2017-05-12T12:12:32-05:00 2016-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2015-07-01 520591531 Western MD Health System Corp Inc % WESTERN MARYLAND HEALTH SYST WEST 2409648002 PO BOX 539 CUMBERLAND MD 215010539 KIMBERLY S REPAC SR Vp/CFO 2409648002 2017-05-12 true Frank Giardini P00532355 2155614200 2015 2021-01-29 14:40:06Z Kimberly S Repac PO BOX 539 CUMBERLAND MD 21501 430252605 false X WWW.WMHS.COM X 1905 MD 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. 12 12 2136 373 707220 -18086 1178880 1303369 389912971 400129258 -1104989 4041499 3789634 3180382 393776496 408654508 0 0 0 0 127012009 141145451 0 0 0 247738282 260483497 374750291 401628948 19026205 7025560 547596404 549865320 393076728 432110699 154519676 117754621 X 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. false false 242259742 268128065 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. 75717332 83802375 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. 26673287 29521441 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. 16875431 18677377 Emergency Care 16875431 18677377 361525792 true true false false false false false false false true true false false true true true false true false true true false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false true 102 0 true 2136 true true true CJ false false false false false false false false X 12 12 true false false false false false false true true false false true true true true true true true true true true MD X WESTERN MARYLAND HEALTH SYST 2409648002 PO BOX 359 CUMBERLAND MD 21501 Rolf Haarstad Chairman 4.0 0.0 X X 0 0 0 Mary Ann Jenkins Vice Chair 4.0 0.0 X X 0 0 0 Joyce Lapp Treasurer 4.0 0.0 X X 0 0 0 David C Mathews Secretary 4.0 0.0 X X 0 0 0 John Davis Board Member 3.0 0.0 X 0 0 0 Keith Funkhouser Board Member 3.0 0.0 X 0 0 0 David Gilles Board Member 3.0 0.0 X 0 0 0 Elizabeth Hurwitz-Schwab Board Member 3.0 0.0 X 0 0 0 Sharon Nicol Board Member 3.0 0.0 X 0 0 0 John Pappas Board Member 3.0 0.0 X 0 0 0 Courtney Thomas Board Member 3.0 0.0 X 0 0 0 Gregg Wolff Md Board Member 3.0 0.0 X 0 0 0 Shiv Khanna MD Board Member, end 12/31/15 3.0 0.0 X 0 0 0 Barry P Ronan President/ CEO 40.0 0.0 X 742653 0 221558 Kimberly S Repac Sr VP/CFO 40.0 0.0 X 451509 0 58029 Nancy D Adams Sr VP/COO/ CNE 40.0 0.0 X 419813 0 72833 Gerald Goldstein Sr VP/CMO 40.0 0.0 X 394011 0 54141 Jo M Wilson VP, SUPPORT OPERATIONS 40.0 0.0 X 235871 0 48971 Kevin R Turley VP, SUPPORT OPERATIONS 40.0 0.0 X 233819 0 53249 Michele R Martz VP, REVENUE CYCLE 40.0 0.0 X 236767 0 52418 William Byers VP/ CIO 40.0 0.0 X 0 0 0 Jamie Karstetter VP, Patient Care 40.0 0.0 X 159133 0 51553 Steven R Smith Md Physician Enterprise Director 40.0 0.0 X 326733 0 61216 Mark G Nelson Md PHYSICIAN 40.0 0.0 X 690323 0 99791 Douglas Tice PHYSICIAN 40.0 0.0 X 646858 0 99174 Nii Lamptey-Mills PHYSICIAN 40.0 0.0 X 641315 0 97630 Michael Curran PHYSICIAN 40.0 0.0 X 510327 0 64274 Arya Karki PHYSICIAN 40.0 0.0 X 474218 0 80454 6163350 0 1115291 96 false true false Haystack Imaging Services PO Box 539 CUMBERLAND MD 21502 Diagnostic 6865934 Beckman Coulter Inc 250 South Kraemer Blvd BREA CA 928220550 Laboratory 2577294 Cumberland Anesthesia PO Box 1571 CUMBERLAND MD 21502 Anesthesia 2380683 Aramark 25271 Network Place CHICAGO IL 60673 Dietary 2186575 Pharmacare 3 Commerce Drive CUMBERLAND MD 21502 Pharmacy 1699883 44 382255 805082 116032 1303369 ANCILLARY CARE 621990 268128065 267428361 699704 INPATIENT ROUTINE CARE 621990 83802375 83802375 PHYSICIAN PRATICES, CLINICS & HOME CARE 621990 29521441 29521441 EMERGENCY CARE 621990 18677377 18677377 400129258 4484825 7516 4477309 0 0 799146 4125 621361 177785 4125 181910 181910 20225973 307437 20842027 134709 -616054 172728 -443326 -443326 0 0 0 REIMBURSEMENT OF EXPENSES 621500 891608 891608 CAFETERIA 621500 79712 79712 PHOTO FEES 621500 1090 1090 2026062 2026062 2998472 408654508 402428026 707220 4215893 0 0 0 0 4203269 3909040 294229 0 101080140 94004530 7075610 12283002 11423192 859810 16510870 15355109 1155761 7068170 6573398 494772 0 423160 423160 171417 171417 0 0 347647 347647 4056957 3772970 283987 724148 673458 50690 123730 115069 8661 4907956 4564399 343557 0 889204 826960 62244 843572 784522 59050 0 0 11949313 11949313 0 25482790 23698995 1783795 3122487 2903913 218574 CONTRACTUAL/CHARITY 80469730 74836849 5632881 BAD DEBTS 7363246 6847819 515427 MEDICAL PROFESSIONAL FEES 13539986 12592187 947799 MINORITY INTEREST 2324228 2161532 162696 103743926 96481850 7262076 401628948 361525792 40103156 0 71641868 72600638 68336322 71313789 0 0 38839754 37134503 0 0 0 0 0 0 5971419 6291058 3606172 3095612 546223729 257379390 299160895 288844339 0 0 0 0 0 0 0 0 60039974 70585381 547596404 549865320 33255452 33542738 0 0 0 0 236170000 233270000 0 0 0 0 0 1074475 0 0 123651276 164223486 393076728 432110699 X 154201454 117254761 58061 244539 260161 255321 154519676 117754621 547596404 549865320 X 7025560 930314 770276 -45491205 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 318222 186478 -4840 499860 355795 35000 -278 83913 306604 319428 96831 15676 76140 355795 720859 40000 3904 445335 319428 1567441 30000 -4723 871859 720859 0.51000 0.49000 true false 7614249 7614249 331997070 95463840 236533230 198800154 159149830 39650324 7812256 2765720 5046536 288844339 FUNDS ON DEPOSIT WITH TRUSTEE 17204656 OTHER ACCOUNTS RECEIVABLE 6806704 A/R FROM AFFILIATES 2995664 IMPREST FUND - W/C 1086810 INVESTMENT - BOARD DESIGNATED 10150475 RESTRICTED BY DONOR 499860 INVESTMENT IN AFFILIATES 21417948 OTHER LONG TERM INVESTMENTS 8214813 UNDER BOND INDENTURE 2208451 70585381 0 FEDERAL INCOME TAXES -14606 PAYABLES TO THIRD PARTY 7622834 BOND PREMIUM 29499704 DEFERRED COMP 907757 PROFESSIONAL INSURANCE 12762567 PENSION LIABILITY 112152357 MINORITY INTEREST PAYABLE - CONS. ENTITY HAYSTACK IMAGING 1292873 164223486 X 322030000 935154 935154 321094846 347647 87212015 87559662 408654508 311744000 311744000 347647 89537301 89884948 401628948 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 Central America and the Caribbean Program Services Insurance 1078591 1078591 1078591 true false true false false false true true X true X true X true true false false true true 33226 9670307 9670307 0.02410 7740077 6618734 1121343 0.00280 33226 17410384 6618734 10791650 0.02690 90552 1195586 15730 1179856 0.00290 86037 1130254 1130254 0.00280 119001 53498175 24308702 29189473 0.07270 335 331970 12000 319970 0.00080 295925 56155985 24336432 31819553 0.07920 329151 73566369 30955166 42611203 0.10610 126 100576 100576 0.00030 65384 30000 35384 0.00010 128428 128428 0.00030 1206437 1206437 0.00300 126 1500825 30000 1470825 0.00370 true 7363246 135885077 112334034 23551043 X true true 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 1 1 Western MD Regional Medical Center 12500 Willowbrook Road Cumberland MD 21502 www.wmhs.org X X X A Western MD Regional Medical Center 1 false false true X X X X X X X X X X 13 true false false true X www.wmhs.com X http://www.alleganyhealthplanningcoaliti true 12 true www.wmhs.com false true X 200. 300. X X X X true true X X X true X 0 X X X X true X X false X X X true X false true 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. 1 Frostburg Nursing and Rehabilitation Ctr 48 Tarn Terrace Frostburg MD 21532 Nursing home 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). X X X X X X false true false false false false false true false Barry P Ronan President/ CEO 588403 0 145250 0 9000 0 200386 0 21172 0 964211 0 0 0 Kimberly S Repac Sr VP/CFO 376909 0 74600 0 0 0 55593 0 2436 0 509538 0 0 0 Nancy D Adams Sr VP/COO/ CNE 350613 0 69200 0 0 0 52878 0 19955 0 492646 0 0 0 Gerald Goldstein Sr VP/CMO 329011 0 65000 0 0 0 42068 0 12073 0 448152 0 0 0 Jo M Wilson VP, SUPPORT OPERATIONS 205421 0 30450 0 0 0 31351 0 17620 0 284842 0 0 0 Kevin R Turley VP, SUPPORT OPERATIONS 203369 0 30450 0 0 0 31424 0 21825 0 287068 0 0 0 Michele R Martz VP, REVENUE CYCLE 206317 0 30450 0 0 0 31718 0 20700 0 289185 0 0 0 Jamie Karstetter VP, Patient Care 137233 0 21900 0 0 0 22683 0 28870 0 210686 0 0 0 Steven R Smith Md Physician Enterprise Director 291733 0 35000 0 0 0 42564 0 18652 0 387949 0 0 0 Mark G Nelson Md PHYSICIAN 630323 0 60000 0 0 0 81576 0 18215 0 790114 0 0 0 Douglas Tice PHYSICIAN 596858 0 50000 0 0 0 77326 0 21848 0 746032 0 0 0 Nii Lamptey-Mills PHYSICIAN 551315 0 90000 0 0 0 76821 0 20809 0 738945 0 0 0 Michael Curran PHYSICIAN 510327 0 0 0 0 0 61888 0 2386 0 574601 0 0 0 Arya Karki PHYSICIAN 474218 0 0 0 0 0 58954 0 21500 0 554672 0 0 0 SUPPLEMENTAL NON-QUALIFIED RETIRMENT PLAN SCHEDULE J, LINE 4B AND LINE 7 Barry P. Ronan received a SERP payout in the amount of $110,346 on January 14, 2016. A MHHEFA 520591531 574218SP9 2014-11-19 236170000 Refund 2006 Bonds false false false A 2900000 0 236170000 0 0 0 2208451 0 0 0 0 0 false true true true A false true true true true true 0.02700 0.00170 0.02870 false false false true A false true false true false false 0 true wachovia securities 30. true false true A true Part IV Arbitrage, Line 2c REBATE COMPUTATION WAS PERFORMED NOVEMBER 15, 2010. Kimberly S Repac Sr. VP CFO 28240766 MD Physician Care false Barry P Ronan President & CEO 28240766 MD Physician Care false BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L PART IV These transactions represent the monetary value of business transactions between MD Physicians Care and Western Maryland Health System. 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 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 JOHNSON HEIGHTS 625 KENT AVENUE CUMBERLAND MD 21502 521775175 RENTAL MD NA related 27807 1249425 false true 0.84000 HAYSTACK IMAGING PO Box 539 CUMBERLAND MD 20501 043783141 HLTH CARE MD NA related 2345602 2145639 false false 0.50000 MEMORIAL MED CTR SVCS PO BOX 539 CUMBERLAND MD 21501 521317704 BLDG MAINT MD NA C Corp 1.00000 true WILLOWBROOK HC CONDO PO BOX 539 CUMBERLAND MD 21501 371538510 CONDO MGMT MD NA C Corp 290 109784 0.53300 true 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 84882 2421583 0.33300 false false false true true false false false false false true true true false true true true true false false Haystack Imaging Services LLC q 4650228 Market Memorial Medical Center Services q 56685 Market Willowbrook Health Center Condominium k 332933 Market WMHS Foundation Inc c 1184636 Market Western Maryland Medical Supply q 358780 Market Johnson Heights Medical Building p 71814 Market