UPMC WESTERN MARYLAND CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: UPMC WESTERN MARYLAND CORPORATION (EIN 52-0591531)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-12
IRS object ID: 201711329349303161
Schema version: 2015v3.0
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 D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-12T12:12:32-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET SUITE 700	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591531	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Western MD Health System Corp Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% WESTERN MARYLAND HEALTH SYST	InCareOfNm
Business Name Control	WEST	BusinessNameControlTxt
Phone	2409648002	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 539	AddressLine1Txt
City	CUMBERLAND	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	215010539	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KIMBERLY S REPAC	PersonNm
Person Title	SR Vp/CFO	PersonTitleTxt
Phone	2409648002	PhoneNum
Signature	2017-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Frank Giardini	PreparerPersonNm
PTIN	P00532355	PTIN
Phone	2155614200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Kimberly S Repac	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 539	AddressLine1Txt
City	CUMBERLAND	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$430,252,605	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WMHS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	WMHS IS DEDICATED TO PROVIDING PATIENT CENTERED CARE AND IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE. PLEASE SEE PART III, LINE 1 FOR DETAILS.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2136	TotalEmployeeCnt
Total Volunteers	373	TotalVolunteersCnt
Total Gross UBI	$707,220	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$18,086	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,178,880	PYContributionsGrantsAmt
CY Contributions Grants	$1,303,369	CYContributionsGrantsAmt
PY Program Service Revenue	$389,912,971	PYProgramServiceRevenueAmt
CY Program Service Revenue	$400,129,258	CYProgramServiceRevenueAmt
PY Investment Income	-$1,104,989	PYInvestmentIncomeAmt
CY Investment Income	$4,041,499	CYInvestmentIncomeAmt
PY Other Revenue	$3,789,634	PYOtherRevenueAmt
CY Other Revenue	$3,180,382	CYOtherRevenueAmt
PY Total Revenue	$393,776,496	PYTotalRevenueAmt
CY Total Revenue	$408,654,508	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$127,012,009	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$141,145,451	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$247,738,282	PYOtherExpensesAmt
CY Other Expenses	$260,483,497	CYOtherExpensesAmt
PY Total Expenses	$374,750,291	PYTotalExpensesAmt
CY Total Expenses	$401,628,948	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,026,205	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,025,560	CYRevenuesLessExpensesAmt
Total Assets BOY	$547,596,404	TotalAssetsBOYAmt
Total Assets EOY	$549,865,320	TotalAssetsEOYAmt
Total Liabilities BOY	$393,076,728	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$432,110,699	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$154,519,676	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$117,754,621	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF WESTERN MD HEALTH SYSTEM IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE INDIVIDUALS AND THE COMMUNITIES SERVED, ESPECIALLY THOSE IN NEED - SUPERIOR CARE FOR ALL WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$242,259,742	ExpenseAmt
Revenue	$268,128,065	RevenueAmt
Desc	ANCILLARY CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OFFERS A COMPREHENSIVE RANGE OF GENERAL AND SPECIALTY SERVICES FOR PATIENTS. SURGICAL, LABORATORY, RADIOLOGY, CARDIOLOGY, CANCER, RESPIRATORY AND PULMONARY ARE THE LARGER SERVICES PROVIDED AT THE HOSPITAL. A SMALLER SCALE OF ANCILLARY SERVICES ARE PROVIDED AT THE NURSING HOME.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$75,717,332	ExpenseAmt
Revenue	$83,802,375	RevenueAmt
Desc	INPATIENT ROUTINE CAREWESTERN MARYLAND HEALTH SYSTEM (WMHS) IS A FULL SERVICE COMMUNITY HOSPITAL LICENSED FOR 228 BEDS INCLUDING MEDICAL-SURGICAL, INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC REHABILITATION, NURSERY, AND 88 NURSING HOME BEDS. FOR THE YEAR, 12,899 PATIENTS WERE ADMITTED TO THE HOSPITAL AND FOR THE NURSING HOME, THE AVERAGE DAILY CENSUS WAS 83 PATIENTS. THE HEALTH SYSTEM ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THOSE PATIENTS WHO MEET CERTAIN CRITERIA UNDER WMHS'S CHARITY CARE POLICIES RECEIVE SERVICES AT NO CHARGE OR AT AN AMOUNT LESS THAN FULL CHARGES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$26,673,287	ExpenseAmt
Revenue	$29,521,441	RevenueAmt
Desc	PHYSICIAN PRACTICES, CLINICS, AND HOME CAREWESTERN MARYLAND HEALTH SYSTEM (WMHS) OPERATES 14 PHYSICIAN PRACTICES, 2 URGENT CARE CLINICS, AND A HOME CARE PRACTICE. THE PHYSICIAN PRACTICES HAD 93,569 ENCOUNTERS; THE CLINICS HAD 16,483 ENCOUNTERS AND HOME CARE HAD 37,124 VISITS FOR THE YEAR.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$16,875,431	ExpenseAmt
Revenue	$18,677,377	RevenueAmt
Desc	Emergency Care	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$16,875,431	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$18,677,377	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$361,525,792	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	102	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2136	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
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	WESTERN MARYLAND HEALTH SYST	PersonNm
Phone	2409648002	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 359	AddressLine1Txt
City	CUMBERLAND	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21501	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Rolf Haarstad
Chairman	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Mary Ann Jenkins
Vice Chair	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Joyce Lapp
Treasurer	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
David C Mathews
Secretary	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
John Davis
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Keith Funkhouser
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
David Gilles
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Elizabeth Hurwitz-Schwab
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Sharon Nicol
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
John Pappas
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Courtney Thomas
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Gregg Wolff Md
Board Member	3.0	0.0	Yes (X)		$0	$0	$0
Shiv Khanna MD
Board Member, end 12/31/15	3.0	0.0	Yes (X)		$0	$0	$0
Barry P Ronan
President/ CEO	40.0	0.0		Yes (X)	$742,653	$0	$221,558
Kimberly S Repac
Sr VP/CFO	40.0	0.0		Yes (X)	$451,509	$0	$58,029
Nancy D Adams
Sr VP/COO/ CNE	40.0	0.0		Yes (X)	$419,813	$0	$72,833
Gerald Goldstein
Sr VP/CMO	40.0	0.0		Yes (X)	$394,011	$0	$54,141
Jo M Wilson
VP, SUPPORT OPERATIONS	40.0	0.0			$235,871	$0	$48,971	Yes (X)
Kevin R Turley
VP, SUPPORT OPERATIONS	40.0	0.0			$233,819	$0	$53,249	Yes (X)
Michele R Martz
VP, REVENUE CYCLE	40.0	0.0			$236,767	$0	$52,418	Yes (X)
William Byers
VP/ CIO	40.0	0.0			$0	$0	$0	Yes (X)
Jamie Karstetter
VP, Patient Care	40.0	0.0			$159,133	$0	$51,553	Yes (X)
Steven R Smith Md
Physician Enterprise Director	40.0	0.0			$326,733	$0	$61,216	Yes (X)
Mark G Nelson Md
PHYSICIAN	40.0	0.0			$690,323	$0	$99,791		Yes (X)
Douglas Tice
PHYSICIAN	40.0	0.0			$646,858	$0	$99,174		Yes (X)
Nii Lamptey-Mills
PHYSICIAN	40.0	0.0			$641,315	$0	$97,630		Yes (X)
Michael Curran
PHYSICIAN	40.0	0.0			$510,327	$0	$64,274		Yes (X)
Arya Karki
PHYSICIAN	40.0	0.0			$474,218	$0	$80,454		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,163,350	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,115,291	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	96	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
Haystack Imaging Services
PO Box 539	CUMBERLAND	MD	21502	Diagnostic	$6,865,934
Beckman Coulter Inc
250 South Kraemer Blvd	BREA	CA	928220550	Laboratory	$2,577,294
Cumberland Anesthesia
PO Box 1571	CUMBERLAND	MD	21502	Anesthesia	$2,380,683
Aramark
25271 Network Place	CHICAGO	IL	60673	Dietary	$2,186,575
Pharmacare
3 Commerce Drive	CUMBERLAND	MD	21502	Pharmacy	$1,699,883

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
Related Organizations	$382,255	RelatedOrganizationsAmt
Government Grants	$805,082	GovernmentGrantsAmt
All Other Contributions	$116,032	AllOtherContributionsAmt
Total Contributions	$1,303,369	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ANCILLARY CARE	621990	$268,128,065	$267,428,361	$699,704
INPATIENT ROUTINE CARE	621990	$83,802,375	$83,802,375
PHYSICIAN PRATICES, CLINICS & HOME CARE	621990	$29,521,441	$29,521,441
EMERGENCY CARE	621990	$18,677,377	$18,677,377

Field	Value	IRS element (for citing)
Total Program Service Revenue	$400,129,258	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,484,825	TotalRevenueColumnAmt
Unrelated Business Revenue	$7,516	UnrelatedBusinessRevenueAmt
Exclusion	$4,477,309	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	$799,146	RealAmt
Personal	$4,125	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$621,361	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$177,785	RealAmt
Personal	$4,125	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$181,910	TotalRevenueColumnAmt
Exclusion	$181,910	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$20,225,973	SecuritiesAmt
Other	$307,437	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$20,842,027	SecuritiesAmt
Other	$134,709	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$616,054	SecuritiesAmt
Other	$172,728	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$443,326	TotalRevenueColumnAmt
Exclusion	-$443,326	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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
REIMBURSEMENT OF EXPENSES	621500	$891,608	$891,608
CAFETERIA	621500	$79,712	$79,712
PHOTO FEES	621500	$1,090	$1,090

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,026,062	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,026,062	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,998,472	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$408,654,508	TotalRevenueColumnAmt
Related Or Exempt Func Income	$402,428,026	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$707,220	UnrelatedBusinessRevenueAmt
Exclusion	$4,215,893	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,203,269	TotalAmt
Program Services	$3,909,040	ProgramServicesAmt
Management And General	$294,229	ManagementAndGeneralAmt

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	$101,080,140	TotalAmt
Program Services	$94,004,530	ProgramServicesAmt
Management And General	$7,075,610	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,283,002	TotalAmt
Program Services	$11,423,192	ProgramServicesAmt
Management And General	$859,810	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,510,870	TotalAmt
Program Services	$15,355,109	ProgramServicesAmt
Management And General	$1,155,761	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,068,170	TotalAmt
Program Services	$6,573,398	ProgramServicesAmt
Management And General	$494,772	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$423,160	TotalAmt
Management And General	$423,160	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$171,417	TotalAmt
Management And General	$171,417	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$347,647	TotalAmt
Management And General	$347,647	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,056,957	TotalAmt
Program Services	$3,772,970	ProgramServicesAmt
Management And General	$283,987	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$724,148	TotalAmt
Program Services	$673,458	ProgramServicesAmt
Management And General	$50,690	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$123,730	TotalAmt
Program Services	$115,069	ProgramServicesAmt
Management And General	$8,661	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,907,956	TotalAmt
Program Services	$4,564,399	ProgramServicesAmt
Management And General	$343,557	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$889,204	TotalAmt
Program Services	$826,960	ProgramServicesAmt
Management And General	$62,244	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$843,572	TotalAmt
Program Services	$784,522	ProgramServicesAmt
Management And General	$59,050	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,949,313	TotalAmt
Management And General	$11,949,313	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,482,790	TotalAmt
Program Services	$23,698,995	ProgramServicesAmt
Management And General	$1,783,795	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,122,487	TotalAmt
Program Services	$2,903,913	ProgramServicesAmt
Management And General	$218,574	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CONTRACTUAL/CHARITY	$80,469,730	$74,836,849	$5,632,881
BAD DEBTS	$7,363,246	$6,847,819	$515,427
MEDICAL PROFESSIONAL FEES	$13,539,986	$12,592,187	$947,799
MINORITY INTEREST	$2,324,228	$2,161,532	$162,696

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$103,743,926	TotalAmt
Program Services	$96,481,850	ProgramServicesAmt
Management And General	$7,262,076	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$401,628,948	TotalAmt
Program Services	$361,525,792	ProgramServicesAmt
Management And General	$40,103,156	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$71,641,868	BOYAmt
EOY	$72,600,638	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$68,336,322	BOYAmt
EOY	$71,313,789	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$38,839,754	BOYAmt
EOY	$37,134,503	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	$5,971,419	BOYAmt
EOY	$6,291,058	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,606,172	BOYAmt
EOY	$3,095,612	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$546,223,729	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$257,379,390	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$299,160,895	BOYAmt
EOY	$288,844,339	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$0	BOYAmt
EOY	$0	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	$60,039,974	BOYAmt
EOY	$70,585,381	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$547,596,404	BOYAmt
EOY	$549,865,320	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,255,452	BOYAmt
EOY	$33,542,738	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	$236,170,000	BOYAmt
EOY	$233,270,000	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	$1,074,475	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	$123,651,276	BOYAmt
EOY	$164,223,486	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$393,076,728	BOYAmt
EOY	$432,110,699	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$154,201,454	BOYAmt
EOY	$117,254,761	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$58,061	BOYAmt
EOY	$244,539	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$260,161	BOYAmt
EOY	$255,321	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$154,519,676	BOYAmt
EOY	$117,754,621	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$547,596,404	BOYAmt
EOY	$549,865,320	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,025,560	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$930,314	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$770,276	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$45,491,205	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$318,222	BeginningYearBalanceAmt
Contributions	$186,478	ContributionsAmt
Investment Earnings Or Losses	-$4,840	InvestmentEarningsOrLossesAmt
End Year Balance	$499,860	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$355,795	BeginningYearBalanceAmt
Contributions	$35,000	ContributionsAmt
Investment Earnings Or Losses	-$278	InvestmentEarningsOrLossesAmt
Other Expenditures	$83,913	OtherExpendituresAmt
End Year Balance	$306,604	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$319,428	BeginningYearBalanceAmt
Contributions	$96,831	ContributionsAmt
Investment Earnings Or Losses	$15,676	InvestmentEarningsOrLossesAmt
Other Expenditures	$76,140	OtherExpendituresAmt
End Year Balance	$355,795	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$720,859	BeginningYearBalanceAmt
Contributions	$40,000	ContributionsAmt
Investment Earnings Or Losses	$3,904	InvestmentEarningsOrLossesAmt
Other Expenditures	$445,335	OtherExpendituresAmt
End Year Balance	$319,428	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,567,441	BeginningYearBalanceAmt
Contributions	$30,000	ContributionsAmt
Investment Earnings Or Losses	-$4,723	InvestmentEarningsOrLossesAmt
Other Expenditures	$871,859	OtherExpendituresAmt
End Year Balance	$720,859	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.51000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.49000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,614,249	OtherCostOrOtherBasisAmt
Book Value	$7,614,249	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$331,997,070	OtherCostOrOtherBasisAmt
Depreciation	$95,463,840	DepreciationAmt
Book Value	$236,533,230	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,800,154	OtherCostOrOtherBasisAmt
Depreciation	$159,149,830	DepreciationAmt
Book Value	$39,650,324	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,812,256	OtherCostOrOtherBasisAmt
Depreciation	$2,765,720	DepreciationAmt
Book Value	$5,046,536	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$288,844,339	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
FUNDS ON DEPOSIT WITH TRUSTEE	$17,204,656
OTHER ACCOUNTS RECEIVABLE	$6,806,704
A/R FROM AFFILIATES	$2,995,664
IMPREST FUND - W/C	$1,086,810
INVESTMENT - BOARD DESIGNATED	$10,150,475
RESTRICTED BY DONOR	$499,860
INVESTMENT IN AFFILIATES	$21,417,948
OTHER LONG TERM INVESTMENTS	$8,214,813
UNDER BOND INDENTURE	$2,208,451

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$70,585,381	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES	-$14,606
PAYABLES TO THIRD PARTY	$7,622,834
BOND PREMIUM	$29,499,704
DEFERRED COMP	$907,757
PROFESSIONAL INSURANCE	$12,762,567
PENSION LIABILITY	$112,152,357
MINORITY INTEREST PAYABLE - CONS. ENTITY HAYSTACK IMAGING	$1,292,873

Field	Value	IRS element (for citing)
Total Liability	$164,223,486	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$322,030,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$935,154	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$935,154	RevenueNotReportedAmt
Revenue Subtotal	$321,094,846	RevenueSubtotalAmt
Investment Expenses Not Incld	$347,647	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$87,212,015	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$87,559,662	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$408,654,508	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$311,744,000	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$311,744,000	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$347,647	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$89,537,301	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$89,884,948	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$401,628,948	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ENDOWMENT FUNDS	PART V LINE 4 Intended uses of the income from the pugh endowment fund are to provide free beds and free service to those who may become patients and who through financial inability may be unable to make provisions for their own medical and/or surgical relief.
LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN 48 FOOTNOTE)	Schedule D, Part X, Line 2 The Health System and affiliates account for tax provisions in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Subtopic 740-10, Accounting for Uncertainty in Income Taxes, which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of ASC Subtopic 740-10, an entity could be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. The Health System and affiliates have determined that it did not have any uncertain tax positions as of June 30, 2016 and 2015.
OTHER REVENUES INCLUDED ON FORM 990	Schedule D, Part XI, Line 4b Contractual Allowance $ 70,799,423 Charity $ 9,670,307 Bad Debt $ 7,363,246 Rental Expense $ (621,361) Rounding $ 400 ------------ Total $ 87,212,015
OTHER EXPENSES INCLUDED ON FORM 990	Schedule D, Part XII, Line 4b Contractual Allow $ 70,799,423 Charity $ 9,670,307 Bad Debt $ 7,363,246 Minority Interest $ 2,324,228 Rental Expense $ (621,361) Rounding $ 1,458 -------------- Total $ 89,537,301

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance	SpecificServicesProvidedTxt
Region Total Expenditures	$1,078,591	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$1,078,591	SubtotalSpentAmt
Total Spent	$1,078,591	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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	false	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)
Persons Served	33226	PersonsServedCnt
Total Community Benefit Expns	$9,670,307	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,670,307	NetCommunityBenefitExpnsAmt
Total Expense	0.02410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,740,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,618,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,121,343	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	33226	PersonsServedCnt
Total Community Benefit Expns	$17,410,384	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,618,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,791,650	NetCommunityBenefitExpnsAmt
Total Expense	0.02690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	90552	PersonsServedCnt
Total Community Benefit Expns	$1,195,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,730	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,179,856	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	86037	PersonsServedCnt
Total Community Benefit Expns	$1,130,254	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,130,254	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	119001	PersonsServedCnt
Total Community Benefit Expns	$53,498,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,308,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,189,473	NetCommunityBenefitExpnsAmt
Total Expense	0.07270	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	335	PersonsServedCnt
Total Community Benefit Expns	$331,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$319,970	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	295925	PersonsServedCnt
Total Community Benefit Expns	$56,155,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,336,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,819,553	NetCommunityBenefitExpnsAmt
Total Expense	0.07920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	329151	PersonsServedCnt
Total Community Benefit Expns	$73,566,369	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,955,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,611,203	NetCommunityBenefitExpnsAmt
Total Expense	0.10610	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Persons Served	126	PersonsServedCnt
Total Community Benefit Expns	$100,576	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,384	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,384	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,428	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$128,428	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,206,437	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,206,437	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	126	PersonsServedCnt
Total Community Benefit Expns	$1,500,825	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,470,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,363,246	BadDebtExpenseAmt
Reimbursed By Medicare	$135,885,077	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$112,334,034	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$23,551,043	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Cumberland Propert
Rental	1.0
Johnson Heights Med
Rental	0.8395	0.1605
Memorial Med Ctr Ser
Building Maintenance	1.0
Haystack Imaging
Health Care	0.5	0.5

Field	Value	IRS element (for citing)
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	Western MD Regional Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12500 Willowbrook Road	AddressLine1Txt
City	Cumberland	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21502	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.wmhs.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Western MD Regional Medical Center	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
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.wmhs.com	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.alleganyhealthplanningcoaliti	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.wmhs.com	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
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	0	FAPAvailableOnWebsiteURLTxt
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, Section B, FACILITY INFORMATION	COMMUNITY HEALTH NEEDS ASSESSMENT Line 3, Description THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE WESTERN MARYLAND HEALTHSYSTEM (WMHS) LEAD COMMUNITY HEALTH NEEDS ASSESSMENTS EFFORTS. THEALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANYCOUNTY AND WMHS IS A TOTAL PATIENT REVENUE HOSPITAL AND THE ONLY HOSPITALIN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. Line 5, Persons Consulted THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE WESTERN MARYLAND HEALTHSYSTEM (WMHS) LEAD COMMUNITY HEALTH NEEDS ASSESSMENTS EFFORTS. THEALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANYCOUNTY AND WMHS IS A TOTAL PATIENT REVENUE HOSPITAL AND THE ONLY HOSPITALIN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. Line 11, Addressing Significant Needs in the CHNA Based on the results of a community health needs assessment, the Allegany County Health Planning Coalition (Coalition) created the Local Health Action Plan (LHAP) to improve health and wellbeing in Allegany County. The Coalition is charged with implementing the LHAP, measuring progress, and building on best practices already in use in the community. The LHAP addresses all the priority areas under three foci: 1. Access and Socio-economics (children in poverty, primary care access, adult dental access, health literacy, homelessness) 2. Healthy Lifestyles and Wellbeing (smoking, physical inactivity, domestic violence, fall-related injury and death, healthy weight) 3. Disease Management (behavioral health, diabetes, heart disease, hypertension, asthma) It was agreed that this framework would allow for consideration of both outcomes and root causes. By using overarching themes it is expected that there will be more collaboration across the continuum, less program specific focus, more consistent education, and increased community wide engagement.Each priority area includes goals, link to the State Health Improvement Process (SHIP), strategies, SMART objectives, responsible parties, timelines, current progress toward the SMART objective, and outcomes including baseline, target, and current status. The LHAP also includes supporting strategies which are underway in the community and may contribute to the achievement of LHAP goals and outcomes, but are not overseen by the Coalition. The LHAP works to build upon, and not duplicate, existing community health improvement efforts. All the needs identified as a priority are being addressed, though as this document states some are being addressed by a community partner. Health needs that were not prioritized and included in the action plan are described in the CHNA report, including child maltreatment and suicide. Though not specifically addressing maltreatment, the Coalition felt that existing needs will be covered as part of the domestic violence issue and ongoing programs at WMRMC. For suicide there is a standard protocol and community partners agreed that it would be best to focus on the root cause- behavioral health.
SCHEDULE H, PART V, Section B, FACILITY INFORMATION	FINANCIAL ASSISTANCE POLICY, Line 22 WMHS determines the maximum amounts that can be charged to the Financial Assistance Policy ("FAP") eligible individuals by using HSCRC RATE ORDER and REGULATIONS.
SCHEDULE H, PART V, Section B, FACILITY INFORMATION	INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE, LINE 24 MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITALPAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICESCOST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTINGPROCESS AND ALL PAYORS, INCLUDING GOVERNMENT PAYORS, PAY THE SAME AMOUNTFOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. IN ACCORDANCE WITHMARYLAND LAW, THE WESTERN MARYLAND HEALTH SYSTEM HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIALASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEYHAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOTCOVER MEDICALLY-NECESSARY HOSPITAL CARE. WMHS ALSO CONSIDERS PERSONS WHODO NOT MEET THE FAP INCOME GUIDELINES UNDER EXPANSION OF THE FAP POLICYFOR FINANCIAL HARDSHIP THAT WOULD LIMIT THE AMOUNT EXPECTED TO BE PAIDBASED ON PERCENTAGE OF INCOME.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Frostburg Nursing and Rehabilitation Ctr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	48 Tarn Terrace	AddressLine1Txt
City	Frostburg	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21532	ZIPCd

Field	Value	IRS element (for citing)
Facility	Nursing home	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7g	Frostburg and Hunt Club Clinics Expense $3,274,055 Offsetting Revenue $2,008,974 Costing methodoloy - Direct costs are added to indirect costs which are calculated based upon amounts reported on a Maryland HSCRC annual cost report. Schedule H, Part II, Community Building Activities Community Support - WMHS has in place a disaster readiness program. As the largest hospital in the area and the largest employer, WMHS has incurred costs to be able to deal with a disaster if the need arises. Coalition building - WMHS works with community partners to improve the health in the community. Education programs, screenings, and various other events are conducted by WMHS. Workforce development - WMHS is actively involved in the recruitment of physicians and other health professionals for the federally medical underserved area through a collaboration with regional partners. underserved area through a collaboration with regional partners.
SCHEDULE H, PART III BAD DEBT EXPENSE, LINE 4	Bad debt expenses are for those services rendered to patients who have been determined to have the financial capacity, but are unwilling to pay. The total expense is write-offs, made after following the provisions of the hospital's collection and write-off policy, less bad debt recoveries. An estimate of the amount of charity care attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information was available to make a determination of their eligibility, is based upon a review of records of patients who had accounts written off. WMHS has an audit of its financial statements prepared. The community benefits amount shown in Schedule H - Part I do not include bad debt expense.
SCHEDULE H, PART III SECTION B MEDICARE	LINE 8, COSTING METHODOLOGY Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Court Review Commission (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Method USed: Cost to charge ratio
SCHEDULE H, PART III SECTION C COLLECTION PRACTICES, LINE 9B	The Western Maryland Health System provides care to all patients seeking care, regardless of their ability to pay. An ability to pay is based on a review which is done by a member of the Health System's Business Office. This review assures that all patients who seek emergency or urgent care receive those services regardless of the patient's ability to pay. -In accordance with Maryland law, the Western Maryland Health System has a financial assistance policy and patients may be entitled to receive financial assistance with the cost of medically necessary hospital services if they have a low income, do not have insurance, or their insurance does not cover medically-necessary hospital care. -The Western Maryland Health System meets or exceeds the state's legal requirement by providing financial assistance based on income established by and published by the Federal Government each year. -Those patients that meet the financial assistance policy criteria described above may receive assistance from the Health System in paying their bill. If a patient believes he has wrongly been referred to a collection agency, he has the right to contact the hospital to request assistance. - WMHS Adjusted Its Policies And Practices To Meet All 501R Requirements as of March 2016. Schedule H Part VI- Supplemental Information Community Health Needs Assessment THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS. THE LATEST PLAN WAS UPDATED IN 2014. THE ALLEGANY COUNTY HEALTHDEPARTMENT AND WESTERN MARYLAND HEALTH SYSTEM IS RESPONSIBLE FORFACILITATING THE NEEDS ASSESSMENT PROCESS.ALLEGANY COUNTY IS LOCATED IN RURAL WESTERN MARYLAND WITH A POPULATION OF 75,087. IT IS PART OF THE APPALACHIAN REGION AND HAS LOW EDUCATIONLEVELS, LIMITED RACIAL DIVERSITY , A LARGE ELDERLY POPULATION AND LOWHOUSEHOLD INCOMES. ALLEGANY COUNTY AND ITS SERVICE PROVIDERS AREIMPACTED BY BEING A TRI-STATE REGION WHICH INCLUDES PENNSYLVANIA AND WESTVIRGINIA. WMHS SERVES 7 COUNTIES IN 3 STATES.THE PROCESS INVOLVES THE REVIEW OF THE 13 PRIORITY AREAS THAT WEREIDENTIFIED IN THE PREVIOUS CHNA AS WELL AS SHIP UPDATES FOR THE COUNTY. PROBLEM AREAS AND TRENDS IDENTIFIED THROUGH COUNTY HEALTH RANKINGS ANDCOMMUNITY COMMONS ARE ALSO REVIEWED. IN THE REVIEW BOTH HEALTH STATUSINDICATORS AND CAUSATIVE FACTORS ARE CONSIDERED.DATA SOURCES FROM THE LAST NEEDS ASSESSMENT ARE REVIEWED AND UTILIZED TOCLARIFY ISSUES. AREAS FOCUSED ON ARE CANCER PROFILES, TO TEN REASONS FORED VISITS AND HOSPITAL ADMISSIONS, CORE MEASURES, WORKFORCE DEVELOPMENTPLAN, TRANSPORTATION SURVEY AND NETWORK OF CARE ARE ALL REVIEWED ANDCHANGES AND TRENDS ARE IDENTIFIED.THE MAGNITUDE, SEVERITY AND LEVEL OF NEED FOR THE MOST VULNERABLEPOPULATIONS, ARE TAKEN INTO CONSIDERATION TO LIST THE MOST PREVALENTCOMMUNITY HEALTH NEEDS. THE DATA WAS SORTED UNDER THREE MAIN THEMES:ACCESS, HEALTHY LIFESTYLES AND WELLBEING, AND DISEASE MANAGEMENT TO ALLOWFOR CONSIDERATION OF BOTH OUTCOMES AND ROOT CAUSES.THERE WERE 18 IDENTIFIED NEEDS AND ASSOCIATED DATA LOOKED AT ALONG WITHINFORMATION REGARDING HEALTH STATUS INDICATORS, CAUSATIVE FACTORS ANDTRENDS WHICH WERE DISCUSSED WITH THE COALITION, AND FOCUS GROUP WITHVARIOUS COMMUNITY ORGANIZATION AND RESIDENTS. INPUT FROM THE COMMUNITYWAS ASKED AND RECEIVED AS TO WHAT THEY THOUGHT WOULD WORK IN THECOMMUNITY. THE 18 AREAS OF FOCUS CENTERED AROUND CHILDREN IN POVERTY, PRIMARY CAREASSESS, DENTAL ACCESS, HEALTH LITERACY, HOMELESSNESS, SMOKING, PHYSICALINACTIVITY, HEALTHY WEIGHT, DOMESTIC VIOLENCE, FALL RELATED ED VISITS,BEHAVIORAL HEALTH, DIABETES, HEART DISEASE, HYPERTENSION, AND ASTHMA.THE IDENTIFIED HEALTH NEEDS FOR FY15-17 WERE IDENTIFIED IN ORDER OFPRIORITY UNDER THE THREE CATEGORIES AS FOLLOWS: ACCESS AND SOCIO ECONOMICS: CHILDREN IN POVERTY, PRIMARY CARE ACCESS,ADULT DENTAL ACCESS, HEALTH LITERACY AND HOMELESSNESS. HEALTHY LIFESTYLES AND WELLBEING: SMOKING, PHYSICAL INACTIVITY, HEALTHYWEIGHT, DOMESTIC VIOLENCE AND FALL RELATED INJURY AND DEATH. DISEASE MANAGEMENT: BEHAVIORAL HEALTH, DIABETES, HEART DISEASE,HYPERTENSION AND ASTHMA.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE, LINE 3 WESTERN MARYLAND HEALTH SYSTEM IS COMMITTED TO PROVIDING FINANCIALASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED,UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TOPAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL SITUATION. APATIENT CAN QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH LACK OFSUFFICIENT INSURANCE OR FINANCIAL HARDSHIP DUE TO EXCESSIVE MEDICALDEBT.IT IS THE POLICY OF WMHS TO PROVIDE FINANCIAL ASSISTANCE BASED ONINDIGENCE OR EXCESSIVE MEDICAL DEBT FOR PATIENTS WHO MEET SPECIFIEDFINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE.WMHS WILL POST NOTICES OF AVAILABILITY AT PATIENT REGISTRATION SITES,ADMISSIONS, BUSINESS OFFICE AND AT THE EMERGENCY DEPARTMENT. NOTICE OFAVAILABILITY WILL ALSO BE SENT TO PATIENTS ON PATIENT BILL STATEMENTS. APATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET WILL BEPROVIDED TO INPATIENTS VIA THE ADMISSION HANDBOOK GIVEN TO EVERY ADMITTEDPATIENT. THIS IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE AND IS ALSOAVAILABLE TO ALL PATIENTS UPON REQUEST. INPATIENTS VIA THE ADMISSION HANDBOOK GIVEN TO EVERY ADMITTEDPATIENT. THIS IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE AND IS ALSOAVAILABLE TO ALL PATIENTS UPON REQUEST.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	COMMUNITY INFORMATION, LINE 4 WMHS provides primary and secondary acute care services for a seven county region covering the Upper Potomac region of Maryland, Eastern West Virginia and Southwestern Pennsylvania. With 72% of the patients residing in either Allegany County, Maryland, WMHS considers this community its Community Benefit Service Area.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	PROMOTION OF COMMUNITY HEALTH, LINE 5 SEE COMMUNITY BENEFIT SUMMARY IN SCHEDULE O.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	AFFILIATED HEALTH CARE SYSTEM, LINE 6 -SETON REGIONAL HEALTH SYSTEM (EIN: 52-1333566), TAX EXEMPT UNDER 501(c)(3), PUBLIC CHARITY STATUS 11 TYPE I, CHARITABLE -WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(c)(3), PUBLIC CHARITY STATUS 11 TYPE I, FUNDRAISING -MEMORIAL MEDICAL CENTER SERVICES (EIN: 52-1317704), C CORPORATION, BUILDING MAINTENANCE -WILLOWBROOK HC CONDO (37-1538510), C CORPORATION, CONDO MANAGEMENT -HAYSTACK CONSOLIDATED (52-1335895), C CORPORATION, MEDICAL SERVICES -WESTERN MD MEDICAL SUPPLY (26-0119241), C CORPORATION, MEDICAL SUPPLY SALES
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	STATE FILING OF COMMUNITY BENEFIT REPORT, LINE 7 WMHS files a community benefit report with the Maryland Health Services Cost Review Commission (HSCRC).

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
Barry P Ronan
President/ CEO	$588,403	$0	$145,250	$0	$9,000	$0	$200,386	$0	$21,172	$0	$964,211	$0	$0	$0
Kimberly S Repac
Sr VP/CFO	$376,909	$0	$74,600	$0	$0	$0	$55,593	$0	$2,436	$0	$509,538	$0	$0	$0
Nancy D Adams
Sr VP/COO/ CNE	$350,613	$0	$69,200	$0	$0	$0	$52,878	$0	$19,955	$0	$492,646	$0	$0	$0
Gerald Goldstein
Sr VP/CMO	$329,011	$0	$65,000	$0	$0	$0	$42,068	$0	$12,073	$0	$448,152	$0	$0	$0
Jo M Wilson
VP, SUPPORT OPERATIONS	$205,421	$0	$30,450	$0	$0	$0	$31,351	$0	$17,620	$0	$284,842	$0	$0	$0
Kevin R Turley
VP, SUPPORT OPERATIONS	$203,369	$0	$30,450	$0	$0	$0	$31,424	$0	$21,825	$0	$287,068	$0	$0	$0
Michele R Martz
VP, REVENUE CYCLE	$206,317	$0	$30,450	$0	$0	$0	$31,718	$0	$20,700	$0	$289,185	$0	$0	$0
Jamie Karstetter
VP, Patient Care	$137,233	$0	$21,900	$0	$0	$0	$22,683	$0	$28,870	$0	$210,686	$0	$0	$0
Steven R Smith Md
Physician Enterprise Director	$291,733	$0	$35,000	$0	$0	$0	$42,564	$0	$18,652	$0	$387,949	$0	$0	$0
Mark G Nelson Md
PHYSICIAN	$630,323	$0	$60,000	$0	$0	$0	$81,576	$0	$18,215	$0	$790,114	$0	$0	$0
Douglas Tice
PHYSICIAN	$596,858	$0	$50,000	$0	$0	$0	$77,326	$0	$21,848	$0	$746,032	$0	$0	$0
Nii Lamptey-Mills
PHYSICIAN	$551,315	$0	$90,000	$0	$0	$0	$76,821	$0	$20,809	$0	$738,945	$0	$0	$0
Michael Curran
PHYSICIAN	$510,327	$0	$0	$0	$0	$0	$61,888	$0	$2,386	$0	$574,601	$0	$0	$0
Arya Karki
PHYSICIAN	$474,218	$0	$0	$0	$0	$0	$58,954	$0	$21,500	$0	$554,672	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL NON-QUALIFIED RETIRMENT PLAN	FormAndLineReferenceDesc
Explanation	SCHEDULE J, LINE 4B AND LINE 7 Barry P. Ronan received a SERP payout in the amount of $110,346 on January 14, 2016.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MHHEFA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	520591531	BondIssuerEIN
CUSIP	574218SP9	CUSIPNum
Bond Issued	2014-11-19	BondIssuedDt
Issue Price	$236,170,000	IssuePriceAmt
Purpose	Refund 2006 Bonds	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,900,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$236,170,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,208,451	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.02700	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00170	PrivateBusConcerningUBIPct
Total Private Business Use	0.02870	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	Yes (true)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	wachovia securities	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	30.	TermOfGICPct
Regulatory Safe Harbor Stsfd	Yes (true)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IV Arbitrage, Line 2c	FormAndLineReferenceDesc
Explanation	REBATE COMPUTATION WAS PERFORMED NOVEMBER 15, 2010.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Kimberly S Repac
Sr. VP CFO	$28,240,766	MD Physician Care	false
Barry P Ronan
President & CEO	$28,240,766	MD Physician Care	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L PART IV These transactions represent the monetary value of business transactions between MD Physicians Care and Western Maryland Health System.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D EMERGENCY CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OPERATES A 24-HOUR/7-DAY-A-WEEK EMERGENCY ROOM WHICH SERVES AS THE DESIGNATED AREA-WIDE TRAUMA CENTER. 49,854 VISITS WERE REGISTERED IN THE EMERGENCY ROOM FOR THE YEAR ENDING JUNE 30, 2016. Officers and Trustees Business Relationships Form 990, Part VI, SECTION A, Line 2 Kevin Turley (Key Employee) serves on the board and executive committee of HRDC of which Courtney Thomas (trustee) is the executive director.
Form 990 Governing Body Review	Form 990, Part VI, line 11b On an annual basis, the Executive Committee of the Board of Directors meets to review IRS Form 990 and 990T before it is filed with the Internal Revenue Service. The Chief Financial Officer (CFO) presents an executive summary and then provides a detailed review and explanation of each form. Any open items or questions are resolved prior to the filing of the form. Subsequent to its review, the Executive Committee reports back to the Board regarding its oversight of the Form 990. The board is informed that a complete copy of the Form 990 is available on the board's secure password protected web site.
Conflict of Interest Policy Compliance	FORM 990, Part VI, SECTION B, Line 12c The WMHS Board of Directors monitors proposed or ongoing transactions for conflicts of interest and addresses any potential or actual conflicts. Pursuant to the Conflicts of Interest Policy, an annual conflict questionnaire is distributed to all interested persons. Interested persons are required to disclose real or potential conflicts at the time when such conflicts arise. When one becomes an interested person and annually thereafter, they are required to sign a statement affirming that they have received, read, understand, and agree to comply with the policy. The completed questionnaires are reviewed by the Board. The procedures for addressing any conflict include the conflict being fully disclosed and discussed with the interested person along with the potential resolutions of the conflict.
Process for Determining Compensation	FORM 990, Part VI, SECTION B, Line 15a & 15b The Board appoints a Compensation Committee of independent directors without a conflict of interest with respect to the compensation arrangement, responsible for setting reasonable compensation packages for each officer or key employee, including the CEO. The Committee develops, consistent with organizational philosophy and principle, the annual performance goals and criteria to be used in determining merit increases and variable compensation. The Committee also hires an independent compensation and benefits specialist to review, analyze and provide benchmarking data for the total compensation and benefits packages. Comparability data is obtained for similar job responsibilities. Written records of all analyses are maintained to support decisions related to key employees and officers.
Availability of Governing Documents to Public	FORM 990, Part VI, SECTION C, Line 19 While the federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request. In Maryland, the organization's financial statements are also submitted to the Health Services Cost Review Commission which is available for public inspection as well.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	PART XI LINE 9 Income Released $559,319 Pension Liability $(46,237,000) Restricted Donations $240,450 Transfer to Operations $(53,974) ---------------- Total $(45,491,205)
COMMUNITY BENEFIT SUMMARY	FORM 990, PART V, SECTION C - 1st THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE WESTERN MARYLAND HEALTH SYSTEM (WMHS) LEAD COMMUNITY HEALTH NEEDS ASSESSMENTS EFFORTS. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND WMHS IS A TOTAL PATIENT REVENUE HOSPITAL AND THE ONLY HOSPITALIN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. FORM 990, PART V, SECTION C - 2ND THE DATA COLLECTED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS SHARED WITH THE WMHS ADMINISTRATIVE TEAM AND BOARD OF DIRECTORS. THIS INFORMATION ALONG WITH OTHER HOSPITAL DATA AND INFORMATION WAS UTILIZEDTO CREATE THE HOSPITAL'S STRATEGIC PLAN. THE FOLLOWING ARE SECTIONS OF THE STRATEGIC PLAN THAT APPLY TO COMMUNITY BENEFITS. STRATEGIC PLAN FY 2015-2017 GOAL 2. EXPAND PATIENT CENTERED CARE DELIVERY MODEL OBJECTIVE 2.1. FURTHER DEVELOP AND STRENGTHEN STRATEGIC RELATIONSHIPS WITH COMMUNITY PARTNERS OBJECTIVE 2.1.1. FURTHER DEVELOP MEDICAL AND PUBLIC HEALTH PROPOSED TACTICS: A. CONSIDER AND EVALUATE MORE FORMAL ARRANGEMENTS WITH COUNTY HEALTH DEPARTMENTS, I.E. JOINT VENTURE B. COORDINATE WITH PUBLIC HEALTH AGENCIES TO INVENTORY PROGRAM SERVICES TO IDENTIFY OPPORTUNITIES FOR IMPROVEMENT THROUGH COLLABORATION C. DEVELOP AND IMPLEMENT ACTION PLAN BASED ON ANALYSIS STRATEGY 2.1.2 DEVELOP THE NETWORK WITH COMMUNITY AGENCIES TO ADDRESS SOCIAL DETERMINANTS AND TRANSITIONS OF CARE PROPOSED TACTICS: A. ESTABLISH AN ADVISORY COUNCIL FOR COMMUNITY HEALTH WORKERS THROUGHOUT THE COMMUNITY B. DEVELOP AN ASSESSMENT TOOL FOR PATIENT USE AT REGISTRATION AND WORK WITH COMMUNITY PARTNERS TO ESTABLISH A REFERRAL SYSTEM UTILIZING AVAILABLE RESOURCES TO ADDRESS SOCIAL DETERMINANTS C. IDENTIFY COMMUNITY PARTNERS TO ENGAGE IN A PROCESS REVIEW AND PILOT IMPLEMENTATION OF INTERAGENCY MANAGEMENT OF INDIVIDUALS WITH MULTIPLE CHRONIC CONDITIONS D. WITH AGENCIES SUCH AS HRDC AND THE YMCA CREATE A COMPREHENSIVE ASSET MAP FOR THE COMMUNITY IDENTIFYING SERVICES FOR THE UNDERSERVED, AREAS OF DUPLICATION, AS WELL AS GAPS E. WORK WITH A DIVERSE ADVISORY GROUP (OR CUW) TO ADDRESS DUPLICATION AND/OR GAPS IDENTI FIEDGOAL 3. ENGAGE PATIENTS AND FAMILIES TO IMPROVE PERSONAL HEALTH STATUS OBJECTIVE 3.2 ENHANCE PATIENT AND FAMILY PARTICIPATION IN CARE STRATEGY 3.2.1 DEVELOP AND IMPLEMENT CONSUMER DRIVEN HEALTH INITIATIVES TO ENHANCE PATIENT AND FAMILY ENGAGEMENT POSSIBLE TACTICS: A. COLLABORATE WITH COMMUNITY PARTNERS TO DEVELOP AND IMPLEMENT AN "IS IT SAFE TO WAIT" PROGRAM TO PROMOTE A CONSISTENT MESSAGE ON WHEN TO GO TO THE EMERGENCY DEPARTMENT, URGENT CARE OR PRIMARY CARE B. REVIEW THE FINDINGS ON SELF-CARE PROGRAMS WITH THE PRESIDENT'S QUALITY COUNCIL, AND IF SUPPORTED, FORM A TEAM TO DEVELOP A PILOT PROPOSAL TO CONSIDER FOR IMPLEMENTATION C. RESEARCH AND DETERMINE HOW CONSUMERS WANT TO ACCESS HEALTH INFORMATION, TEST RESULTS, AS WELL AS COMMUNICATE WITH THEIR PROVIDERS. COMPILE RESULTS WITH A SUMMARY OF RECOMMENDATIONS TO CONSIDER FORPOTENTIAL IMPLEMENTATION STRATEGY 3.2.2 REVITALIZE AN EXTERNAL PATIENT TRANSPORTATION PROGRAM FOR WMHS GOAL 4. COORDINATE CARE TO PROVIDE COMPREHENSIVE POPULATION HEALTH MANAGEMENT OBJECTIVE 4.1 EXPAND PRE AND POST-ACUTE SERVICES TO REDUCE UTILIZATION OF CARE STRATEGY 4.1.3 FURTHER EXPAND THE SERVICE OFFERINGS AT THE CENTER FOR CLINICAL RESOURCES TO INCLUDE SERVICES FOR HYPERTENSION, CHRONIC KIDNEY DISEASE, ET. WMHS PROVIDED A NET COMMUNITY BENEFIT OF $44,106,593 TO THE COMMUNITY,WHICH INCLUDED UNREIMBURSED MEDICAID COSTS, COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, MISSION DRIVEN HEALTH SERVICES, COMMUNITY BUILDING ACTIVITIES, CASH AND IN-KIND CONTRIBUTIONS, COMMUNITY BENEFIT OPERATIONS AND CHARITY CARE.
FORM 990 PART IX LINE 24 - OTHER EXPENSES	DESCRIPTION:SUPPLIES TOTAL EXPENSES:53594855 PROGRAM SERVICES:49843215 MANAGEMENT AND GENERAL:3751640
FORM 990 PART IX LINE 24 - OTHER EXPENSES	DESCRIPTION:UTILITIES TOTAL EXPENSES:4705738 PROGRAM SERVICES:4376336 MANAGEMENT AND GENERAL:329402
FORM 990 PART IX LINE 24 - OTHER EXPENSES	DESCRIPTION:PURCHASED SERVICES TOTAL EXPENSES:40896711 PROGRAM SERVICES:38033941 MANAGEMENT AND GENERAL:2862770
FORM 990 PART IX LINE 24 - OTHER EXPENSES	DESCRIPTION:OTHER TOTAL EXPENSES:4546622 PROGRAM SERVICES:4228358 MANAGEMENT AND GENERAL:318264

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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
SETON REGIONAL HEALTH SYSTEM
900 SETON DRIVE	CUMBERLAND	MD	20501	521333566	CHARITABLE	MD	501(C )(3)	I-O	NA	false
CUMBERLAND PROPERTIES INC
PO BOX 539	CUMBERLAND	MD	21501	521522252	RENTAL	MD	501(C )(3)	03	NA	false
WMHS FOUNDATION
PO BOX 539	CUMBERLAND	MD	21501	352289841	FUNDRAISING	MD	501(C )(3)	I-O	NA	false
WILLOWBROOK HEALTH SERVICES
PO BOX 539	CUMBERLAND	MD	20501	522005140	HLTH CARE	MD	501(C)(3)	03	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
JOHNSON HEIGHTS
625 KENT AVENUE	CUMBERLAND	MD	21502	521775175	RENTAL	MD	NA	related	$27,807	$1,249,425	false	Yes (true)	0.84000
HAYSTACK IMAGING
PO Box 539	CUMBERLAND	MD	20501	043783141	HLTH CARE	MD	NA	related	$2,345,602	$2,145,639	false	false	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
MEMORIAL MED CTR SVCS
PO BOX 539	CUMBERLAND	MD	21501	521317704	BLDG MAINT	MD	NA	C Corp	1.00000	Yes (true)
WILLOWBROOK HC CONDO
PO BOX 539	CUMBERLAND	MD	21501	371538510	CONDO MGMT	MD	NA	C Corp	0.53300	Yes (true)	$290	$109,784
HAYSTACK CONSOLIDATED
PO BOX 539	CUMBERLAND	MD	21501	521335895	MED SVCS	MD	NA	C Corp	1.00000	false
WESTERN MD MED SUPPLY
11110 MEDICAL CAMPUS RD	HAGERSTOWN	MD	21742	260119241	MED SALES	MD	NA	LLC	0.33300	false
TRIVERGENT HEALTH ALLIANCE
1800 DUAL HGWY	HAGERSTOWN	MD	21740	465555337	MGMT SVCS	MD	NA	C Corp	0.33300	false	$84,882	$2,421,583

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	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	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Haystack Imaging Services LLC
q	$4,650,228	Market
Memorial Medical Center Services
q	$56,685	Market
Willowbrook Health Center Condominium
k	$332,933	Market
WMHS Foundation Inc
c	$1,184,636	Market
Western Maryland Medical Supply
q	$358,780	Market
Johnson Heights Medical Building
p	$71,814	Market