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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T15:19:34-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 NORTH FRANKLIN ST STE 2400 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520591612 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREDERICK MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHELLE K MAHAN | InCareOfNm |
| Business Name Control | FRED | BusinessNameControlTxt |
| Phone | 2405663000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 WEST SEVENTH STREET | AddressLine1Txt |
| City | FREDERICK | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE MAHAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2405663350 | PhoneNum |
| Signature | 2019-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE A MCPEAK | PreparerPersonNm |
| PTIN | P01346034 | PTIN |
| Phone | 8132254800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 181.37.62.158 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 59196620191345000001 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 79704D1B1FD29BF7C0C26D7B259B714D6034963E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 721E3ACDB1620A7A66E3A23C7EDFA845AECA81ED | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS A KLEINHANZL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W 7TH STREET | AddressLine1Txt |
| City | FREDERICK | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $403,117,749 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1897 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | to contribute to the health and well-being of area residents by providing quality healthcare in a caring, cost efficient, safe and convenient manner. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 2481 | TotalEmployeeCnt |
| Total Volunteers | 718 | TotalVolunteersCnt |
| Total Gross UBI | -$100,025 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,595,815 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,531,422 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $360,060,021 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $361,042,800 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,082,601 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,647,166 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$609,243 | PYOtherRevenueAmt |
| CY Other Revenue | $404,958 | CYOtherRevenueAmt |
| PY Total Revenue | $373,129,194 | PYTotalRevenueAmt |
| CY Total Revenue | $375,626,346 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $145,852,064 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $153,776,754 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $54,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $54,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $701,271 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $203,265,867 | PYOtherExpensesAmt |
| CY Other Expenses | $190,547,838 | CYOtherExpensesAmt |
| PY Total Expenses | $349,221,931 | PYTotalExpensesAmt |
| CY Total Expenses | $344,428,592 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,907,263 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $31,197,754 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $552,559,555 | TotalAssetsBOYAmt |
| Total Assets EOY | $571,551,539 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $290,277,677 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $267,422,277 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $262,281,878 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $304,129,262 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $35,471,478 | ExpenseAmt |
| Grant | $50,000 | GrantAmt |
| Revenue | $68,202,703 | RevenueAmt |
| Desc | INPATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,998,530 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $60,240,683 | RevenueAmt |
| Desc | PERIOPERATIVE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,699,317 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $28,601,222 | RevenueAmt |
| Desc | LABORATORY 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $216,884,740 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $205,200,883 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $297,054,065 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 365 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2481 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE K MAHAN | PersonNm |
| Phone | 2405663350 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W 7TH STREET | AddressLine1Txt |
| City | FREDERICK | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Shawn Wolf | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Ravi Yalamanchili | |||||||||
| DIRECTOR/physician | 2.0 | 0.0 | Yes (X) | $517,453 | $0 | $0 | |||
| Cornelius Fay | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Terrence McPherson | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Laura Melia | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Thomas A Kleinhanzl | |||||||||
| President and CEO | 32.0 | 8.0 | Yes (X) | $1,226,276 | $0 | $274,120 | Yes (X) | ||
| R CARL BENNA | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ALLEN D MAWDSLEY | |||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH PAKENAS | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Gregory P Dormitzer | |||||||||
| Director | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Theodore Luck | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| HONORABLE STEPHEN JOHNSON | |||||||||
| Secretary/Treasurer | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| THOMAS MUNRO MD | |||||||||
| VC OF STAFF/physician | 5.0 | 0.0 | Yes (X) | $27,996 | $0 | $0 | |||
| GERRIT SCHIPPER MD | |||||||||
| CHIEF OF STAFF/physician | 10.0 | 0.0 | Yes (X) | $54,179 | $0 | $0 | |||
| Joe Collins | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| E James Reinsch | |||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| P Gregory Rauschend 93017 | |||||||||
| Chair, FMH Dev Council | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| J Frederick Manning | |||||||||
| Vice Charmain | 4.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PATRICIA HANBERRY | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KARYLYS KLINE | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| NIKKI MOBERLY | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Rev Roger W Wilmer Jr | |||||||||
| Director (ENDED 9/30/17) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Gerald Winnan MD | |||||||||
| CHAIRMAN | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Michelle K Mahan | |||||||||
| Sr VP and CFO | 39.0 | 6.0 | $689,814 | $0 | $60,707 | Yes (X) | |||
| John R Verbus ended 8117 | |||||||||
| Sr VP and COO | 20.0 | 0.0 | $404,725 | $0 | $27,712 | Yes (X) | |||
| Manuel A Casiano | |||||||||
| SVP POPULATION HEALTH | 14.0 | 26.0 | $477,108 | $0 | $49,423 | Yes (X) | |||
| Cheryl L Cioffi | |||||||||
| SVP COO AND CNO | 36.0 | 4.0 | $389,479 | $0 | $62,534 | Yes (X) | |||
| Hannah R Jacobs | |||||||||
| VP Finance | 33.0 | 7.0 | $232,678 | $0 | $11,994 | Yes (X) | |||
| Rachel I Mandel ended 101018 | |||||||||
| VP Medical Affairs | 40.0 | 0.0 | $272,186 | $0 | $13,998 | Yes (X) | |||
| Craig F Rosendale | |||||||||
| VP COMPLIANCE | 24.0 | 16.0 | $234,455 | $0 | $26,980 | Yes (X) | |||
| Donald R Schilling | |||||||||
| VP Ambulatory Services | 6.0 | 34.0 | $261,234 | $0 | $20,214 | Yes (X) | |||
| Jennifer G Teeter | |||||||||
| VP CLINICAL INTEGRATION | 16.0 | 24.0 | $265,918 | $0 | $28,244 | Yes (X) | |||
| Jim R Williams ended 1218 | |||||||||
| SVP POPULATION HEALTH | 20.0 | 20.0 | $313,452 | $0 | $29,606 | Yes (X) | |||
| HEATHER R KIRBY | |||||||||
| VP INTEGRATED CARE DELIVERY | 40.0 | 0.0 | $187,426 | $0 | $22,246 | Yes (X) | |||
| MARY D BARTON beg 71717 | |||||||||
| vp-business develop. & Strat. | 40.0 | 0.0 | $105,360 | $0 | $2,909 | Yes (X) | |||
| MICHAEL G MCLANE JR | |||||||||
| AVP SUPPORT SVCS | 40.0 | 0.0 | $186,323 | $0 | $24,903 | Yes (X) | |||
| ROBIN R ROSE | |||||||||
| VP DEVELOPMENT | 40.0 | 0.0 | $170,751 | $0 | $18,823 | Yes (X) | |||
| Diane M Mcfarland | |||||||||
| VP PT Care Svcs (Beg 5/30/17) | 40.0 | 0.0 | $108,224 | $0 | $872 | Yes (X) | |||
| Mark S Soberman | |||||||||
| Physician | 40.0 | 0.0 | $451,350 | $0 | $31,166 | Yes (X) | |||
| DUSTIN M SIMONSON | |||||||||
| ONCOLOGY MEDICAL PHYSICIST | 40.0 | 0.0 | $210,871 | $0 | $27,674 | Yes (X) | |||
| JAMES BLAKE TRUMBLE | |||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $236,646 | $0 | $27,036 | Yes (X) | |||
| EMMANUEL FRU WANKI | |||||||||
| RN PER DIEM | 60.0 | 0.0 | $189,816 | $0 | $17,250 | Yes (X) | |||
| CARLOS T GRAVERAN | |||||||||
| DIRECTOR OF HOSPICE | 40.0 | 4.0 | $198,641 | $0 | $15,741 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,412,361 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $794,152 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 103 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TXTEAM REHAB INC | |||||
| 9101 WESLEYAN RD SUITE 100 | INDIANAPOLIS | IN | 46268 | REHAB SERVICES | $9,003,206 |
| SOUND PHYSICIANS | |||||
| PO BOX 742936 | LOS ANGELES | CA | 90074 | PHYSICIAN SERVICES | $5,124,809 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 740709 | ATLANTA | GA | 30374 | LABORATORY SERVICES | $1,258,156 |
| CRITICAL CARE ASSOCIATES LLC | |||||
| 10711 RED RUN BLVD SUITE 101 | OWINGS MILLS | MD | 21117 | PHYSICIAN SERVICES | $1,207,020 |
| FIRST COLONIES ANESTHESIA | |||||
| PO BOX 841069 | DALLAS | TX | 752841069 | physician services | $950,484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 54 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| All Other Contributions | $4,531,422 | AllOtherContributionsAmt |
| Noncash Contributions | $801,985 | NoncashContributionsAmt |
| Total Contributions | $4,531,422 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| INPATIENT REVENUE | 624110 | $206,687,984 | $206,687,984 | $0 | $0 |
| OUTPATIENT REVENUE | 621410 | $150,289,014 | $150,289,014 | $0 | $0 |
| GROUP PURCHASING PREMIER | 525990 | $93,997 | $64,379 | $29,618 | $0 |
| ALL OTHER PROGRAM SERVICE REVENUE | 900099 | $3,971,805 | $3,971,805 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $361,042,800 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,523,432 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$129,643 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,653,075 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $786,492 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $786,492 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $786,492 | TotalRevenueColumnAmt |
| Exclusion | $786,492 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $33,602,800 | SecuritiesAmt |
| Other | $12,337 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,491,403 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,111,397 | SecuritiesAmt |
| Other | $12,337 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,123,734 | TotalRevenueColumnAmt |
| Exclusion | $6,123,734 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA REVENUE | 722511 | $1,146,289 | $1,146,289 | $0 | $0 |
| MT. AIRY LLC MGMT. FEE | 541610 | $56,402 | $56,402 | $0 | $0 |
| LOSSES INTEREST RATE SWAP | 900099 | -$1,584,225 | $0 | $0 | -$1,584,225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$381,534 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $375,626,346 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $362,215,873 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$100,025 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,979,076 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Program Services | $50,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,691,228 | TotalAmt |
| Program Services | $599,628 | ProgramServicesAmt |
| Management And General | $6,091,600 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,778,181 | TotalAmt |
| Program Services | $106,633,637 | ProgramServicesAmt |
| Management And General | $7,950,296 | ManagementAndGeneralAmt |
| Fundraising | $194,248 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,086,574 | TotalAmt |
| Program Services | $9,074,235 | ProgramServicesAmt |
| Management And General | $995,902 | ManagementAndGeneralAmt |
| Fundraising | $16,437 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,515,624 | TotalAmt |
| Program Services | $12,135,827 | ProgramServicesAmt |
| Management And General | $1,357,698 | ManagementAndGeneralAmt |
| Fundraising | $22,099 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,705,147 | TotalAmt |
| Program Services | $7,916,967 | ProgramServicesAmt |
| Management And General | $774,496 | ManagementAndGeneralAmt |
| Fundraising | $13,684 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,985,677 | TotalAmt |
| Management And General | $1,958,677 | ManagementAndGeneralAmt |
| Fundraising | $27,000 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,818 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $714,818 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,316 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $447,316 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,925 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $25,925 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,000 | TotalAmt |
| Fundraising | $54,000 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,744 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $358,744 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,239,042 | TotalAmt |
| Program Services | $68,399,882 | ProgramServicesAmt |
| Management And General | $11,744,538 | ManagementAndGeneralAmt |
| Fundraising | $94,622 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,705,228 | TotalAmt |
| Program Services | $18,767 | ProgramServicesAmt |
| Management And General | $1,508,331 | ManagementAndGeneralAmt |
| Fundraising | $178,130 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,936,913 | TotalAmt |
| Program Services | $5,048,927 | ProgramServicesAmt |
| Management And General | $1,848,634 | ManagementAndGeneralAmt |
| Fundraising | $39,352 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,542,034 | TotalAmt |
| Program Services | $6,201,636 | ProgramServicesAmt |
| Management And General | $340,398 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,344,167 | TotalAmt |
| Program Services | $5,216,706 | ProgramServicesAmt |
| Management And General | $127,461 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,203 | TotalAmt |
| Program Services | $93,287 | ProgramServicesAmt |
| Management And General | $51,556 | ManagementAndGeneralAmt |
| Fundraising | $4,360 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,042 | TotalAmt |
| Program Services | $128,825 | ProgramServicesAmt |
| Management And General | $71,197 | ManagementAndGeneralAmt |
| Fundraising | $6,020 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,223,974 | TotalAmt |
| Program Services | $4,894,864 | ProgramServicesAmt |
| Management And General | $318,662 | ManagementAndGeneralAmt |
| Fundraising | $10,448 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,141,656 | TotalAmt |
| Program Services | $17,192,031 | ProgramServicesAmt |
| Management And General | $6,933,013 | ManagementAndGeneralAmt |
| Fundraising | $16,612 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,641,258 | TotalAmt |
| Program Services | $15,413 | ProgramServicesAmt |
| Management And General | $2,625,845 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUPPLIES AND COGS | Desc |
| Total | $53,885,841 | TotalAmt |
| Program Services | $53,433,433 | ProgramServicesAmt |
| Management And General | $428,149 | ManagementAndGeneralAmt |
| Fundraising | $24,259 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,428,592 | TotalAmt |
| Program Services | $297,054,065 | ProgramServicesAmt |
| Management And General | $46,673,256 | ManagementAndGeneralAmt |
| Fundraising | $701,271 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,522,122 | BOYAmt |
| EOY | $30,245,309 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,095,227 | BOYAmt |
| EOY | $5,540,611 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,226,337 | BOYAmt |
| EOY | $45,496,416 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,748,998 | BOYAmt |
| EOY | $4,991,906 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,778,143 | BOYAmt |
| EOY | $2,345,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $549,529,172 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $320,976,124 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $239,391,387 | BOYAmt |
| EOY | $228,553,048 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,936,563 | BOYAmt |
| EOY | $148,266,422 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,583,787 | BOYAmt |
| EOY | $94,343,358 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,276,991 | BOYAmt |
| EOY | $11,768,525 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,559,555 | BOYAmt |
| EOY | $571,551,539 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,129,658 | BOYAmt |
| EOY | $45,919,788 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,204,092 | BOYAmt |
| EOY | $177,594,683 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,943,927 | BOYAmt |
| EOY | $43,907,806 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,277,677 | BOYAmt |
| EOY | $267,422,277 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,759,101 | BOYAmt |
| EOY | $295,861,898 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,546,600 | BOYAmt |
| EOY | $7,291,187 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $976,177 | BOYAmt |
| EOY | $976,177 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,281,878 | BOYAmt |
| EOY | $304,129,262 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,559,555 | BOYAmt |
| EOY | $571,551,539 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $31,197,754 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,104,547 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $11,754,177 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $25,925 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $25,925 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND VISITING NURSES ASSOCIATIONS OF AMERICA. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $976,177 | BeginningYearBalanceAmt |
| End Year Balance | $976,177 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $976,177 | BeginningYearBalanceAmt |
| End Year Balance | $976,177 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $976,177 | BeginningYearBalanceAmt |
| End Year Balance | $976,177 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $976,177 | BeginningYearBalanceAmt |
| End Year Balance | $976,177 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $976,177 | BeginningYearBalanceAmt |
| End Year Balance | $976,177 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,893,774 | OtherCostOrOtherBasisAmt |
| Book Value | $3,893,774 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $255,808,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,516,292 | DepreciationAmt |
| Book Value | $153,292,254 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,052,032 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,171,335 | DepreciationAmt |
| Book Value | $13,880,697 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $252,252,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $204,288,497 | DepreciationAmt |
| Book Value | $47,963,596 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,522,727 | OtherCostOrOtherBasisAmt |
| Book Value | $9,522,727 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $228,553,048 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN SUBSIDIARIES | $23,863,317 | F |
| ASSETS LIMITED AS TO USE | $4,466,741 | F |
| INTERCOMPANY RECEIVABLES | $66,013,300 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $94,343,358 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,907,806 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Intended use of endowment funds | FormAndLineReferenceDesc |
| Explanation | SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt | Specific Services ProvidedSpecificServicesProvidedTxt |
|---|---|---|---|---|
| Central America and the Caribbean | 1 | Investments, program-relate | $17,431,201 | |
| Central America and the Caribbean | 1 | Program services | $3,273,203 | SELF INSURANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 2 | SubtotalOfficesCnt |
| Total Office | 2 | TotalOfficeCnt |
| Subtotal Spent | $20,704,404 | SubtotalSpentAmt |
| Total Spent | $20,704,404 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Procedures for Monitoring Use of Grants | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 2 THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE 501(C)(3) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PRIDE PHILANTHROPY | PersonNm |
| Activity | DEV cnsl SRVCS | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $54,000 | RetainedByContractorAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $0 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $54,000 | TotalRetainedByContractorsAmt |
| Licensed States | MD | LicensedStatesCd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,127,875 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,127,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,394,679 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,934,107 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$539,428 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,522,554 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,934,107 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,588,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,956,219 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $554,252 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,401,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $50,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,361,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $517,909 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,843,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05470 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $490,608 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $150,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $340,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,858,004 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,222,213 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,635,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,380,558 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,156,320 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,224,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,496,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $637,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $139,548,562 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $118,497,600 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $21,050,962 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREDERICK MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W 7TH STREET | AddressLine1Txt |
| City | FREDERICK | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.FMH.ORG | WebsiteAddressTxt |
| State License | 210005 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Frederick Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | INPUT FROM COMMUNITY REPRESENTATIVES | FormAndLineReferenceDesc |
| Explanation | SCHEDULE 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 14 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| FMH KLINE HOSPICE HOUSE | ||||
| 7000 KIMMEL ROAD | MT AIRY | MD | 21771 | INPATIENT HOSPICE PATIENT FACILITY |
| MT AIRY HEALTH SERVICES | ||||
| 1502 SOUTH MAIN STREET | MT AIRY | MD | 21771 | OUTPATIENT HEALTH FACILITY |
| PARKVIEW MEDICAL GROUP MT AIRY | ||||
| 1502 SOUTH MAIN STREET | MT AIRY | MD | 21771 | PHYSICIAN PRACTICE |
| PARKVIEW MEDICAL GROUP MYERSVILLE | ||||
| 3000-D VENTRIE COURT | MYERSVILLE | MD | 21773 | PHYSICIAN PRACTICE |
| PARKVIEW MEDICAL GROUP FREDERICK | ||||
| 1564 OPPOSSUMTOWN PIKE | FREDERICK | MD | 21702 | PHYSICIAN PRACTICE |
| FMH REGIONAL CANCER CARE THERAPY CTR | ||||
| 501 WEST SEVENTH STREET | FREDERICK | MD | 21701 | OUTPATIENT CANCER TREATMENT CENTER |
| FMH ROSEHILL | ||||
| 1562 OPPOSSUMTOWN PIKE | FREDERICK | MD | 21701 | OUTPATIENT HEALTH FACILITY |
| UNION BRIDGE FAMILY PRACTICE | ||||
| 104 NORTH MAIN STREET | UNION BRIDGE | MD | 21701 | PHYSICIAN PRACTICE |
| FMH HOME HEALTH SERVICES | ||||
| 605 EAST CHURCH STREET | FREDERICK | MD | 21701 | HOME HEALTH NURSING ORGANIZATION |
| HOSPICE OF FREDERICK COUNTY | ||||
| 516 TRAIL AVENUE | FREDERICK | MD | 21701 | HOSPICE CARE ORGANIZATION |
| FMH ROSE HILL REHAB SERVICES | ||||
| 1562 OPPOSSUMTOWN PIKE | FREDERICK | MD | 21702 | PHYSICAL REHABILITATION CLINIC |
| FMH CRESTWOOD | ||||
| 7211 BANK COURT | FREDERICK | MD | 21703 | OUTPATIENT HEALTH FACILITY |
| FMH URBANA | ||||
| 3430 WORTHINGTON BLVD | FREDERICK | MD | 21703 | OUTPATIENT HEALTH FACILITY |
| FMH IMMEDIATE CARE | ||||
| 850 OAK STREET | FREDERICK | MD | 21702 | WALK-IN CLINIC |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Criteria for Determining eligibility for free or discounted care | FormAndLineReferenceDesc |
| Explanation | SCHEDULE H, PART I, LINE 3C IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $20,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT. 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: Frederi | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | frederick community college | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7932 OPOSSUMTOWN PIKE | AddressLine1Txt |
| City | FREDERICK | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 520743590 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $50,000 | CashGrantAmt |
| Purpose Of Grant | SUPPORT OF ALLIED HEALTH PROGram | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PROCEDURES FOR MONITORING THE USE OF GRANTS | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE I, PART I, LINE 2 THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE 501(C)(3) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. |
| SCHEDULE J, PART I, LINE 4B | FREDERICK 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A | ||||||||
| A | 520936091 | 574218ly7 | 2012-12-05 | $100,229,856 | SEE PART VI | false | false | false |
| MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017A | ||||||||
| B | 520936091 | 2018-06-08 | $26,779,579 | SEE PART VI | false | false | false | |
| MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B | ||||||||
| C | 520936091 | 2018-06-08 | $57,490,000 | SEE PART VI | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,435,000 | $0 | $100,229,856 | $0 | $1,287,936 | $0 | $0 | $0 | $0 | $37,200,000 | $0 | $0 | 2014 | Yes (true) | false | false | Yes (true) |
| B | $0 | $0 | $26,779,579 | $0 | $0 | $0 | $0 | $0 | $0 | $26,779,579 | $0 | $0 | 2017 | false | false | false | Yes (true) |
| C | $0 | $0 | $57,490,000 | $0 | $0 | $0 | $400,000 | $0 | $0 | $0 | $57,490,000 | $0 | 2017 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00630 | 0.00000 | 0.00630 | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00100 | 0.00000 | 0.00100 | false | false | false | Yes (true) |
| C | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00260 | 0.00000 | 0.00260 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Exception To RebateExceptionToRebateInd | Term Of HedgeTermOfHedgePct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||||
| A | false | Yes (true) | false | false | false | 0 | false | Yes (true) | ||||
| 0 | ||||||||||||
| B | false | Yes (true) | Yes (true) | false | 0 | false | Yes (true) | false | false | |||
| UBS AG | ||||||||||||
| C | false | false | Yes (true) | Yes (true) | false | 0 | false | Yes (true) | false | false | Yes (true) | 18.04 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DESCRIPTION OF PURPOSE | FormAndLineReferenceDesc |
| Explanation | SCHEDULE K, PART I, COLUMN F MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A: FINANCE 2012 PROJECT AND CURRENT REFUND 2002 BONDS WHICH FUNDED THE 2002 PROJECT. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017A: COMPLETION OF 2017 PROJECT CONSISTING OF CONSTRUCTION OF CANCER BUILDING, RENOVATIONS TO BUSINESS CTR AND STERILE PROCESSING DEPARTMENT. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B: PAY FINANCING COSTS AND FOR THE REFUNDING OF SERIES 2012B BONDS. SCHEDULE K, PART II, LINE 3 DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS MARYLAND HEALTH & HIGHER ED AUTHORITY 2012A: ORIGINAL ISSUE PREMIUM OF $3,989,854 AND PREVIOUSLY TRUSTEED HELD FUNDS OF $8,115,951. SCHEDULE K, PART III, LINE 9 THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX EXEMPT BOND POST ISSUANCE COMPLIANCE. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| donald r schilling | |||
| key employee | $41,907 | SEE PART V | false |
| j frederick manning | |||
| officer | $176,894 | SEE PART V | false |
| john r verbus | |||
| officer | $51,791 | SEE PART V | false |
| Cheryl Cioffi | |||
| Key Employee | $26,141 | See Part V | false |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule L, Part IV, Line 1, Column D | family member is employed by Monocacy Health Partners, Inc. as a registered nurse. |
| Schedule L, Part IV, Line 2, Column D | Payments 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 D | family 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 IV | All transactions disclosed are made at arms-length and at fair market value in return for services provided. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 29 | ContributionCnt |
| Noncash Contributions Rpt F990 | $801,985 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Description of Other Program Services | Form 990, Part III, Line 4d OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN & CHILDREN AND WOUND CARE. |
| Members or stockholders | FORM 990, PART VI, LINE 6 The sole member of the organization is Frederick regional health system. |
| Power to elect or appoint members | form 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 stockholders | Form 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 990 | form 990, part vi, line 11b the 990 is prepared in conjunction with outside tax accountants and reviewed by upper management prior to providing a copy to the board. a copy of form 990 is provided to all members of the board prior to filing. |
| Monitoring and enforcement of compliance with conflict of | interest policy form 990, part vi, line 12c THE FREDERICK 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 compensation | form 990, part vi, line 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND 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 public | form 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 Assets | Form 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 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:3547394 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:12719997 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES TOTAL FEES:59036088 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER EXPENSES TOTAL FEES:4935563 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPICE OF FREDERICK COUNTY INC | ||||||||||
| 400 West Seventh Street | FREDERICK | MD | 21701 | 521164513 | HOSPICE CARE | MD | 501(c)(3) | 10 | FMH INC | Yes (true) |
| FREDERICK REGIONAL HEALTH SYSTEM INC | ||||||||||
| 400 West Seventh Street | FREDERICK | MD | 21701 | 454133096 | HEALTH SYSTEM | MD | 501(c)(3) | 12B | NA | false |
| MONOCACY HEALTH PARTNERS | ||||||||||
| 400 West Seventh Street | FREDERICK | MD | 21701 | 453007639 | PHYSICIAN ORG | MD | 501(c)(3) | 10 | FRHS INC | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREDERICK HEALTH SERVICES CORPORATION | ||||||||||||||||||
| 400 WEST SEVENTH STREET | FREDERICK | MD | 21701 | 521851661 | MGMNT COMPANY | MD | FRHS INC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| FREDERICK SURGICAL SERVICES CORPORATION | ||||||||||||||||||
| 400 West Seventh Street | FREDERICK | MD | 21701 | 521642334 | HOLDING COMPANY | MD | FHSC INC | C Corp | $0 | $0 | 0.00000 | false | ||||||
| MONOCACY INSURANCE LTD | ||||||||||||||||||
| 981011570 | SELF INSURANCE | FRHS INC | C Corp | $0 | $0 | 0.00000 | false | PO BOX 1159 | GRAND CAYMAN | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MONOCACY HEALTH PARTNERS INC | ||
| s | $19,400,000 | cash |
| FREDERICK REGIONAL HEALTH SYSTEM INC | ||
| q | $99,196 | DIRECT COSTING |
| HOSPICE OF FREDERICK COUNTY INC | ||
| o | $924,334 | DIRECT COSTING |
| MONOCACY HEALTH PARTNERS INC | ||
| j | $849,462 | FMV |
| FREDERICK INTEGRATED HEALTHCARE NETWORK | ||
| r | $236,616 | CASH |
| FREDERICK INTEGRATED HEALTHCARE NETWORK | ||
| o | $932,079 | DIRECT COSTING |
| MONOCACY HEALTH PARTNERS INC | ||
| q | $33,873,235 | DIRECT COSTING |
| FREDERICK HEALTH SERVICES CORP | ||
| a | $204,596 | FMV |
| FREDERICK HEALTH SERVICES CORP | ||
| k | $460,281 | FMV |
| FREDERICK HEALTH SERVICES CORP | ||
| o | $314,255 | DIRECT COSTING |
| FREDERICK INTEGRATED HEALTHCARE NETWORK | ||
| s | $1,020,962 | CASH |