2017-05-10T07:36:11-07:00 2016-06-30 Meritus Medical Center 251 East Antietam Street Hagerstown MD 21740 990 2015-07-01 520607949 Meritus Medical Center Inc MERI 3017908872 11116 Medical Campus Road Hagerstown MD 21742 Thomas Chan VP/Treasurer 2017-05-10 true Frank Giardini P00532355 3017908872 2015 2021-01-29 14:40:06Z 461209369 false false X www.meritushealth.com X 1904 MD Meritus Medical Center, Inc. (MMC) is an acute care hospital located in Hagerstown, Maryland and serves the residents of western Maryland, southern Pennsylvania and the eastern panhandle of West Virginia. 19 12 2679 320 1963727 257587 1592584 401000 352126618 376217421 4703996 -28507140 2951574 949158 361374772 349060439 607368 333943 0 125901110 154294038 0 0 209316179 208827581 335824657 363455562 25550115 -14395123 581793696 558783411 304181347 354541682 277612349 204241729 MissionMMC exists to improve the health status of our region by providing comprehensive health services to patients and families.The mission emphasizes three core activities of MMC:1. Providing patient and family centered care by bringing patient and family perspectives into the planning, delivery, and evaluation of care to improve healthcare quality and safety at MMC.2. Improving the health status of our region by responding to national healthcare reform and total patient revenue economic structures that incentivize value by expanding the focus of MMC to include improving the health staus of our region.3. Functioning as a regional health system by meeting the healthcare needs of the communities beyond MMC's traditional service area of Washington County.VisionMMC will relentlessly pursue excellence in quality, service, and performance.ValuesThe culture of MMC is driven by a set of values that focus on the patient and family first: respect, integrity, service, excellence and teamwork. false false 280719453 333943 375278461 The mission, vision and values of the Meritus Medical Center (MMC) are summarized in MMC's pledge: Responsiveness to need. Excellence in Caring. Respect for All. The pledge says that MMC strives to meet the healthcare needs of the citizens of the tri-state region, is dedicated to providing quality patient care in a safe and caring environment and that MMC esteems the personal diginity of patients and staff.Every day, the hospital's employees live out MMC's values by treating others as they would like to be treated. MMC participates in a variety of activities that focus on the well-being of the patients, including committees and teams that evaluate the progress in the areas of quality patient care, patient safety and professional development. Many staff members provide outreach to the community through educational offerings which have been identified by a survey of community health education needs.As a tax exempt hospital, MMC contributes funds to help many people who might not be able to afford their healthcare. These dollars are used to provide free, reduced-cost or subsidized services to many individuals in the community. It's a collaborative effort involving numerous areas of the health system in activities such as health education and outreach, screenings, programs and events, as well as helping individuals obtain prescription medications, access to needed services, and even transportation to healthcare appointments.MMC is governed by a local board of directors made up entirely of volunteers. In addition to attending quarterly meetings to determine the direction that MMC will take, the board members, who are community and business leaders as well as physicians, serve on various committees, including quality & safety, finance, audit and business integrity, executive, governance and strategic planning.The board and its committees ensure that MMC complies with state and federal requirements, while keeping the organization's mission of providing quality care front and center. By working together toward this goal, the board members create policies and procedures that help deliver results.MMC, an acute care hospital, has 288 single-patient rooms, along with the most advanced technologies available. MMC offers a variety of specialized services to meet the healthcare needs of the tri-state region.The Cardiac Catheterization Lab has focused on bringing the very best in cardiac services to the community. Services in cardiac screening, diagnosis, intervention, and rehabilitation are offered. MMC has invested in the most up-to-date technologies to assist physicians in diagnosing and treating heart disease. The board certified cardiologists and interventional cardiologists offer patients a highly specialized experience in structual heart disease and electrical heart malfunctions. They are supported by a team of highly-trained nurses and technicians.The Center for Clinical Research is a growing program that manages from fifteen to twenty active research studies at any given time. The researchers are certified by the Association of Clinical Research Professionals. Physicians serve as the principal investigators for the research studies performed by the center.The Center for Joint Replacement offers a comprehensive program that includes pre- and postoperative therapy as well as the actual surgery. The program has clearly demonstrated a decreased length of hospital stay and improved recovery rates.The Family Birthing Center is a special place where single-room maternity care provides privacy and family bonding. The room is equipped for labor, delivery, postpartum, and newborn care. The special care nursery allows babies born as early as 32 weeks gestation to be treated at MMC.The Home Health Care Services cover the full spectrum of care, ranging from skilled nursing to assistance with the activities of daily living. They also can help with medication management issues.The John R. Marsh Cancer Center offers chemotherapy, intensity modulated radiation therapy, and image guided radiation therapy. The center also offers MammoSite whichdelivers partial irradiation treatment for breast cancer patients in just five days.Total Rehab Care is a comprehensive service providing a full range of rehabiliation programs, including pediatric services, traumatic brain injury rehab, outpatient therapies, inpatient joint replacement, occupational rehabiliation, and support groups. Skilled physicians, nurses, and therapists develop individualized treatment plans for every patient.As a level III trauma service, MMC offers twenty four hour a day, seven days a week access to trauma surgeons, neurosurgeons, and orthopedic surgeons, as well as a specialized trauma team and consulting physicians.The Weight Loss Clinic offers bariatric surgery which includes the most common procedures of gastric bypass and adjustable gastric banding. This can be a treatment for the lifelong condition of morbid obesity.The Wound Center care is customized to each patient's unique situation to promote the healing process. The Wound Center team specializes in diabetic foot and leg ulcers, bone infections, preparation and preservation of skin grafts, crash injuries, and thermal burns.The vision of the Nursing Department at MMC is to be a dynamic force in the advancement of nursing practice and an advocate for the promotion of quality healthcare for all. Their mission is to foster the development and advancement of nursing practive and to work to achieve quality healthcare for all. They believe that the excellence of care for patients and families matters the most and that superior customer service and constant innovation sustains excellence.MPA is a leading provider in ambulatory health care services in the tri-state region. Its mission is to engage in ambulatory health activities that complement the goals and objectives of MMC. MPA vigorously recruits physicians and other healthcare providers to the region, to assure an adequate supply of physicians in many medical specialties. MPA has a very successful record of relationships with physicians that has greatly benefited the well-being of tri-state area residents. MHF is a private, not-for-profit, tax-exempt organization managed by a volunteer board of community leaders whose mission is to support hospital programs and services, scientific research, equipment, technology, medical training and community education. The foundation is an integral part of the overall health system organization, and contributions have a direct impact on the quality of care MMC is able to provide. The Foundation Board of Directors works closely with the MMC boards and leadership to match resources with MMC needs, enabling caregivers to provide the very best care possible every single day.Care delivery is undergoing unprecedented change and new, more coordinatedmodels of care delivery have arrived. Ultimately enacted as part of healthcare reform, accountable care organizations (ACOs) link physiciansand hospitals together with the goal of keeping patients healthy and helpingpatients manage their conditions. Many view ACOs as a way to overcome fragmentation in care delivery, eliminatefee-for-service incentives and promote health and wellness. In 1995, MMC began the work of clinical integration by creating Tri-State Health Partners (THP), a physician-hospital partnership that offers patient and disease management services. As validation of its unique approach to patient care, THP received approvalfrom the Federal Trade Commission for its clinical integration program. MMC was one of the first Maryland hospitals to participate in the TotalPatient Revenue (TPR) system where hospitals are paid on effectively treatingpatient illnesses versus fee for service. These initiatives, rooted in comprehensivepatient care and physician engagement, laid the groundwork for MMCto become an ACO in participation with the Medicare Shared SavingsProgram. We also became a member of Premiers Partnership for CareTransformation (PACT), a collaboration of health systems that share knowledgeand best practices while measuring and benchmarking care to improvepopulation health and contain costs.The goal of an ACO is to keep patients healthy, prevent them from having chronicconditions or prevent the conditions from worsening. The THP-Meritus ACOis a partnership between Medicare beneficiaries, physicians and MeritusMedical Center. The patient-centered health care model bridges 16,000 areaMedicare patients and 150 physicians with the intent of improving carecoordination, patient outcomes and the overall health of our community.MMC's innovative efforts will pave the way for bridging primary,specialty and hospital care to provide patients with the right care, at theright place, at the right time.A new ACO was formed in May of 2016, but will not commense operations until the new ACO's contract with CMS is effective January 1, 2017. 280719453 true true false true false false false false false true true false false true true true false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true true true false true true 234 0 true 2679 true true true false false false false false false 0 false false false false false false false false false false X 19 12 false false false false false true true true true false false true true true true true true true true true true MD X Thomas T Chan 3017908872 11116 Medical Campus Road Hagerstown MD 21742 X Wayne Alter Director 3.00 0.00 X 0 0 0 Sharon Mailey PhD RN Director 3.00 0.00 X 0 0 0 Al Martin Director 3.00 0.00 X 0 0 0 William Su MD Director 20.00 3.00 X 111056 0 0 Barbara Miller Director 3.00 0.00 X 0 0 0 Michael Twigg Director 3.00 0.00 X 0 0 0 Gregory Snook Director 3.00 0.00 X 0 0 0 Fr Stuart Dunnan Director 3.00 0.00 X 0 0 0 Debra Ann Gorbsky Director 3.00 0.00 X 0 0 0 George Newman II PhD MD Director 50.00 0.00 X 314613 0 0 William Reuter Director 3.00 0.00 X 0 0 0 Brendan Fitzsimmons Director 3.00 0.00 X 0 0 0 Jeanne Singer Esq Director 3.00 0.00 X 0 0 0 Shaheen Iqbal MD Director 50.00 0.00 X 242272 0 0 Vincent Cantone MD Director 50.00 0.00 X 407570 0 32158 Abdul Waheed MD Director 20.00 3.00 X 159692 0 0 Frederick C Wright III Director 3.00 0.00 X 0 0 0 Dan Cornell MD Director 20.00 0.00 X 105000 0 0 Steve Hull Vice Chairman 3.00 0.00 X X 0 0 0 James Stojak Chairman 3.00 0.00 X X 0 0 0 Joseph Ross President & CEO 50.00 3.00 X X 754608 0 173004 Carolyn Simonsen VP/Secretary 50.00 3.00 X 322652 0 26132 Thomas Chan VP/Treasurer 50.00 0.00 X 343744 0 56273 Jesus Cepero Vice President 50.00 0.00 X 302098 0 36655 Heather Lorenzo Vice President 50.00 0.00 X 356825 0 64363 Lee Shaver Vice President 50.00 0.00 X 210481 0 26343 Melinda Cannon Vice President 50.00 0.00 X 178587 0 35420 Eileen Jaskuta Vice President 50.00 0.00 X 335631 0 16047 Amy Dilcher VP/General Council 50.00 0.00 X 389347 0 11734 Thomas Gilbert MD Physician 50.00 0.00 X 618816 0 34850 Michael McCormack MD Physician 50.00 0.00 X 502771 0 32723 Christine Lewis MD Physician 50.00 0.00 X 480418 0 24848 James Cremins MD Physician 50.00 0.00 X 671205 0 34001 Nelson Ferreira MD Physician 50.00 0.00 X 472640 0 33970 Marc Kross MD Former Director 50.00 0.00 X 474699 0 0 Jason Dorst Former Vice President 0.00 0.00 X 122572 0 11934 Dawn Crumel Former Vice President 50.00 0.00 X 51858 0 2277 David Solberg MD Former Director 50.00 0.00 X 242833 0 0 Dale Bushey Former Officer 0.00 0.00 X 74285 0 9812 8246273 662544 163 true true false MDICS Physicians Inpatient Care 7250 Parkway Drive Ste 500 Hanover MD 21076 Medical 2513887 Aramark Receivables LLC 12436 Collections Center Drive Chicago IL 60693 Management 2468833 Quest Diagnostics Nichols Institute 12436 Collections Center Drive Chicago IL 60693 Medical 1740897 Berkeley Research Group LLC 2200 Powell St Ste 1200 Emeryville CA 94608 Consulting 1563146 Shock Trauma Associates PA 11 S Paca St Ste 500 Baltimore MD 21201 Medical 1429514 65 303222 97778 401000 Cafeteria sales 900099 1946732 1946732 Meaningful use-EHR 900099 1042962 1042962 Partnership income 541900 938960 929543 9417 Patient revenue 900099 367557225 367557225 School Nursing Program 900099 3248295 3248295 1483247 1483247 376217421 -29321572 -29321572 0 0 1252557 2257709 -1005152 -1005152 -1005152 110607105 98548 109891221 715884 98548 814432 814432 0 0 0 Clinical Trials 541700 258977 258977 Lab Revenue 621500 1695333 1695333 1954310 349060439 376208004 1963727 -29512292 70000 70000 263943 263943 0 0 4743395 4743395 0 118093619 94474895 23618724 4648816 3719053 929763 17438678 13950942 3487736 9369530 7495624 1873906 35364519 28291615 7072904 655600 524480 131120 460540 368432 92108 13041 10433 2608 0 430640 344512 86128 28116715 22493372 5623343 1483335 1186668 296667 657281 525825 131456 3585696 2868557 717139 0 2477705 1982164 495541 750433 600346 150087 0 567752 454202 113550 12288171 7372903 4915268 0 19297167 11578300 7718867 2102773 1682218 420555 Drugs & pharmaceuticals 31597153 25277722 6319431 Medical supplies 30736979 24589583 6147396 Bad debt expense 16192825 12954260 3238565 Other supplies 5477154 4381723 1095431 16572102 13257681 3314421 363455562 280719453 82736109 0 0 50052414 63120518 0 53555712 50585030 0 0 433354 398355 6705323 6562871 5443200 3230035 435735072 195311823 238384328 240423249 130684986 135181470 0 0 0 96534379 59281883 581793696 558783411 44730612 48916262 248959418 270160937 9165282 7117732 1326035 28346751 304181347 354541682 X 270574102 197115660 6009629 6097451 1028618 1028618 277612349 204241729 581793696 558783411 X -14395123 -5210830 -53764667 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 13041 13041 false false 1003685 37181 5216 1035650 1032034 2233 582 1033685 1037683 3020 8669 1032034 1048319 4958 15594 1037683 1046226 26365 24272 1048319 1.00000 false false false 6670317 6670317 205610009 56648192 148961817 22521128 10512803 12008325 200537009 128150828 72386181 396609 396609 240423249 Assets held by trustee-debt & construct. 24446498 Due from related parties Net assets held by MHF 5928632 59281883 Accrued retirement benefits 1460876 Due to related entities 26885875 28346751 X Part V, Line 4: Intended uses of the endowment fund. The purpose of the Endowment Funds is to pay the outstanding balances for those patients who meet certain criteria. In order to qualify, individuals must have made 10 consecutive payments, have not been turned over to collections, and have never applied for financial assistance. Part X : FIN48 Footnote MMC follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. MMC does not believe its consolidated financial statements include any material uncertain tax positions. As of June 30, 2016, the Meritus tax years ended June 30, 2013 through June 30, 2016 for federal tax jurisdiction remain open to examination. Cen Ame and the Caribbean 0 0 Program services Insurance 1692259 1692259 1692259 true false true false false false true true true X true X true true false false true true 1814 4813107 4813107 0.01390 7539290 6447035 1092255 0.00310 1092255 1092255 0.00310 1814 13444652 6447035 6997617 0.02010 20368 1179768 24928 1154840 0.00330 2032 294956 3380 291576 0.00080 10227 14819499 1719245 13100254 0.03770 260 303410 258977 44433 0.00010 158 1273887 95359 1178528 0.00340 33045 17871520 2101889 15769631 0.04530 34859 31316172 8548924 22767248 0.06540 31 14 18225 1656 16569 45 18225 1656 16569 true 16192825 2428924 305095532 279333796 25761736 X true true Maryland Care Inc Healthcare 0.25000 Tri-State Health Part Inc PHO 0.50000 0.50000 THP-Meritus ACO LLC ACO 0.01000 Trivergent Health Alliance Managment Services 0.33330 1 1 Meritus Medical Center Inc 11116 Medical Campus Road Hagerstown MD 21742 www.meritushealth.com 21-0001 X X X X Meritus Medical Center Inc 1 false false true X X X X X X X X X X 16 true false false true X http://www.meritushealth.com/ X true 16 true http://www.meritushealth.com/About-Meritus-Health/Serving-Ou false false true X 150.0000 300.0000 X X X X X true true X X X X true X http://www.meritushealth.com X http://www.meritushealth.com X http://www.meritushealth.com X X X X X X true X false X X X X true X false false Part V, Line 3j - Description of Other Needs Assessment The first CHNA was performed in 2013. The FY2016 Community Needs Health Assessment (CHNA) data collection occurred between March 26, 2015 September 22, 2015 (FY2016). (See disclosure for Part VI - Needs Assessment). Part V, Line 5 - Account Input from Persons Who Represent the Community See discussion regarding performance of 2016 CHNA. - Schedule H, Part VI. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Due to limited resources, some of the health needs not being addressed by MMC at this time include access to dental care, lack of insurance coverage, child abuse, geriatric mental health and healthy environments. Other community providers and organizations are using the results of the CHNA to help target these other unmet needs based on strengths, expertise and resources. The plan is being reviewed periodically to measure progress towards goal achievement and modify action steps as needed. As resources become available and can be allocated the action plan will incorporate additional needs and goals. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Meritus Medical Center's (MMC) patient acceptance policy is based upon its mission statement and its charitable purposes. This policy results in MMC's assumption of higher-than-normal credit risk from its patients. To the extent that MMC realizes additional losses resulting from such higher credit risks and clients are not identified or do not meet MMC's defined charity care policy, such additional losses are included in the provision for bad debt. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance All patients presenting to Meritus for emergency services will be treated regardless of their ability to pay. For emergent services, applications to FAP will be completed, received and evaluated retrospectively and will not delay patients receiving care.Individuals eligible for reduced-cost care under this policy will not be charged more than the hospitals standard charges, as set by Marylands Health Services Cost Review Commission (HSCRC).a.Meritus rate structure is governed by the HSCRC rate setting authority. As an all-payer system, all patient care is charged according to the resources consumed in treating them regardless of the patients ability to pay. Charges are developed based on a relative predetermined value set by the HSCRC at the approved unit rate developed by the HSCRC. Part I, Line 6a - Related Organization Community Benefit Report Meritus Medical Center (MMC) prepares a community benefits report through the Maryland Health Services Cost Review Commission (HSCRC), and it is available via their website. This is in addition to the Community Health Needs Assessment report prepared by MMC in accordance with IRC Section 501(r). Part I, Line 7 - Explanation of Costing Methodology The direct cost was calculated by using the expense categories for salaries and wages, benefits, expendable suppiles, purchased services, repairs and maintenance and depreciation. The indirect cost was calculated using the approved methodology on the community benefit report. Part I, Line 7, Column F - Explanation of Bad Debt Expense Meritus Medical Center (MMC) is committed to providing quality health care for all patients regardless of their ability to meet the associated financial obligation and without discrimination on the grounds of race, color, national origin or creed. It shall be the policy of MMC to ensure that all appropriate and reasonable efforts have been made prior to referring an account to bad debt, a collection agency or outside attorney. In addition, a satisfactory level of control is maintained over bad debts and levels of management are involved in the decision making process prior to write-off and/or assignment of bad debt. Part I, Line 7g - Costs Associated With Physicans Clinics Subsidized health services for Meritus Medical Center include the following: (1) Hospital owned endocrinology and diabetes program (2) The Medication Assistance Center (3) Hospital owned psychiatric practice (4) Level III trauma program (5) On-call fees for emergency specialist call (6) Hospice of Washington County allowed a voluntary contractual allowance Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense MMC uses historical reimbursement trends in determining bad debt expense and adjusts the accounting based on known variances or adjustments. MMC utilizes HFMA statement #15 to report bad debt expense. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit MMC is using the number of denied charity care applications as a percentage of total charity care applications to determine the percentage applied against bad debt expense to obtain the estimated bad debt attributable to the charity care policy. Part III, Line 4 - Bad Debt Expense Meritus Medical Center (MMC) provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management detemines that recovery is unlikely and MMC ceases collection efforts. Losses have been consistant with management's expectations. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients 1.Meritus expects patient payment at the time service is provided or within thirty (30) days of the first billing to patient for services not covered by insurance or financial assistance.2.Meritus must take effective action to maintain timely accounts receivable turnover and ensure that the value of accounts receivable is accurately stated. To do this, patient accounts will be aged and written off as bad debts or charity and may be outsourced to collection agencies for further follow-up. 3.Emergency services will be provided to all patients regardless of ability to pay. Scheduled services will be provided after appropriate financial arrangements are confirmed by Meritus. Deposits may be required prior to scheduling services. Failure to pay required deposits may result in the rescheduling of the service.4.Financial Assistance is potentially available for patients based on financial need as defined in the Meritus Financial Assistance Policy.a.It is the patients responsibility to provide accurate information regarding address, employment and health insurance in order to determine eligibility for services, amounts due from the patient and/or eligibility for Financial Assistance. 5.Meritus complies with all state and federal law and third party regulations to perform credit and collection functions in a dignified and respectful manner.6.Meritus does not discriminate on the basis of age, race, creed, sex or ability to pay.7.Meritus will not sell the bad debt receivables or charge a prejudgment interest rate for self-pay or balances after insurance.8.Meritus may use external collection agencies for extended business office, legal and/or collection activity to assist with collecting on patient accounts. These agencies do not sell the receivable and act as an extended business office on behalf of Meritus. 9.Prior to initiating any extraordinary collection activities (ECAs), Meritus shall notify the patient at 30 days prior to taking such actions. Meritus may take the following actions in order to collect on patient accounts:a.Reporting adverse information to a consumer credit reporting agency or credit bureau;b.Garnishment of wages;c.Placing a lien on primary home values above $150,000 Part VI - Needs Assessment Community Health Needs Assessment Plan and Implementation as required by IRC Section 501(r).Meritus Medical Center conducted a Community Health Needs Assessment that conforms to the IRS definition. This report includes a comprehensive review and analysis of the data regarding health issuesand needs of Washington County, MD. This study was conducted to identify the health needs and issues of the region and to provide useful information to health care providers, policy makers, collaborative groups, social service agencies, communitygroups and organizations, churches, businesses, and consumers who areinterested in improving the health status of the community and region. The results enable the health system and other providers to morestrategically establish priorities, develop interventions and commit resources to improve the health status of the region.Improving the health of the community is foundational to the mission of Meritus Medical Center and should be an important focus for everyone in the county, individually and collectively. In addition to the education, patient care and program interventions provided through the health system, hopefully the information in this study will encourage additional activities and collaborative efforts to improve the health status of the community.Community Health Needs Assessment Plan and Implementation The FY2016 Community Needs Health Assessment (CHNA) data collection occurred between March 26, 2015 September 22, 2015 (FY2016). Meritus Medical Center (MMC) conducted a community-wide survey from a random sample of 1,472 adult residents living in the primary service region to learn about their health and health needs. Individual focus groups were conducted between July 30, 2015 August 26, 2015 to address topics including Hispanic, Muslim and senior population health needs, complex care, nutrition, physical activity, mental health, substance abuse and access to healthcare. A broad coalition of community leaders and providers joined together to design the data gathering process and analyze the results. A public conference was conducted on September 29, 2015 to present the CHNA findings, answer questions and have members of our community rank the health priorities. The group used three criteria to prioritize the needs; 1. Magnitude of the problem, 2. Variance against benchmarks, 3. Impact on other health outcomesThe top prioritized health initiatives for Meritus Medical Center include:Reducing obesity and increasing physical activityImproving mental health education, access to care and reducing ED visitsImproving the management of diabetes illness with better access to care and education Promoting healthy lifestyles and wellness through balanced diet and exerciseImproving timely access to substance abuse treatment and reduc-ing overdose deaths Reducing heart disease and managing hypertensionA strategic action plan was developed and referred to the MMC Board of Director Quality Subcommittee. Upon full review of the CHNA findings the MMC Board of Directors approved and adopted the plan of action on March 16, 2016. Following Board approval the FY2016 CHNA was publically posted at: http://www.meritushealth.com/About-Meritus-Health/Serving-Our-Community/Community-Health-Needs-Assessment.aspx Part VI - Patient Education of Eligibility for Assistance 1.Financial assistance can be offered before, during, or after services are rendered. After applying, the hospital will send an acknowledgment letter to the patient within two (2) business days and an eligibility determination will be made within thirty (30) days. 2.Notice of the Availability of Financial Assistance: a.Meritus will publish the availability of Financial Assistance on a yearly basis in the local newspapers.b.Notices of the availability of Financial Assistance will be posted at appropriate admission areas, the Billing Office, and other key patient access areas. c.A statement on the availability of Financial Assistance will be included on patient billing statements. d.A Plain Language Summary of Meritus Financial Assistance Policy will be provided to patients receiving inpatient services with their Summary Bill and will be made available to all patients upon request. e.Meritus Financial Assistance Policy, a Plain Language Summary of the policy, and the Financial Assistance Application are available to patients upon request at Meritus or via mail as well as on Meritus website at www.meritushealth.com/financialassistance.f.Meritus Financial Assistance Policy, Plain Language Summary, and Financial Assistance Application are available in Spanish. i.On an annual basis, Meritus shall assess the needs of our limited English proficiency community and determine whether additional translations are needed.3.Financial Assistance may be extended when a review of a patient's individual financial circumstances has been conducted and documented. This may include the patient's existing medical expenses, including any accounts having gone to bad debt, as well as projected medical expenses. 4.Meritus retains the right in its sole discretion to determine a patients ability to pay. All patients presenting for emergency services will be treated regardless of their ability to pay. For emergent services, applications to the Financial Assistance Program will be completed, received, and evaluated retrospectively and will not delay patients from receiving care.5.Limitation of Charges: Individuals eligible for reduced-cost care under this policy will not be charged more than the hospitals standard charges, as set by Marylands Health Services Cost Review Commission (HSCRC).MMC has instituted new policies including financial assistance, billing and collections and emergency care that insure compliance with the legislation of section 501R. These policies will be in place for fiscal year ending 2016. Part VI - Community Information MMC is the largest healthcare provider in Western MD, located at the crossroads of western MD, southern PA, and the eastern panhandle of WV. MMC is an acute care hospital with 272 single-patient rooms providing services including a special care nursery, a designated trauma center, a primary stroke center, a wound center, and a designated cardiac interventional center. As the leading provider of health care services in the tri-state region, MMC's primary service area is Washington County, MD including primary service area zip codes 21740, 21742, 21795, 21713 and 21783 - with residents of that county making up the majority of the hospital's customers - while also serving residents of Frederick County, MD; Franklin County, PA; Fulton County, PA; Morgan County, WV; Jefferson County, WV; and Berkeley County, WV.Within MMC's community service benefit area; the total population is 149,180 with 51.1% male residents and 48.9% female residents; median age is 39.5; median household income is $52,028; percentage of households with incomes below the federal poverty guidelines is 11.2%; the percentage of uninsured people by county is 12%; percentage of Medicaid recipients by County is 9.7%; and the life expectancy by county is 78.2. Part VI - Community Building Activities MMC participates in several community building activities. MMC nutrition center staff are used for the coordination and support of the weekly Farmer's Market held at MMC. The Care Managment staff spend time attending the outreach social planning meeting. MMC staff spend time in coordinating and distributing materials for the annual United Way campaign. Several other activities MMC has participated in include the following: American Heart Walk, Cancer Survivor's Picnic, Frederick Rescue Mission event, Children's Health event, volunteer EMT, Habitat for Humanity event and assistance with the Community Free Clinic. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose See Schedule O for explanation under Program Service Accomplishments. Part VI - Affilated Health Care System Roles and Promotion Meritus Healthcare Foundation - 501(c)(3) - provides fund development, financial & other assistance to MMC. MHF is operated exclusively for the charitable & educational purpose of supporting quality health care & related services of MMC.Meritus Enterprises - C corp - provider of ambulatory health care services. MEI insures an adequate supply of physicians in many medical specialities are available in this region. Part VI - States Where Community Benefit Report Filed MD Part VI - Additional Information Maryland Healthcare Regulatory SystemPart I, Lines 7a & 7b Columns (c) through (f) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate-setting process and all payors, including 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 directed offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. The exception to this is the impact on the hospital of its share of the Medicaid assessment. In recent years, the state of Maryland has closed fiscal gaps in the state Medicaid budget by assessing hospitals through the rate-setting system. true Meritus Healthcare Foundation 11116 Medical Campus Road Hagerstown MD 21742 010639265 501(c)(3) 70000 0 Support for quality healthcare 1 0 HSCRC Nursing Grant 13 263943 N/A N/A Grantmaker's Description of How Grants are Used The HSCRC grant provides money to employees of the Hospital who are enrolled in the Hagerstown Community College nursing program. The grant program pays for all of the student's tuition, books, and fees with an agreement that upon graduation the student will work for the Hospital as a registered nurse. The grant also provides monies for registered nurses who are working on their MSN in education. Each award recipient will be required to sign a Service Card Agreement with the Meritus Medical Center. The length of payback will be one year of service (equivalent to 2,080 hours of service) for each year of the grant you receive. The program is five semesters long and most recipients will owe 4,160 hours.The organization during the year made a grant to its supporting organization, Meritus Healthcare Foundation. X true true X X X X X true true false false false false false true false false Abdul Waheed MD Director 159692 159692 Amy Dilcher VP/General Council 258750 37124 93473 9359 2375 401081 Carolyn Simonsen VP/Secretary 263220 35439 23993 14309 11823 348784 Christine Lewis MD Physician 454418 26000 9264 15584 505266 Dale Bushey Former Officer 44608 29677 4861 4951 84097 David Solberg MD Former Director 242833 242833 Dawn Crumel Former Vice President 51858 2277 54135 Eileen Jaskuta Vice President 263925 50900 20806 14000 2047 351678 George Newman II PhD MD Director 314613 314613 Heather Lorenzo Vice President 315350 41475 41795 22568 421188 James Cremins MD Physician 454976 25188 191041 11700 22301 705206 Jason Dorst Former Vice President 122572 11934 134506 Jesus Cepero Vice President 267265 34833 26500 10155 338753 Joseph Ross President & CEO 580000 119701 54907 148500 24504 927612 Lee Shaver Vice President 184547 25934 23932 2411 236824 Marc Kross MD Former Director 474699 474699 Melinda Cannon Vice President 157471 21116 20457 14963 214007 Michael McCormack MD Physician 501405 1366 11700 21023 535494 Nelson Ferreira MD Physician 394696 21602 56342 11700 22270 506610 Shaheen Iqbal MD Director 242272 242272 Thomas Chan VP/Treasurer 308244 35500 37277 18996 400017 Thomas Gilbert MD Physician 456569 133239 29008 11700 23150 653666 Vincent Cantone MD Director 370127 37443 7729 24429 439728 Part I, Line 1a: Relevant information in regards to selections on 1a. All gross-up payments provided by MMC are solely related to relocation expenses and are approved in advance by the executive committee as part of the compensation analysis. The following individuals received reimbursement for relocation expenses during the reporting period: Amy Dilcher $92,933 and Eileen Jaskuta $18,484. Part I, Line 7: Non-Fixed payments not listed above Incentive based compensation is determined by agreed upon individual and corporate goals by the Executive Committee of the MMC Board. Part III, Additional Information Several officers are participants in a 457F plan that was approved by the Executive Committee of the MMC Board of Directors. For the current year, the following amounts were deferred by Meritus Medical Center and are not substantially vested: Joseph Ross $136,800, Thomas Chan $24,769, Jesus Cepero $21,638, Heather Lorenzo $25,496, Anthony Shaver $14,778 and Melinda Cannon $12,694. For the current year, $21,058 was paid and included in base compensation for Carolyn Simonsen.The following individuals received separation pay, which included base compensation and health benefits, during the reporting period: Jason Dorst $122,572 and Dawn Crumel $51,858.The salary & benefits that Dr. Waheed, Dr. Cantone, Dr. Cornell, and Dr. Su received were for their services as physicians. Dr. Newman serves as CMO of Western Maryland Center, a managed entity of MMC. Compensation provided to these individuals was for services provided in their capacity as officers/employees of MMC and affiliates, not in their capacities as directors.Certain Meritus executives receive taxable fringe benefits, such as executive life insurance and car allowances. The value of these taxable fringe benefits are included in Form W-2 wages. Please note total compensation of all executives are reviewed to insure reasonableness. A MD Hlth & Hig Ed Fac Aut 520936091 574218YA5 2015-07-09 272718190 Refund o/s bonds/cons projects false false false A 272725111 272056671 180518 20000000 2017 false true false true A false false true true true true 0.00008 0.00008 false false true A false true false false false true A true William Reuter Director 24559 See supp info below false Waheed AlencherryIqbalPA Director 159692 See supp info below false Shaheen Iqbal MD Director 82580 See supp info below false David Solberg MD Former director 242833 See supp info below false Schedule L, Part V Supplemental Information William Reuter's family member is an employee of MMC. Drs. Iqbal and Waheed are paid under a compensation arrangement MMC has with their medical practice. Shaheen Iqbal MD is paid under a compensation arrangement with MMC to provide on-call coverage. David Solberg MD is paid as part of a rental transaction between MMC and a partnership he has ownership in. These are all arms' length transactions disclosed in accordance with the conflict of interest policy. All interested persons have recused themselves from any decision-making surrounding the disclosure. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body MMC nominates candidates for their board through the board designated Governance Committee. Final election occurs through the MMC Board. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Along with the election of governing members to the board, the MMC Board also needs to review and approve the following before becoming effective and before the action is implemented: 1. Any merger, consolidation or dissolution of the corporation. 2. Annual Business Plan. 3. Annual Budget. 4. Contractual obligations that meet any one of the folowing criteria: a. Outside the scope of the Corporation's annual business plan. b. Require approval by external health and/or financial regulatory agency. c. Having the potential of adversely impacting the operation of any subsidiary of the Member. 5. Any joint venture between the corporation and another person or entity that meets with any one of the following criteria: a. Extends beyond the scope of the annual business plan of the Corporation. b. Requires external approval by external health and/or financial regulatory agency. c. Has the potential of adversely impacting the operation of any subsidiary of the Member. 6. Sales or transfers of all or substantially all of the assets of the Corporation or sales or transfers of assets that meet with any one of the following criteria: a. Fall outside the scope of the Corporation's annual business plan. b. Require approval by external health and/or financial regulatory agency. c. Has the potential of adversely impacting the operations of any subsidiary of the Member. 7. Formation of a subsidiary. 8. Adoption and amendment of the mission and vision statements. Form 990, Part VI, Line 11b: Form 990 Review Process The Form 990 was prepared by the Finance department and reviewed by an independent accounting firm. A copy of the Form 990 was provided to the Audit and Business Integrity Committee of the Board. Acting under the authority of the Board, the Committee reviewed the Form 990 prior to the submission of the Form 990 to the Internal Revenue Service. In addition, the Form 990 will be provided to all Boards before it is filed with the Internal Revenue Service. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts An annual disclosure of interest is required for all officers, directors or trustees, and key employees. These disclosures are then reviewed against the accounts payable system to determine the amount, if any, of transactions that have occurred. All disclosures and transactions are reviewed by the Audit & Business Integrity Committee. After this review, a copy of the disclosures, by Board or Committee, listing the type of involvement/transactions the entity has with the named disclosure, if any, are provided to the chair of the Board or Committee. Any director with a determined conflict is prohibited from participating in the Board's decisions and decisions with regards to that transaction. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Executive Committee of the MMC Board, which is comprised of independent board members, reviews on an annual basis the following as it relates to the compensation of the CEO and other key executives: 1) annual performance evaluations of the CEO and executives; 2) organizational and individual performance in achievement of strategic and individual incentive goals; and 3) market data presented by an independent third party compensation consultant; and 4) base salary and incentive recommendations. The independent third party consultant conducts and presents a reasonableness review of both base salary and total compensation for the CEO and key executives. The Committee discusses, deliberates and approves base salary and incentive compensation recommendations. Results are reported to the MMC Board.Positions reviewed in August of 2016 were: President and Chief Executive Officer, Chief Financial Officer, Chief Administrative & Compliance Officer, Chief Operating & Nursing Officer, Chief Medical Officer, Chief Quality Officer, General Counsel, VP Professional & Support Services and VP Physician Services. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, conflict of interest policy, and financial statements are available upon request. In addition, the annual audited financial statements are available on the organization's website. Other Changes In Net Assets Or Fund Balances - Other Decreases Change in partnership interest = -$957868 Other Changes In Net Assets Or Fund Balances - Other Decreases Net assets of acquired company = -$52806799 Other Changes In Net Assets Or Fund Balances - Other Decreases Net assets released from restriction = -$0 Part I, Line 6 - Volunteers Meritus Medical Center receives volunteers that are recruited by the Meritus Medical Center Auxiliary, Inc. ("Auxiliary"). The mission of the Auxiliary is to cooperate and assist in the work of the medical center by promoting the medical center's work in the community and supplementing the work of the staff of the medical center. Part VI, Line 16a Meritus Medical Center holds a 25% equity interest in Maryland Care, Inc. Maryland Care, Inc. d/b/a Maryland Physicians Care is a managed care organization ("MCO") that was established to serve Maryland's Medicaid population as a result of the State's requirement for Medicaid patients to be a member of an MCO.Meritus Medical Center holds a 50% equity interest in Tri-State Health Partners ("THP"). THP is an innovative physician-hospital organization ("PHO") established to organize, assemble and facilitate the provision of cost effective health care services. The partnership consists of more than 200 local physicians and the Hospital. THP is involved in the medical management of more than 6,000 covered lives through regional self-insured businesses. MMC holds a 1% interest in the THP-Meritus ACO, LLC("ACO"). The ACO is a group of doctors, MMC and other health care providers who came together to give coordinated high quality care to their Medicare patients. The goal of the coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unneccessary duplication of services and preventing medical errors.In 2014, Frederick Regional Health System, Meritus Health, and Western Maryland Health System, three locally based non-profit health systems with long histories of community service, formed a system-wide affiliation to create the Trivergent Health Alliance, LLC. The three key objectives of the Alliance are to improve the health of the population served by the three hospitals, improve the quality of care rendered by the hospitals and to reduce the cost of healthcare provided as embodied in the Management Services Organization (MSO).A subsidiary, Trivergent Health Alliance MSO, LLC, was created to oversee seven key service lines for the three hospitals: supply chain, revenue cycle, laboratory, pharmacy, information systems, health information managment and human resources. Trivergent Health Alliance MSO has a single mission, vision and values that builds on the legacies of all three organizations and points us to the future where we will work together to care for the patients in Marylands western region.As with all new corporations, the initial action is to identify a purpose. Together, the mission, vision and values were formed.MissionThe provision of unprecedented savings through the power of collaboration to support achievement of exemplary clinical outcomes.VisionAchievement of per capita savings in healthcare delivery through innovation and value driven service.Values Quality Stewardshipefficient, effective service Respect Integrity Collaboration and TeamworkTrivergent MSO is dedicated to the development, delivery and sustainability of effective quality and safety improvement products and services designed to provide organizational improvement and increase efficiencies. Part VI, Line 16b As defined by the Meritus Medical Center bylaws which state the process for joint venture activity, a joint venture arrangement with a taxable entity would first be evaluated by the the Meritus Medical Center Board. After presentation and approval by the board, the Finance & Capital Committee of Meritus Medical Center, Inc. would evaluate the financial implications of the joint venture. The Audit & Business Integrity Committee of the Meritus Medical Center, Inc. Board would analyze any possible interested party transactions and the limitations and prohibitions associated with the section 501(c)(3) status of the medical center. The Meritus Medical Center, Inc. Board would ultimately need to approve any joint venture resolutions. Part VII, Section A The salary & benefits that Dr. Waheed, Dr. Cantone, Dr. Cornell, and Dr.Su received were for their services as physicians. Dr. Newman serves as CMO of Western Maryland Center. Compensation provided to these individuals was for services provided in their capacity as officers/employees of MMC and affiliates, not in their capacities as directors.The average hours per week listed for all of the officers and directors includes, but is not limited to ,their time spent preparing for and attending board committee meetings, fundraising and attendance at community functions on behalf of MMC. Part XII, Line 2b Meritus Medical Center received consolidated audited financial statements prepared in accordance with GAAP from an independent accounting firm. Meritus Holdings LLC 11116 Medical Campus Road Hagerstown MD 21742 452382196 Health services MD -263900 4540612 MMC Meritus Urgent Care LLC 11116 Medical Campus Road Hagerstown MD 21742 711050982 Health services MD -373803 6969011 MMC Meritus Medical Lab LLC 11116 Medical Campus Road Hagerstown MD 21742 800728035 Health services MD 5014418 5620356 MMC Health Work LLC 11116 Medical Campus Road Hagerstown MD 21742 342014438 Health services MD 17086 831457 MMC Medical Practices of Antietam LLC 11116 Medical Campus Road Hagerstown MD 21742 522315129 Health services MD -7251995 -4841467 MMC Downtown Urgent Care LLC 11116 Medical Campus Road Hagerstown MD 21742 273483086 Health services MD -455 329631 MMC Meritus Healthcare Foundation Inc 11116 Medical Campus Road Hagerstown MD 21742 010639265 Fundraising MD 501(c)(3) 11c MMC true Robinwood Surgery Center LLC 11116 Medical Campus Road Hagerstown MD 21742 521770185 Health services MD N/A related 27454 49267 false false 1.00000 Meritus Health ACO LLC 11116 Medical Campus Road Hagerstown MD 21742 812639390 Health services MD N/A related false false 1.00000 Meritus Enterprises Inc 11116 Medical Campus Road Hagerstown MD 21742 521393624 Health serv MD MMC C corp -266334 37879466 1.00000 true Meritus Insurance Company Ltd PO Box 1109GT Grand Cayman CJ 980162257 Captive insurance CJ MMC 15692895 1.00000 true false false true false false false false false false false false false false false false false false false false Meritus Healthcare Foundation Inc c 303222 Cost Trivergent Health Alliance LLC 1800 Dual Highway Suite 304 Hagerstown MD 21740 465555337 Management Services MD related true 133322 3221065 false false 0.33330