FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201731359349310443
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 C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T15:47:02-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 NORTH FRANKLIN STREET STE 2400	AddressLine1Txt
City	TAMPA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33602	ZIPCd

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591612	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Frederick Memorial Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MICHELLE K MAHAN	InCareOfNm
Business Name Control	FRED	BusinessNameControlTxt
Phone	2405663000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELLE K MAHAN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2405663350	PhoneNum
Signature	2017-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MELANIE A MCPEAK	PreparerPersonNm
PTIN	P01346034	PTIN
Phone	8132254800	PhoneNum

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	THOMAS KLEINHANZL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$399,270,076	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FMH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1897	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	2297	TotalEmployeeCnt
Total Volunteers	676	TotalVolunteersCnt
Total Gross UBI	$9,186	TotalGrossUBIAmt
PY Contributions Grants	$4,529,757	PYContributionsGrantsAmt
CY Contributions Grants	$5,988,839	CYContributionsGrantsAmt
PY Program Service Revenue	$330,710,595	PYProgramServiceRevenueAmt
CY Program Service Revenue	$345,251,128	CYProgramServiceRevenueAmt
PY Investment Income	$7,037,579	PYInvestmentIncomeAmt
CY Investment Income	$4,509,473	CYInvestmentIncomeAmt
PY Other Revenue	-$484,627	PYOtherRevenueAmt
CY Other Revenue	-$677,315	CYOtherRevenueAmt
PY Total Revenue	$341,793,304	PYTotalRevenueAmt
CY Total Revenue	$355,072,125	CYTotalRevenueAmt
PY Grants And Similar Paid	$100,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$50,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$134,637,638	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$135,290,435	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$48,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$72,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$648,753	CYTotalFundraisingExpenseAmt
PY Other Expenses	$188,814,109	PYOtherExpensesAmt
CY Other Expenses	$195,281,102	CYOtherExpensesAmt
PY Total Expenses	$323,599,747	PYTotalExpensesAmt
CY Total Expenses	$330,693,537	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,193,557	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$24,378,588	CYRevenuesLessExpensesAmt
Total Assets BOY	$468,398,859	TotalAssetsBOYAmt
Total Assets EOY	$496,222,959	TotalAssetsEOYAmt
Total Liabilities BOY	$254,689,875	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$271,801,049	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$213,708,984	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$224,421,910	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF FREDERICK MEMORIAL HOSPITAL, INC. IS TO CONTRIBUTE TO, THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY, HEALTH CARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER, THROUGH A COORDINATED PROGRAM OF PREVENTION, DIAGNOSIS AND TREATMENT, REHABILITATION, AND SUPPORT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$35,668,175	ExpenseAmt
Grant	$50,000	GrantAmt
Revenue	$50,702,236	RevenueAmt
Desc	INPATIENT SERVICES IN FY2016, FREDERICK MEMORIAL HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 23,193 INPATIENTS AND OBSERVATION PATIENTS. MAJOR MEDICAL AND SURGICAL SERVICES INCLUDE CARDIOLOGY, CONGESTIVE HEART FAILURE, POST-CARDIAC CATHETERIZATION, CENTER FOR CHEST PAIN, HEMODIALYSIS, PERITONEAL DIALYSIS, NEUROLOGY, NEUROSURGERY, PULMONOLOGY, ONCOLOGY, ORTHOPEDICS, GENERAL MEDICINE AND SURGICAL CARE. INPATIENT CARE IS SUPPORTED BY A TEAM OF BOARD-CERTIFIED PHYSICIAN HOSPITALISTS. IN ADDITION, FMH IS DESIGNATED AS A PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS (MIEMSS) AND IS RECOGNIZED WITH THE STROKE CENTER GOLD PERFORMANCE AWARD BY THE AMERICAN HEART ASSOCIATION. OUR BARIATRIC SURGICAL PROGRAM IS ACCREDITED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AS A BARIATRIC SURGERY CENTER OF EXCELLENCE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FMH INCURRED $44.1 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$33,774,907	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$59,973,314	RevenueAmt
Desc	PERIOPERATIVE SERVICES FREDERICK MEMORIAL HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 11,590 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2016. PROCEDURES WERE PERFORMED IN OUR STATE OF THE ART FACILITY WHICH INCLUDES A DEDICATED IMAGING ROOM FOR VASCULAR AND OTHER PROCEDURES. WE HAVE PARTICIPATED IN THE SCIP QUALITY IMPROVEMENT PROJECT FOR CONTINUAL IMPROVEMENTS IN CARE FOLLOWING EVIDENCE BASED MEDICINE. WE TRACKED OUR PATIENT SATISFACTION THROUGH PRESS GANEY TO BENCHMARK OUR RESULTS TO THE NATIONAL DATA BASE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FMH INCURRED $44.1 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$26,134,216	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$39,302,421	RevenueAmt
Desc	ONCOLOGY FMH'S ONCOLOGY PROGRAM PROVIDES INTEGRATED, MULTIDISCIPLINARY, PATIENT CENTERED CANCER CARE FOR PATIENTS WITH MALIGNANCIES, REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDE MEDICAL ONCOLOGY CONSULTATIONS, CHEMOTHERAPY, RADIATION ONCOLOGY CONSULTATIONS ANDTREATMENT AND SURGICAL ONCOLOGY CONSULTATIONS AND TREATMENT. WE OFFER COORDINATED MULTIDISCIPLINARY CLINICS FOR PATIENTS WITH CANCERS OF THE LUNG, BREAST AND PROSTATE. INTEGRATED PALLIATIVE CARE AND HOSPICE SERVICES, BOTH INPATIENT AND OUTPATIENT ARE AVAILABLE FOR PATIENTS WITH ADVANCED MALIGNANCIES. SUPPORT SERVICES INCLUDE NUTRITION, PATIENT NAVIGATION AND SOCIAL WORK, AS WELL AS OTHER FORMS OF PSYCHOSOCIAL SUPPORT. FOR THOSE WITH ADDITIONAL FINANCIAL NEED, FINANCIAL COUNSELORS AND A PATIENT ASSISTANCE FUND IS AVAILABLE. THE PROGRAM TREATS APPROXIMATELY 800 NEWLY DIAGNOSED CANCERS PER YEAR AND ALSO HAS A COMMUNITY OUTREACH PROGRAM THAT INCLUDES EDUCATION AND SCREENING. THE PROGRAM IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FMH INCURRED $44.1 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$190,308,267	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$196,598,723	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$285,885,565	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	391	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2297	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHELLE K MAHAN	PersonNm
Phone	2405663350	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21719	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
J Frederick Manning
SECRETARY/TREASURER	4.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
P Gregory Rausch MD
Chair, FMH Development Council	4.0	0.0	Yes (X)		$0	$0	$0
E James Reinsch
Chairman	4.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Anne Herbert Rollins
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Neil Waravdekar MD
DIRECTOR (END 09/30/15)	2.0	0.0	Yes (X)		$27,248	$2,594	$0
Rev Roger W Wilmer Jr
Director	2.0	0.0	Yes (X)		$0	$0	$0
Gerald Winnan MD
VICE CHAIRMAN	2.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
Shawn Wolf
Director	2.0	0.0	Yes (X)		$0	$0	$0
Ravi Yalamanchili
DIRECTOR	2.0	0.0	Yes (X)		$88,431	$0	$0
Cornelius Fay
Director	2.0	0.0	Yes (X)		$0	$0	$0
Terrence McPherson
Director	2.0	0.0	Yes (X)		$0	$0	$0
Laura Melia
Director	2.0	0.0	Yes (X)		$0	$0	$0
Thomas A Kleinhanzl
President and CEO	30.0	10.0	Yes (X)	Yes (X)	$880,200	$0	$220,432
R CARL BENNA
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
ALLEN D MAWDSLEY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
ELLEN NOLAND
DIRECTOR - END 7/1/16	2.0	0.0	Yes (X)		$0	$0	$0
ELIZABETH PAKENAS
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
Gregory P Dormitzer
Director	2.0	20.0	Yes (X)		$0	$0	$0
Theodore Luck
Director	2.0	0.0	Yes (X)		$0	$0	$0
HONORABLE STEPHEN JOHNSON
DIRECTOR - START 10/01/15	2.0	0.0	Yes (X)		$0	$0	$0
THOMAS MUNRO MD
VC OF STAFF - START 10/1/15	5.0	0.0	Yes (X)		$10,999	$0	$0
BERNARD GOUIN
DIRECTOR - END 9/30/15	2.0	2.0	Yes (X)		$0	$0	$0
GERRIT SCHIPPER MD
CHIEF OF STAFF	10.0	0.0	Yes (X)		$51,996	$0	$0
Michelle K Mahan
Sr VP and CFO	40.0	10.0		Yes (X)	$497,160	$0	$48,510
John R Verbus
Sr VP and COO	40.0	10.0		Yes (X)	$547,655	$0	$32,679
Manuel A Casiano
VP Medical Staff	40.0	0.0			$651,761	$0	$58,382	Yes (X)
Cheryl L Cioffi
VP Chief Nursing Officer	40.0	0.0			$278,683	$0	$54,275	Yes (X)
Kenneth R Coffey II
VP Chief Development Officer	40.0	0.0			$203,810	$0	$22,045	Yes (X)
Hannah R Jacobs
VP Finance	40.0	0.0			$204,331	$0	$12,866	Yes (X)
Rachel I Mandel
AVP Medical Affairs	40.0	0.0			$197,615	$0	$11,898	Yes (X)
Craig F Rosendale
VP Ancillary Services	40.0	0.0			$207,312	$0	$26,083	Yes (X)
Donald R Schilling
VP Ambulatory Services	40.0	0.0			$215,683	$0	$18,513	Yes (X)
Jennifer G Teeter
AVP Payor Contracting	20.0	20.0			$196,487	$0	$25,660	Yes (X)
Jim R Williams
VP Business Development	40.0	0.0			$240,228	$0	$28,134	Yes (X)
HEATHER R KIRBY
AVP-CARE MGMT	40.0	0.0			$160,808	$0	$20,109	Yes (X)
Mark S Soberman
Physician	40.0	0.0			$439,112	$0	$27,516		Yes (X)
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST	40.0	0.0			$193,471	$0	$27,417		Yes (X)
JAMES BLAKE TRUMBLE
MEDICAL DIRECTOR	40.0	0.0			$236,989	$0	$28,542		Yes (X)
LILA J BEAULIEU
DIRECTOR-SURGICAL SVCS	40.0	0.0			$149,872	$0	$10,595		Yes (X)
JENNIFER D HULVEY
DIRECTOR-REVENUE COMPLIANCE	40.0	0.0			$150,260	$0	$19,171		Yes (X)
TERRY P O'MALLEY-LEFT 1215
VP HUMAN RESOURCES	0.0	0.0			$224,741	$0	$19,446			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,054,852	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,594	TotReportableCompRltdOrgAmt
Total Other Compensation	$712,273	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	91	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TXTEAM REHAB INC
4625 E STOP 11 ROAD	INDIANAPOLIS	IN	46237	REHAB SERVICES	$6,644,922
SOUND PHYSICIANS
PO BOX 742936	LOS ANGELES	CA	90074	PHYSICIAN SERVICES	$3,160,133
ALLIANCE RADIOSURGERY LLC
PO BOX 6600	NEWPORT BEACH	CA	92568	ONCOLOGY SERVICES	$2,884,501
QUEST DIAGNOSTICS
PO BOX 740709	ATLANTA	GA	30374	LABORATORY SERVICES	$1,543,141
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289	ATLANTA	GA	30368	MANAGEMENT SERVICES	$2,920,481

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	52	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
All Other Contributions	$5,988,839	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$5,988,839	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
INPATIENT REVENUE	624110	$170,396,903	$170,396,903	$0	$0
OUTPATIENT REVENUE	621410	$171,358,807	$171,358,807	$0	$0
GROUP PURCHASING PREMIER	525990	$204,765	$195,579	$9,186	$0
All other program service revenue	900099	$3,290,653	$3,290,653	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$345,251,128	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,143,473	TotalRevenueColumnAmt
Exclusion	$3,143,473	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	$264,322	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$264,322	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$264,322	TotalRevenueColumnAmt
Exclusion	$264,322	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$45,535,625	SecuritiesAmt
Other	$28,326	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$44,161,290	SecuritiesAmt
Other	$36,661	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,374,335	SecuritiesAmt
Other	-$8,335	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,366,000	TotalRevenueColumnAmt
Exclusion	$1,366,000	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	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722511	$1,118,689	$1,118,689	$0	$0
MT. AIRY, LLC. MGMT. FEE	541610	$206,877	$206,877	$0	$0
LOSSES INTEREST RATE SWAP	900099	-$2,267,203	$0	$0	-$2,267,203

Field	Value	IRS element (for citing)
Other Revenue Total	-$941,637	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$355,072,125	TotalRevenueColumnAmt
Related Or Exempt Func Income	$346,567,508	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,186	UnrelatedBusinessRevenueAmt
Exclusion	$2,506,592	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$50,000	TotalAmt
Program Services	$50,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,254,098	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,254,098	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$100,120,268	TotalAmt
Program Services	$95,660,369	ProgramServicesAmt
Management And General	$4,319,700	ManagementAndGeneralAmt
Fundraising	$140,199	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

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

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,764,800	TotalAmt
Program Services	$7,956,812	ProgramServicesAmt
Management And General	$796,327	ManagementAndGeneralAmt
Fundraising	$11,661	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,587,360	TotalAmt
Program Services	$13,241,437	ProgramServicesAmt
Management And General	$316,606	ManagementAndGeneralAmt
Fundraising	$29,317	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,563,909	TotalAmt
Program Services	$7,044,440	ProgramServicesAmt
Management And General	$509,399	ManagementAndGeneralAmt
Fundraising	$10,070	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$15,714,613	TotalAmt
Program Services	$13,426,947	ProgramServicesAmt
Management And General	$2,287,666	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$784,183	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$784,183	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$427,459	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$427,459	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$19,067	TotalAmt
Management And General	$19,067	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$72,000	TotalAmt
Fundraising	$72,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$366,548	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$366,548	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$69,616,404	TotalAmt
Program Services	$52,382,384	ProgramServicesAmt
Management And General	$17,115,701	ManagementAndGeneralAmt
Fundraising	$118,319	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,278,377	TotalAmt
Program Services	$12,512	ProgramServicesAmt
Management And General	$1,065,607	ManagementAndGeneralAmt
Fundraising	$200,258	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,006,909	TotalAmt
Program Services	$5,595,068	ProgramServicesAmt
Management And General	$375,146	ManagementAndGeneralAmt
Fundraising	$36,695	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,300,202	TotalAmt
Program Services	$4,300,202	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,942,714	TotalAmt
Program Services	$3,119,183	ProgramServicesAmt
Management And General	$823,531	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$131,505	TotalAmt
Program Services	$89,834	ProgramServicesAmt
Management And General	$41,096	ManagementAndGeneralAmt
Fundraising	$575	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$181,603	TotalAmt
Program Services	$124,057	ProgramServicesAmt
Management And General	$56,752	ManagementAndGeneralAmt
Fundraising	$794	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,494,646	TotalAmt
Program Services	$4,211,484	ProgramServicesAmt
Management And General	$274,173	ManagementAndGeneralAmt
Fundraising	$8,989	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,896,659	TotalAmt
Program Services	$15,855,870	ProgramServicesAmt
Management And General	$7,027,463	ManagementAndGeneralAmt
Fundraising	$13,326	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,889,129	TotalAmt
Program Services	$14,306	ProgramServicesAmt
Management And General	$1,874,823	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	SUPPLIES & COGS	Desc
Total	$63,231,084	TotalAmt
Program Services	$62,800,660	ProgramServicesAmt
Management And General	$423,874	ManagementAndGeneralAmt
Fundraising	$6,550	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$330,693,537	TotalAmt
Program Services	$285,885,565	ProgramServicesAmt
Management And General	$44,159,219	ManagementAndGeneralAmt
Fundraising	$648,753	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,923,467	BOYAmt
EOY	$30,945,038	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,573,065	BOYAmt
EOY	$6,416,992	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,079,421	BOYAmt
EOY	$45,933,758	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	$6,006,311	BOYAmt
EOY	$6,054,643	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,290,779	BOYAmt
EOY	$3,109,905	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$484,151,726	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$275,872,098	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$196,220,517	BOYAmt
EOY	$208,279,628	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$128,157,562	BOYAmt
EOY	$126,716,003	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	$51,139,776	BOYAmt
EOY	$57,794,224	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	$8,007,961	BOYAmt
EOY	$10,972,768	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$468,398,859	BOYAmt
EOY	$496,222,959	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,615,091	BOYAmt
EOY	$47,691,282	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	$164,229,787	BOYAmt
EOY	$162,305,192	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,844,997	BOYAmt
EOY	$61,804,575	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$254,689,875	BOYAmt
EOY	$271,801,049	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$203,281,498	BOYAmt
EOY	$211,148,698	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,451,309	BOYAmt
EOY	$12,297,035	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$976,177	BOYAmt
EOY	$976,177	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$213,708,984	BOYAmt
EOY	$224,421,910	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$468,398,859	BOYAmt
EOY	$496,222,959	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$24,378,588	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,070,982	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$7,594,680	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$19,067	OtherActivitiesAmt
Total Lobbying Expenditures	$19,067	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION and MARYLAND HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$976,177	BeginningYearBalanceAmt
End Year Balance	$976,177	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$217,870,745	OtherCostOrOtherBasisAmt
Depreciation	$85,410,059	DepreciationAmt
Book Value	$132,460,686	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,734,584	OtherCostOrOtherBasisAmt
Depreciation	$11,361,383	DepreciationAmt
Book Value	$12,373,201	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$221,659,459	OtherCostOrOtherBasisAmt
Depreciation	$179,100,656	DepreciationAmt
Book Value	$42,558,803	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,993,164	OtherCostOrOtherBasisAmt
Book Value	$16,993,164	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$208,279,628	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ASSETS LIMITED AS TO USE	$4,114,473	F
INVESTMENTS IN SUBSIDIARIES	$21,530,988	F
INTERCOMPANY RECEIVABLES	$32,148,763	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$57,794,224	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ADVANCES FROM THIRD PARTIES	$8,981,703
INTEREST RATE SWAP CONTRACT	$14,057,969
PENSION LIABILITY	$24,886,355
MALPRACTICE INSURANCE LIABILITY	$2,690,000
CAPITAL LEASE OBLIGATIONS	$3,871,264
OTHER LIABILITIES	$5,985,026
INTER COMPANY LIABILITIES	$1,332,258

Field	Value	IRS element (for citing)
Total Liability	$61,804,575	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	INTENDED USE OF ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	1	Investments	$13,806,517
Central America and the Caribbean	1	Program services	$2,880,630	self insurance

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Total Office	2	TotalOfficeCnt
Subtotal Spent	$16,687,147	SubtotalSpentAmt
Total Spent	$16,687,147	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 G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	PRIDE PHILANTHROPY	PersonNm
Activity	DEV CNSL SRVCS	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$72,000	RetainedByContractorAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$72,000	TotalRetainedByContractorsAmt
Licensed States	MD	LicensedStatesCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,659,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,659,184	NetCommunityBenefitExpnsAmt
Total Expense	0.02620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,411,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,580,632	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$169,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,070,231	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,580,632	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,489,599	NetCommunityBenefitExpnsAmt
Total Expense	0.02570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,962,896	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$366,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,596,191	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,507,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$819,306	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,687,744	NetCommunityBenefitExpnsAmt
Total Expense	0.04440	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,532,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,186,011	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,346,438	NetCommunityBenefitExpnsAmt
Total Expense	0.05550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,602,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,766,643	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,836,037	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,363,154	BadDebtExpenseAmt
Bad Debt Expense Attributable	$252,237	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$127,947,518	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$116,502,479	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,445,039	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 W 7TH STREET	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21701	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.FMH.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Frederick Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INPUT FROM COMMUNITY REPRESENTATIVES	SCHEDULE H, PART V, SECTION B, LINE 5 Health Improvement Plan workgroups, and areas that routinely capture and report annual data. Topics of interest were also identified In order to provide a community-wide health assessment and reduce participation fatigue in our community, agencies that had conducted community needs or health assessments were surveyed by the Frederick County Health Department in January 2015 to determine the interest in conducting a joint assessment. The required timing of many agencies assessments created a challenge for such a venture. This included various sectors of the community: United Way, Religious Coalition for Emergency Human Needs, City of Frederick Community Action Agency, Mission of Mercy, Frederick Memorial Hospital, Department of Aging, and Local Management Board. While interest was expressed by many agencies, the final determination was that the next community assessment would be a collaboration primarily between the Frederick County Health Department and Frederick Memorial Hospital. These agencies agreed to conduct the data gathering and analysis and to query the other organizations about potential topics and survey questions to include. Data included in the community health assessment reflect areas of interest in the report year, datasets being used by the Local during the public comment of the draft, and added to the document.
SCHEDULE H, PART V, SECTION B, LINE 6B	The Frederick County Health Department, The Maryland Hospital Association, Johns Hopkins Health Care, the American Cancer Society, Health Services Cost Review Commission, Frederick City Government, United Way of Frederick County, Community Foundation of Frederick County, the Department of Health and Mental Hygiene, Community Action Council, the Religious Coalition of Frederick County, the Diversity Leadership Institute, Inc., the Family Services Foundation, Community Living Inc. of Frederick County, Care Net of Frederick, Mission of Mercy and Frederick Memorial Hospital. SCHEDULE H, PART V, SECTION B, LINE 7A http://www.fmh.org/documents/PDFs/56183-Community-Health_Rev-829.pdf SCHEDULE H, PART V, SECTION B, LINE 10A https://www.fmh.org/documents/FMH-Community-Needs-Assessment-Implementatio n-Strategy-2016.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	In 2016 FMH conducted a Community Health Needs Assessment (CHNA) in partnership with the Frederick County Health Department to better understand the specific health needs of the community. In addition to the CHNA, FMH is required, in accordance with section 501(c)(3) of the Internal Revenue Code, to develop an Implementation Strategy that addresses the key findings brought forward in the assessment. Strategic Priorities: The themes throughout the CHNA presented themselves as three strategic priorities: 1) Access to Care 2) Health Care Navigation 3) Community Outreach and Health Literacy. All of the CHNA topic area and key findings below fall into one if not all of the strategic priorities listed. Frederick County Priority Setting Summit: On September 13, 2016 the Frederick County Health Department, with support from FMH, hosted more than 100 healthcare providers, administrators, non-profit leaders, health officials, government agency representatives and community members of Frederick County to review the findings of the CHNA. Although we agree that all health needs are important, the goal of the summit was to prioritize the areas of focus for the community at large. The general consensus for community collaboration was to focus on addressing the social determinants of health, which ultimately impact the prevalence and severity of mental health, substance abuse, and chronic disease. The top three priorities which received the most votes are: - Behavioral Health - Elderly Support - Adverse Childhood Experiences FMH will support a subset of those priorities as outlined in the Implementation Strategy Summary grid. The Frederick County Health Department and other community partners are actively working on their specific subsets. FMH will continue to actively support and participate in the county level work groups. The implementation strategy is intended to be a fluid document that continues to evolve as these findings are further interpreted and understood. Dental Care: Improve access to adult dental care, in the right place, right setting, right time. Mental Health: Improve identification and treatment of mental health. Substance Abuse/Addiction: Improve identification and treatment of substance abuse. Chronic disease management, Heart Disease and Stroke: Increase outreach, education and navigation to vulnerable communities. Chronic disease management, Lung Disease (COPD/Pediatric Asthma): Increase outreach education and navigation to vulnerable communities. Chronic disease management, Diabetes: Increase outreach education and navigation to vulnerable communities. Chronic disease management, Cancer: Increase outreach education and navigation to vulnerable communities. FMH COMMUNITY BENEFITS COMMITTEE The community benefits committee is comprised of key leaders and front line providers that review requests for FMH participation in community events, outreach and sponsorship. This committee will use the 2016 CHNA implementation strategy to guide them in decision making to allocate resources that align with the identified health needs of Frederick County. These initiatives include participation in local health fairs and events where we provide screenings, education and navigation to resources in the community and follow up information. For example in 2016 FMH is once again a key partner with the Asian American Center of Frederick at its annual Health Fair. FMH will offer 500 flu vaccine, 300 cholesterol and glucose screenings and bone density screening. Health Care Navigation, Health Literacy, Community Outreach. In addition to the implementation strategy summary, further narrative explanation of response to community needs is included below. Many of these programs were developed to address health disparities and to help us reach vulnerable populations. BRIDGES LAY HEALTH EDUCATOR PROGRAM FMH established Bridges and the Lay Health Educator (LHE} Program in response to feedback obtained during the 2012 Community Health Needs Assessment indicating that more FMH sponsored programs and seminars needed to be conducted in the community. The assessment showed that the multicultural community wanted and needed to be engaged to improve health and the overall quality of life. This focused new efforts to connect networks and build partnerships to close the gap on health disparities, decrease the incidence of chronic disease and preventable illness, and build a healthier Frederick. The LHE Program is designed to prepare volunteers from multicultural communities to start or energize health programs in the places that they live, work, worship and gather. Instructors are drawn from the hospital's physicians, other professional staff, nursing educators, advocacy groups and community physicians. To date, Bridges has prepared 42 people from 24 different faith based and community service organizations who represent more than 12 countries and languages. Some of the faith and culturally based organizations serve isolated and vulnerable senior populations, while others have health ministry members who perform outreach to local low income communities. One significant outcome is that people are reaching across racial, religious, and ethnic lines to build new bridges toward better health. Perhaps more significantly, they are now being integrated into other hospital programs that benefit from consumer involvement so that their diverse perspectives can be called upon in building the future of healthcare. Health Care Navigation & Literacy, Community Outreach Community Behavioral Health Case Management: The Community Behavioral Health Case Manager provides intensive community based services to individuals who have recently been hospitalized due to a mental health or substance use related crisis. FMH also contracts services from Potomac Case Management Inc. to provide similar services to the community as the volume of the need exceeds our available resources. Both the community behavioral health case manager and Potomac Case Management work to engage individuals in the community to coordinate services and remove barriers as they relate to: access to follow-up care and treatment, medications, transportation, health insurance, employment, and overall health and wellness. Access to Care, Health Care Navigation, Health Literacy Community Health Worker Program: The Community Health Worker is a front line public health worker. Their understanding of unique communities as it relates to culture, language, socio-economic status, and overall challenges the community faces around social determinates result in higher levels of trust and engagement. The Community Health Worker serves as a liaison between individuals/communities and the health and social services systems. They are navigators, advocates, educators, resource gathers, and promoters of improved self-management and independence. The Community Health Worker Program at FMH will focus on uninsured or underserved individuals as well as those with chronic conditions, including heart failure, COPD, Diabetes, and Asthma, while also working to strengthen the health and wellness of vulnerable communities across Frederick County. Access to Care, Health Care Navigation, Health Literacy, Chronic Disease CARE Clinic and Care Transitions Program: The CARE Clinic and Care Transitions Program provide comprehensive, multidisciplinary services to individuals with chronic conditions and with limited or no access to necessary healthcare services. Services provided include: health literacy education, medication management, self-management techniques/skills, care coordination and navigation as well as advocacy and navigation to remove financial barriers to care and social determinates of health. The CARE Clinic is a stable clinic setting within the hospital, while the Care Transitions team provides the same comprehensive service in a mobile environment, in homes, community centers, or in physician practices. The design of the program was created with flexibility in mind, allowing the team to engage individuals in the most appropriate setting. Lung Cancer Among African American Males in Frederick County: Research has shown that African Americans are more likely to die from lung cancer than people of any other race or ethnicity, although they are not more likely to smoke. African Americans are disproportionately affected by lung cancer. The percentage of African-American men diagnosed with lung cancer each year is at least 30% higher than among white men, even though they have similar rates of smoking as white men. In Frederick County, the incidence of lung cancer in African Americans is 66.7 per 100,000. The death rate from lung cancer is 52.8 compared to the Maryland rate of 49.0. Cancer mortality for African Americans in Frederick County increased 60% from 2008 to 2011, and was up 19% from 2010 to 2011. FMH is going to focus on this vulnerable population by educating African American males about lung cancer and the lung cancer screening p
SCHEDULE H, PART V, SECTION B, LINE 13H	STATE REGULATIONS SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, and 16c http://www.fmh.org/About/Billing/Financial-Assistance.aspx Description of Financial Assistance Policy FMH reviews the Financial Assistance Policy (FAP) and the communication methodology we employ on a regular basis to make sure our patients have easy access to this information in a variety of formats and that it is culturally and linguistically sensitive. We review the FAP to make sure the reading comprehension level is appropriate for our audience and we provide English and Spanish versions to meet the needs of our CBSA. We have services available to provide any other languages when needed. The FAP is shown on our website (http://www.fmh.org/About/Billing/Financial-Assistance.aspx) and is offered to patients as part of the intake process at time of registration in the hospital and in the emergency department. Our billing statements reference our Financial Assistance Policy and include the URL for the online version. The billing statements are being updated during FY 17 to include detailed explanation of the FAP. FMH provides assistance to our patients who need to apply for government benefits when appropriate. Most common examples are "self-pay" Inpatients who admit through the Emergency Department and patients who come to our Prenatal Clinic. We have a Department of Social Services Representative onsite at our Prenatal Clinic to work directly with the patients. All patients receive the Patient Information Sheet, available in English and Spanish, which includes information about Financial Assistance.
SCHEDULE H, PART V, SECTION B, LINE 20E	PATIENTS WITH BALANCES GREATER THAN $10,000 RECEIVE A SPECIAL LETTER STATING THEY MAY QUALIFY FOR CHARITY AND REQUESTS THAT THEY CONTACT THE HOSPITAL.
SCHEDULE H, PART V, SECTION B, LINE 22D	MARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION DETERMINES AMOUNTS CHARGED TO PATIENTS.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
FMH KLINE HOSPICE HOUSE
7000 KIMMEL ROAD	MT AIRY	MD	21771	INPATIENT HOSPICE PATIENT FACILITY
MT AIRY HEALTH SERVICES
1502 SOUTH MAIN STREET	MT AIRY	MD	21771	OUTPATIENT HEALTH FACILITY
PARKVIEW MEDICAL GROUP MT AIRY
1502 SOUTH MAIN STREET	MT AIRY	MD	21771	PHYSICIAN PRACTICE
PARKVIEW MEDICAL GROUP MYERSVILLE
3000-D VENTRIE COURT	MYERSVILLE	MD	21773	PHYSICIAN PRACTICE
PARKVIEW MEDICAL GROUP FREDERICK
1564 OPPOSSUMTOWN PIKE	FREDERICK	MD	21702	PHYSICIAN PRACTICE
FMH REGIONAL CANCER CARE THERAPY CTR
501 WEST SEVENTH STREET	FREDERICK	MD	21701	OUTPATIENT CANCER TREATMENT CENTER
FMH ROSEHILL
1562 OPPOSSUMTOWN PIKE	FREDERICK	MD	21701	OUTPATIENT HEALTH FACILITY
UNION BRIDGE FAMILY PRACTICE
104 NORTH MAIN STREET	UNION BRIDGE	MD	21701	PHYSICIAN PRACTICE
FMH HOME HEALTH SERVICES
605 EAST CHURCH STREET	FREDERICK	MD	21701	HOME HEALTH NURSING ORGANIZATION
HOSPICE OF FREDERICK COUNTY
516 TRAIL AVENUE	FREDERICK	MD	21701	HOSPICE CARE ORGANIZATION
FMH ROSE HILL REHAB SERVICES
1562 OPPOSSUMTOWN PIKE	FREDERICK	MD	21702	PHYSICAL REHABILITATION CLINIC
FMH CRESTWOOD
7211 BANK COURT	FREDERICK	MD	21703	OUTPATIENT HEALTH FACILITY
FMH URBANA
3430 WORTHINGTON BLVD	FREDERICK	MD	21703	OUTPATIENT HEALTH FACILITY
FMH IMMEDIATE CARE
850 OAK STREET	FREDERICK	MD	21702	WALK-IN CLINIC

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SUPPLEMENTAL INFORMATION	SCHEDULE H, PART I FOR THE LAST 30 YEARS, MARYLAND HOSPITALS HAVE MET THEIR COMMUNITY BENEFIT OBLIGATIONS IN A UNIQUE MANNER THAT BUILDS THE COSTS OF UNCOMPENSATED CARE (CHARITY CARE AND PATIENT BAD DEBT) AND GRADUATE MEDICAL EDUCATION INTO THE RATES THAT HOSPITALS ARE REIMBURSED BY ALL PAYORS. THE SYSTEM IS BASED IN FEDERAL AND STATE LAW AND BENEFITS ALL MARYLAND RESIDENTS, INCLUDING THOSE IN NEED OF FINANCIAL ASSISTANCE TO PAY THEIR HOSPITAL BILLS. MARYLAND IS THE ONLY STATE IN WHICH ALL PAYORS (GOVERNMENTALLY-INSURED, COMMERCIALLY-INSURED, OR SELF-PAY) ARE CHARGED THE SAME PRICE FOR SERVICES AT ANY GIVEN HOSPITAL. UNDER THIS SYSTEM, MARYLAND HOSPITALS ARE REGULATED BY A STATE AGENCY, KNOWN AS THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), THAT IS REQUIRED TO: -PUBLICLY DISCLOSE INFORMATION ON THE COST AND FINANCIAL POSITION OF HOSPITALS; -REVIEW AND APPROVE HOSPITAL RATES; -COLLECT INFORMATION DETAILING TRANSACTIONS BETWEEN HOSPITALS AND FIRMS WITH WHICH THEIR TRUSTEES HAVE A FINANCIAL INTEREST; AND, -MAINTAIN THE SOLVENCY OF EFFICIENT AND EFFECTIVE HOSPITALS. SINCE 2000, THE RATE SETTING COMMISSION HAS HAD ITS OWN FRAMEWORK FOR REPORTING HOSPITALS' COMMUNITY BENEFITS AND ISSUING A REPORT ANNUALLY REGARDING HOSPITALS' COMMUNITY BENEFIT TOTALS. THAT REPORT IS AVAILABLE ON TTP://WWW.HSCRC.STATE.MD.US/ BECAUSE OF THIS UNIQUE STRUCTURE MARYLAND HOSPITALS' COMMUNITY BENEFITS NUMBERS WILL NOT COMPARE WITH THE REST OF THE NATION'S HOSPITALS. HOWEVER, MARYLAND HOSPITALS MEET OR EXCEED THE COMMUNITY BENEFIT STANDARD ESTABLISHED BY THE IRS IN 1969. ADDITIONAL DETAIL ILLUSTRATING THIS CAN BE FOUND WITHIN THIS SCHEDULE H REPORT. CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE Form 990, Schedule H, Part I, Line 3c IN ADDITION TO USING FPG TO DETERMINE FREE AND DISCOUNTED CASE, PATIENTS MAY RECEIVE ADDITIONAL FINANCIAL ASSISTANCE IF THEIR BILL IS 25% OR MORE OF THEIR ANNUAL INCOME. EVERY INPATIENT OR OUTPATIENT WHO ACCUMULATES $10,000 OR MORE IN CHARGES RECEIVES A VISIT FROM A FINANCIAL COUNSELOR ALONG WITH A FINANCIAL ASSISTANCE APPLICATION. WE ALSO MAIL THESE PATIENTS ANOTHER FINANCIAL ASSISTANCE APPLICATION WITH A COVER LETTER STATING THAT DUE TO THE BALANCE OF THEIR BILL, THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE.
Text of bad debt expense footnote	FORM 990, SCHEDULE H, PART III, LINE 4 BAD DEBT VALUATION WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. WE ESTIMATE APPROXIMATELY 7.5% OF BAD DEBT EXPENSE ISATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE CONTINUE OUR EFFORTS TO QUALIFY PATIENTS FOR FREE OR REDUCED CARE.
Medicare Costing Methodology	Form 990, schedule H, part III, line 8 MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS.
Application of Collection Practices to those Qualifying for Financial	AssiTANCE FORM 990 SCHEDULE H, PART III, LINE 9B PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS.
NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2 THE 2013 FREDERICK COUNTY HEALTH ASSESSMENT IS A DATA DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS OF FREDERICK COMMUNITY RESIDENTS BY CAPTURING AND COMPARING STATISTICAL INFORMATION FROM THREE INDEPENDENT COMMUNITY-BASED HEALTH FOCUSED AND HUMAN NEEDS DRIVEN ORGANIZATION: - THE FREDERICK COMMUNITY FOUNDATION'S HUMAN NEEDS ASSESSMENT CONDUCTED IN AUGUST OF 2011, - THE LOCAL HEALTH IMPROVEMENT PLAN (L-HIP) PRIORITIES SUMMIT CONDUCTED IN OCTOBER OF 2011, AND - FREDERICK MEMORIAL HOSPITAL'S UTILIZATION DATA FOR THE EMERGENCY ROOM, INPATIENT ADMISSIONS AND OUTPATIENT SERVICE PROVISION. THE FMH DATA SERVED AS AN EVIDENCE-BASED CONFIRMATION OF THE OTHER TWO STUDIES' FINDINGS. THE COMPARATIVE ASSESSMENT FINDINGS WERE ADDITIONALLY VERIFIED USING THE CURRENT DATA FROM THE STATE HEALTH IMPROVEMENT PLAN. IN ADDITION, THE ASSESSMENT USES THE MOST CURRENT STATISTICAL INFORMATION AVAILABLE FROM A VARIETY OF RESOURCES INCLUDING THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION, THE MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE, THE US CENSUS AND OTHER STATE AND FEDERAL AGENCIES. THE 2013 COMMUNITY HEALTH ASSESSMENT PROVIDES THE INFORMATION THAT THE FREDERICK COUNTY HEALTH DEPARTMENT, FREDERICK REGIONAL HEALTH SYSTEM, THE FREDERICK COUNTY HEALTH CARE COALITION AND PARTNER GRASS-ROOTS AGENCIES AND ORGANIZATIONS NEED TO IDENTIFY ISSUES OF GREATEST CONCERN. DECISIONS TO COMMIT RESOURCES TO THOSE AREAS IDENTIFIED IN THIS COMPARATIVE STUDY WILL ENSURE THAT OUR COLLECTIVE EFFORTS HAVE THE GREATEST IMPACT ON OUR COMMUNITY'S HEALTH STATUS. PROJECT GOALS THE 2013 FREDERICK COUNTY HEALTH ASSESSMENT WILL SERVE AS A RESOURCE AND TOOL FOR REACHING THREE GOALS: - TO IMPROVE THE HEALTH STATUS OF FREDERICK COUNTY RESIDENTS, ELEVATE THEIR OVERALL QUALITY OF LIFE, AND INCREASE THEIR LIFE SPANS. QUALITY OF LIFE ISSUES REMAIN AN IMPORTANT COMPONENT OF THE PLAN AS ALL AGREE THAT THE MEASURE OF OUR COMMUNITY'S HEALTH GOES BEYOND ADDRESSING PHYSICAL, DENTAL, MENTAL AND BEHAVIORAL HEALTH NEEDS. - TO IDENTIFY THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON OUR RESIDENTS' HEALTH. BY IDENTIFYING POPULATION SEGMENTS THAT ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES WE WILL, AS A COMMUNITY, BE BETTER POSITIONED TO ADDRESS HEALTH DISPARITIES. - TO PROVIDE MORE ACCESSIBLE PREVENTIVE SERVICES TO ASSIST COMMUNITY PARTNERS IN IMPROVING THE HEALTH STATUS OF FREDERICK COUNTY RESIDENTS, AND TO HELP US AS A COMMUNITY KEEP THE COSTS OF PROVIDING CARE FOR LATE-STAGE DISEASE IN CHECK. LATE-STAGE DISEASE IN CHECK. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 FREDERICK MEMORIAL HOSPITAL POSTS ITS CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSION AREAS, THE FMH EMERGENCY DEPARTMENT, AND IN ALL OF OUR SATELLITE FACILITIES IN AREAS WHERE ELIGIBLE PATIENTS ARE LIKELY TO PRESENT. FMH PROVIDES A SUMMARY OF THE CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO ALL PATIENTS AT THE TIME OF ADMISSION TO THE HOSPITAL. FMH ADMISSIONS PERSONNEL DISCUSS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS WITH PATIENTS AND/OR THEIR FAMILY MEMBERS, AND THEY ASSIST PATIENTS WITH QUALIFICATION FOR THE PROGRAMS. FREDERICK MEMORIAL HOSPITAL INCREASED ITS EFFORTS TO PROVIDE FINANCIAL ASSISTANCE TO ITS PATIENTS THROUGH A VARIETY OF INITIATIVES. FMH INCREASED ITS FINANCIAL ASSISTANCE FOR CATASTROPHIC SITUATIONS. IN OUR PROGRAM, PATIENTS MAY RECEIVE FINANCIAL ASSISTANCE IF THEIR BILL IS 25% OR MORE OF THEIR ANNUAL INCOME. A FINANCIAL COUNSELOR MEETS WITH PATIENTS WHO HAVE NO INSURANCE THE DAY AFTER ADMISSION TO EXPLAIN OUR FINANCIAL ASSISTANCE PROGRAM AND THE STATE'S MEDICAL ASSISTANCE PROGRAM. EVERY INPATIENT OR OUTPATIENT WHO ACCUMULATES $10,000 OR MORE IN CHARGES WILL RECEIVE A SECOND VISIT FROM A FINANCIAL COUNSELOR ALONG WITH A FINANCIAL ASSISTANCE APPLICATION. ALSO, WE MAIL THESE PATIENTS ANOTHER FINANCIAL ASSISTANCE APPLICATION WITH A COVER LETTER STATING THAT DUE TO THE BALANCE OF THEIR BILL, THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE. Community Information Schedule H, Part VI, Line 4 IN THE YEAR ENDED JUNE 30, 2016, FREDERICK MEMORIAL HOSPITAL ADMITTED 17,744 PATIENTS. THE FMH EMERGENCY DEPARTMENT TREATED 75,243 PATIENTS. THE HOSPITAL IS THE ONLY HOSPITAL LOCATED IN ITS PRIMARY SERVICE AREA AND THE ONLY HOSPITAL WITHIN A 25-MILE RADIUS OF THE CITY OF FREDERICK. APPROX. 7.1% OF ALL COUNTY RESIDENTS REPORT NO HEALTH INSURANCE AND 26.5% OF PATIENTS SEEN ARE MEDICAID RECIPIENTS. FMH DEFINES ITS PRIMARY SERVICE AREA AS FREDERICK COUNTY, MARYLAND AND IS THE ONLY HOSPITAL LOCATED IN ITS PRIMARY SERVICE AREA AND THE ONLY HOSPITAL WITHIN A 25-MILE RADIUS OF THE CITY OF FREDERICK. THE POPULATION OF FREDERICK COUNTY, MARYLAND IS 243,675 WITH 50.7% FEMALES, 75.7% WHITE AND 12.9% OF THE POPULATION OVER THE AGE OF 65. AVERAGE HOUSEHOLD INCOME IS $84,570 AND 91.3% OF THE POPULATION ARE HIGH SCHOOL GRADUATES. 6.1% OF POPULATION IS BELOW THE POVERTY LEVEL AND UNEMPLOYMENT IS 4.4% Promotion of Community Health Schedule H, Part VI, Line 5 Our work with the Frederick County Health Care Coalition includes the following initiatives: - Dental Health Home Ensuring every adult resident of the county as an affordable dental home. - Healthy Workplace Recognize work places committed to improving employee health and well being based upon evidence-based worksite wellness guidelines derived from the CDC Worksite Health Scorecard. - Health Disparities Education and Awareness Identify tools and resources to help address disparities and set objective outcome indicators within the other Coalition workgroups. - Low income Elderly advocacy No elderly person in Frederick County will have an unmet health need due to lack of funding including access to: health care, transportation, housing, assisted living and nursing home care. - Reduction of Deaths due to overdose and suicide Reduce overdose death rates by 20% by 2016. Provide a seamless system of prevention, intervention, treatment and recovery services regardless of ability to pay. Decrease County suicide rates by 9.1% by 2016. Our work with the Frederick County Local Health Disparities Committee (LHDC) (Frederick County Local Health Improvement Plan (LHIP) 2014-2016 Work Group): Promotes awareness about Health Disparities in Frederick County and mobilize partnerships for disparity reduction. Health disparities adversely affect groups of people who have experienced greater obstacles to health based on: - racial or ethnic group - religion - socioeconomic status - gender - age - mental health - geographic location - cognitive, sensory, or physical disability - sexual orientation or gender identity - or other characteristics historically linked to discrimination or exclusion. There are significant health disparities in some health outcomes in Frederick County Some affect men, some affect Blacks more Health Disparities impact us and people we love Health disparities are complicated It takes us all to reduce and eliminate Health Disparities! FMH subsidizes Intensivists, Behavioral Health and NICU providers. There would not be enough providers for these services within the Frederick community without our contractual arrangements. FMH also contractually subsidize anesthesia, emergency room physicians (both adult and peds), interventional cardiologists, and observation services. In all of those areas, we wouldn't have enough providers without subsidies to care for County patients. FMH subsidizes Hospitalists to meet the needs of our patients. There are not enough primary care providers in Frederick to accommodate all inpatient needs. Also, most community PCP physicians do not maintain their hospital privileges and therefore cannot care for their patients while in the hospital. FMH contracts with the following specialties to provide coverage on a 24/7 basis. - Anesthesiology - Cardiology - ENT - Gastroenterology - General Dentistry - Hematology/Oncology - Interventional Cardiologists - Nephrology - Neurology - Obstetrics - Ophthalmology - Oral/Maxillo/Facial - Orthopedics - Pediatrics - Plastic Surgery - Pulmonary Medicine - Urology - Vascular Surgery - Neuro Surgeon Increase life expectancy - Follow up educational phone calls made by Nurse Navigators to increase participation in the high risk breast cancer screening and prevention program Reduce infant mortality - Increased number of prenatal clinic visits for non-insured/underinsured community residents Reduce the % of adults who are current smokers - Pediatric Asthma Observation and Inpatients receive education on Trigger avoidance, which includes information on smoking cessation for the parent if needed Reduce the % of youth using any kind of tobacco product - Pediatric Asthma Observation and Inpatients receive education on Trigger avoidance, which includes information on smoking cessation if needed Reduce the
AFFILIATED HEALTH CARE SYSTEM	SCHEDULE H, PART VI, LINE 6 FREDERICK MEMORIAL HOSPITAL, INC. ("FMH") IS A PRIVATE, NON-STOCK, NOT-FOR-PROFIT 501 (C) (3) MARYLAND CORPORATION ORGANIZED IN 1897. AS OF JULY 1, 2011, FREDERICK REGIONAL HEALTH SYSTEM BECAME THE PARENT CORPORATION UNDER WHICH THE ENTITIES DESCRIBED BELOW EXIST AND OPERATE. FREDERICK REGIONAL HEALTH SYSTEM IS GOVERNED BY A SIXTEEN MEMBER BOARD OF DIRECTORS. THE BOARD MEETS MONTHLY, WITH ELECTION OF OFFICERS AND MEMBERS OCCURRING AT THE SEPTEMBER MEETING. MUCH OF THE BOARD'S WORK IS ACCOMPLISHED THROUGH STANDING COMMITTEES, INCLUDING THE EXECUTIVE, FINANCE, GOVERNANCE, EXECUTIVE COMPENSATION, JOINT CONFERENCE (WITH MEDICAL STAFF), PLANNING, AND HOSPITAL PERFORMANCE REVIEW COMMITTEES. FREDERICK MEMORIAL HOSPITAL IS A 298-BED ACUTE CARE HOSPITAL LOCATED IN FREDERICK, MARYLAND, APPROXIMATELY 50 MILES WEST OF BALTIMORE AND 45 MILES NORTHWEST OF WASHINGTON D. C. THE HOSPITAL OPENED IN 1902 AND IS CURRENTLY THE ONLY ACUTE CARE HOSPITAL IN FREDERICK COUNTY AND THE ONLY ACUTE CARE HOSPITAL WITHIN A 25-MILE RADIUS OF THE CITY OF FREDERICK. THE MAIN CAMPUS OF THE HOSPITAL IS LOCATED ON AN APPROXIMATELY 15.85-ACRE SITE IN FREDERICK, MARYLAND. THE TOTAL SQUARE FOOTAGE OF THE HOSPITAL IS APPROXIMATELY 596,000 SQUARE FEET. FMH'S HOSPITAL-BASED AND OFF-SITE OUTPATIENT SERVICES ACCOUNT FOR OVER 350,000 VISITS ANNUALLY INCLUDING HOME HEALTH SERVICES, WHICH MAKES APPROXIMATELY 35,000 VISITS PER YEAR. IN ADDITION, HOSPITAL-BASED HOSPICE SERVICES HANDLE APPROXIMATELY 15,000 VISITS PER YEAR. FREDERICK REGIONAL HEALTH SYSTEM IS THE PARENT CORPORATION FOR MONOCACY HEALTH PARTNERS, A PHYSICIAN LED ENTERPRISE COMPOSED OF THE FOLLOWING HEALTH SYSTEM OWNED PRACTICES FREDERICK REGIONAL HEALTH SYSTEM PROVIDES A FULL RANGE OF ACUTE CARE SERVICES INCLUDING: MEDICINE, SURGERY, OBSTETRICS, GYNECOLOGY, PEDIATRICS, INTENSIVE CARE, CORONARY CARE, INTERVENTIONAL CARDIOLOGY, PRIMARY STROKE PROGRAM, WOUND CARE, JOINT REPLACEMENT PROGRAM, CYBERKNIFE RADIOSURGERY CENTER, PSYCHIATRIC CARE, MEDICAL FITNESS, WELLNESS PROGRAM/CENTER AND EMERGENCY SERVICES. IN ADDITION, THE HEALTH SYSTEM PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES, INCLUDING: EMERGENCY MEDICINE, OUTPATIENT SURGERY, HOME HEALTH, RADIATION THERAPY, MRI, PET AND CT SCANNING, MEDICAL ONCOLOGY, AND COMPREHENSIVE WOMEN'S SERVICES. THROUGH THE SATELLITE LOCATIONS AND OUTPATIENT CENTERS, THE HEALTH SYSTEM PROVIDES: URGENT CARE, LABORATORY, DIAGNOSTIC RADIOLOGY, AMBULATORY SURGERY, VASCULAR IMAGING, REHABILITATION SERVICES, PAIN AND PALLIATIVE CARE. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 MARYLAND

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK COMMUNITY COLLEGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7932 OPOSSUMTOWN PIKE	AddressLine1Txt
City	FREDERICK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21702	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	520743590	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$50,000	CashGrantAmt
Purpose Of Grant	SUPPORT OF ALLIED HEALTH PROG	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURES FOR MONITORING THE USE OF GRANTS	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE I, PART I, LINE 2 THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE (501(C)(3) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
Manuel A Casiano
VP Medical Staff	$571,073	$0	$78,366	$0	$2,322	$0	$45,135	$0	$13,247	$0	$710,143	$0	$0	$0
Cheryl L Cioffi
VP Chief Nursing Officer	$230,305	$0	$47,838	$0	$540	$0	$38,498	$0	$15,777	$0	$332,958	$0	$0	$0
Kenneth R Coffey II
VP Chief Development Officer	$177,228	$0	$24,252	$0	$2,330	$0	$11,001	$0	$11,044	$0	$225,855	$0	$0	$0
Hannah R Jacobs
VP Finance	$179,158	$0	$24,633	$0	$540	$0	$10,541	$0	$2,325	$0	$217,197	$0	$0	$0
Thomas A Kleinhanzl
President and CEO	$663,637	$0	$215,321	$0	$1,242	$0	$204,655	$0	$15,777	$0	$1,100,632	$0	$0	$0
Michelle K Mahan
Sr VP and CFO	$394,715	$0	$98,881	$0	$3,564	$0	$32,733	$0	$15,777	$0	$545,670	$0	$0	$0
Rachel I Mandel
AVP Medical Affairs	$175,855	$0	$21,484	$0	$276	$0	$9,705	$0	$2,193	$0	$209,513	$0	$0	$0
Craig F Rosendale
VP Ancillary Services	$179,963	$0	$23,785	$0	$3,564	$0	$13,255	$0	$12,828	$0	$233,395	$0	$0	$0
Donald R Schilling
VP Ambulatory Services	$189,584	$0	$23,777	$0	$2,322	$0	$5,548	$0	$12,965	$0	$234,196	$0	$0	$0
Mark S Soberman
Physician	$438,080	$0		$0	$1,032	$0	$12,207	$0	$15,309	$0	$466,628	$0	$0	$0
Jennifer G Teeter
AVP Payor Contracting	$171,911	$0	$23,334	$0	$1,242	$0	$13,038	$0	$12,622	$0	$222,147	$0	$0	$0
John R Verbus
Sr VP and COO	$465,503	$0	$78,588	$0	$3,564	$0	$21,348	$0	$11,331	$0	$580,334	$0	$0	$0
Jim R Williams
VP Business Development	$208,034	$0	$28,630	$0	$3,564	$0	$15,169	$0	$12,965	$0	$268,362	$0	$0	$0
DUSTIN M SIMONSON
ONCOLOGY MEDICAL PHYSICIST	$193,229	$0	$122	$0	$120	$0	$12,119	$0	$15,298	$0	$220,888	$0	$0	$0
JAMES BLAKE TRUMBLE
MEDICAL DIRECTOR	$236,809	$0	$0	$0	$180	$0	$12,893	$0	$15,649	$0	$265,531	$0	$0	$0
LILA J BEAULIEU
DIRECTOR-SURGICAL SVCS	$143,228	$0	$6,176	$0	$468	$0	$9,168	$0	$1,427	$0	$160,467	$0	$0	$0
JENNIFER D HULVEY
DIRECTOR-REVENUE COMPLIANCE	$148,785	$0	$1,205	$0	$270	$0	$3,799	$0	$15,372	$0	$169,431	$0	$0	$0
HEATHER R KIRBY
AVP-CARE MGMT	$144,247	$0	$16,449	$0	$112	$0	$4,572	$0	$15,537	$0	$180,917	$0	$0	$0
TERRY P O'MALLEY-LEFT 1215
VP HUMAN RESOURCES	$218,147	$0	$0	$0	$6,594	$0	$6,890	$0	$12,556	$0	$244,187	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	FREDERICK MEMORIAL HOSPITAL HOLDS TWO CORPORATE MEMBERSHIPS TO A LOCAL GOLF/COUNTRY CLUB THAT ARE USED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FUND DEVELOPMENT OFFICER OF THE HOSPITAL. WHILE THE MAJORITY OF THE FEES ASSOCIATED WITH THE CLUB DUES, ETC. ARE BUSINESS RELATED, GENERAL PERSONAL USE EXPENSES ARE REIMBURSED BACK TO THE HOSPITAL BY THESE INDIVIDUALS AS NEEDED.
FORM 990, SCHEDULE J, PART I, LINE 3	THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT. FORM 990, SCHEDULE J, PART I, LINE 4A Through reorganization Mr. O'Malley's position was eliminated as of November 7, 2014. As part of a severance agreement he receive compensation for one year after termination.
FORM 990, SCHEDULE J, PART I, LINE 4B	FREDERICK MEMORIAL HOSPITAL HAS ONE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE AS FOLLOWS: THOMAS A. KLEINHANZL $188,880 MICHELLE K. MAHAN $20,300 CHERYL L. CIOFFI $22,300 MANUEL A. CASIANO $30,350 JOHN R. VERBUS $6,719

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A
A	520936091	574218LY7	2012-12-05	$96,240,000	SEE PART VI	false	false	false
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012B
B	520936091		2012-12-05	$70,020,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$68,293,488	$0	$108,345,805	$0	$1,648,756	$0	$1,203,561	$0	$0	$37,200,000	$0	$0	2014	Yes (true)	false	false	Yes (true)
B	$70,020,000	$0	$70,690,852	$0	$0	$320,948	$349,253	$0	$0	$0	$0	$0	2012	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00630	0.00630	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00260	0.00260	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
UBS AG STAMFORD
B	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	Yes (true)	3.804	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF TAX EXEMPT BONDS	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF TAX EXEMPT BONDS SCHEDULE K, PART I, COLUMN F MARYLAND HEALTH & HIGHER ED AUTHORITY 2012A: FINANCE 2012 PROJECT AND CURRENT REFUND 2002 BONDS WHICH FUNDED THE 2002 PROJECT. MARYLAND HEALTH & HIGHER ED AUTHORITY 2012B: REFUND THE 2008 SERIES BONDS WHICH WERE USED TO FINANCE THE 2006 AND PRIOR PROJECTS. SCHEDULE K, PART II, LINE 3 Difference Between issue Price and Total Proceeds MARYLAND HEALTH & HIGHER ED AUTHORITY 2012A: ORIGINAL ISSUE PREMIUM OF $3,989,854 AND PREVIOUSLY TRUSTEED HELD FUNDS OF $8,115,951. MARYLAND HEALTH & HIGHER ED AUTHORITY 2012B: PREVIOUSLY TRUSTEED HELD funds of $670,852. MANAGEMENT PRACTICES AND PROCEDURES SCHEDULE K, PART III, LINE 9 THE ORGANIZATION HAS POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX EXEMPT BOND POST ISSUANCE COMPLIANCE, WRITTEN POLICIES WERE CREATED AND ADOPTED DURING THE TAX YEAR.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Description of Other Program Services	FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN & CHILDREN AND WOUND CARE.
Members or stockholders	FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK REGIONAL HEALTH SYSTEM. Power to elect or appoint members form 990, part vi, line 7a THE SOLE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK MEMORIAL HOSPITAL.
Decisions reserved to members or stockholders	FORM 990, PART VI, LINE 7B THE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, MUST APPROVE THE INCURRENCE OF DEBT IF SUCH DEBT EXCEEDS A CERTAIN AMOUNT TO BE DESIGNATED BY THEMEMBER, CAPITAL EXPENDITURES EXCEEDING A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, THE DECISION TO DISSOLVE OR LIQUIDATE, THE CREATION OF ASUBSIDIARY, AND AMENDMENTS TO THE BYLAWS.
Process used to review the Form 990	FORM 990, PART VI, LINE 11B THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING.
Monitoring and enforcement of compliance with conflict of interest policy	FORM 990, PART VI, LINE 12C THE FREDERICK MEMORIAL HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST.THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX-EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS).
Process for determining compensation	FORM 990, PART VI, LINE 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN,MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THEEXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN,IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'SCOMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THEPRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT.
Process for making documents available to the public	FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK MEMORIAL HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FMH.ORG.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9 INCREASE IN TEMP REST NET ASSETS 2,845,725 RELEASED FROM REST FOR CAPITAL 245,920 RECON:MIN PENSION ADJUST (4,439,903) RECON:UNREALIZED LOSSES ON SWAP (2,780,732) EQUITY INVESTMENTS INCOME 212,906 TIMING OF PLEDGES RECIEVED (3,681,678) MISCELLANEOUS 3,082 ----------- TOTAL OTHER CHANGES (7,594,680)
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:61518492
FORM 990 PART IX LINE 11G	DESCRIPTION:AMORTIZATION TOTAL FEES:115108
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER EXPENSES TOTAL FEES:7824816
FORM 990 PART IX LINE 11G	DESCRIPTION:SUPPLIES TOTAL FEES:128232
FORM 990 PART IX LINE 11G	DESCRIPTION:UTILITIES TOTAL FEES:29756

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HOSPICE OF FREDERICK COUNTY INC
400 WEST SEVENTH STREET	FREDERICK	MD	21701	521164513	HOSPICE CARE	MD	501(c)(3)	9	FRHS	Yes (true)
FREDERICK REGIONAL HEALTH SYSTEM INC
400 WEST SEVENTH STREET	FREDERICK	MD	21701	454133096	HEALTH SYSTEM	MD	501(c)(3)	11b	NA	false
MONOCACY HEALTH PARTNERS
400 WEST SEVENTH STREET	FREDERICK	MD	21701	453007639	PHYSICIAN ORG	MD	501(c)(3)	9	FRHS	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
FREDERICK HEALTH SERVICES CORPORATION
400 WEST SEVENTH STREET	FREDERICK	MD	21701	521851661	MANAGEMENT CO	MD	frhs	C Corp	$0	$0	false
FREDERICK SURGICAL SERVICES CORPORATION
400 WEST SEVENTH STREET	FREDERICK	MD	21701	521642334	HOLDING COMPA	MD	FHSC	C Corp	$0	$0	false
MONOCACY INSURANCE LTD
				981011570	INSURANCE		FRHS	C Corp	$0	$0	false	PO BOX 1159	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MONOCACY HEALTH PARTNERS INC
s	$12,800,000	CASH
MONOCACY HEALTH PARTNERS INC
o	$412,523	DIRECT COSTING
MONOCACY HEALTH PARTNERS INC
j	$762,160	FMV
MONOCACY HEALTH PARTNERS INC
q	$23,331,564	DIRECT COSTING
FREDERICK HEALTH SERVICES CORP
a	$106,984	FMV
FREDERICK HEALTH SERVICES CORP
k	$434,506	FMV
FREDERICK HEALTH SERVICES CORP
o	$156,525	FMV
FREDERICK HEALTH SERVICES CORP
p	$204,172	DIRECT COSTING
FREDERICK REGIONAL HEALTH SYSTEM INC
q	$413,231	DIRECT COSTING
HOSPICE OF FREDERICK COUNTY INC
o	$917,455	DIRECT COSTING