FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201641379349307484
- Schema version
- 2014v6.0
- 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 | 2016-05-16T14:37:39-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 2014-07-01 | 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 | 8132254800 | PhoneNum |
| Signature | 2016-05-13 | 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 | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | 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 | $445,718,107 | 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 | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2799 | TotalEmployeeCnt |
| Total Volunteers | 668 | TotalVolunteersCnt |
| Total Gross UBI | $11,965 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,113,985 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,529,757 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $319,339,606 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $330,710,595 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,486,185 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,037,579 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$705,559 | PYOtherRevenueAmt |
| CY Other Revenue | -$484,627 | CYOtherRevenueAmt |
| PY Total Revenue | $327,234,217 | PYTotalRevenueAmt |
| CY Total Revenue | $341,793,304 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $100,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $100,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $160,554,877 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $134,637,638 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $48,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $48,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $815,130 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $158,991,207 | PYOtherExpensesAmt |
| CY Other Expenses | $188,814,109 | CYOtherExpensesAmt |
| PY Total Expenses | $319,694,084 | PYTotalExpensesAmt |
| CY Total Expenses | $323,599,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,540,133 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,193,557 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $459,957,008 | TotalAssetsBOYAmt |
| Total Assets EOY | $468,398,859 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $258,708,711 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $254,689,875 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $201,248,297 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $213,708,984 | 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 | $36,983,188 | ExpenseAmt |
| Grant | $100,000 | GrantAmt |
| Revenue | $57,981,206 | RevenueAmt |
| Desc | INPATIENT SERVICES IN FY2015, FREDERICK MEMORIAL HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 24,262 IN PATIENTS 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 $39.9 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 | $35,564,920 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $55,174,939 | RevenueAmt |
| Desc | PERIOPERATIVE SERVICES FREDERICK MEMORIAL HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 12,121 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2015. 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 $39.9 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 | $24,004,896 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $34,652,997 | 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 AND TREATMENT 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 $39.9 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 | $186,395,171 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $184,385,366 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $282,948,175 | 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 | 455 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2799 | 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | 21701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Gregory P Dormitzer | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Bernard Gouin | |||||||||
| Director (ended 09/30/14) | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Theodore Luck | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| J Frederick Manning | |||||||||
| SECRETARY/TREASURER | 4.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| P Gregory Rausch MD | |||||||||
| Chair, FMH Development Council | 4.0 | 0.0 | Yes (X) | $0 | $408 | $0 | |||
| E James Reinsch | |||||||||
| Chairman | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Anne Herbert Rollins | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Neil Waravdekar MD | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $20,371 | $1,822 | $0 | |||
| Rev Roger W Wilmer Jr | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $1,500 | $0 | $0 | |||
| Gerald Winnan MD | |||||||||
| VICE CHAIRMAN | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Shawn Wolf | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Ravi Yalamanchili | |||||||||
| Vice Chief Of Staff | 10.0 | 0.0 | Yes (X) | $113,608 | $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 | |||
| Gerrit SchipperMD | |||||||||
| VICE CHIEF OF STAFF | 10.0 | 0.0 | Yes (X) | $29,834 | $0 | $0 | |||
| Thomas A Kleinhanzl | |||||||||
| President and CEO | 30.0 | 10.0 | Yes (X) | $793,936 | $0 | $196,036 | Yes (X) | ||
| R CARL BENNA | |||||||||
| DIRECTOR (STARTED 10/1/14) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ALLEN D MAWDSLEY | |||||||||
| DIRECTOR (STARTED 10/1/14) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ELLEN NOLAND | |||||||||
| DIRECTOR (STARTED 10/1/14) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH PAKENAS | |||||||||
| DIRECTOR (STARTED 10/1/14) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Adrian Wodey | |||||||||
| Director (ENDED 9/30/14) | 2.0 | 5.0 | Yes (X) | $0 | $0 | $0 | |||
| Donna Tisdale | |||||||||
| Director (ENDED 9/30/14) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Michelle K Mahan | |||||||||
| Sr VP and CFO | 32.0 | 8.0 | $444,215 | $0 | $63,817 | Yes (X) | |||
| John R Verbus | |||||||||
| Sr VP and COO | 30.0 | 10.0 | $427,380 | $0 | $62,940 | Yes (X) | |||
| Manuel A Casiano | |||||||||
| VP Medical Staff | 40.0 | 0.0 | $396,516 | $0 | $64,227 | Yes (X) | |||
| Cheryl L Cioffi | |||||||||
| VP Chief Nursing Officer | 40.0 | 0.0 | $252,485 | $0 | $51,927 | Yes (X) | |||
| Kenneth R Coffey II | |||||||||
| VP Chief Development Officer | 40.0 | 0.0 | $203,346 | $0 | $26,703 | Yes (X) | |||
| Hannah R Jacobs | |||||||||
| VP Finance | 40.0 | 0.0 | $190,098 | $0 | $11,653 | Yes (X) | |||
| Rachel I Mandel | |||||||||
| AVP Medical Affairs | 20.0 | 0.0 | $167,607 | $0 | $8,766 | Yes (X) | |||
| Mary B Mann | |||||||||
| AVP Patient Care Services | 40.0 | 0.0 | $172,062 | $0 | $24,328 | Yes (X) | |||
| Terry P O'Malley | |||||||||
| VP Human Resources | 40.0 | 0.0 | $217,497 | $0 | $40,815 | Yes (X) | |||
| David J Quirke | |||||||||
| VP Chief Information Officer | 40.0 | 0.0 | $189,948 | $0 | $29,523 | Yes (X) | |||
| Craig F Rosendale | |||||||||
| VP Ancillary Services | 40.0 | 0.0 | $197,348 | $0 | $23,411 | Yes (X) | |||
| Donald R Schilling | |||||||||
| VP Ambulatory Services | 40.0 | 0.0 | $216,339 | $0 | $18,243 | Yes (X) | |||
| Jennifer G Teeter | |||||||||
| AVP Payor Contracting | 20.0 | 20.0 | $188,550 | $0 | $22,659 | Yes (X) | |||
| Jim R Williams | |||||||||
| VP Business Development | 20.0 | 20.0 | $223,266 | $0 | $24,904 | Yes (X) | |||
| Mark S Soberman | |||||||||
| Physician | 40.0 | 0.0 | $497,833 | $0 | $27,587 | Yes (X) | |||
| MARY BRIDGET CASTRO | |||||||||
| CHARGE NURSE | 40.0 | 0.0 | $168,608 | $0 | $20,634 | Yes (X) | |||
| DUSTIN M SIMONSON | |||||||||
| ONCOLOGY MEDICAL PHYSICIST | 40.0 | 0.0 | $188,515 | $0 | $26,067 | Yes (X) | |||
| JAMES BLAKE TRUMBLE | |||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $237,253 | $0 | $20,819 | Yes (X) | |||
| YU XIA | |||||||||
| ONCOLOGY MEDICAL PHYSICIST | 40.0 | 0.0 | $170,224 | $0 | $10,114 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,708,339 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,230 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $775,173 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 84 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TXTEAM REHAB INC | |||||
| 4625 E STOP 11 ROAD | INDIANAPOLIS | IN | 46237 | Rehab Services | $6,160,045 |
| ALLIANCE RADIOSURGERY LLC | |||||
| PO BOX 6600 | NEWPORT BEACH | CA | 92658 | Radiology Services | $1,836,903 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 740709 | ATLANTA | GA | 30374 | LABORATORY SERVICES | $1,428,449 |
| INTEGRATED MEDICAL SYSTEM INT'L | |||||
| 1823 27TH AVENUE SOUTH | BIRMINGHAM | AL | 36209 | SURGICAL SERVICES | $1,314,145 |
| EAGLE HOSPITAL PHYSICIANS | |||||
| 16000 DALLAS PKWY SUITE 450 | DALLAS | TX | 75248 | PHSYSICIAN SERVICES | $1,306,351 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| All Other Contributions | $4,529,757 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $4,529,757 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| INPATIENT REVENUE | 624110 | $163,143,497 | $163,143,497 | $0 | $0 |
| OUTPATIENT REVENUE | 621410 | $163,973,535 | $163,973,535 | $0 | $0 |
| TRANSCRIPTION REVENUE | 561110 | $3,188 | $3,188 | $0 | $0 |
| GROUP PURCHASING-PREMIER | 525990 | -$33,553 | -$45,518 | $11,965 | $0 |
| HITECH AND MEDICAL HOME | 621610 | $609,766 | $609,766 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,014,162 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,014,162 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $330,710,595 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,196,726 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,196,726 | 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 | $461,627 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $461,627 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $461,627 | TotalRevenueColumnAmt |
| Exclusion | $461,627 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $107,653,382 | SecuritiesAmt |
| Other | $112,274 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $103,924,803 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,728,579 | SecuritiesAmt |
| Other | $112,274 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,840,853 | TotalRevenueColumnAmt |
| Exclusion | $3,840,853 | 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 | $1,131,444 | $1,131,444 | $0 | $0 |
| MT. AIRY LLC MGMT FEE | 541610 | $364,087 | $364,087 | $0 | $0 |
| LOSSES ON INT RATE SWAP | 900099 | -$2,442,132 | $0 | $0 | -$2,442,132 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $347 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $347 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$946,254 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $341,793,304 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $332,194,508 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,965 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,057,074 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,000 | TotalAmt |
| Program Services | $100,000 | 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 | $5,053,975 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $5,053,975 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,002,907 | TotalAmt |
| Program Services | $93,541,431 | ProgramServicesAmt |
| Management And General | $4,134,411 | ManagementAndGeneralAmt |
| Fundraising | $327,065 | 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 | $8,055,874 | TotalAmt |
| Program Services | $7,299,441 | ProgramServicesAmt |
| Management And General | $736,518 | ManagementAndGeneralAmt |
| Fundraising | $19,915 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,066,616 | TotalAmt |
| Program Services | $15,382,055 | ProgramServicesAmt |
| Management And General | $634,500 | ManagementAndGeneralAmt |
| Fundraising | $50,061 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,458,266 | TotalAmt |
| Program Services | $6,907,425 | ProgramServicesAmt |
| Management And General | $521,829 | ManagementAndGeneralAmt |
| Fundraising | $29,012 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,192,131 | TotalAmt |
| Program Services | $12,773,760 | ProgramServicesAmt |
| Management And General | $1,418,371 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,423 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $479,423 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,973 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $319,973 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,308 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $22,308 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,000 | TotalAmt |
| Fundraising | $48,000 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,164 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $325,164 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,432,741 | TotalAmt |
| Program Services | $48,154,270 | ProgramServicesAmt |
| Management And General | $16,179,210 | ManagementAndGeneralAmt |
| Fundraising | $99,261 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $881,099 | TotalAmt |
| Program Services | $18,352 | ProgramServicesAmt |
| Management And General | $713,206 | ManagementAndGeneralAmt |
| Fundraising | $149,541 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,208,090 | TotalAmt |
| Program Services | $5,811,217 | ProgramServicesAmt |
| Management And General | $337,239 | ManagementAndGeneralAmt |
| Fundraising | $59,634 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,456,390 | TotalAmt |
| Program Services | $4,456,390 | 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 | $3,950,610 | TotalAmt |
| Program Services | $3,194,155 | ProgramServicesAmt |
| Management And General | $756,455 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,584 | TotalAmt |
| Program Services | $57,130 | ProgramServicesAmt |
| Management And General | $45,208 | ManagementAndGeneralAmt |
| Fundraising | $1,246 | 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 | $143,046 | TotalAmt |
| Program Services | $78,895 | ProgramServicesAmt |
| Management And General | $62,431 | ManagementAndGeneralAmt |
| Fundraising | $1,720 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,522,726 | TotalAmt |
| Program Services | $4,237,795 | ProgramServicesAmt |
| Management And General | $275,886 | ManagementAndGeneralAmt |
| Fundraising | $9,045 | 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 | $23,216,745 | TotalAmt |
| Program Services | $16,252,054 | ProgramServicesAmt |
| Management And General | $6,952,211 | ManagementAndGeneralAmt |
| Fundraising | $12,480 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,229 | TotalAmt |
| Program Services | $14,306 | ProgramServicesAmt |
| Management And General | $252,923 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUPPLIES AND COGS | Desc |
| Total | $65,292,850 | TotalAmt |
| Program Services | $64,669,499 | ProgramServicesAmt |
| Management And General | $615,201 | ManagementAndGeneralAmt |
| Fundraising | $8,150 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,599,747 | TotalAmt |
| Program Services | $282,948,175 | ProgramServicesAmt |
| Management And General | $39,836,442 | ManagementAndGeneralAmt |
| Fundraising | $815,130 | 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 | -$1,993 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,569,583 | BOYAmt |
| EOY | $24,923,467 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,157,674 | BOYAmt |
| EOY | $4,573,065 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,287,447 | BOYAmt |
| EOY | $47,079,421 | 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 | $4,404,908 | BOYAmt |
| EOY | $6,006,311 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,587,161 | BOYAmt |
| EOY | $2,290,779 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $455,662,433 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $259,441,916 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,926,778 | BOYAmt |
| EOY | $196,220,517 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,355,049 | BOYAmt |
| EOY | $128,157,562 | 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 | $53,191,184 | BOYAmt |
| EOY | $51,139,776 | 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 | $6,479,217 | BOYAmt |
| EOY | $8,007,961 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,957,008 | BOYAmt |
| EOY | $468,398,859 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,913,916 | BOYAmt |
| EOY | $37,615,091 | 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 | $168,029,382 | BOYAmt |
| EOY | $164,229,787 | 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 | $61,797 | 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 | $52,703,616 | BOYAmt |
| EOY | $52,844,997 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,708,711 | BOYAmt |
| EOY | $254,689,875 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,375,608 | BOYAmt |
| EOY | $203,281,498 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,896,512 | BOYAmt |
| EOY | $9,451,309 | 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 | $201,248,297 | BOYAmt |
| EOY | $213,708,984 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,957,008 | BOYAmt |
| EOY | $468,398,859 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,193,557 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,048,991 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,683,879 | 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 | $22,308 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $22,308 | 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 | $2,421,745 | OtherCostOrOtherBasisAmt |
| Book Value | $2,421,745 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $206,787,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $78,047,635 | DepreciationAmt |
| Book Value | $128,740,188 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,945,585 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,000,000 | DepreciationAmt |
| Book Value | $4,945,585 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $210,265,532 | OtherCostOrOtherBasisAmt |
| Depreciation | $163,394,281 | DepreciationAmt |
| Book Value | $46,871,251 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,241,748 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $13,241,748 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $196,220,517 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ASSETS LIMITED AS TO USE | $11,882,313 | F |
| INVESTMENTS IN SUBSIDIARIES | $19,596,463 | F |
| INTERCOMPANY RECEIVEABLES | $19,661,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $51,139,776 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES FROM THIRD PARTIES | $9,813,244 |
| INTEREST RATE SWAP CONTRACT | $11,277,237 |
| PENSION LIABILITY | $18,867,941 |
| MALPRACTICE INSURANCE LIABILITY | $2,781,000 |
| CAPITAL LEASE OBLIGATIONS | $1,884,248 |
| OTHER LIABILITIES | $6,565,973 |
| INTER COMPANY LIABILITIES | $1,655,354 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,844,997 | 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 | Prgm-Related Invstmnts | $13,026,597 | |
| Central America and the Caribbean | 1 | Program Services | $2,692,965 | SELF INSURANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 2 | SubtotalOfficesCnt |
| Total Office | 2 | TotalOfficeCnt |
| Subtotal Spent | $15,719,562 | SubtotalSpentAmt |
| Total Spent | $15,719,562 | 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 | $48,000 | RetainedByContractorAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $48,000 | 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 | $8,136,217 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,136,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,202,856 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,787,381 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$584,525 | NetCommunityBenefitExpnsAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,339,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,787,381 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,551,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,866,761 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $350,058 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,516,703 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,431,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $630,801 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,800,289 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,350,351 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $980,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,369,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,689,424 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,768,240 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,921,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,899,820 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $143,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $122,190,442 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $111,764,262 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $10,426,180 | 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 WEST SEVENTH 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 |
| CHNA Conducted | 12 | 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 | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 The qualitative element of the human needs assessment was conducted using five methods designed to gather the input of a diverse group of service providers, elected officials, service end-users, and the general public. Components of the research process included: - Seven focus groups; Thirty eight (38) representatives from government agencies, area Nonprofits and professional service providers gathered to provide their assessments of Frederick County's human needs, relative to available services, and gaps in service provision. Individuals who were invited to attend but were unable to do so were interviewed by phone. - Eight key informant interviews; Interviews were conducted with current and former elected officials, civic leaders, and representatives from United Way of Frederick County, Frederick County judiciary, and Frederick County Public Schools. - A service provider survey; A survey was conducted polling 111 service providers to collect information about available services. The survey included an open-response question: "In your professional opinion, what are the top three unmet needs in all of Frederick County?" Responses to the survey were received from 167 programs, which represented the majority of the largest providers of human needs services. The responses to the question were used as part of the human needs assessment portion of the analysis. - A focus group of service recipients; A focus group comprised of 15 individuals who were recipients of Frederick County human services programs including services for people who are homeless, free clinic patients, and consumers of soup kitchens and food programs, was conducted. Participants were asked about their daily needs, programs that have helped them and why, their unmet needs, and the needs of community youth. Community Foundation leaders who participated in United Way of Frederick County's strategic planning process contributed their notes, which also were used in gauging community human needs. - A survey of the general public; a survey of the general public was conducted asking respondents to rank unmet needs in the Community Foundation's three core strategic areas: health, youth, and basic human needs. One hundred and fourteen responses were received, with the survey's availability reported in local print media, on the Community Foundation's website, through email blasts, and social media. On October 4, 2011, the Frederick County Health Care Coalition in partnership with the Frederick County Health Department and Frederick Memorial Hospital hosted a Health Needs Priority Setting Summit. The purpose of the Summit was to establish the priorities for health improvement in Frederick County and to develop goals and action plans to achieve improvement in those priority areas through community engagement. Facilitators for the day long Priority Setting Summit were: - Barbara Brookmyer, MD, MPH, Frederick County Health Officer - Josh Pedersen Chief Executive Officer, United Way of Frederick County Data presenters included: - Madeleine A. Shea, PhD, Director Office of Population Health Improvement, Maryland Department of Health and Mental Hygiene - Barbara Brookmyer, MD, MPH, Frederick County Health Officer - Jacqueline Doug, MD, MPH, FAAP, Deputy Health Officer - Andrea Walker, MA, CPRP, Director, Behavioral Health Services |
| 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/workfiles/Community%20Health%20Assessment%20PDF.pdf SCHEDULE H, PART V, SECTION B, LINE 10A http://www.fmh.org/workfiles/Community%20Health%20Assessment%20PDF.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 11 | Finding 1 - Access to affordable health care need: The Frederick Regional Health System will continue to fund operations of the FMH Prenatal Center through the generosity of the FMH Auxiliary. Between 2008 and 2009, Maryland's infant mortality rate dipped nearly 10% - from 8 deaths per 1,000 live births to 7.2 deaths per 1,000 live births. Frederick County is one of only two counties state-wide to see a statistically significant decline in its infant mortality rate - dropping from 8.4 deaths per 1,000 live births to just 3.8 deaths per 1,000 live births. In raw numbers, 25 babies less than one year old died in 2008; compared to 11 in 2009. Targeting efforts: The cohort of patients frequenting the FMH Prenatal Center is self-regulating, so "targeting" the service per se has no value. The women for whom the Center was created are using the services appropriately. While there is still work to be done, FMH is proud to be providing prenatal care to local residents who are uninsured or under-insured, and is so doing, positively impacting newborn mortality rates in the County. The goal of hospital's efforts to address access to care will focus upon increasing the number of babies born in the FMH Family Center whose mothers had first trimester neonatal care. FMH Support of Community Partners Free Provision of Diagnostic Services Frederick Regional Health System will continue to provide free laboratory and radiology services to: - Mission of Mercy, - Frederick County Community Action Agency, and - Frederick County Health Care Coalition's Access to Care Program. These three partner providers have been instrumental in addressing access to care needs in Frederick County. The provision of these important services to these organizations will allow them to continue the important health care work they do in Frederick County. As these two organizations and one program provide services that are not geographically defined, the targeting of FMH efforts to provide the free laboratory and imaging services is unnecessary. By the very nature of their missions the patient populations seeking services are those in Frederick County who are either underinsured or uninsured. By default FMH is providing access to laboratory tests and imaging diagnostics to those in our community who are most in need of assistance. FMH has developed a strategic physician manpower plan that provides for the recruitment of primary care physicians, and those physicians practicing in specialty and subspecialty care for which there will be increased need moving forward. The physician manpower plan calls for the incremental increase of 5 to 6 adult primary care practitioners plus 4 extenders (Physician Assistants, Nurse Practitioners) within a 2 year time frame. The placement of the physicians has been researched and analyzed to ensure the equitable geographic distribution of primary care within Frederick County. As the capabilities of Frederick Regional Health System expand in response to demand and more educated consumer needs/wants, Frederick County will require an influx of specialty and sub-specialty practices to provide advanced modality care. The physician manpower plan has mapped out supply and demand to the year 2016, and provided a recruitment road map for specialty physician practices. Finding 2 - Access to affordable dental care need: Frederick Memorial Hospital will continue to work closely with the Frederick County Health Department, the Frederick County Dental Society, the University of Maryland Dental School and other partner organization to establish a dental clinic in Frederick. Significant progress has already been made in this regard. In late December of 2012, Christian S. Stohler, DMD, Dean of University of Maryland Dental School and Marcelena Holmes, Assistant Dean of Institutional Advancement, confirmed their plans to work with the hospital to start a dental clinic in Frederick. FMH will work with the University to help identify a location for the clinic and will engage with the Frederick Dental Society to recruit area Dentists to participate in the development of the facility, the curriculum and provide oversight as necessary. As the Dental Clinic will be in a fixed location and the mission will be to provide care to a well-defined socioeconomic patient population it will not be necessary to geographically target marketing efforts or service provision. As there will be a limited number of appointment availabilities and a patient population that is anticipated to overwhelm capacities, there is the distinct possibility of creating an expectation that the clinic will be unable to fulfill. To create a free dental clinic in Frederick County Finding 3 - Access to mental health care need: Addressing Frederick County's behavioral health needs is an important and urgently needed facet of care that is presently being address by service providers that find themselves stretched to the limit relative to funding, resources and capacity. The Frederick County Health Department and The Mental Health Association have taken the lead in providing outpatient services to Frederick County residents. Frederick County's rate of emergency department visits related to behavioral health is a significant and growing problem in the county. There are days when the FMH Purple Zone, the area in the Emergency Department specially constructed to provide emergency treatment for patients with behavioral health issues is at full capacity. Patients are often housed in the Emergency Department for days at a time waiting for a bed to become available in our 24-bed Behavioral Health Unit. Because of facility constraints and the lack of the infrastructure necessary to sustain the kinds of programs that would make an impact in this area, FMH will not be able to respond in a truly meaningful way to this care provision crisis in the near term. We will continue to support those organizations and agencies in the community who are better positioned to provide the kind of care that is so desperately needed: the Mental Health Association and The Frederick County Health Department. Mental illness is an equal opportunity affliction that does not confine its disruptive symptoms to a particular gender, race or socioeconomic cohort of patients. As the hospital does not have in place community outreach efforts focused upon mental health, there is only a limited amount of targeted education that FMH can accomplish. We will continue to provide emergent care to all citizens seeking care for mental illness and behavioral health issues and provide to the best of our ability a safe and caring environment in which those emergency services are offered. The goal is to reduce the number of patients coming to the FMH Emergency Department with mental illness as a primary diagnosis. Finding 4 - Access to a Medical Home Model for primary care need: The best way to maintain wellness and to prevent the onset of chronic disease is to establish a relationship with a primary care physician. This "medical home" model of care is a major component of the health care reform act and the federal and state governments will be turning to hospitals to create the structure and resources necessary to support this model of care. The infrastructure will include the integration of Information Technology such that access to medical information is available to all providers of care to an individual patient. Frederick Memorial Hospital has been designate as the regional resource to establish the IT "cloud" into which providers will enter patient information and through which they will be able to access that information as necessary and appropriate. As the sole provider of health care in Frederick County, it is the responsibility of Frederick Regional Health System to ensure that there are adequate primary care physicians to provide a medical home model of care for the citizens of the County. To that end, the physician manpower plan calls for the addition of 5 to 6 primary care physicians and 4 extenders within the next two years. FMH will continue to support all of the programs, screening, seminars and outreach efforts described in the body of this document, and will work in close association with our community partners, especially with the Frederick County Health Department's Medical Director, Dr. Barbara Brookmyer to provide the access to care, programs and services necessary to maintain and improve Frederick County's health profile. As FMH provides care to all the citizens of Frederick County regardless of their ability to pay, there is no geographic target for our continuing efforts to ensure adequate provision of services and care. Frederick Memorial Hospital's certified Asthma Educators (AE-C) are dedicated to educating the community about this chronic disease. The Educators will continue to work with the State Asthma Coalition to increase awareness of the fact that asthma is a significant health problem. Their goal is to reduce the number of |
| 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/financialinformation |
| 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 | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 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 SERVICE 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 SERVICE 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 | 21702 | 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 SERVICE FACILITY |
| FMH WELLNESS CENTER | ||||
| 5500 BUCKEYSTOWN PIKE | FREDERICK | MD | 21702 | HEALTH SERVICES CENTER |
| FMH ECHO AND VASCULAR LAB | ||||
| 1560 OPPOSSUMTOWN PIKE | FREDERICK | MD | 21702 | HEALTH SERVICES CENTER |
| FMH URBANA | ||||
| 3430 WORTHINGTON BLVD | FREDERICK | MD | 21704 | OUTPATIENT HEALTH SERVICE FACILITY |
| FMH IMMEDIATE CARE | ||||
| 850 OAK STREET | FREDERICK | MD | 21702 | WALK-IN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (7 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 IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE CONTINUE OUR EFFORTS TO QUALIFY PATIENTS FOR FREE OR REDUCED CARE. |
| Medicare Costing Methodology | 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 | Assistance Form 990, schedule H, part III, line 9b PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI, LINE 2 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, 2015, FREDERICK MEMORIAL HOSPITAL ADMITTED 18,309 PATIENTS. THE FMH EMERGENCY DEPARTMENT TREATED 76,363 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. 2% OF ALL COUNTY RESIDENTS LACK HEALTH INSURANCE AND 19% ARE MEDICAID RECIPIENTS. FMH DEFINES ITS PRIMARY SERVICE AREA AS FREDERICK COUNTY, MARYLAND, WHICH ACCOUNTED FOR APPROXIMATELY 60% OF FMH'S DISCHARGES IN FISCAL YEAR 2015. 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. MT. AIRY THE MOUNT AIRY AREA IS PREDOMINANTLY WHITE (92.1%), WITH SMALLER HISPANIC OR LATINO (4.7%), AFRICAN AMERICAN (2.4%) AND ASIAN (2.2%) POPULATIONS. THE MEDIAN AGE IS 36, WITH APPROXIMATELY 20% OF THE POPULATION IN EACH OF TWO RANGES: 5-14 AND 40-49 YEARS OF AGE. ABOUT 10% OF ALL RESIDENTS ARE AGE 62 OR OLDER. THE POPULATION IS 51.5% FEMALE AND 48.5% MALE. 79% OF MOUNT AIRY RESIDENTS LIVE IN FAMILY HOUSEHOLDS (A HOUSEHOLDER AND ONE OR MORE OTHER PEOPLE RELATED BY BIRTH, MARRIAGE, OR ADOPTION). 86.9% OF THE HOUSING UNITS ARE OWNER-OCCUPIED. THE POVERTY LEVEL IN MOUNT AIRY IS 5.3%, WELL BELOW THE STATE-WIDE RATE OF 12.0%. LIFE EXPECTANCY IS ABOVE THE STATE AVERAGE AT 80.1%. CANCER AND HEART DISEASE (INCLUDING STROKE) RATE HIGHEST IN TERMS OF CAUSES OF DEATH AND YEARS OF POTENTIAL LIFE LOST. ABOUT 5.0% OF THE RESIDENTS IN THIS AREA LIVE WITH CHRONIC HEART DISEASE, JUST 1.3% HAVE HAD A STROKE, AND 28.5% HAVE BEEN TOLD THEY HAVE HIGH BLOOD PRESSURE. 6.1% HAVE BEEN DIAGNOSED WITH SKIN CANCER AND ANOTHER 6.8% HAVE BEEN DIAGNOSED WITH ANOTHER FORM OF CANCER. THURMONT THURMONT'S POPULATION IS FAIRLY EVENLY DISTRIBUTED IN TERMS OF AGE, WITH THE LARGEST COHORT (18%) IN THE 40-49 AGE BRACKET. RESIDENTS ARE 95.8% WHITE, 2.4% HISPANIC OR LATINO, AND 1% AFRICAN AMERICAN. NEARLY 16% OF THURMONT'S POPULATION IS AGE 62 OR OLDER. SIMILARLY TO MOUNT AIRY, THE POPULATION IS 48.4% MALE AND 51.6% FEMALE. 72% OF THURMONT RESIDENTS LIVE IN FAMILY HOUSEHOLDS, WITH 74.7% OF HOUSING UNITS OCCUPIED BY THE PROPERTY OWNER. 7.2% OF RESIDENTS IN THE AREA EARN INCOME BELOW THE POVERTY LEVEL. AGAIN, CANCER AND HEART DISEASE (INCLUDING STROKE) RATE HIGHEST IN TERMS OF CAUSES OF DEATH AND YEARS OF POTENTIAL LIFE LOST. ABOUT 4.6% OF RESIDENTS IN THIS AREA SUFFER FROM CHRONIC HEART DISEASE, 4.1% HAVE HAD A STROKE, AND 24.7% HAVE BEEN TOLD THEY HAVE HIGH BLOOD PRESSURE. 6.8% HAVE BEEN DIAGNOSED WITH SKIN CANCER AND ANOTHER 8.1% HAVE BEEN DIAGNOSED WITH ANOTHER FORM OF CANCER. FREDERICK CITY AND SUBURBS FREDERICK CITY AND ITS IMMEDIATE SUBURBS ARE MORE RACIALLY DIVERSE THAN EITHER THURMONT OR MT. AIRY, WITH WHITE (63.9%), AFRICAN AMERICAN (18.6%), HISPANIC OR LATINO (14.4%) AND ASIAN (5.8%) GROUPS ACCOUNTING FOR THE LARGEST PERCENTAGES. RESIDENTS ARE EVENLY DISTRIBUTED IN TERMS OF AGE, WITH THE LARGEST GROUP (17%) APPEARING IN THE 25-34 AGE BRACKET. THE POPULATION IS 48.2% MALE AND 51.8% FEMALE. JUST 60.5% OF THIS AREA'S RESIDENTS LIVE IN FAMILY HOUSEHOLDS, WITH A RELATIVELY EVEN SPLIT BETWEEN OWNER-OCCUPIED (57.6%) AND RENTER-OCCUPIED (42.4%) HOUSING. 12.1% OF RESIDENTS IN THIS AREA LIVE BELOW THE POVERTY LEVEL, WHICH IS JUST ABOVE THE STATE AVERAGE OF 12.0%. AS IN THE OTHER TWO AREAS DESCRIBED, CANCER AND HEART DISEASE (INCLUDING STROKE) RATE HIGHEST IN TERMS OF CAUSES OF DEATH AND YEARS OF POTENTIAL LIFE LOST. 6.5% OF THE RESIDENTS IN THIS AREA LIVE WITH CHRONIC HEART DISEASE, 3.1% HAVE SUFFERED A STROKE, AND 30.2% HAVE BEEN TOLD THEY HAVE HIGH BLOOD PRESSURE. 4.0% REPORT BEING DIAGNOSED WITH SKIN CANCER AND ANOTHER 4.5% HAVE BEEN DIAGNOSED WITH ANOTHER FORM OF CANCER. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI, LINE 5 THE COMMUNITY HEALTH ASSESSMENT IDENTIFIED BREAST CANCER AS A FOCUS NEED: FMH DATA SHOWS THAT CANCER STRIKES WHITE WOMEN, 65+ YEARS OF AGE. THAT COHORT ACCOUNTS FOR 55% (329) OF THE 596 PATIENTS ADMITTED TO FMH IN FY2012 WITH A CANCER DIAGNOSIS. CAUCASIANS ARE IMPACTED BY A GREATER DEGREE AS MEASURED BY PERCENTAGE OF THAT RACE'S POPULATION IN FREDERICK. IN FY2012, THE TOTAL NUMBER OF CASES (INPATIENT AND OUTPATIENT) WITH THE DIAGNOSIS OF NEOPLASM EQUALED 14,761. EIGHT PERCENT OF THE FREDERICK COUNTY POPULATION IS CURRENTLY LISTED IN THE FMH CANCER REGISTRY. BREAST CANCER IS THE MOST PREVALENT SITE OF CANCER DIAGNOSED AND TREATED AT FMH. IN 2012, THE TOTAL NUMBER OF BREAST CANCER PATIENTS AT FMH WAS 211, OR 25.5% OF THE TOTAL NUMBER OF CANCER PATIENTS DIAGNOSED AND TREATED AT FMH. THIS REPRESENTS AN 18% INCREASE IN VOLUMES FROM THE TOTAL SEEN IN 2011. The increase in volume is evidence that the hospital's awareness and educational programs are working well, especially given the fact that analysis of Stage at Diagnosis shows the largest proportion - 41% - are diagnosed at Stage I. 102 women attended the 10th annual breast cancer symposium, the theme for this free and open to the public event was Celebrating Life and Embracing Challenges: Moving Forward in Frederick. Dr. Susan Bahl, Medical Director of the Center for Breast Care discussed the advantages of the FMH Multidisciplinary Breast Cancer Clinic and the FMH Survivorship Clinic; Dr. Mark Goldstein provided education about fitness and nutrition for survivors. Dr. Lawrence Wickerham discussed the high risk clinic. The purpose of these outreach efforts is to influence a woman's decision to practice monthly breast self examinations, be examined yearly by a health care provider, have a yearly mammogram as indicated by screening protocols. The overarching goal is to decrease the incidence of late-stage breast cancer diagnosis in Frederick County. Over the past 5 years, the FMH cancer registry has recorded an increase in the number of breast cancers diagnosed in Stage I and Stage II. Given the favorable outcomes as measured by the number of breast cancer patients presenting in the early stages of the disease, FMH plans to continue hosting the Breast Cancer Symposium for many years to come. THE COMMUNITY NEEDS HEALTH ASSESSMENT IDENTIFIED HEART DISEASE AS FOCUS NEED. STROKE WORKSHOPS WERE PROVIDED TO THOSE COMMUNITIES IN OUR SERVICE AREA WHERE THE INCIDENCE OF HEART AND VASCULAR DISEASE ARE MORE PREVALENT WITH THE GOAL OF INCREASING AWARENESS ABOUT THE SIGNS AND SYMPTOMS OF STROKE. -FMH DATA SHOWS THAT THE PREPONDERANCE OF HEART DISEASE STRIKES WHITE MEN, 65 + YEARS OF AGE. THE COHORT ACCOUNTS FOR 49% (1,628) OF THE 3,206 HEART PATIENTS ADMITTED TO FMH IN FY 2012. -THE AFRICAN AMERICAN COMMUNITY IS IMPACTED BY A GREATER DEGREE AS MEASURED BY PERCENTAGE OF THAT RACE'S POPULATION IN FREDERICK. -IN FY 2012, THE TOTAL NUMBER OF CASES (INPATIENT AND OUTPATIENT) WITH THE DIAGNOSIS OF HEART DISEASE OR A DISEASE OF THE CIRCULATORY SYSTEM EQUALED 28, 467. -SIX PERCENT OF THE FREDERICK COUNTY POPULATION SUFFERS FROM CHRONIC HEART DISEASE. STROKE WORKSHOPS STROKE WORKSHOPS WERE PROVIDED TO THOSE COMMUNITIES IN OUR SERVICE AREA WHERE THE INCIDENCE OF HEART AND VASCULAR DISEASE ARE MORE PREVALENT WITH THE GOAL OF INCREASING AWARENESS ABOUT THE SIGNS AND SYMPTOMS OF STROKE. THE DIRECTOR OF THE FMH STROKE PROGRAM ATTENDED A NUMBER OF COMMUNITY MEETINGS AND EVENT TO EDUCATED ATTENDEES ABOUT THE RISK FACTORS ASSOCIATED WITH CARDIOVASCULAR DISEASE. ATTENDEES ARE GIVEN INFORMATION ON RISK FACTORS AND STEPS THEY CAN TAKE RIGHT AWAY TO CHANGE THEIR OWN RISK FOR STROKE. BECAUSE THE ONSET OF CORONARY ARTERY DISEASE, VASCULAR DISEASE AND THE PREDILECTION TO ATHEROSCLEROSIS ALL HAVE A GENETIC COMPONENT, IT IS DIFFICULT TO ASCERTAIN WHAT IMPACT, IF ANY, A FOCUSED AWARENESS CAMPAIGN ABOUT THE SIGNS AND SYMPTOMS OF STROKE MAY HAVE ON A GIVEN POPULATION. AN IMMEDIATE EVALUATION TOOL WAS USED TO ASSESS WHETHER THE ATTENDEES LEARNED AND RETAINED SOME OF THE PERTINENT INFORMATION PRESENTED IN THE WORKSHOPS. AT THE CONCLUSION OF THE WORKSHOPS, APPROXIMATELY 100% OF THE ATTENDEES ARE ABLE TO NAME AND IDENTIFY STROKE SIGNS AND SYMPTOMS AND KNOW WHAT TO DO IN CASE THEY, OR SOMEONE THEY KNOW, ARE HAVING A STROKE. FMH WILL CONTINUE TO OFFER FREE STROKE WORKSHOPS TO THE CITIZENS OF FREDERICK COUNTY TO INCREASE AWARENESS AND PROVIDE DETAILS ON STROKE CARE AND PREVENTION. EFFORTS WILL FOCUS EVEN MORE SPECIFICALLY IN THOSE UNDERSERVED COMMUNITIES IN WHICH THE INCIDENCE OF CARDIOVASCULAR DISEASE IS HIGHEST IN FREDERICK COUNTY. THE COMMUNITY NEEDS HEALTH ASSESSMENT IDENTIFIED ACCESS TO PRENATAL CARE AS FOCUS NEED: THE FMH PRENATAL CENTER PROVIDES PRENATAL CARE FOR FREDERICK COUNTY RESIDENTS WHO ARE UNDERINSURED OR UNINSURED AND WHO MAY BE UNABLE TO OBTAIN PRENATAL CARE FROM PRIVATE OBSTETRICIANS. MANY OF THE WOMEN IN THE PRENATAL CENTER'S PROGRAMS ARE HIGH-RISK MATERNITY PATIENTS, WHO PRESENT WITH MEDICAL CONDITIONS THAT MAY POSE SIGNIFICANT MATERNAL AND INFANT RISK. FMH PRENATAL CENTER PRACTITIONERS ARE CERTIFIED NURSE MIDWIVES, UNDER THE SUPERVISION OF DR. EDWIN CHEN, MEDICAL DIRECTOR FOR THE PRENATAL CENTER, AND DR. WAYNE KRAMER, A MATERNAL FETAL MEDICINE SPECIALIST WITH MID MARYLAND PERINATOLOGY ASSOCIATES, WHO ARE ABLE TO DIAGNOSE AND TREAT NORMAL PREGNANCIES AS WELL AS HIGH RISK PREGNANCIES. PNC MEDICAL ASSISTANTS, AND A CERTIFIED SPANISH INTERPRETER COMPLETE THE STAFF MEMBERS IN THE PRENATAL CENTER WHICH IS UNDER THE UMBRELLA OF WOMEN'S AND CHILDREN'S SERVICES SUPERVISED BY A MASTERS PREPARED NURSING DIRECTOR. ACCESS TO THE FMH PRENATAL CENTER IS PRIMARILY FROM SELF-REFERRALS, AS WELL AS REFERRALS FROM FREDERICK COUNTY HEALTH DEPARTMENT (FCHD), AND MISSION OF MERCY. THIS INITIATIVE WAS IMPLEMENTED AFTER THE FIRST FCHD HEALTH NEEDS ASSESSMENT DEMONSTRATED THAT THERE WERE SIGNIFICANT UNMET NEEDS FOR PRENATAL CARE. THE FMH AUXILIARY CONTRIBUTED SIGNIFICANT FUNDS FOR THE FIRST FOUR YEARS OF THE PNC. FMH LEADERSHIP IS COMMITTED TO THE CONTINUATION OF THE PNC DUE TO THE SIGNIFICANT IMPROVEMENT IN ACCESS TO PRENATAL CARE AND IMPROVEMENTS IN INFANT MORTALITY STATISTICS FOR FREDERICK COUNTY. THE GOAL OF THE PRENATAL CENTER IS TO HAVE HEALTHY MOTHERS AND HEALTHY NEWBORNS. OUR SUCCESS IS ASSESSED BY THE NUMBER AND PERCENTAGE OF WOMEN WHO HAVE HAD EIGHT OR MORE PRENATAL VISITS AND DELIVERED A NEWBORN WHO WEIGHS AT LEAST 2,500 GRAMS. THERE WERE 475 NEW MATERNITY PATIENTS WHO HAD 2,748 OUTPATIENT PRENATAL VISITS IN 2015. THE PNC ALSO MEASURES PATIENT SATISFACTION AND REGULARLY ACHIEVES AVERAGE SCORES BETWEEN 91-98%. THERE WERE 176 MATERNITY PATIENTS WHO RECEIVED AT LEAST 8 PRENATAL CARE VISITS AND WHO DELIVERED BABIES OF HEALTHY BIRTH WEIGHT (2,500 GRAMS OR ABOVE). OF THOSE WOMEN WHO HAD AT LEAST 8 PRENATAL CARE VISITS 96% DELIVERED BABIES OF HEALTHY BIRTH WEIGHT. IN MARYLAND, FREDERICK COUNTY HAD THE 5TH LOWEST PERCENTAGE OF BABIES BORN WEIGHING LESS THAN 2,500 GRAMS IN 2012 AND THE 4TH LOWEST INFANT MORTALITY RATE PER 1,000 LIVE BIRTHS IN 2012 (DHMH MOST RECENT STATE WIDE STATISTICS ARE FROM 2012). THE FREDERICK REGIONAL HEALTH SYSTEM WILL CONTINUE TO FUND OPERATIONS OF THE FMH PRENATAL CENTER THROUGH OUR COMMITMENT TO SERVING OUR COMMUNITY AND OUR POPULATION HEALTH INITIATIVES. TOTAL DIRECT OPERATING EXPENSES FOR PNC STAFF, SUPPLIES, PROVIDERS AND HIGH RISK CONSULTANTS EXCEED $335,000 ANNUALLY. THE COMMUNITY NEEDS HEALTH ASSESSMENT IDENTIFIED ACCESS TO CARE MANAGEMENT AS A FOCUS NEED: ONE OF THE MAIN REASONS FOR HOSPITAL RE-ADMISSION IS THE FACT THAT DISCHARGED PATIENTS HAVE HISTORICALLY RECEIVED LITTLE OR NO GUIDANCE RELATIVE TO FOLLOW-UP VISITS WITH PHYSICIANS, FILLING AND TAKING THEIR PRESCRIBED MEDICATIONS, MAKING APPOINTMENTS FOR REHABILITATION, ETC. PATIENTS IDENTIFIED AS HIGH ED UTILIZERS, AND/OR PATIENTS RETURNING TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE, MEET WITH EITHER AN RN OR SOCIAL WORK CASE MANAGEMENT IN AN EFFORT TO UNDERSTAND WHY A PATIENT HAS RETURNED AFTER DISCHARGE AND OR HAS FREQUENT VISITS TO THE EMERGENCY ROOM. THE RESULTS OVERWHELMINGLY SUPPORTED THE NEED TO ESTABLISH A PLAN FOR ACCESS TO; MEDICATIONS, FOLLOW UP PHYSICIAN APPOINTMENTS, TRANSPORTATION, AND OTHER MEDICAL/SOCIAL SUPPORT IN THE COMMUNITY. CARE TRANSITIONS IN 2015 WITH 2,994 PATIENTS RECEIVING INTERVENTIONS FROM OUR CARE TRANSITIONS TEAM. THROUGH THE WORK OF OUR CARE TRANSITIONS TEAM PATIENTS RECEIVE MORE FOCUSED DISEASE MANAGEMENT EDUCATION, AND INTENSIVE TRANSITION PLANNING, WHICH OFTEN INCLUDES FINANCIAL SUPPORT FOR MEDICATIONS, FOLLOW UP PHYSICIAN APPOINTMENTS, TRANSPORTATION AND VARIOUS OTHER MEDICAL AND SOCIAL SUPPORT SERVICES IN THE COMMUNITY. AS THE TEAM OF CARE TRANSITIONS NURSES, SOCIAL WORKERS AND PHARMACIST WORKS CLOSELY WITH PATIENTS WHO HAVE BEEN IDENTIFIED AS HIGH RISK FOR READMISSION A GREAT DEAL OF TIME AND ENERGY IS SPENT WORKING WITH PATIENTS AND CAREGIVERS TO ESTABLISH A POST DISCHARGE PLAN. THI |
| 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 | $100,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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 | $340,503 | $0 | $53,691 | $0 | $2,322 | $0 | $16,117 | $0 | $48,110 | $0 | $460,743 | $0 | $0 | $0 |
| Cheryl L Cioffi | ||||||||||||||
| VP Chief Nursing Officer | $216,997 | $0 | $34,948 | $0 | $540 | $0 | $36,123 | $0 | $15,804 | $0 | $304,412 | $0 | $0 | $0 |
| Kenneth R Coffey II | ||||||||||||||
| VP Chief Development Officer | $181,502 | $0 | $19,522 | $0 | $2,322 | $0 | $15,691 | $0 | $11,012 | $0 | $230,049 | $0 | $0 | $0 |
| Hannah R Jacobs | ||||||||||||||
| VP Finance | $170,762 | $0 | $18,796 | $0 | $540 | $0 | $2,261 | $0 | $9,392 | $0 | $201,751 | $0 | $0 | $0 |
| Thomas A Kleinhanzl | ||||||||||||||
| President and CEO | $610,432 | $0 | $176,344 | $0 | $7,160 | $0 | $15,804 | $0 | $180,232 | $0 | $989,972 | $0 | $0 | $0 |
| Michelle K Mahan | ||||||||||||||
| Sr VP and CFO | $367,941 | $0 | $73,952 | $0 | $2,322 | $0 | $15,804 | $0 | $48,013 | $0 | $508,032 | $0 | $0 | $0 |
| Rachel I Mandel | ||||||||||||||
| AVP Medical Affairs | $149,588 | $0 | $17,870 | $0 | $149 | $0 | $1,986 | $0 | $6,780 | $0 | $176,373 | $0 | $0 | $0 |
| Mary B Mann | ||||||||||||||
| AVP Patient Care Services | $154,685 | $0 | $16,135 | $0 | $1,242 | $0 | $15,476 | $0 | $8,852 | $0 | $196,390 | $0 | $0 | $0 |
| Terry P O'Malley | ||||||||||||||
| VP Human Resources | $191,897 | $0 | $19,533 | $0 | $6,067 | $0 | $12,971 | $0 | $27,844 | $0 | $258,312 | $0 | $0 | $0 |
| David J Quirke | ||||||||||||||
| VP Chief Information Officer | $147,322 | $0 | $42,190 | $0 | $436 | $0 | $6,782 | $0 | $22,741 | $0 | $219,471 | $0 | $0 | $0 |
| Craig F Rosendale | ||||||||||||||
| VP Ancillary Services | $174,812 | $0 | $18,972 | $0 | $3,564 | $0 | $12,835 | $0 | $10,576 | $0 | $220,759 | $0 | $0 | $0 |
| Donald R Schilling | ||||||||||||||
| VP Ambulatory Services | $195,807 | $0 | $18,210 | $0 | $2,322 | $0 | $12,985 | $0 | $5,258 | $0 | $234,582 | $0 | $0 | $0 |
| Mark S Soberman | ||||||||||||||
| Physician | $496,655 | $0 | $146 | $0 | $1,032 | $0 | $15,336 | $0 | $12,251 | $0 | $525,420 | $0 | $0 | $0 |
| Jennifer G Teeter | ||||||||||||||
| AVP Payor Contracting | $166,074 | $0 | $21,234 | $0 | $1,242 | $0 | $12,608 | $0 | $10,051 | $0 | $211,209 | $0 | $0 | $0 |
| John R Verbus | ||||||||||||||
| Sr VP and COO | $359,625 | $0 | $65,433 | $0 | $2,322 | $0 | $14,177 | $0 | $48,763 | $0 | $490,320 | $0 | $0 | $0 |
| Jim R Williams | ||||||||||||||
| VP Business Development | $198,869 | $0 | $20,833 | $0 | $3,564 | $0 | $12,985 | $0 | $11,919 | $0 | $248,170 | $0 | $0 | $0 |
| MARY BRIDGET CASTRO | ||||||||||||||
| CHARGE NURSE | $168,414 | $0 | $146 | $0 | $48 | $0 | $5,410 | $0 | $15,224 | $0 | $189,242 | $0 | $0 | $0 |
| DUSTIN M SIMONSON | ||||||||||||||
| ONCOLOGY MEDICAL PHYSICIST | $188,249 | $0 | $146 | $0 | $120 | $0 | $10,779 | $0 | $15,228 | $0 | $214,522 | $0 | $0 | $0 |
| JAMES BLAKE TRUMBLE | ||||||||||||||
| MEDICAL DIRECTOR | $236,927 | $0 | $146 | $0 | $180 | $0 | $5,170 | $0 | $15,649 | $0 | $258,072 | $0 | $0 | $0 |
| YU XIA | ||||||||||||||
| ONCOLOGY MEDICAL PHYSICIST | $169,933 | $0 | $146 | $0 | $145 | $0 | $7,901 | $0 | $2,213 | $0 | $180,338 | $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 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: MANUEL A. CASIANO 34,270 CHERYL L. CIOFFI 25,000 MICHELLE K. MAHAN 18,150 TERRY P. O'MALLEY 17,448 DAVID J. QUIRKE 15,656 THOMAS A. KLEINHANZL 148,519 JOHN R. VERBUS 17,266 |
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 | $14,450,568 | $0 | $22,749,432 | 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 | 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Description of Other Program Services | form 990, part III, line 4d OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN & CHILDREN AND WOUND CARE. |
| MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK REGIONAL HEALTH SYSTEM. Power to elect or appoint members form 990, part vi, line 7a THE SOLE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK MEMORIAL HOSPITAL. |
| Decisions reserved to members or stockholders | form 990, part vi, line 7b THE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, MUST APPROVE THE INCURRENCE OF DEBT IF SUCH DEBT EXCEEDS A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, CAPITAL EXPENDITURES EXCEEDING A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, THE DECISION TO DISSOLVE OR LIQUIDATE, THE CREATION OF A SUBSIDIARY, AND AMENDMENTS TO THE BYLAWS. |
| Process used to review the Form 990 | form 990, part vi, line 11b THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. |
| Monitoring and enforcement of compliance with conflict of interest policy | form 990, part vi, line 12c THE FREDERICK MEMORIAL HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX-EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). |
| Process for determining compensation | form 990, part vi, line 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT. |
| PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK MEMORIAL HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FMH.ORG. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 9 Unrealized loss on interest rate swap (38,881) Pension adjustment (1,678,621) Other 33,623 ----------- (1,683,879) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMMITSBURG PROPERTIES LLC | BusinessNameLine1Txt |
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) |
|---|---|---|
| EIN | 521910823 | EIN |
| Primary Activities | HLDG INVSTMNT | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | -$2,000 | TotalIncomeAmt |
| End Of Year Assets | $399,430 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMH INC | BusinessNameLine1Txt |
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 | 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 COMPANY | MD | FHSC | C Corp | $0 | $0 | false | |
| MONOCACY INSURANCE LTD | ||||||||||||
| 981011570 | INSURANCE | FRHS | C Corp | $0 | $0 | false | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | 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 | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MONOCACY HEALTH PARTNERS INC | ||
| r | $6,672,246 | CASH |
| MONOCACY HEALTH PARTNERS INC | ||
| s | $9,750,000 | CASH |
| MONOCACY HEALTH PARTNERS INC | ||
| i | $716,155 | BOOK VALUE |
| MONOCACY HEALTH PARTNERS INC | ||
| o | $738,506 | DIRECT COSTING |
| MONOCACY HEALTH PARTNERS INC | ||
| j | $641,465 | FMV |
| MONOCACY HEALTH PARTNERS INC | ||
| q | $18,028,392 | DIRECT COSTING |
| FREDERICK HEALTH SERVICES CORP | ||
| a | $104,731 | FMV |
| FREDERICK HEALTH SERVICES CORP | ||
| k | $369,227 | FMV |
| FREDERICK HEALTH SERVICES CORP | ||
| o | $412,484 | FMV |
| FREDERICK HEALTH SERVICES CORP | ||
| p | $361,375 | DIRECT COSTING |
| FREDERICK REGIONAL HEALTH SYSTEM INC | ||
| q | $16,469 | DIRECT COSTING |
| HOSPICE OF FREDERICK COUNTY INC | ||
| o | $857,327 | DIRECT COSTING |