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FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201931349349307933
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-14T15:19:34-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 NORTH FRANKLIN ST STE 2400AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591612EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FREDERICK MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHELLE K MAHANInCareOfNm
Business Name ControlFREDBusinessNameControlTxt
Phone2405663000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST SEVENTH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE MAHANPersonNm
Person TitleCFOPersonTitleTxt
Phone2405663350PhoneNum
Signature2019-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELANIE A MCPEAKPreparerPersonNm
PTINP01346034PTIN
Phone8132254800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address181.37.62.158IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id59196620191345000001FederalOriginalSubmissionId
Federal Original Submission Id2019-05-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id79704D1B1FD29BF7C0C26D7B259B714D6034963EAtSubmissionCreationDeviceId
At Submission Filing Device Id721E3ACDB1620A7A66E3A23C7EDFA845AECA81EDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS A KLEINHANZLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W 7TH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$403,117,749GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FMH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or Missionto contribute to the health and well-being of area residents by providing quality healthcare in a caring, cost efficient, safe and convenient manner.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee2481TotalEmployeeCnt
Total Volunteers718TotalVolunteersCnt
Total Gross UBI-$100,025TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,595,815PYContributionsGrantsAmt
CY Contributions Grants$4,531,422CYContributionsGrantsAmt
PY Program Service Revenue$360,060,021PYProgramServiceRevenueAmt
CY Program Service Revenue$361,042,800CYProgramServiceRevenueAmt
PY Investment Income$10,082,601PYInvestmentIncomeAmt
CY Investment Income$9,647,166CYInvestmentIncomeAmt
PY Other Revenue-$609,243PYOtherRevenueAmt
CY Other Revenue$404,958CYOtherRevenueAmt
PY Total Revenue$373,129,194PYTotalRevenueAmt
CY Total Revenue$375,626,346CYTotalRevenueAmt
PY Grants And Similar Paid$50,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$50,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$145,852,064PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$153,776,754CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$54,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$54,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$701,271CYTotalFundraisingExpenseAmt
PY Other Expenses$203,265,867PYOtherExpensesAmt
CY Other Expenses$190,547,838CYOtherExpensesAmt
PY Total Expenses$349,221,931PYTotalExpensesAmt
CY Total Expenses$344,428,592CYTotalExpensesAmt
PY Revenues Less Expenses$23,907,263PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$31,197,754CYRevenuesLessExpensesAmt
Total Assets BOY$552,559,555TotalAssetsBOYAmt
Total Assets EOY$571,551,539TotalAssetsEOYAmt
Total Liabilities BOY$290,277,677TotalLiabilitiesBOYAmt
Total Liabilities EOY$267,422,277TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$262,281,878NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$304,129,262NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF FREDERICK MEMORIAL HOSPITAL, INC. IS TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTH CARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER, THROUGH A COORDINATED PROGRAM OF PREVENTION, DIAGNOSIS AND TREATMENT REHABILITATION, AND SUPPORT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$35,471,478ExpenseAmt
Grant$50,000GrantAmt
Revenue$68,202,703RevenueAmt
DescINPATIENT SERVICES IN FY2018, FREDERICK MEMORIAL HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 23,924 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, FMH 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, FMH INCURRED $46.7 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$29,998,530ExpenseAmt
Grant$0GrantAmt
Revenue$60,240,683RevenueAmt
DescPERIOPERATIVE SERVICES FREDERICK MEMORIAL HOSPITAL'S PERIoPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 9,943 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2018. 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, FMH INCURRED $46.7 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$14,699,317ExpenseAmt
Grant$0GrantAmt
Revenue$28,601,222RevenueAmt
DescLABORATORY SERVICES AT FREDERICK MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 1,350,000 HIGH QUALITY TESTS TO PATIENTS IN FISCAL YEAR 2018. PROCEDURES WERE PERFORMED IN OUR CAMPUS FACILITY AS WELL AS OUR AMBULATORY LOCATIONS SERVING FREDERICK COUNTY. IN ADDITION TO A FOCUS ON QUALITY, LABORATORY SERVICES IS ALSO FOCUSED ON THE PATIENT EXPERIENCE. IN FY2018, WE LAUNCHED A DEDICATED LABORATORY CALL CENTER TO ENHANCE THE PATIENT EXPERIENCE. WE ALSO COMPLETED AN IMPROVEMENT PROJECT THAT REDUCED PATIENT APPOINTMENT TIMES INCLUDING WAIT TIMES DOWN TO LESS THAN 20 MINUTES. FINALLY, WE LAUNCHED A MOBILE APPLICATION FOR QUICKER DISSEMINATION OF ROUTINE LAB RESULTS THAT WAS AN ENHANCEMENT TO ORDERING PHYSICIANS AND PATIENTS. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FMH INCURRED $46.7 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$216,884,740TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$205,200,883TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$297,054,065TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document365IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2481EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHELLE K MAHANPersonNm
Phone2405663350PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W 7TH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Shawn Wolf
Director2.00.0Yes (X)$0$0$0
Ravi Yalamanchili
DIRECTOR/physician2.00.0Yes (X)$517,453$0$0
Cornelius Fay
Director2.00.0Yes (X)$0$0$0
Terrence McPherson
Director2.00.0Yes (X)$0$0$0
Laura Melia
Director2.02.0Yes (X)$0$0$0
Thomas A Kleinhanzl
President and CEO32.08.0Yes (X)$1,226,276$0$274,120Yes (X)
R CARL BENNA
DIRECTOR2.00.0Yes (X)$0$0$0
ALLEN D MAWDSLEY
DIRECTOR2.02.0Yes (X)$0$0$0
ELIZABETH PAKENAS
DIRECTOR2.00.0Yes (X)$0$0$0
Gregory P Dormitzer
Director2.01.0Yes (X)$0$0$0
Theodore Luck
Director2.00.0Yes (X)$0$0$0
HONORABLE STEPHEN JOHNSON
Secretary/Treasurer2.01.0Yes (X)$0$0$0Yes (X)
THOMAS MUNRO MD
VC OF STAFF/physician5.00.0Yes (X)$27,996$0$0
GERRIT SCHIPPER MD
CHIEF OF STAFF/physician10.00.0Yes (X)$54,179$0$0
Joe Collins
Director2.00.0Yes (X)$0$0$0
E James Reinsch
DIRECTOR2.02.0Yes (X)$0$0$0
P Gregory Rauschend 93017
Chair, FMH Dev Council4.00.0Yes (X)$0$0$0
J Frederick Manning
Vice Charmain4.02.0Yes (X)$0$0$0Yes (X)
PATRICIA HANBERRY
DIRECTOR2.00.0Yes (X)$0$0$0
KARYLYS KLINE
DIRECTOR2.00.0Yes (X)$0$0$0
NIKKI MOBERLY
DIRECTOR2.00.0Yes (X)$0$0$0
Rev Roger W Wilmer Jr
Director (ENDED 9/30/17)2.00.0Yes (X)$0$0$0
Gerald Winnan MD
CHAIRMAN2.03.0Yes (X)$0$0$0Yes (X)
Michelle K Mahan
Sr VP and CFO39.06.0$689,814$0$60,707Yes (X)
John R Verbus ended 8117
Sr VP and COO20.00.0$404,725$0$27,712Yes (X)
Manuel A Casiano
SVP POPULATION HEALTH14.026.0$477,108$0$49,423Yes (X)
Cheryl L Cioffi
SVP COO AND CNO36.04.0$389,479$0$62,534Yes (X)
Hannah R Jacobs
VP Finance33.07.0$232,678$0$11,994Yes (X)
Rachel I Mandel ended 101018
VP Medical Affairs40.00.0$272,186$0$13,998Yes (X)
Craig F Rosendale
VP COMPLIANCE24.016.0$234,455$0$26,980Yes (X)
Donald R Schilling
VP Ambulatory Services6.034.0$261,234$0$20,214Yes (X)
Jennifer G Teeter
VP CLINICAL INTEGRATION16.024.0$265,918$0$28,244Yes (X)
Jim R Williams ended 1218
SVP POPULATION HEALTH20.020.0$313,452$0$29,606Yes (X)
HEATHER R KIRBY
VP INTEGRATED CARE DELIVERY40.00.0$187,426$0$22,246Yes (X)
MARY D BARTON beg 71717
vp-business develop. & Strat.40.00.0$105,360$0$2,909Yes (X)
MICHAEL G MCLANE JR
AVP SUPPORT SVCS40.00.0$186,323$0$24,903Yes (X)
ROBIN R ROSE
VP DEVELOPMENT40.00.0$170,751$0$18,823Yes (X)
Diane M Mcfarland
VP PT Care Svcs (Beg 5/30/17)40.00.0$108,224$0$872Yes (X)
Mark S Soberman
Physician40.00.0$451,350$0$31,166Yes (X)
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST40.00.0$210,871$0$27,674Yes (X)
JAMES BLAKE TRUMBLE
MEDICAL DIRECTOR40.00.0$236,646$0$27,036Yes (X)
EMMANUEL FRU WANKI
RN PER DIEM60.00.0$189,816$0$17,250Yes (X)
CARLOS T GRAVERAN
DIRECTOR OF HOSPICE40.04.0$198,641$0$15,741Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,412,361TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$794,152TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K103IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TXTEAM REHAB INC
9101 WESLEYAN RD SUITE 100INDIANAPOLISIN46268REHAB SERVICES$9,003,206
SOUND PHYSICIANS
PO BOX 742936LOS ANGELESCA90074PHYSICIAN SERVICES$5,124,809
QUEST DIAGNOSTICS
PO BOX 740709ATLANTAGA30374LABORATORY SERVICES$1,258,156
CRITICAL CARE ASSOCIATES LLC
10711 RED RUN BLVD SUITE 101OWINGS MILLSMD21117PHYSICIAN SERVICES$1,207,020
FIRST COLONIES ANESTHESIA
PO BOX 841069DALLASTX752841069physician services$950,484
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K54CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
All Other Contributions$4,531,422AllOtherContributionsAmt
Noncash Contributions$801,985NoncashContributionsAmt
Total Contributions$4,531,422TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INPATIENT REVENUE624110$206,687,984$206,687,984$0$0
OUTPATIENT REVENUE621410$150,289,014$150,289,014$0$0
GROUP PURCHASING PREMIER525990$93,997$64,379$29,618$0
ALL OTHER PROGRAM SERVICE REVENUE900099$3,971,805$3,971,805$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$361,042,800TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,523,432TotalRevenueColumnAmt
Unrelated Business Revenue-$129,643UnrelatedBusinessRevenueAmt
Exclusion$3,653,075ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$786,492RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$786,492RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$786,492TotalRevenueColumnAmt
Exclusion$786,492ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,602,800SecuritiesAmt
Other$12,337OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$27,491,403SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,111,397SecuritiesAmt
Other$12,337OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,123,734TotalRevenueColumnAmt
Exclusion$6,123,734ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA REVENUE722511$1,146,289$1,146,289$0$0
MT. AIRY LLC MGMT. FEE541610$56,402$56,402$0$0
LOSSES INTEREST RATE SWAP900099-$1,584,225$0$0-$1,584,225
FieldValueIRS element (for citing)
Other Revenue Total-$381,534OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$375,626,346TotalRevenueColumnAmt
Related Or Exempt Func Income$362,215,873RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$100,025UnrelatedBusinessRevenueAmt
Exclusion$8,979,076ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Program Services$50,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,691,228TotalAmt
Program Services$599,628ProgramServicesAmt
Management And General$6,091,600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$114,778,181TotalAmt
Program Services$106,633,637ProgramServicesAmt
Management And General$7,950,296ManagementAndGeneralAmt
Fundraising$194,248FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,086,574TotalAmt
Program Services$9,074,235ProgramServicesAmt
Management And General$995,902ManagementAndGeneralAmt
Fundraising$16,437FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,515,624TotalAmt
Program Services$12,135,827ProgramServicesAmt
Management And General$1,357,698ManagementAndGeneralAmt
Fundraising$22,099FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,705,147TotalAmt
Program Services$7,916,967ProgramServicesAmt
Management And General$774,496ManagementAndGeneralAmt
Fundraising$13,684FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,985,677TotalAmt
Management And General$1,958,677ManagementAndGeneralAmt
Fundraising$27,000FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$714,818TotalAmt
Program Services$0ProgramServicesAmt
Management And General$714,818ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$447,316TotalAmt
Program Services$0ProgramServicesAmt
Management And General$447,316ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$25,925TotalAmt
Program Services$0ProgramServicesAmt
Management And General$25,925ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$54,000TotalAmt
Fundraising$54,000FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$358,744TotalAmt
Program Services$0ProgramServicesAmt
Management And General$358,744ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$80,239,042TotalAmt
Program Services$68,399,882ProgramServicesAmt
Management And General$11,744,538ManagementAndGeneralAmt
Fundraising$94,622FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,705,228TotalAmt
Program Services$18,767ProgramServicesAmt
Management And General$1,508,331ManagementAndGeneralAmt
Fundraising$178,130FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,936,913TotalAmt
Program Services$5,048,927ProgramServicesAmt
Management And General$1,848,634ManagementAndGeneralAmt
Fundraising$39,352FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,542,034TotalAmt
Program Services$6,201,636ProgramServicesAmt
Management And General$340,398ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,344,167TotalAmt
Program Services$5,216,706ProgramServicesAmt
Management And General$127,461ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$149,203TotalAmt
Program Services$93,287ProgramServicesAmt
Management And General$51,556ManagementAndGeneralAmt
Fundraising$4,360FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$206,042TotalAmt
Program Services$128,825ProgramServicesAmt
Management And General$71,197ManagementAndGeneralAmt
Fundraising$6,020FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,223,974TotalAmt
Program Services$4,894,864ProgramServicesAmt
Management And General$318,662ManagementAndGeneralAmt
Fundraising$10,448FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,141,656TotalAmt
Program Services$17,192,031ProgramServicesAmt
Management And General$6,933,013ManagementAndGeneralAmt
Fundraising$16,612FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,641,258TotalAmt
Program Services$15,413ProgramServicesAmt
Management And General$2,625,845ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescSUPPLIES AND COGSDesc
Total$53,885,841TotalAmt
Program Services$53,433,433ProgramServicesAmt
Management And General$428,149ManagementAndGeneralAmt
Fundraising$24,259FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$344,428,592TotalAmt
Program Services$297,054,065ProgramServicesAmt
Management And General$46,673,256ManagementAndGeneralAmt
Fundraising$701,271FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,522,122BOYAmt
EOY$30,245,309EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,095,227BOYAmt
EOY$5,540,611EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,226,337BOYAmt
EOY$45,496,416EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,748,998BOYAmt
EOY$4,991,906EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,778,143BOYAmt
EOY$2,345,944EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$549,529,172LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$320,976,124LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$239,391,387BOYAmt
EOY$228,553,048EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$137,936,563BOYAmt
EOY$148,266,422EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$80,583,787BOYAmt
EOY$94,343,358EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,276,991BOYAmt
EOY$11,768,525EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$552,559,555BOYAmt
EOY$571,551,539EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,129,658BOYAmt
EOY$45,919,788EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,204,092BOYAmt
EOY$177,594,683EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,943,927BOYAmt
EOY$43,907,806EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$290,277,677BOYAmt
EOY$267,422,277EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$253,759,101BOYAmt
EOY$295,861,898EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,546,600BOYAmt
EOY$7,291,187EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$976,177BOYAmt
EOY$976,177EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$262,281,878BOYAmt
EOY$304,129,262EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$552,559,555BOYAmt
EOY$571,551,539EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$31,197,754ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,104,547NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$11,754,177OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$25,925OtherActivitiesAmt
Total Lobbying Expenditures$25,925TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationEXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND VISITING NURSES ASSOCIATIONS OF AMERICA.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,177BeginningYearBalanceAmt
End Year Balance$976,177EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$255,808,546OtherCostOrOtherBasisAmt
Depreciation$102,516,292DepreciationAmt
Book Value$153,292,254BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,052,032OtherCostOrOtherBasisAmt
Depreciation$14,171,335DepreciationAmt
Book Value$13,880,697BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$252,252,093OtherCostOrOtherBasisAmt
Depreciation$204,288,497DepreciationAmt
Book Value$47,963,596BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,522,727OtherCostOrOtherBasisAmt
Book Value$9,522,727BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$228,553,048TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS IN SUBSIDIARIES$23,863,317F
ASSETS LIMITED AS TO USE$4,466,741F
INTERCOMPANY RECEIVABLES$66,013,300F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$94,343,358TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ADVANCES FROM THIRD PARTIES$8,026,642
INTEREST RATE SWAP CONTRACT$6,705,566
PENSION LIABILITY$14,474,654
MALPRACTICE INSURANCE LIABILITY$3,305,000
CAPITAL LEASE OBLIGATIONS$1,992,162
OTHER LIABILITIES$9,403,782
FieldValueIRS element (for citing)
Total Liability$43,907,806TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIntended use of endowment fundsFormAndLineReferenceDesc
ExplanationSCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean1Investments, program-relate$17,431,201
Central America and the Caribbean1Program services$3,273,203SELF INSURANCE
FieldValueIRS element (for citing)
Subtotal Offices2SubtotalOfficesCnt
Total Office2TotalOfficeCnt
Subtotal Spent$20,704,404SubtotalSpentAmt
Total Spent$20,704,404TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceProcedures for Monitoring Use of GrantsFormAndLineReferenceDesc
ExplanationPART 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

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonPRIDE PHILANTHROPYPersonNm
ActivityDEV cnsl SRVCSActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$54,000RetainedByContractorAmt
FieldValueIRS element (for citing)
Total Gross Receipts$0TotalGrossReceiptsAmt
Total Retained By Contractors$54,000TotalRetainedByContractorsAmt
Licensed StatesMDLicensedStatesCd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,127,875TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,127,875NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,394,679TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,934,107DirectOffsettingRevenueAmt
Net Community Benefit Expns-$539,428NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,522,554TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,934,107DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,588,447NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,956,219TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$554,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,401,967NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,361,177TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$517,909DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,843,268NetCommunityBenefitExpnsAmt
Total Expense0.05470TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$490,608TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$340,556NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,858,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,222,213DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,635,791NetCommunityBenefitExpnsAmt
Total Expense0.06570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,380,558TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,156,320DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,224,238NetCommunityBenefitExpnsAmt
Total Expense0.08060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$8,496,000BadDebtExpenseAmt
Bad Debt Expense Attributable$637,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$139,548,562ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$118,497,600CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$21,050,962MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FREDERICK MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W 7TH STREETAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21701ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.FMH.ORGWebsiteAddressTxt
State License210005StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Frederick Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceINPUT FROM COMMUNITY REPRESENTATIVESFormAndLineReferenceDesc
ExplanationSCHEDULE H, PART V, SECTION B, LINE 5 Frederick Memorial 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 Memorial 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. 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 Womens 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 SCHEDULE H, PART V, SECTION B, LINE 7A http://www.fmh.org/documents/pdfs/56183-community-health_rev-829.pdf SCHEDULE H, PART V, SECTION B, LINE 10A https://www.fmh.org/documents/fmh-community-needs-assessment-implementatio n-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 Memorial Hospitals implementation strategies - access, service navigation, and health literacy. Frederick Memorial 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 Memorial Hospital has adopted implementation strategies around the three priorities. 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, 420 referrals were made to behavioral health specialists in the primary care setting. - Through a partnership with Potomac Case Management, community case managers provide intensive community-based management services for high risk clients. For the report period, 736 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. For the report period, 164 clients were engaged with a peer recovery specialist. - The Hospitals Bridges Program trained community health lay educators about community based crisis services. 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 Memorial 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 Memorial 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. Adverse Childhood Events: Increasing awareness of adverse childhood events (ACEs) was the primary focus of the community action plan. Frederick Memorial 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. SCHEDULE H, PART V, SECTION B, LINE 13H STATE REGULATIONS. SCHEDULE H, PART V, SECTION B, LINE 16A HTTP://WWW.FMH.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY-FN100.PDF SCHEDULE H, PART V, SECTION B, LINE 16B HTTP://WWW.FMH.ORG/DOCUMENTS/FA_327A.PDF SCHEDULE H, PART V, SECTION B, LINE 16C HTTP://WWW.FMH.ORG/ABOUT/BILLING/FINANCIAL-ASSISTANCE.ASPX DESCRIPTION OF FINANCIAL ASSISTANCE POLICY MH 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 (HTTP://WWW.FMH.ORG/ABOUT/BILLING/FINANCIAL-ASSISTANCE.ASPX) 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 TO INCLUDE DETAILED EXPLANATION OF THE FAP. FMH 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.ExplanationTxt
FieldValueIRS element (for citing)
Facility14FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
FMH KLINE HOSPICE HOUSE
7000 KIMMEL ROADMT AIRYMD21771INPATIENT HOSPICE PATIENT FACILITY
MT AIRY HEALTH SERVICES
1502 SOUTH MAIN STREETMT AIRYMD21771OUTPATIENT HEALTH FACILITY
PARKVIEW MEDICAL GROUP MT AIRY
1502 SOUTH MAIN STREETMT AIRYMD21771PHYSICIAN PRACTICE
PARKVIEW MEDICAL GROUP MYERSVILLE
3000-D VENTRIE COURTMYERSVILLEMD21773PHYSICIAN PRACTICE
PARKVIEW MEDICAL GROUP FREDERICK
1564 OPPOSSUMTOWN PIKEFREDERICKMD21702PHYSICIAN PRACTICE
FMH REGIONAL CANCER CARE THERAPY CTR
501 WEST SEVENTH STREETFREDERICKMD21701OUTPATIENT CANCER TREATMENT CENTER
FMH ROSEHILL
1562 OPPOSSUMTOWN PIKEFREDERICKMD21701OUTPATIENT HEALTH FACILITY
UNION BRIDGE FAMILY PRACTICE
104 NORTH MAIN STREETUNION BRIDGEMD21701PHYSICIAN PRACTICE
FMH HOME HEALTH SERVICES
605 EAST CHURCH STREETFREDERICKMD21701HOME HEALTH NURSING ORGANIZATION
HOSPICE OF FREDERICK COUNTY
516 TRAIL AVENUEFREDERICKMD21701HOSPICE CARE ORGANIZATION
FMH ROSE HILL REHAB SERVICES
1562 OPPOSSUMTOWN PIKEFREDERICKMD21702PHYSICAL REHABILITATION CLINIC
FMH CRESTWOOD
7211 BANK COURTFREDERICKMD21703OUTPATIENT HEALTH FACILITY
FMH URBANA
3430 WORTHINGTON BLVDFREDERICKMD21703OUTPATIENT HEALTH FACILITY
FMH IMMEDIATE CARE
850 OAK STREETFREDERICKMD21702WALK-IN CLINIC

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceCriteria for Determining eligibility for free or discounted careFormAndLineReferenceDesc
ExplanationSCHEDULE 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. Disclosure Identifying Costs SCHEDULE H, PART I, LINE 6 Hospitalists, Obstetrics Call, Emergency Department Call, Anesthesia Call, Intensivist, Interventional Cardiology, Prenatal Center and Mental Health 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 Memorial 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 Memorial 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 Memorial 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 Memorial 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 The service area for Frederick Memorial 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: - Total population - 252,022 - 50.7% female - 81.7% white - 14.1% are persons over age 65 - Average household income of $85,715/yr - 6.9% of households below the federal poverty guidelines - 6.7% are uninsured and 15% are Medicaid recipients - 92.6% graduated from high school and 40.5% have Bachelors degrees. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 For the report period, Frederick Memorial 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, 7,445 patients received home or community-based interventions from the care transitions clinical team. - Community Health Fair: Frederick Memorial 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, womens health education, pediatric asthma education, chronic disease prevention education and results counseling were provided by Hospital employees to approximately 800 attendees. - Care Clinic: The Care Clinic focuses on high risk patients diagnosed with heart failure, chronic obstructive pulmonary disease, diabetes and other chronic illnesses that need transition assistance between their hospital stay and follow-up with their health care providers. The Clinic offers a multi-disciplinary team approach to patient care with a nurse practitioner, social worker, registered nurse, medical assistant, behavioral health specialist and pharmacist. The goal of the team is to help people better navigate their complex health needs, provide education and support for their medical treatment plan. During the report period, 606 individuals were seen by clinic staff. - 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, 77 lay health educators completed the Bridges training program. The educators are affiliated with 32 faith and community organizations. - 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 355 newly enrolled maternity patients. - Physician Services: FrederiExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1frederick community collegeBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17932 OPOSSUMTOWN PIKEAddressLine1Txt
CityFREDERICKCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21702ZIPCd
FieldValueIRS element (for citing)
Recipient EIN520743590RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$50,000CashGrantAmt
Purpose Of GrantSUPPORT OF ALLIED HEALTH PROGramPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePROCEDURES FOR MONITORING THE USE OF GRANTSFormAndLineReferenceDesc
ExplanationFORM 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ravi Yalamanchili
DIRECTOR/physician$517,453$0$0$0$0$0$0$0$0$0$517,453$0$0$0
Manuel A Casiano
SVP POPULATION HEALTH$388,309$0$84,930$0$3,869$0$35,546$0$13,877$0$526,531$0$0$0
Cheryl L Cioffi
SVP COO AND CNO$290,597$0$73,680$0$25,202$0$44,983$0$17,551$0$452,013$0$0$0
Hannah R Jacobs
VP Finance$194,680$0$37,119$0$879$0$10,255$0$1,739$0$244,672$0$0$0
Thomas A Kleinhanzl
President and CEO$718,934$0$493,013$0$14,329$0$253,350$0$20,770$0$1,500,396$0$0$0
Michelle K Mahan
Sr VP and CFO$466,472$0$219,473$0$3,869$0$43,584$0$17,123$0$750,521$0$0$0
Rachel I Mandel ended 101018
VP Medical Affairs$225,952$0$45,718$0$516$0$12,253$0$1,745$0$286,184$0$0$0
Craig F Rosendale
VP COMPLIANCE$188,708$0$38,303$0$7,444$0$12,548$0$14,432$0$261,435$0$0$0
Donald R Schilling
VP Ambulatory Services$217,562$0$39,803$0$3,869$0$5,761$0$14,453$0$281,448$0$0$0
Mark S Soberman
Physician$419,146$0$31,172$0$1,032$0$14,725$0$16,441$0$482,516$0$0$0
Jennifer G Teeter
VP CLINICAL INTEGRATION$210,353$0$40,718$0$14,847$0$13,772$0$14,472$0$294,162$0$0$0
John R Verbus ended 8117
Sr VP and COO$324,745$0$77,430$0$2,550$0$12,791$0$14,921$0$432,437$0$0$0
Jim R Williams ended 1218
SVP POPULATION HEALTH$247,882$0$58,126$0$7,444$0$15,153$0$14,453$0$343,058$0$0$0
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST$189,764$0$9,796$0$11,311$0$11,374$0$16,300$0$238,545$0$0$0
JAMES BLAKE TRUMBLE
MEDICAL DIRECTOR$236,221$0$149$0$276$0$12,570$0$14,466$0$263,682$0$0$0
HEATHER R KIRBY
VP INTEGRATED CARE DELIVERY$154,876$0$32,370$0$180$0$5,313$0$16,933$0$209,672$0$0$0
EMMANUEL FRU WANKI
RN PER DIEM$189,667$0$149$0$0$0$12,145$0$5,105$0$207,066$0$0$0
MARY D BARTON beg 71717
vp-business develop. & Strat.$105,181$0$0$0$179$0$0$0$2,909$0$108,269$0$0$0
CARLOS T GRAVERAN
DIRECTOR OF HOSPICE$171,625$0$26,500$0$516$0$0$0$15,741$0$214,382$0$0$0
MICHAEL G MCLANE JR
AVP SUPPORT SVCS$153,387$0$32,590$0$346$0$8,287$0$16,616$0$211,226$0$0$0
ROBIN R ROSE
VP DEVELOPMENT$140,445$0$28,958$0$1,348$0$2,046$0$16,777$0$189,574$0$0$0
Diane M Mcfarland
VP PT Care Svcs (Beg 5/30/17)$107,496$0$0$0$728$0$0$0$872$0$109,096$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE 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 4BFREDERICK MEMORIAL 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 $27,509 THOMAS A. KLEINHANZL $237,235 MANUEL CASIANO $19,471 CHERYL CIOFFI $29,559

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A
A520936091574218ly72012-12-05$100,229,856SEE PART VIfalsefalsefalse
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017A
B5209360912018-06-08$26,779,579SEE PART VIfalsefalsefalse
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B
C5209360912018-06-08$57,490,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,435,000$0$100,229,856$0$1,287,936$0$0$0$0$37,200,000$0$02014Yes (true)falsefalseYes (true)
B$0$0$26,779,579$0$0$0$0$0$0$26,779,579$0$02017falsefalsefalseYes (true)
C$0$0$57,490,000$0$0$0$400,000$0$0$0$57,490,000$02017Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.006300.000000.00630falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.001000.000000.00100falsefalsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.002600.000000.00260falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndException To RebateExceptionToRebateIndTerm Of HedgeTermOfHedgePct
0
AfalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)Yes (true)false0falseYes (true)falsefalse
UBS AG
CfalsefalseYes (true)Yes (true)false0falseYes (true)falsefalseYes (true)18.04

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDESCRIPTION OF PURPOSEFormAndLineReferenceDesc
ExplanationSCHEDULE 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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
donald r schilling
key employee$41,907SEE PART Vfalse
j frederick manning
officer$176,894SEE PART Vfalse
john r verbus
officer$51,791SEE PART Vfalse
Cheryl Cioffi
Key Employee$26,141See Part Vfalse

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule L, Part IV, Line 1, Column Dfamily member is employed by Monocacy Health Partners, Inc. as a registered nurse.
Schedule L, Part IV, Line 2, Column DPayments to Manning Broadcasting, Inc. for radio advertising. The relationship between the hospital and radio station existed prior to Mr. Manning owning the radio station and prior to him being on the board of FMH.
Schedule L, Part IV, Line 3, Column Dfamily member is employed by Frederick Memorial Hospital, Inc. as a registered nurse. Schedule L, Part IV, Line 4, Column D family member is employed by Frederick Memorial Hospital, Inc. as an Unit Secretary.
Schedule L, Part IVAll transactions disclosed are made at arms-length and at fair market value in return for services provided.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution29ContributionCnt
Noncash Contributions Rpt F990$801,985NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Description of Other Program ServicesForm 990, Part III, Line 4d OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN & CHILDREN AND WOUND CARE.
Members or stockholdersFORM 990, PART VI, LINE 6 The sole member of the organization is Frederick regional health system.
Power to elect or appoint membersform 990, part vi, line 7a THE SOLE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK MEMORIAL HOSPITAL.
Decisions reserved to members or stockholdersForm 990, part vi, line 7b THE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, 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 990form 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 ofinterest policy form 990, part vi, line 12c THE FREDERICK MEMORIAL 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 compensationform 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 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 the president and ceo have a written employment contract.
Process for making documents available to the publicform 990, part vi, line 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK MEMORIAL HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FMH.ORG. Form 990, Part VII Directors Ravi Yalamanchili, Gerrit Schipper and Thomas Munro received compensation for physician services.
Other Changes in Net AssetsForm 990, Part XI, Line 9 Unrealized Gains - Interest Rate Swap $ 2,853,124 Loss on Joint Ventures $(1,478,106) Minimum Pension Adjust $10,632,456 Other Changes $ (253,297) ------------ Total $11,754,177
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:3547394
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:12719997
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT SERVICES TOTAL FEES:59036088
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER EXPENSES TOTAL FEES:4935563

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HOSPICE OF FREDERICK COUNTY INC
400 West Seventh StreetFREDERICKMD21701521164513HOSPICE CAREMD501(c)(3)10FMH INCYes (true)
FREDERICK REGIONAL HEALTH SYSTEM INC
400 West Seventh StreetFREDERICKMD21701454133096HEALTH SYSTEMMD501(c)(3)12BNAfalse
MONOCACY HEALTH PARTNERS
400 West Seventh StreetFREDERICKMD21701453007639PHYSICIAN ORGMD501(c)(3)10FRHS INCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
FREDERICK HEALTH SERVICES CORPORATION
400 WEST SEVENTH STREETFREDERICKMD21701521851661MGMNT COMPANYMDFRHS INCC Corp$0$00.00000false
FREDERICK SURGICAL SERVICES CORPORATION
400 West Seventh StreetFREDERICKMD21701521642334HOLDING COMPANYMDFHSC INCC Corp$0$00.00000false
MONOCACY INSURANCE LTD
981011570SELF INSURANCEFRHS INCC Corp$0$00.00000falsePO BOX 1159GRAND CAYMANGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MONOCACY HEALTH PARTNERS INC
s$19,400,000cash
FREDERICK REGIONAL HEALTH SYSTEM INC
q$99,196DIRECT COSTING
HOSPICE OF FREDERICK COUNTY INC
o$924,334DIRECT COSTING
MONOCACY HEALTH PARTNERS INC
j$849,462FMV
FREDERICK INTEGRATED HEALTHCARE NETWORK
r$236,616CASH
FREDERICK INTEGRATED HEALTHCARE NETWORK
o$932,079DIRECT COSTING
MONOCACY HEALTH PARTNERS INC
q$33,873,235DIRECT COSTING
FREDERICK HEALTH SERVICES CORP
a$204,596FMV
FREDERICK HEALTH SERVICES CORP
k$460,281FMV
FREDERICK HEALTH SERVICES CORP
o$314,255DIRECT COSTING
FREDERICK INTEGRATED HEALTHCARE NETWORK
s$1,020,962CASH