2014-04-30T10:26:42-05:00 2013-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2012-07-01 520591531 WESTERN MD HEALTH SYSTEM CORP INC % WESTERN MARYLAND HEALTH SYST WEST 2409648003 PO BOX 539 Suite CUMBERLAND MD 215010539 KIMBERLY S REPAC 2409648002 2014-04-30 true 2155614200 2012 2015-11-30 17:44:51Z KIMBERLY S REPAC PO BOX 539 CUMBERLAND MD 21501 393165828 false X WWW.WMHS.COM 1905 MD THE MISSION OF WESTERN MD HEALTH SYSTEM IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE INDIVIDUALS AND THE COMMUNITIES SERVED, ESPECIALLY THOSE IN NEED - SUPERIOR CARE FOR ALL WE SERVE 15 11 2536 439 854363 60070 1902139 1343323 366612044 375111853 8163641 5470925 1982026 6595840 378659850 388521941 0 0 0 0 143447254 143842473 0 0 0 237601648 229667625 381048902 373510098 -2389052 15011843 556652526 564275853 450740686 420275842 105911840 144000011 X THE MISSION OF WESTERN MD HEALTH SYSTEM IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE INDIVIDUALS AND THE COMMUNITIES SERVED, ESPECIALLY THOSE IN NEED - SUPERIOR CARE FOR ALL WE SERVE false false 213584256 240403899 ANCILLARY CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OFFERS A COMPREHENSIVE RANGE OF GENERAL AND SPECIALTY SERVICES FOR PATIENTS. SURGICAL, LABORATORY, RADIOLOGY, CARDIOLOGY, CANCER, RESPIRATORY AND PULMONARY ARE THE LARGER SERVICES PROVIDED AT THE HOSPITAL. A SMALLER SCALE OF ANCILLARY SERVICES ARE PROVIDED AT THE NURSING HOME. 86427684 97280355 INPATIENT ROUTINE CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) IS A FULL SERVICE COMMUNITY HOSPITAL LICENSED FOR 267 BEDS INCLUDING MEDICAL-SURGICAL, INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC REHABILITATION, NURSERY, AND 88 NURSING HOME BEDS. FOR THE YEAR, 14,033 PATIENTS WERE ADMITTED TO THE HOSPITAL AND FOR THE NURSING HOME, THE AVERAGE DAILY CENSUS WAS 79 PATIENTS. THE HEALTH SYSTEM ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THOSE PATIENTS WHO MEET CERTAIN CRITERIA UNDER WMHS'S CHARITY CARE POLICIES RECEIVE SERVICES AT NO CHARGE OR AT AN AMOUNT LESS THAN FULL CHARGES. 20711762 23312525 PHYSICIAN PRACTICES, CLINICS, AND HOME CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OPERATES 18 PHYSICIAN PRACTICES, 2 URGENT CARE CLINICS, AND A HOME CARE PRACTICE. THE PHYSICIAN PRACTICES HAD 78,582 ENCOUNTERS; THE CLINICS HAD 16,725 ENCOUNTERS AND HOME CARE HAD 32,875 VISITS FOR THE YEAR. 11822219 14115074 EMERGENCY CARE 11822219 14115074 332545921 true true false false false false false false false true true false false true true true false true false true true false false false false false true true false false true true false false false false false false false true false false false false false false false true false false false true 120 0 true 2536 true true true true CJ false false false false false false false false X 15 11 true false false false false false false true true false false true true true true true true true true true true X WESTERN MARYLAND HEALTH SYST 2409648002 PO BOX 539 CUMBERLAND MD 21502 Mary Ann Jenkins 2.5 X 0 0 0 Shiv Khanna MD 2.5 X 0 0 0 ELIZABETH HURWITZ-SCHWAB 2.5 X 0 0 0 Joyce Lapp 2.5 X 0 0 0 M KATHRYN BURKEY 3.5 X 0 0 0 MARY PIROLOZZI 2.5 X 0 0 0 David C Mathews 2.5 X 0 0 0 SHARON NICOL 2.5 X 0 0 0 Courtney Thomas 2.5 X 0 0 0 Richard Watro 2.5 X 0 0 0 ROLF HAARSTAD 2.5 X 0 0 0 GREGG WOLFF MD 2.5 X 0 0 0 JOHN DAVIS 3.5 X 0 0 0 KIM LEONARD 3.5 X 0 0 0 BARRY P RONAN 40.0 X 692972 0 180650 KIMBERLY S REPAC 40.0 X 282757 0 55172 NANCY D ADAMS 40.0 X 206883 0 48583 WILLIAM BYERS 40.0 X 146460 0 40224 GEORGE C GARROW 40.0 X 227987 0 47031 STEVEN R SMITH MD 40.0 X 310558 0 60044 JO M WILSON 40.0 X 157635 0 39610 KEVIN R TURLEY 40.0 X 152009 0 41760 MICHELE R MARTZ 40.0 X 136645 0 38643 SUBRATO J DEB MD 40.0 X 554924 0 82854 CHRISTOPHER B HAAS MD 40.0 X 596001 0 78582 MARK G NELSON MD 40.0 X 605633 0 88078 GARY SCHMIDT MD 40.0 X 870558 0 118264 DALE E WOLFORD MD 40.0 X 445696 0 77335 THOMAS C DOWDELL 40.0 X 287496 0 58055 MARK J SULLIVAN 40.0 X 191683 0 43781 JAMES M RAVER MD 40.0 X 198960 0 21677 6064857 0 1120343 106 true true false HAYSTACK IMAGING PO Box 539 CUMBERLAND MD 21502 DIAGNOSTIC 6332489 PHARMACARE 3 COMMERCE DRIVE CUMBERLAND MD 21502 PHARMACY 2603232 Cumberland Anesthesia PO Box 1571 CUMBERLAND MD 21502 Anesthesia 1546450 Aramark Healthcare 25271 Network Place CHICAGO IL 60673 Dietary 1519392 Premier PO Box 668800 CHARLOTTE NC 28266 Consulting 1256728 29 67542 846124 429657 1343323 ANCILLARY CARE 621990 240403899 239862315 541584 INPATIENT ROUTINE CARE 621990 97280355 97280355 PHYSICIAN PRACTICES, CLINICS & HOME CARE 621990 23312525 23312525 EMERGENCY CARE 621990 14115074 14115074 375111853 4948719 23345 4925374 0 0 804216 13480 772224 31992 13480 45472 45472 4157781 236088 3854812 16851 302969 219237 522206 522206 0 0 0 CAFETERIA 621500 113264 113264 REIMBURSEMENT OF EXPENSES 621500 1320859 1320859 MISCELLANEOUS 621500 5116245 4826811 289434 6550368 388521941 380831203 854363 5493052 0 0 0 0 2917494 2713269 204225 0 101695067 94576412 7118655 12242251 11385293 856958 19806144 18419714 1386430 7181517 6678811 502706 0 341625 341625 311000 311000 0 0 134753 134753 3513051 3267137 245914 428253 398275 29978 63935011 59459560 4475451 4034702 3752273 282429 0 3710447 3450716 259731 645799 600593 45206 0 0 15457462 15457462 0 27256764 25348791 1907973 4931443 4586242 345201 CONTRACTUAL/CHARITY 76022133 70700584 5321549 BAD DEBTS 7513682 6987724 525958 MEDICAL PROFESSIONAL FEES 7271249 6762262 508987 MINORITY INTEREST 2295790 2135085 160705 11864461 11323180 541281 373510098 332545921 40964177 0 40319518 48724379 28189638 39021558 0 0 41515157 40847055 0 0 0 0 0 0 5690768 5955717 4018510 3788996 522983839 190647418 354451705 332336421 0 0 0 0 0 0 0 0 82467230 93601727 556652526 564275853 30486432 29793834 0 0 0 0 325360000 317915000 0 0 0 0 0 0 0 0 94894254 72567008 450740686 420275842 X 105146654 143627500 524327 127748 240859 244763 105911840 144000011 556652526 564275853 X 15011843 190127 22886201 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 720859 40000 3904 445335 319428 1567441 30000 -4723 871859 720859 2281205 94675 -755 807684 1567441 2244200 353302 12294 328591 2281205 185778 2058879 9552 10009 2244200 0.33410 0.66590 true false 7266699 7266699 333319144 56026610 277292534 174390894 132866264 41524630 8007102 1754544 6252558 332336421 FUNDS ON DEPOSIT WITH TRUSTEE 15475656 OTHER ACCOUNTS RECEIVABLE 5060931 A/R FROM AFFILIATES 2649145 IMPREST FUND - W/C 1040673 INVESTMENT-BOARD DESIGNATED 5464824 RESTRICTED BY DONOR 333547 INVESTMENT IN AFFILIATES 18234665 OTHER LONG TERM INVESTMENTS 41345261 UNDER BOND INDENTURE 3997025 93601727 0 FEDERAL INCOME TAXES 344 PAYABLES TO THIRD PARTY PROGRA 6956425 UNAMORTIZED BOND PREMIUM 9527579 EQUIPMENT LOAN PAYABLE 115094 DEFERRED COMP 719195 PROFESSIONAL INSURANCE 14247448 PENSION LIABILITY 39047154 MINORITY INTEREST PAYABLE 1510019 LOAN PAYABLE HAYSTACK 443750 72567008 X 305813724 190127 -83670568 -83480441 389294165 -772224 -772224 388521941 288315964 -1523566 -1523566 289839530 83670568 83670568 373510098 Endowment Funds Part V Line 4 Intended uses of the income from the pugh endowment fund are to provide free beds and free service to those who may become patients and who through financial inability may be unable to make provisions for their own medical and/or surgical relief. Anderson family foundation endowment fund is restricted for use to address hospital Acquired infections. Other revenues included on Form 990 Part XII Line 2d Investment management fees (re-class to expenses) $ (134,753) Contractual Allow. & Charity (re-class to expenses) $ (83,535,815) -------------- Total $ (83,670,568) Part XII Line 4b Rental Expenses (re-class from Expenses): $ (772,224) Other Expenses included on Form 990 Part XII Line 2d Distributions to non-controlling interests: $ 2,295,790 Rental Expenses Reclassed to Revenue: $ (772,224) ------------ Total Part XII Line 2d $ 1,523,566 Part XII Line 4b Investment management fees (re-class to expenses) $ 134,753 Contractual Allow. & Charity (re-class to expenses) $ 83,535,815 -------------- Total $ 83,670,568 Liability for Uncertain Tax Positions (FIN 48 Footnote) Schedule D Part X The Health System and substantially all of its affiliates are exempt from federal income tax, except for unrelated business income, which is nonexistent, under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes is made in the consolidated financial statements for these entities. Central America and the Caribbean Program Services INSURANCE 2282530 2282530 2282530 true false true false false false true true X true X true X true true true false true true 22252 17477763 17477763 0.04770 8526176 7290947 1235229 0.00340 22252 26003939 7290947 18712992 0.05110 16014 414313 6185 408128 0.00110 100452 659232 659232 0.00180 88405 43288133 18831125 24457008 0.06670 4345 2546962 29667 2517295 0.00690 209216 46908640 18866977 28041663 0.07650 231468 72912579 26157924 46754655 0.12760 580 118092 118092 0.00030 113378 113378 0.00030 770715 770715 0.00210 580 1002185 1002185 0.00270 true 7513682 140952759 101992643 38960116 X true true CUMBERLAND PROPERT RENTAL 1.00000 JOHNSON HEIGHTS MED RENTAL 0.83950 0.16050 MEMORIAL MED CTR SER BUILDING MAINTENANCE 1.00000 HAYSTACK IMAGING HEALTHCARE 0.50000 0.50000 1 1 Western Maryland Regional Medical Cnt

12500 Willowbrook Road Cumberland MD 21502

X X X 1 Western Maryland Regional Medical Cen 1 true X X X X X X X X X X 12 true false true X X X X X X X X X X X X true false true true 200. true 300. true X X X X X X X true true X X X X X X true X false X X X X true X false true 1 FROSTBURG NURSING AND REHAB CT

48 TARN TERRACE FROSTBURG MD 21532

NURSING HOME SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES Community Support - WMHS has in place a disaster readiness program. As the largest hospital in the area and the largest employer, WMHS has incurred costs to be able to deal with a disaster if the need arises. Coalition building - WMHS works with community partners to improve the health in the community. Education programs, screenings, and various other events are conducted by WMHS. Workforce development - WMHS is actively involved in the recruitment of physicians and other health professionals for the federally medical underserved area through a collaboration with regional partners. SCHEDULE H, PART III BAD DEBT EXPENSE, LINE 4 Bad debt expenses are for those services rendered to patients who have been determined to have the financial capacity, but are unwilling to pay. The total expense is write-offs, made after following the provisions of the hospital's collection and write-off policy, less bad debt recoveries. An estimate of the amount of charity care attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information was available to make a determination of their eligibility, is based upon a review of records of patients who had accounts written off. WMHS has an audit of its financial statements prepared. The community benefits amount shown in Schedule H - Part I do not include bad debt expense. SCHEDULE H, PART III SECTION B MEDICARE, LINE 8 Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Court Review Commission ("HSCRC") determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. SCHEDULE H, PART III SECTION B MEDICARE LINE 8, COSTING METHODOLOGY Cost to charge ratio. SCHEDULE H, PART III SECTION C COLLECTION PRACTICES, LINE 9B - The Western Maryland Health System provides care to all patients seeking care, regardless of their ability to pay. A patient's ability to pay is based on a review which is done by a member of the Health System's Business Office. This review assures that all patients who seek emergency or urgent care receive those services regardless of the patient's ability to pay. -In accordance with Maryland law, the Western Maryland Health System has a financial assistance policy and patients may be entitled to receive financial assistance with the cost of medically necessary hospital services if they have a low income, do not have insurance, or their insurance does not cover medically-necessary hospital care. -The Western Maryland Health System meets or exceeds the state's legal requirement by providing financial assistance based on income established by and published by the Federal Government each year. -Those patients that meet the financial assistance policy criteria described above may receive assistance from the Health System in paying their bill. If a patient believes he has wrongly been referred to a collection agency, he has the right to contact the hospital to request assistance. SCHEDULE H, PART V FACILITY INFORMATION COMMUNITY HEALTH NEEDS ASSESSMENT Line 1, Description Line 3, Persons Consulted Line 5c, Available to Public Utilizing the Association of Community Health Improvement Toolkit, WMHS compiled a list of desired data and potential sources. Raw data from the over 40 sources was compiled and put on a dashboard, along with additional narrative for analysis. A complete list of the source list can be found at: http://www.alleganyhealthplanningcoalition.com/pdf/AlleganyCoDataSourceLis t07_2011.pdf Management teams from both the WMHS and the Allegany County Health Department reviewed the raw data, narrative, and source list, to identify missing elements, raise questions, and begin analysis. Criteria to identify the most significant health issues included magnitude, severity compared to target and level of need for vulnerable populations. The need for transportation was unclear based on the secondary data, so a survey was created and distributed to patients in the emergency department, health department clinics, and Tri-State Community Health Center (FQHC). The results of the survey were added to the data. WMHS worked collaboratively with the health department to create a presentation utilizing the following framework: - Demographics- Characteristics of community and patients - Lifestyle choices and environment - Health needs & disease status - Access to care (payors & providers, barriers) The WMHS Community Advisory Board helped create a list of community organizations and focus groups to participate in the process. Between July and October 2011, the WMHS Director of Community Health & Wellness and a representative from the Allegany County Health Department, shared the process and results of community health needs assessment in a public forum and in sessions with over 20 groups including: - WMHS Board of Directors & Community Advisory Board - Workgroup on Access to Care - Local Drug and Alcohol Abuse Council - Local Management Board - Community Wellness Coalition - Western Maryland AHEC Board - School Health Council - Mental Health Advisory Board - Board of Health - Cumberland Ministerial Assn. - County United Way - Cumberland Housing Rental Advisory Board - Neighborhood Advisory Commission - Community Trust Foundation - Allied Health Students at Allegany College of Maryland After presenting the data, participants were asked to identify the top 5 priorities in rank order based on a list of 13 identified community health needs, taking into consideration: - Community capacity to act on issue (money, politics, culture) - Feasibility of having measurable impact on issue - Community resources already focused on issue - Issue is root cause of other problems The option to identify additional needs was made available, but none were suggested. Participants were also asked to identify potential partners for addressing these needs and any known barriers. To examine the connection between community health needs, social determinants and economic development, meetings were held with City and County Government officials and representatives identified by County Administrator--from transportation, housing, economic development, public safety, and GIS as well as with the Allegany County Chamber of Commerce Economic Development Committee. A nominal process was used to combine the various rankings from the groups into a final draft list of priorities. Tobacco use, obesity, access to care, emotional & mental health, and substance abuse, top the list of priorities identified by the community. In August 2011, WMHS and ACHD met to identify the proposed membership of the Allegany County Health Planning Coalition. By October, the Coalition was confirmed; members met with representatives from SHIP, established a vision and mission, and approved the organizational structure and priority list. Rather than create duplicative committees, the Allegany County Health Planning Coalition utilizes established workgroups and committees already functioning successfully in the community. Communication is maintained between these entities and the Coalition either by Coalition members who serve on the committees or designated staff from WMHS or ACHD. The operational structure of the Coalition is provided by targeted staff at the Allegany County Health Department and the Western Maryland Health System. Once the priority needs were finalized, representatives from WMHS and ACHD researched and compiled evidence base practices, current programs/services, and potential partnerships to address each priority. Service line leaders at WMHS were asked to review this information and recommend strategies to address the needs. Members of the Allegany County Health Planning Coalition did the same. Based on these recommendations, the WMHS Director of Community Health and Wellness and the ACHD Health Planner, compiled a draft action plan for each priority need. The draft action plan was reviewed and edited by WMHS service line leaders and System Management. In addition to the strategies in the Local Health Action Plan, WMHS identified several strategies to independently address the needs of the community. By December 31, 2011, the data sources, analysis, identified community priorities and implementation plan were posted for the public at: http://www.alleganyhealthplanningcoalition.com/and the WMHS website has a link to the site. For each of the priorities, there are overall strategies, actions, identified partners, progress measures and a timeframe. The WMHS Board of Directors approved the plan of action on January 26, 2012. From January - April 2012, commitments to the action plan and suggested improvements were obtained from the identified community organizations and workgroups. Either WMHS or ACHD was identified as the lead agency for all actions in the plan, and lead and support sources for all of the measures were identified. Progress on the strategic actions are assessed and reported every six months. The lead agencies report to the Coalition, and then the members rank the level of progress made. The average ranking is used and demonstrated with signal strength symbols ranging from 1 for no progress to 5 for excellent. Justification for the progress assessment can be found in the Coalition minutes. The Local Health Action Plan has a baseline measure and 2014 goal for each of the 13 priorities. When appropriate, these measures were linked to a SHIP measure. A dashboard that shows the status based on the percentage variance between the county baseline and state baseline for each goal is posted at: http:/www.alleganyhealthplanningcoalition.com/ , under Local Health Action Plan. This dashboard will be updated annually. Information about community health needs was sought from the Allegany County Health Officer and various public health experts at both the local health department and state health department. As noted in the prior section, there were numerous community organizations consulted in the process including: Local Drug and Alcohol Abuse Council, Community Wellness Coalition, Mental Health Advisory Board, Cumberland Ministerial Association, Cumberland Housing Rental Advisory Board, Neighborhood Advisory Commission, Community Trust Foundation, and Allied Health Students at Allegany College of Maryland. Many of these entities are actually groups of organizations involving representatives from diverse sub populations within the service area. For example, the Local Drug and Alcohol Abuse Council involves representatives from Department of Social Services, Department of Juvenile Services, Regional Parole & Probation, State's Attorney, District Public Defender-Allegany and Garrett Counties, County Sheriff, Administrative Judge of the Circuit Court, substance abuse provider, Consumer - Addictions Treatment, ACHD, MD State Police, Board of Education, Frostburg State University, Allegany College of MD, Allegany Radio Corporation, Salvation Army, Chessie Federal Credit Union, Community Unity in Action, Affected Newborn Program, Youth Representative. Individuals ranging from elected officials to residents of public housing have been engaged in the process. In addition to the over 25 groups with which we discussed the community health needs assessment and local health action plan, we engaged the members of the Allegany County Health Planning Coalition. In addition to WMHS and ACHD, Coalition members are from: - Allegany County Public Schools - Western Maryland Area Health Education Center - County United Way - Tri-State Community Health Center (FQHC) - Allegany County Human Resources Development Commission It is the role of the Allegany County Health Planning Coalition to coordinate the strategic actions among community groups. Coordination includes monitoring progress and promoting public education regarding community health status. WMHS is the co-leader of the Coalition. SCHEDULE H, PART V FACILITY INFORMATION FINANCIAL ASSISTANCE POLICY, Line 19 WMHS determines the maximum amounts that can be charged to the Financial Assistance Policy ("FAP") eligible individuals by using sliding scale tables based upon percentages of Federal Poverty Levels ("FPL"). SCHEDULE H, PART V FACILITY INFORMATION COMMUNITY HEALTH NEEDS ASSESSMENT, LINE 6I WMHS and the Allegany County Health Department conducted a community health assessment in the summer of 2011. A local health action plan was developed to address the top 13 priorities identified by the assessment. Rising to the top of the list of priorities were tobacco use, obesity, access to care, and emotional and mental health. The WMHS board approved the needs assessment and action plan on January 26, 2012. SCHEDULE H, PART V FACILITY INFORMATION INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE, LINE 21 Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission (HSCRC) determines payment through a rate setting process and all payors, including government payors, pay the same amount for the same services delivered at the same hospital. In accordance with Maryland law, the Western Maryland Health System has a financial assistance policy and patients may be entitled to receive financial assistance with the cost of medically necessary hospital services if they have a low income, do not have insurance, or their insurance does not cover medically-necessary hospital care. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE, LINE 3 Western Maryland Health System is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual situation. A patient can qualify for Financial Assistance either through lack of sufficient insurance or financial hardship due to excessive medical debt. It is the policy of WMHS to provide Financial Assistance based on indigence or excessive medical debt for patients who meet specified financial criteria and request such assistance. WMHS will post notices of availability at patient registration sites, Admissions, Business Office and at the Emergency Department. Notice of availability will also be sent to patients on patient bill statements. A Patient Billing and Financial Assistance Information Sheet will be provided to inpatients via the Admission Handbook given to every admitted patient. This is provided to patients prior to discharge and is also available to all patients upon request. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION COMMUNITY INFORMATION, LINE 4 WMHS provides primary and secondary acute care services for a six county region covering the Upper Potomac region of Maryland, Eastern West Virginia and Southwestern Pennsylvania. With almost 87% of the patients residing in either Allegany County, Maryland (72.5%) or mineral county, West Virginia (13.94%), WMHS considers these communities its Community Benefit Service Area. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION PROMOTION OF COMMUNITY HEALTH, LINE 5 SEE COMMUNITY BENEFIT SUMMARY IN SCHEDULE O. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION AFFILIATED HEALTH CARE SYSTEM, LINE 6 -SETON REGIONAL HEALTH SYSTEM (EIN: 52-1333566), TAX EXEMPT UNDER 501(c)(3), PUBLIC CHARITY STATUS 11 TYPE I, CHARITABLE -WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(c)(3), PUBLIC CHARITY STATUS 11 TYPE I, FUNDRAISING -MEMORIAL MEDICAL CENTER SERVICES (EIN: 52-1317704), C CORPORATION, BUILDING MAINTENANCE -WILLOWBROOK HC CONDO (37-1538510), C CORPORATION, CONDO MANAGEMENT -HAYSTACK CONSOLIDATED (52-1335895), C CORPORATION, MEDICAL SERVICES -WESTERN MD MEDICAL SUPPLY (26-0119241), C CORPORATION, MEDICAL SUPPLY SALES SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION STATE FILING OF COMMUNITY BENEFIT REPORT, LINE 7 WMHS files a community benefit report with the Maryland Health Services Cost Review Commission (HSCRC). X X X X X false true false false false false false true false BARRY P RONAN 514699 0 169273 0 9000 0 158051 0 22599 0 873622 0 KIMBERLY S REPAC 282757 0 0 0 0 0 34986 0 20186 0 337929 0 NANCY D ADAMS 206883 0 0 0 0 0 28269 0 20314 0 255466 0 WILLIAM BYERS 146460 0 0 0 0 0 20086 0 20138 0 186684 0 GEORGE C GARROW 219987 0 0 0 8000 0 30441 0 16590 0 275018 0 STEVEN R SMITH MD 310558 0 0 0 0 0 38825 0 21219 0 370602 0 JO M WILSON 157635 0 0 0 0 0 20469 0 19141 0 197245 0 KEVIN R TURLEY 152009 0 0 0 0 0 20888 0 20872 0 193769 0 MICHELE R MARTZ 136645 0 0 0 0 0 18668 0 19975 0 175288 0 SUBRATO J DEB MD 554924 0 0 0 0 0 65167 0 17687 0 637778 0 CHRISTOPHER B HAAS MD 532001 0 64000 0 0 0 69463 0 9119 0 674583 0 MARK G NELSON MD 605633 0 0 0 0 0 70391 0 17687 0 693711 0 GARY SCHMIDT MD 870558 0 0 0 0 0 98363 0 19901 0 988822 0 DALE E WOLFORD MD 381196 0 64500 0 0 0 54277 0 23058 0 523031 0 THOMAS C DOWDELL 287496 0 0 0 0 0 37630 0 20425 0 345551 0 JAMES M RAVER MD 198960 0 0 0 0 0 20793 0 884 0 220637 0 MARK J SULLIVAN 191683 0 0 0 0 0 25455 0 18326 0 235464 0 Supplemental Non-qualified Retirment Plan Schedule J, Line 4b and Line 7 Barry P. Ronan received a SERP payout in the amount of $169,273. A MHHEFA 520936091 574217zya 2006-11-14 348650000 REPLACE HOSPITAL FACILITY false false false A 16170000 0 360637993 25500000 31542000 8371923 2823891 0 0 292400179 0 0 2009 false true true true A false false false false 0 true false false true A false true false true false false 0 true wachovia securities 30. true false true A true Part IV Arbitrage, Line 2c 0 Rebate computation was performed November 15, 2010 KIMBERLY S REPAC SR. VP CFO 20181640 MD PHYSICIAN CARE false BARRY P RONAN PRESIDENT & CEO 20181640 MD PHYSICIAN CARE false BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L PART IV These transactions represent the monetary value of business transactions between MD Physicians Care and Western Maryland Health System. OTHER PROGRAM SERVICES PART III LINE 4D EMERGENCY CARE Western Maryland Health System (WMHS) operates a 24-hour/7-day-a-week emergency room which serves as the designated area-wide trauma center. 54,139 visits were registered in the emergency room for the year ending June 30, 2013. Officers and Trustees Business Relationships Part VI, Line 2 Michele R. Martz (Key Employee) serves on the Board of the United Way of the Potomac Highlands of which Mary Beth Pirolozzi (Trustee) is the Executive Director. Form 990 Governing Body Review Part VI, Line 11 On an annual basis, the Executive Committee of the Board of Directors meets to review IRS Form 990 and 990T before it is filed with the Internal Revenue Service. The Chief Financial Officer (CFO) presents an executive summary and then provides a detailed review and explanation of each form. Any open items or questions are resolved prior to the filing of the form. Subsequent to its review, the Executive Committee reports back to the Board regarding its oversight of the Form 990. The board is informed that a complete copy of the Form 990 is available on the board's secure password protected web site. Conflict of Interest Policy Compliance Part VI, Line 12c The WMHS Board of Directors monitors proposed or ongoing transactions for conflicts of interest and addresses any potential or actual conflicts. Pursuant to the Conflicts of Interest Policy, an annual conflict questionnaire is distributed to all interested persons. Interested persons are required to disclose real or potential conflicts at the time when such conflicts arise. When one becomes an interested person and annually thereafter, they are required to sign a statement affirming that they have received, read, understand, and agree to comply with the policy. The completed questionnaires are reviewed by the Board. The procedures for addressing any conflict include the conflict being fully disclosed and discussed with the interested person along with the potential resolutions of the conflict. Process for Determining Compensation Part VI, Line 15a & 15b The Board appoints a Compensation Committee of independent directors without a conflict of interest with respect to the compensation arrangement, responsible for setting reasonable compensation packages for each officer or key employee, including the CEO. The Committee develops, consistent with organizational philosophy and principle, the annual performance goals and criteria to be used in determining merit increases and variable compensation. The Committee also hires an independent compensation and benefits specialist to review, analyze and provide benchmarking data for the total compensation and benefits packages. Comparability data is obtained for similar job responsibilities. Written records of all analyses are maintained to support decisions related to key employees and officers. Availability of Governing Documents to Public Part VI Line 19 While the federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request. In Maryland, the organization's financial statements are also submitted to the Health Services Cost Review Commission which is available for public inspection as well. Other Changes in Net Assets or Fund Balances Part XI Line 9 Minimum Pension Liability Adjustment $ 22,506,000 Transfer to Operations (760,411) Income Released from Restricted 428,100 Asbestos 344,775 Restricted Donations 357,577 Caring Fund 6/30/2012 (32,709) Caring Fund 6/30/2013 38,965 Increase in Prem. Restricted Net Assets 3,904 ----------- Total $ 22,886,201 =========== Schedule H - Community Benefit Summary Mission Statement: Superior care for all we serve Vision Statement: Demonstrated leader in the delivery of exceptional healthcare services throughout the tri-state region Core Values - i2care: - Integrity: Demonstrate honesty and straightforwardness in all relationships - Innovation: Pursue continuous improvement through creative new ideas, methods, and practices - Compassion: Show care and kindness to all we serve and with whom we work - Accountability: Ensure effective stewardship of the community's trust - Respect: Demonstrate a high regard for the dignity and worth of each person - Excellence: Strive for superior performance in all that we do Community Benefit Summary (continued) WMHS Overview: Western Maryland Health System (WMHS) strives to enhance patient care while reducing healthcare costs. Improving the overall health of the community is another important goal of WMHS. The Western Maryland Health System offers a comprehensive range of general and specialty services for medical, surgical, pediatric, and obstetrical patients. Sophisticated diagnostic testing services are provided at the hospital, as well as at off-site, outpatient diagnostic centers. An extensive range of physician specialties is available, with over 200 physicians practicing in the community. In an effort to further enhance health care services, WMHS developed 8 Specialty Centers - Behavioral Health, Cardiac Services, Children's and Adolescents' Health, Oncology Services, Outpatient Services, Orthopedics and Joint Reconstruction, Trauma Services and Women's Health. Emergency services are provided at the Western Maryland Regional Medical Center, which serves as the designated Area wide Trauma Center in the Maryland Institute for Emergency Medical Services Systems (MIEMSS). Critical care services, as well as surgical services, a trauma program and comprehensive inpatient rehabilitation unit. The Heart Institute at WMHS provides a comprehensive range of cardiac diagnostic and treatment services, including open-heart surgery and interventional cardiology (angioplasty). A full range of cancer services is available through the Schwab Family Regional Cancer Center, which is accredited by the American College of Surgeons. Included in the WMHS program are diagnostic testing; a wide array of treatment services, including radiation oncology; hospice services, and many patient support services. Long-term care services are provided through the Frostburg Nursing and Rehabilitation Center, an 88-bed nursing home. Improving the community's overall health is an important aspect of WMHS. Health promotion activities include health screenings, classes on adopting healthy lifestyles, and exercise programs. Special activities for children and senior citizens, as well as other at-risk populations, are offered throughout the year. WMHS Strategic Goals FY2012 - FY2014 Increase Physician Collaboration: - Select and On-board Chief Medical Officer - Develop Physician Integration Working Group - Develop Financial Alignment Pilot Program - Implement Computerized Physician Order Entry/Electronic Health Records (CPOE/HER) Redesign Care Delivery: - Increase Primary Care Physician (PCP) Network and Reach - Develop Acute Care Pathways and Protocols - Expand Case Management to Comprehensive Disease Management - Enhance Care Transition Process to Post-Acute Care Providers Engage Patients and Improve Access to Care: - Identify and Act Upon Mission-Critical Aspects of Community Health and Wellness that WMHS Can Best Influence - Expand Employee Wellness to Improve the Health Status of WMHS Workforce and Establish WMHS as a Role Model for Healthy Living in the Community - Launch a Comprehensive Mission-Focused Campaign to Communicate Health and Wellness Information and Actively Engage At-Risk Populations in-Healthy Living Focus on Business Model Discipline: - Define Geographic and Product/Service Mix - Develop and Implement IT Infrastructure to Align with Strategic Initiatives - Improve the WMHS Value Proposition - Reduce Cost Structure - Improve the WMHS Value Proposition - Increase Clinical Quality - Develop Workforce Leadership to Improve Patient Experience Community Health Assessment The Western Maryland Health System is committed to improving the health of the citizens we serve and is a founding member of the Allegany County Health Planning Coalition. This is a group of community partners working together for a healthier community. WMHS and the Allegany County Health Department conducted a community health assessment in the summer of 2011. A local health action plan was developed to address the top 13 priorities identified by the assessment. Rising to the top of the list of priorities were tobacco use, obesity, access to care, and emotional and mental health. The statistical information compiled about the health status of the County and a summary of community health needs are available at www.alleganyhealthplanningcoalition.com. Actions to address each of the top 13 priorities are on the site as well. "These action plans are designed to engage everyone in the community, including businesses, churches, civic organizations, and individuals," explains Nancy Forlifer, Director of Community Health and Wellness at WMHS. "The strategies range from education about making healthier choices on a personal level to implementation of public policy changes that promote better health." The Coalition meets monthly and the public is welcome to attend the meetings, which are held at the Allegany County Health Department on Willowbrook Road. The meeting schedule and the minutes from the meetings are available on the website. Members of the Allegany County Health Planning Coalition include the Allegany County Health Department, WMHS, Allegany County Board of Education, County United Way, Tri-State Community Health Center, and the Western Maryland Area Health Education Center. SETON REGIONAL HEALTH SYSTEM 900 SETON DRIVE CUMBERLAND MD 21502 521333566 CHARITABLE MD 501(C )(3) I-O NA false CUMBERLAND PROPERTIES INC PO BOX 539 CUMBERLAND MD 21501 521522252 RENTAL MD 501(C )(3) 3 NA false WMHS FOUNDATION PO BOX 539 CUMBERLAND MD 21501 352289841 FUNDRAISING MD 501(C )(3) I-O NA false WILLOWBROOK HEALTH SERVICES PO BOX 539 CUMBERLAND MD 21501 522005140 HLTH CARE MD 501(C )(3) 3 NA false JOHNSON HEIGHTS 625 KENT AVENUE CUMBERLAND MD 21502 521775175 RENTAL MD NA Related -24428 1495182 false 0 true 0.84000 HAYSTACK IMAGING 900 SETON DRIVE CUMBERLAND MD 21502 043783141 HLTH CARE MD NA Related 3546110 2013007 false 0 false 0.50000 MEMORIAL MED CTR SVCS PO BOX 539 CUMBERLAND MD 21501 521317704 BLDG MAINT MD NA C CORP -3215 609954 1.00000 true WILLOWBROOK HC CONDO PO BOX 539 CUMBERLAND MD 21501 371538510 CONDO MGMT MD NA C CORP 171 79214 0.53000 HAYSTACK CONSOLIDATED 900 SETON DRIVE CUMBERLAND MD 21504 521335895 MED SVCS MD NA C CORP 0 0 WESTERN MD MED SUPPLY 11110 MEDICAL CAMPUS RD HAGERSTOWN MD 21742 260119241 MED SALES MD NA LLC -38889 433453 0.33000 false false true true false false false false true true true false true true false true true true JOHNSON SEIGHTS MEDICAL BLDG PARTNERSHIP J 328034 MARKET HAYSTACK IMAGING SERVICES LLC p 5175790 MARKET MEMORIAL MEDICAL CENTER SERVICES P 46438 MARKET WILLOWBROOK HEALTH CENTER CONDOMINIUM p 318904 MARKET WMHS FOUNDATION INC c 714698 MAREKT WESTERN MARYLAND MEDICAL SUPPLY P 874188 MARKET