAND PROP 82866 C INVESTMENT - MMCS 558803 C INVESTMENT - JOHNSON HEIGHTS -798128 C INVESTMENT - TRIVERGENT 1000000 C 32002116 -7987 PAYABLE TO AFFILIATE 1402293 PAYABLE TO 3RD PARTY PROG. 5278966 PENSION LIABILITY 71959844 BOND PREMIUM - UNAMORTIZED 20594174 PROFESSIONAL INSUR LIABILITY 12008525 FINANCING FEES - UNAMORTIZED -1859748 MINORITY INTEREST PAYABLE 1563151 DEFERRED COMP 1372393 112311611 X SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS INTENDED USES OF THE INCOME FROM THE PUGH ENDOWMENT FUND ARE TO PROVIDE FREE BEDS AND FREE SERVICE TO THOSE WHO MAY BECOME PATIENTS AND WHO THROUGH FINANCIAL INABILITY MAY BE UNABLE TO MAKE PROVISIONS FOR THEIR OWN MEDICAL AND/OR SURGICAL RELIEF. SCHEDULE D, PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN 48 FOOTNOTE) THE HEALTH SYSTEM AND AFFILIATES ACCOUNT FOR TAX PROVISIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) SUBTOPIC 740-10., ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF ASC SUBTOPIC 740-10, AN ENTITY COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THE HEALTH SYSTEM AND AFFILIATES HAVE DETERMINED THAT IT DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2019 AND 2018. 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X X X X true true X X X true X WWW.WMHS.COM X WWW.WMHS.COM X WWW.WMHS.COM X X X X X true X false X X X X true X false true SCHEDULE H, PART V, SECTION B, FACILITY INFORMATION LINE 3, COMMUNITY HEALTH NEEDS ASSESSMENT AND LINE 5, PERSONS CONSULTED THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE UPMC WESTERN MARYLAND (WMHS) CO-CHAIR THE ALLEGANY COUNTY HEALTH PLANNING COALITION (COMPRISED OF 49 INDIVIDUALS REPRESENTING FOUNDING PARTNERS, AN ADVISORY BOARD, AND COMMUNITY AFFILIATES). THE MISSION OF THE ALLEGANY COUNTY HEALTH PLANNING COALITION IS "HEALTHY LIFESTYLES THROUGH COLLABORATIVE PARTNERSHIPS, EVIDENCE-BASED PRACTICES, AND PERSONAL COMMITMENTS." OVER THE YEARS, VARIOUS COMMUNITY STAKEHOLDERS HAVE PARTNERED TO IMPROVE THE HEALTH OF OUR COMMUNITY. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND WMHS IS A TOTAL PATIENT REVENUE HOSPITAL AND THE ONLY HOSPITAL IN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. LINE 6B, CHNA CONDUCTED WITH OTHER ORGANIZATIONS THE CHNA WAS CONDUCTED JOINTLY WITH THE ALLEGANY COUNTY HEALTH DEPARTMENT. LINE 7B: OTHER WEBSITE WHERE CHNA IS AVAILABLE: HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM LINE 11, ADDRESSING SIGNIFICANT NEEDS IN THE CHNA Priorities in the most recent CHNA are: substance abuse, poverty, heart disease, and access to care/health literacy. There are many common themes when comparing them to the priorities in the prior CHNA (access & socioeconomics, healthy lifestyle & wellbeing, and disease management). After review of health status indicators and causative factors, we selected more specific foci for the current CHNA. Key progress made between 2014-2017: - Residents that reported missing appointments due to transportation declined from 26% to 16% - Level 1 and 2 emergency department visits decreased from 15,501 to 8,219 - Behavioral health related emergency department visits decreased from 7,517.9 visits per 100,000 population to 6,216.5 per 100,000 - 209 patients were engaged in disease management resulting in fewer emergency department and hospital visits Continued Challenges: - 19.3% percent of elementary age children are in the 95th percentile or higher f or body mass index and the percentage is increasing - Emergency department visits for hypertension are at 279.1 per 100,000 population and the rate has increased steadily since 2010 - 18.7 drug induced deaths caused by illicit or prescription drugs per 100,000 population and deaths are rising. Substance abuse and poverty were identified as top priorities through a survey and community partners, so more streamlined strategies were created. With the continued challenge of hypertension and obesity, the priority became heart disease this cycle versus healthy lifestyle & wellbeing. Access to Care became less about insurance coverage in this cycle and more about understanding and education. Though there was not a disease management priority in the current cycle, there were aspects of disease management covered in current priorities such as social determinants of health and education. Through the Community Health Needs Assessment process, there were some community needs identified which will not be included in the Local Health Action Plan strategies. The Coalition felt that many of these community needs were already being addressed by other partnerships in the community, and therefore included them as a supporting strategy in the Local Health Action Plan or examined another aspect of the issue. Needs being addressed elsewhere are: Chronic Obstructive Pulmonary Disease, Sexually Transmitted Infections, Teen Use of E-Vapor Products, and Substance Abuse. THE DATA COLLECTED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS SHARED WITH THE WMHS ADMINISTRATIVE TEAM AND BOARD OF DIRECTORS. THIS INFORMATION ALONG WITH OTHER HOSPITAL DATA AND INFORMATION WAS UTILIZED TO CREATE THE HOSPITAL'S STRATEGIC PLAN. THROUGH THE DIRECTOR OF COMMUNITY HEALTH AND WELLNESS CONNECTIONS ARE IDENTIFIED BETWEEN THE IMPLEMENTATION STRATEGY AND THE STRATEGIC PLAN AS PART OF THE COMMUNITY BENEFIT PLANNING. THE FOLLOWING ARE SECTIONS OF THE STRATEGIC PLAN THAT APPLY TO COMMUNITY BENEFITS. STRATEGIC PLAN FY 2017-2020 STRATEGIC GOAL: ENHANCE PATIENT-CENTERED CARE DELIVERY MODEL OBJECTIVE: CONTINUE TO REDESIGN CARE DELIVERY MODELS STRATEGY: DEFINE WMHS'S ROLE IN COMMUNITY, TRANSPORTATION, RESPONSE TO ADDICTION EPIDEMIC OBJECTIVE: STRENGTHEN THE CARE COORDINATION PROCESS STRATEGY: IMPLEMENT BEST PRACTICES WITH TRANSITIONAL CARE, INCLUDING CENTER FOR CLINICAL RESOURCES STRATEGIC GOAL: COORDINATE CARE TO PROVIDE POPULATION HEALTH MANAGEMENT OBJECTIVE: EXPAND PRE AND POST-ACUTE SERVICES TO REDUCE POTENTIALLY AVOIDABLE UTILIZATION STRATEGY: MOBILE HEALTH OBJECTIVE: REDUCE VARIATIONS IN THE TREATMENT OF PATIENTS ACROSS THE CARE CONTIUUM. STRATEGY: PHYSICIAN INVOLVEMENT LINE 22, FINANCIAL ASSISTANCE POLICY WMHS DETERMINES THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO THE FINANCIAL ASSISTANCE POLICY ("FAP") ELIGIBLE INDIVIDUALS BY USING HSCRC RATE ORDER AND REGULATIONS. LINE 24, INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENT PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE. WMHS ALSO CONSIDERS PERSONS WHO DO NOT MEET THE FAP INCOME GUIDELINES UNDER EXPANSION OF THE FAP POLICY FOR FINANCIAL HARDSHIP THAT WOULD LIMIT THE AMOUNT EXPECTED TO BE PAID BASED ON PERCENTAGE OF INCOME. COVER MEDICALLY-NECESSARY HOSPITAL CARE. WMHS ALSO CONSIDERS PERSONS WHO DO NOT MEET THE FAP INCOME GUIDELINES UNDER EXPANSION OF THE FAP POLICY FOR FINANCIAL HARDSHIP THAT WOULD LIMIT THE AMOUNT EXPECTED TO BE PAID BASED ON PERCENTAGE OF INCOME. 1 Frostburg Nursing and Rehabilitation Ctr 48 Tarn Terrace Frostburg MD 21532 Nursing Home SCHEDULE H, PART I, LINE 7G URGENT CARE CENTERS EXPENSE $6,173,019 OFFSETTING REVENUE $4,118,688 COSTING METHODOLOGY - DIRECT COSTS ARE ADDED TO INDIRECT COSTS WHICH ARE CALCULATED BASED UPON AMOUNTS REPORTED ON A MARYLAND HSCRC ANNUAL COST REPORT. SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT - WMHS HAS IN PLACE A DISASTER READINESS PROGRAM. AS THE LARGEST HOSPITAL IN THE AREA AND THE LARGEST EMPLOYER, WMHS HAS INCURRED COSTS TO BE ABLE TO DEAL WITH A DISASTER IF THE NEED ARISES. COALITION BUILDING - WMHS WORKS WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH IN THE COMMUNITY. EDUCATION PROGRAMS, SCREENINGS, AND VARIOUS OTHER EVENTS ARE CONDUCTED BY WMHS. WORKFORCE DEVELOPMENT - WMHS IS ACTIVELY INVOLVED IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS FOR THE FEDERALLY MEDICAL UNDERSERVED AREA THROUGH A COLLABORATION WITH REGIONAL PARTNERS. SCHEDULE H, PART III BAD DEBT EXPENSE, LINE 4 Patient accounts receivable are reduced by allowances for bad debts. In evaluating the collectability of accounts receivable, the Health System analyzes historical collections and write-offs and identifies trends for each of its major payor souces of revenue to estimate the appropriate allowance for bad debts and provision for uncollectable accounts. Management regularly reviews its estimate and evaluates the sufficiency of the allowance for bad debts. The Health System analyzes contractual amounts due from patients who have third-party coverage and provides an allowance for doubtful accounts and a provision for bad debts. For patient accounts receivable associated with self-pay patients, which includes those patients without insurance coverage for a portion of the bill, the Health System records a significant provision for bad debts for patients that are unable or unwilling to pay for the portion of the bill representing their financial responsibility. Account balances are charged off against the allowance for doubtful accounts after all means of collection has been exhausted. SCHEDULE H, PART III SECTION B MEDICARE MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COURT REVIEW COMMISSION ("HSCRC") DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYORS' RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE. METHOD USED: COST TO CHARGE RATIO SCHEDULE H, PART III SECTION C COLLECTION PRACTICES, LINE 9B UPMC WESTERN MARYLAND PROVIDES CARE TO ALL PATIENTS SEEKING CARE, REGARDLESS OF THEIR ABILITY TO PAY. AN ABILITY TO PAY IS BASED ON A REVIEW WHICH IS DONE BY A MEMBER OF THE HEALTH SYSTEM'S BUSINESS OFFICE. THIS REVIEW ASSURES THAT ALL PATIENTS WHO SEEK EMERGENCY OR URGENT CARE RECEIVE THOSE SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY. -IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE. -UPMC WESTERN MARYLAND MEETS OR EXCEEDS THE STATE'S LEGAL REQUIREMENT BY PROVIDING FINANCIAL ASSISTANCE BASED ON INCOME ESTABLISHED BY AND PUBLISHED BY THE FEDERAL GOVERNMENT EACH YEAR. -THOSE PATIENTS THAT MEET THE FINANCIAL ASSISTANCE POLICY CRITERIA DESCRIBED ABOVE MAY RECEIVE ASSISTANCE FROM THE HEALTH SYSTEM IN PAYING THEIR BILL. IF A PATIENT BELIEVES HE HAS WRONGLY BEEN REFERRED TO A COLLECTION AGENCY, HE HAS THE RIGHT TO CONTACT THE HOSPITAL TO REQUEST ASSISTANCE. - WMHS ADJUSTED ITS POLICIES AND PRACTICES TO MEET ALL 501R REQUIREMENTS AS OF FEBRUARY 2017. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION COMMUNITY HEALTH NEEDS ASSESMENT, LINE 2 THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS. THE LATEST PLAN WAS APPROVED BY THE HOSPITAL'S GOVERNING BODY ON JUNE 15, 2017. HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM THE ALLEGANY COUNTY HEALTH DEPARTMENT AND UPMC WESTERN MARYLAND (WMHS) IS RESPONSIBLE FOR FACILITATING THE NEEDS ASSESSMENT PROCESS. ALLEGANY COUNTY IS LOCATED IN RURAL WESTERN MARYLAND WITH A POPULATION OF 72,528. IT IS PART OF THE APPALACHIAN REGION AND HAS LOW EDUCATION LEVELS, LIMITED RACIAL DIVERSITY, A LARGE ELDERLY POPULATION AND LOW HOUSEHOLD INCOMES. ALLEGANY COUNTY AND ITS SERVICE PROVIDERS ARE IMPACTED BY BEING A TRI-STATE REGION WHICH INCLUDES PENNSYLVANIA AND WEST VIRGINIA. WMHS SERVES 7 COUNTIES IN 3 STATES. THE PROCESS INVOLVES THE REVIEW OF THE 3 PRIORITY AREAS THAT WERE IDENTIFIED IN THE PREVIOUS CHNA AS WELL AS SHIP UPDATES FOR THE COUNTY. PROBLEM AREAS AND TRENDS IDENTIFIED THROUGH COUNTY HEALTH RANKINGS AND COMMUNITY COMMONS ARE ALSO REVIEWED. IN THE REVIEW BOTH HEALTH STATUS INDICATORS AND CAUSATIVE FACTORS ARE CONSIDERED. DATA SOURCES FROM THE LAST NEEDS ASSESSMENT ARE REVIEWED AND UTILIZED TO CLARIFY ISSUES. BASED ON THE RESULTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT, THE ALLEGANY COUNTY HEALTH PLANNING COALITION (COALITION) CREATED THE FOLLOWING LOCAL HEALTH ACTION PLAN (LHAP) HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM/PDF/LOCAL%20HEALTH %20ACTION%20PLAN%202017-2020. PDF TO IMPROVE HEALTH AND WELLBEING IN ALLEGANY COUNTY. THE COALITION IS CHARGED WITH IMPLEMENTING THE LHAP, MEASURING PROGRESS, AND BUILDING ON BEST PRACTICES ALREADY IN USE IN THE COMMUNITY. THE LHAP ADDRESSES FOUR PRIORITY AREAS: 1. SUBSTANCE ABUSE 2. POVERTY 3. HEART DISEASE 4. ACCESS TO CARE AND HEALTH LITERACY EACH PRIORITY AREA INCLUDES GOALS, LINK TO THE STATE HEALTH IMPROVEMENT PROCESS (SHIP) AND/OR PHIP, STRATEGIES, SMART OBJECTIVES, RESPONSIBLE PARTIES, TIMELINES, CURRENT PROGRESS TOWARD THE SMART OBJECTIVE, AND OUTCOMES INCLUDING BASELINE, TARGET, AND CURRENT STATUS. THE LHAP IS A THREE-YEAR PLAN AND IMPLEMENTATION IS DIVIDED INTO SIX-MONTH PHASES: PHASE 1 IS JULY-DECEMBER 2017, PHASE 2 IS JANUARY-JUNE 2018, PHASE 3 IS JULY-DECEMBER 2018, PHASE 4 IS JANUARY-JUNE 2019, PHASE 5 IS JULY-DECEMBER 2019, PHASE 6 IS JANUARY-JUNE 2020, AND ONGOING INDICATES THAT IMPLEMENTATION WILL OCCUR OVER ALL SIX PHASES. THE LHAP ALSO INCLUDES SUPPORTING STRATEGIES WHICH ARE UNDERWAY IN THE COMMUNITY AND MAY CONTRIBUTE TO THE ACHIEVEMENT OF LHAP GOALS AND OUTCOMES, BUT ARE NOT OVERSEEN BY THE COALITION. THE LHAP WORKS TO BUILD UPON, AND NOT DUPLICATE, EXISTING COMMUNITY HEALTH IMPROVEMENT EFFORTS. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE, LINE 3 UPMC WESTERN MARYLAND IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL SITUATION. A PATIENT CAN QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH LACK OF SUFFICIENT INSURANCE OR FINANCIAL HARDSHIP DUE TO EXCESSIVE MEDICAL DEBT. IT IS THE POLICY OF WMHS TO PROVIDE FINANCIAL ASSISTANCE BASED ON INDIGENCE OR EXCESSIVE MEDICAL DEBT FOR PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE. WMHS WILL POST NOTICES OF AVAILABILITY AT PATIENT REGISTRATION SITES, ADMISSIONS, BUSINESS OFFICE AND AT THE EMERGENCY DEPARTMENT. NOTICE OF AVAILABILITY WILL ALSO BE SENT TO PATIENTS ON PATIENT BILL STATEMENTS. A PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET WILL BE PROVIDED TO INPATIENTS VIA THE ADMISSION HANDBOOK GIVEN TO EVERY ADMITTED PATIENT. THIS IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE AND IS ALSO AVAILABLE TO ALL PATIENTS UPON REQUEST. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION COMMUNITY INFORMATION, LINE 4 WMHS PROVIDES PRIMARY AND SECONDARY ACUTE CARE SERVICES FOR A SIX COUNTY REGION COVERING THE UPPER POTOMAC REGION OF MARYLAND, EASTERN WEST VIRGINIA AND SOUTHWESTERN PENNSYLVANIA. WITH 72% OF THE PATIENTS RESIDING IN EITHER ALLEGANY COUNTY, MARYLAND, WMHS CONSIDERS THIS COMMUNITY ITS COMMUNITY BENEFIT SERVICE AREA. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION PROMOTION OF COMMUNITY HEALTH, LINE 5 COMMUNITY BENEFIT SUMMARY THE ALLEGANY COUNTY HEALTH DEPARTMENT AND UPMC WESTERN MARYLAND (WMHS) LEAD COMMUNITY HEALTH NEEDS ASSESSMENTS EFFORTS. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND WMHS IS A TOTAL PATIENT REVENUE HOSPITAL AND THE ONLY HOSPITAL IN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION AFFILIATED HEALTH CARE SYSTEM, LINE 6 -WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(C)(3), PUBLIC CHARITY STATUS 12 TYPE III, FUNDRAISING -MEMORIAL MEDICAL CENTER SERVICES (EIN: 52-1317704), C CORPORATION, BUILDING MAINTENANCE -WILLOWBROOK HC CONDO (37-1538510), C CORPORATION, CONDO MANAGEMENT -HAYSTACK CONSOLIDATED (52-1335895), C CORPORATION, MEDICAL SERVICES SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION STATE FILING OF COMMUNITY BENEFIT REPORT, LINE 7 WMHS FILES A COMMUNITY BENEFIT REPORT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). true Western Maryland Hospital Foundation PO BOX 539 CUMBERLAND MD 20501 352289841 501(C)(3) 415817 GENERAL SUPPORT 1 0 SCHOLARSHIPS 5 10000 SCHEDULE I, PART I An accountant completes an annual review of the contributions in order to substantiate the intended use of the funds expended. Applications are submitted in order to apply for a scholarship, along with a one page typed essay describing the student's educational and professional goals. Funds are paid directly to the school upon receipt of a transcript showing a minimum 3.0 GPA. X X X X X X false true false false false false false true false BARRY P RONAN PRESIDENT/CEO 692319 240100 136697 209313 20465 1298894 127698 KIMBERLY S REPAC SR VP/CFO 431912 127200 25538 69962 1565 656177 25538 NANCY D ADAMS SR VP/COO 430618 127200 24599 69772 20189 672378 24599 GERALD GOLDSTEIN MD SR VP/CMO 364176 106000 21734 59854 11115 562879 21734 JO M WILSON VP, POPULATION HEALTH 198000 52170 19873 19878 289921 KEVIN R TURLEY VP, SUPPORT OPERATIONS 247144 55695 23402 22171 348412 MICHELE R MARTZ VP, PHYSICIAN ENTERPRISE 225822 53110 22748 22092 323772 WILLIAM BYERS VP, CIO 274895 101675 29181 22963 428714 JAMES KARSTETTER VP, CNO 212851 49115 21395 23074 306435 STEVEN R SMITH MD MEDICAL DIRECTOR 245193 40000 160000 186807 19815 651815 MARK G NELSON MD PHYSICIAN 642652 30000 46178 19810 738640 NII LAMPTEY-MILLS MD PHYSICIAN 556306 60000 43214 23026 682546 BLANCHE MAVROMATIS MD PHYSICIAN 462561 119113 41480 19936 643090 KENNETH G JUDSON MD PHYSICIAN 552185 17250 41622 23258 634315 FAYE YIN MD PHYSICIAN 438739 100306 39660 537 579242 SCHEDULE J, PART I, LINE 4B AND 7 BONUSES ARE BASED UPON THE ACHIEVEMENT OF TARGETS AND IN MINIMAL OCCURENCES, ARE DISCRETIONARY IN NATURE. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS INCLUDED IN OTHER REPORTABLE COMPENSATION. BARRY P. RONAN RECEIVED A SERP PAYMENT IN THE AMOUNT OF $127,698 ON 01/11/2018. KIMBERLY S. REPAC RECEIVED A SERP PAYMENT IN THE AMOUNT OF $25,538 ON 01/11/2018. NANCY D. ADAMS RECEIVED A SERP PAYMENT IN THE AMOUNT OF $24,599 ON 01/11/2018. GERALD GOLDSTEIN MD RECEIVED A SERP PAYMENT IN THE AMOUNT OF $21,734 ON 01/11/2018. STEVEN R SMITH MD RECEIVED A 457(B) PAYMENT IN THE AMOUNT OF $160,000 ON 03/08/2018. A MHHEFA 520591531 574218SP9 2014-11-19 236170000 REFUND 2006 BONDS false false false A 38310000 0 236170000 0 50339567 18089437 2392488 0 0 0 165348508 0 2009 false true true true A false true true true true true 0.02880 0.00170 0.03050 true false false true A false true false false 0 true Wachovia Securities 30. true false true A true SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION. REBATE COMPUTATION WAS PERFORMED JULY 1, 2016. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES EMERGENCY CARE UPMC WESTERN MARYLAND (WMHS) OPERATES A 24-HOUR/7-DAY-A-WEEK EMERGENCY ROOM WHICH SERVES AS THE DESIGNATED AREA-WIDE TRAUMA CENTER. 45,408 VISITS WERE REGISTERED IN THE EMERGENCY ROOM FOR THE YEAR ENDING JUNE 30, 2019. FORM 990, PART VI, SECTION A, LINE 2 OFFICERS AND TRUSTEES BUSINESS RELATIONSHIPS KEVIN TURLEY (KEY EMPLOYEE) SERVES ON THE BOARD AND EXECUTIVE COMMITTEE OF HRDC OF WHICH COURTNEY THOMAS (TRUSTEE) IS THE EXECUTIVE DIRECTOR. FORM 990, PART VI, LINE 11B FORM 990 GOVERNING BODY REVIEW ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO REVIEW IRS FORM 990 AND 990-T BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. THE CHIEF FINANCIAL OFFICER (CFO) PRESENTS AN EXECUTIVE SUMMARY AND THEN PROVIDES A DETAILED REVIEW AND EXPLANATION OF EACH FORM. ANY OPEN ITEMS OR QUESTIONS ARE RESOLVED PRIOR TO THE FILING OF THE FORM. SUBSEQUENT TO ITS REVIEW, THE EXECUTIVE COMMITTEE REPORTS BACK TO THE BOARD REGARDING ITS OVERSIGHT OF THE FORM 990. THE BOARD IS INFORMED THAT A COMPLETE COPY OF THE FORM 990 IS AVAILABLE ON THE BOARDS SECURE PASSWORD PROTECTED WEB SITE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE THE WMHS BOARD OF DIRECTORS MONITORS PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRSESES ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT QUESTIONNAIRE IS DISTRIBUTED TO ALL INTERESTED PERSONS INCLUDING OFFICERS, DIRECTORS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONLFICTS ARISE. WHEN ONE BECOMES AN INTERESTED PERSON AND ANNUALLY THEREAFTER, THEY ARE REQUIRED TO SIGN A STATEMENT AFFIRMING THAT THEY HAVE RECEIVED, READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE POLICY. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE BOARD. THE PROCEDURES FOR ADDRESSING ANY CONFLICT INCLUDE THE CONFLICT BEING FULLY DISCLOSED AND DISCUSSED WITH THE INTERESTED PERSON ALONG WITH THE POTENTIAL RESOLUTIONS OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINES 15 & 15B PROCESS FOR DETERMINING COMPENSATION THE BOARD APPOINTS A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WITHOUT A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, RESPONSIBLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER OR KEY EMPLOYEE, INCLUDING THE CEO. THE COMMITTEE DEVELOPS, CONSISTENT WITH ORGANIZATIONAL PHILOSOPHY AND PRINCIPLE, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION. THE COMMITTEE ALSO HIRES AN INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES. COMPARABILITY DATA IS OBTAINED FOR SIMILAR JOB RESPONSIBILITIES. WRITTEN RECORDS OF ALL ANALYSES ARE MAINTAINED TO SUPPORT DECISIONS RELATED TO KEY EMPLOYEES AND OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS TO PUBLIC FORM WHILE THE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. IN MARYLAND, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO SUBMITTED TO THE HEALTH SERVICES COST REVIEW COMMISSION WHICH IS AVAILABLE FOR PUBLIC INSPECTION AS WELL. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CHANGES IN FUNDED STATUS OF PENSION PLAN ($29,367,000) WMHS Foundation PO Box 539 Cumberland MD 20501 352289841 Fundraising MD 501(c)(3) 12C NA false Johnson Heights 625 Kent Avenue Cumberland MD 20501 521775175 Rental MD NA Related 46879 1069644 false true 0.83950 Haystack Imaging PO Box 539 Cumberland MD 20501 043783141 Health Care MD NA Related 2307330 2099625 false true 0.50000 Memorial Med Ctr Svcs PO Box 539 Cumberland MD 20501 521317704 Bldg Maint MD NA C Corp -348 565262 1.00000 true Willowbrook HC Condo PO Box 539 Cumberland MD 20501 371538510 Condo Mgmt MD NA C Corp -9060 -9060 0.53300 true Haystack Consolidated PO Box 539 Cumberland MD 20501 521335895 Med Svcs MD NA C Corp 22780 1212855 1.00000 true Trivergent Health Alliance 1800 Dual Hghwy Hagerstown MD 20501 465555337 Mgmt Svcs MD NA C Corp -670451 2396944 0.33000 false true true true true false false false false false true true true false true true true true true true WMHS FOUNDATION INC B 415817 FMV WILLOWBROOK HEALTH CENTER CONDOMINIUM K 349135 FMV WMHS FOUNDATION INC C 299956 FMV JOHNSON HEIGHTS MEDICAL BUILDING Q 91157 FMV MEMORIAL MEDICAL CENTER SERVICES Q 42972 FMV