FREDERICK HEALTH HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FREDERICK HEALTH HOSPITAL INC (EIN 52-0591612)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201421359349305877
Schema version: 2012v2.3
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T13:00:37-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1101 NEW YORK AVE NW	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20005	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591612	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Frederick Memorial Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% MICHELLE K MAHAN	InCareOfName
Name Control	FRED	NameControl
Phone	2405663300	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Michelle K Mahan	Name
Title	Sr. VP and CFO	Title
Date Signed	2014-05-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2023277097	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Thomas A Kleinhanzl	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	376282036	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FMH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1897	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	3108	TotalNbrEmployees
Total Nbr Volunteers	759	TotalNbrVolunteers
Total Gross UBI	25623	TotalGrossUBI
Contributions Grants Prior Year	1544404	ContributionsGrantsPriorYear
Contributions Grants Current Year	1286310	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	349642033	ProgramServiceRevenuePriorYear
Program Service Revenue CY	339333256	ProgramServiceRevenueCY
Investment Income Prior Year	5813060	InvestmentIncomePriorYear
Investment Income Current Year	4654109	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-454399	OtherRevenuePriorYear
Other Revenue Current Year	-463760	OtherRevenueCurrentYear
Total Revenue Prior Year	356545098	TotalRevenuePriorYear
Total Revenue Current Year	344809915	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	100000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	100000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	178059458	SalariesEtcPriorYear
Salaries Etc Current Year	180677969	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	48000	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1111406	TotalFundrsngExpCurrentYear
Other Expense Prior Year	171529894	OtherExpensePriorYear
Other Expenses Current Year	159527803	OtherExpensesCurrentYear
Total Expenses Prior Year	349689352	TotalExpensesPriorYear
Total Expenses Current Year	340353772	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6855746	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4456143	RevenuesLessExpensesCY
Total Assets BOY	415327620	TotalAssetsBOY
Total Assets EOY	443861280	TotalAssetsEOY
Total Liabilities BOY	253045947	TotalLiabilitiesBOY
Total Liabilities EOY	256998009	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	162281673	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	186863271	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	36970219	Expense
Grants	100000	Grants
Revenue	54558152	Revenue
Description	In FY2013, Frederick Memorial Hospital's Inpatient Medical-Surgical Departments provided quality, patient-centered care, regardless of ability to pay, to approximately 23,057 inpatients and observation patients. Major Medical and Surgical Services include Cardiology, Congestive Heart Failure, Post-Cardiac Catheterization, Center for Chest Pain, Hemodialysis, Peritoneal Dialysis, Neurology, Neurosurgery, Pulmonology, Oncology, Orthopedics, General Medicine and Surgical Care. Inpatient care is supported by a team of Board-Certified Physician Hospitalists. The FMH Joint Works Program with its UnitedHealth Premium Total Joint Replacement Specialty Center Designation in recognition of quality care, serving approximately 2000 patients in 2013. 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. In addition to the program services expense listed here, FMH incurred $39.0 million of general and administrative expenses in meeting the health needs of our primary service area.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	35707346	Expense
Grants	0	Grants
Revenue	59686299	Revenue
Description	Frederick Memorial Hospital's Perioperative Services provided high quality care to 13,163 surgical and endoscopy patients in fiscal year 2013. 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 $39.0 million of general and administrative expenses in meeting the health needs of our primary service area.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	24147134	Expense
Grants	0	Grants
Revenue	32698590	Revenue
Description	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 are available. The program treats approximately 850 newly diagnosed cancers per year and also has a community outreach program that includes education and screening. This past year, educational seminars were held for the community on breast and prostate cancer, as well as a community screening event for prostate cancer The program is accredited by the American College of Surgeons Commission on Cancer and in 2013, received an award of exceptional achievement from the commission, meriting commendation in all 8 of the 8 assessed competencies. In addition to the program services expense listed here, FMH incurred $39.0 million of general and administrative expenses in meeting the health needs of our primary service area.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	203410946	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	192390215	TotalOfOtherProgramServiceRev
Total Program Service Expense	300235645	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	320	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3108	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHELLE K MAHAN	NamePerson
Telephone Number	2405663350	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Marvin Ausherman End 93012
Director	2.0	0.0	X	0	0	0
Gregory P Dormitzer
Director	2.0	0.0	X	0	0	0
Bernard Gouin
Director	2.0	0.0	X	0	0	0
Theodore Luck
Director	2.0	0.0	X	0	0	0
J Frederick Manning
Director	2.0	0.0	X	0	0	0
John Molesworth DO
Past Chief Of Staff	2.0	0.0	X	563	0	0
Greg Powell PhD End 93012
Past Chairman Of The Board	2.0	0.0	X	0	0	0	X
P Gregory Rausch MD
Chair, FMH Devlopment Council	6.0	0.0	X	24875	0	0
E James Reinsch
Vice Chairman	2.0	0.0	X	0	0	0	X
Adriana Roa BSN End 9112
Director	2.0	0.0	X	0	0	0
Anne Herbert Rollins
Chairman Of The Board	6.0	0.0	X	0	0	0	X
Neil Waravdekar MD
Chief Of Staff	10.0	0.0	X	71058	0	0	X
Rev Roger W Wilmer Jr
Director	2.0	0.0	X	0	0	0
Gerald Winnan MD
Secretary And Treasurer	4.0	0.0	X	0	0	0
Adriane Wodey
Past Chairman Of The Board	2.0	0.0	X	0	0	0	X
Shawn Wolf
Director	2.0	0.0	X	0	0	0
Ravi Yalamanchili
Vice Chief Of Staff	6.0	0.0	X	61000	0	0
Cornelius Fay Beg 10112
Director	2.0	0.0	X	0	0	0
Terrence McPherson Beg 10112
Director	2.0	0.0	X	0	0	0
Laura Melia Beg 10112
Director	2.0	0.0	X	0	0	0
Donna Tisdale Beg 10112
Director	2.0	0.0	X	0	0	0
Thomas A Kleinhanzl
President and CEO	40.0	1.0	X	744431	0	174978	X
Michelle K Mahan
Sr VP and CFO	40.0	1.0		390114	0	84741	X
John R Verbus
Sr VP and COO	40.0	4.0		388827	0	58898	X
Rachel I Mandel
AVP MEDICAL AFFAIRS	20.0	0.0		113677	0	5532		X
Mary B Mann
AVP PATIENT CARE SERVICES	40.0	0.0		150250	0	11331		X
Terry P O'Malley
VP Human Resources	40.0	0.0		229083	0	44589		X
David JQuirke
VPChief Information Officer	40.0	0.0		285698	0	43580		X
Craig F Rosendale
VP Ancillary Services	40.0	0.0		193198	0	29786		X
Donald R Schilling
VP Ambulatory Services	40.0	0.0		214620	0	18844		X
Lucy A Shamash
VP Service Line Development &	40.0	0.0		250964	0	24588		X
Jennifer G Teeter
AVP Payor Contracting	40.0	0.0		171614	0	23482		X
Shirley B Thompson
Interim Sr VP Patient Care	20.0	0.0		85078	0	4002		X
Jim R Williams
VP Business Development and Pr	40.0	0.0		210723	0	30749		X
Manual A Casiano
VP Medical Staff	40.0	0.0		380086	0	67816		X
Cheryl L Cioffi
AVP Patient Care Service	40.0	0.0		118407	0	23153		X
Kenneth R Coffey II
VP Chief Development Officer	40.0	0.0		194874	0	32797		X
James S Grissom
AVP OF MEDICAL AFFAIRS	20.0	0.0		134866	0	9135		X
Hannah R Jacobs
VP-Finance	40.0	0.0		178012	0	10619		X
Rose A Labriola
Former Sr VP Patient Care	20.0	0.0		306121	0	33775		X
Brian M O'Connor
Physician	40.0	0.0		504710	0	35264			X
Mark S Soberman
Physician	40.0	0.0		492364	0	20893			X
Paul N Chomiak
Physician	40.0	0.0		495522	0	25737			X
Elhamy D Eskander
Physician	40.0	0.0		500942	0	34893			X
Mark G Goldstein
Physician	40.0	2.0		505612	0	25664			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7397289	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	874846	TotalOtherCompensation
Number Individuals GT100 K	161	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TXTEAM REHAB INC
4625 East Stop 11 Road	Indianapolis	IN	46237	Rehab Services	7262394
PRIME DOC OF FREDERICK PA
PO Box 7568	Asheville	NC	28802	Physician services	2020352
QUEST DIAGNOSTICS
12436 Collections Center Drive	CHICAGO	IL	606932436	Diagnostic services	1825898
ALLIANCE RADIOSURGERY LLC
PO Box 6600	Newport Beach	CA	92658	Medical services	1528692
SLEEPMED DIGITRACE CARE SERVICES
200 Corporate Place	Peabody	MA	11960	Medical services	1277650

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Fundraising Events	0	FundraisingEvents
All Other Contributions	1286310	AllOtherContributions
Noncash Contributions	40415	NoncashContributions
Total Contributions	1286310	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Inpatient Revenue	624110	159639475	159639475	0	$0
Outpatient Revenue	621410	170771062	170771062	0	$0
Transcription Services	561110	305751	305751	0	$0
Group Purchasing -Premier	525990	749442	723819	25623	$0
Hitech and Medical Home	621610	3915792	3915792	0	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3951734	TotalRevenueColumn
Related Or Exempt Function Income	3951734	RelatedOrExemptFunctionIncome
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	339333256	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2995975	TotalRevenueColumn
Exclusion	$2,995,975	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	535623	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	535623	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	535623	TotalRevenueColumn
Exclusion	$535,623	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	33130255	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	31458524	Securities
Other	13597	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1671731	Securities
Other	-13597	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1658134	TotalRevenueColumn
Exclusion	$1,658,134	ExclusionAmount

Field	Value	IRS element (for citing)
Fundraising Direct Expenses	0	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria and Coffee Shop	722511	1269954	$1,269,954
Mt. Airy Joint Mgmt Fee	541610	294847	$294,847
Losses Int Rate Swap	900099	-2564184	-$2,564,184

Field	Value	IRS element (for citing)
Total Other Revenue	-999383	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	344809915	TotalRevenueColumn
Related Or Exempt Function Income	339307633	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	25623	UnrelatedBusinessRevenue
Exclusion	$4,190,349	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	100000	Total
Program Services	100000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5101715	Total
Program Services	0	ProgramServices
Management And General	5101715	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	137050012	Total
Program Services	124973811	ProgramServices
Management And General	11762388	ManagementAndGeneral
Fundraising	313813	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8294824	Total
Program Services	7574701	ProgramServices
Management And General	712922	ManagementAndGeneral
Fundraising	7201	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20230094	Total
Program Services	18340741	ProgramServices
Management And General	1811601	ManagementAndGeneral
Fundraising	77752	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10001324	Total
Program Services	9053606	ProgramServices
Management And General	938891	ManagementAndGeneral
Fundraising	8827	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	14699489	Total
Program Services	13178551	ProgramServices
Management And General	1520938	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	666787	Total
Program Services	12254	ProgramServices
Management And General	654533	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	331525	Total
Program Services	0	ProgramServices
Management And General	331525	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	48000	Total
Fundraising	48000	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	439573	Total
Program Services	0	ProgramServices
Management And General	439573	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	35749281	Total
Program Services	30071499	ProgramServices
Management And General	5244200	ManagementAndGeneral
Fundraising	433582	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1150013	Total
Program Services	11928	ProgramServices
Management And General	1023036	ManagementAndGeneral
Fundraising	115049	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5679297	Total
Program Services	5127784	ProgramServices
Management And General	481563	ManagementAndGeneral
Fundraising	69950	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3621527	Total
Program Services	3621527	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3982325	Total
Program Services	3466217	ProgramServices
Management And General	516108	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	69523	Total
Program Services	35392	ProgramServices
Management And General	33904	ManagementAndGeneral
Fundraising	227	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	162218	Total
Program Services	82581	ProgramServices
Management And General	79109	ManagementAndGeneral
Fundraising	528	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4557890	Total
Program Services	4270743	ProgramServices
Management And General	278031	ManagementAndGeneral
Fundraising	9116	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20820911	Total
Program Services	16396909	ProgramServices
Management And General	4411755	ManagementAndGeneral
Fundraising	12247	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3685085	Total
Program Services	508185	ProgramServices
Management And General	3176900	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses

Field	Value	IRS element (for citing)
Description	Supplies & COGS	Description
Total	63912359	Total
Program Services	63409216	ProgramServices
Management And General	488029	ManagementAndGeneral
Fundraising	15114	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	340353772	Total
Program Services	300235645	ProgramServices
Management And General	39006721	ManagementAndGeneral
Fundraising	1111406	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	29890405	BOY
EOY	28057371	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3136826	BOY
EOY	3096450	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	50427786	BOY
EOY	47300345	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	81190	BOY
EOY	27063	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4648660	BOY
EOY	4482254	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2430944	BOY
EOY	2489828	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	421648692	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	223436039	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	189037601	BOY
EOY	198212653	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	99649453	BOY
EOY	109102873	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	28573661	BOY
EOY	44193211	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	7451094	BOY
EOY	6899232	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	415327620	BOY
EOY	443861280	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	41374475	BOY
EOY	37177122	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	137149099	BOY
EOY	170158976	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	278511	BOY
EOY	174471	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	74243862	BOY
EOY	49487440	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	253045947	BOY
EOY	256998009	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	156164358	BOY
EOY	180519608	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5141138	BOY
EOY	5367486	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	976177	BOY
EOY	976177	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	162281673	BOY
EOY	186863271	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	415327620	BOY
EOY	443861280	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4456143	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	4423565	ReconciliationUnrealizedInvest
Reconcilation Other Changes	15701890	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Media Advertisements	$0	MediaAdvertisementsAmount
Mailings Members	false	MailingsMembers
Mailings Members	$0	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Publications Or Broadcast	$0	PublicationsOrBroadcastAmount
Grants Other Organizations	false	GrantsOtherOrganizations
Grants Other Organizations	$0	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Rallies Demonstrations	$0	RalliesDemonstrationsAmount
Other Activities	true	OtherActivities
Other Activities	$27,029	OtherActivitiesAmount
Total Lobbying Expenditures IIB	27029	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule C Part II-B line 1 I	Identifier
Return Reference	Lobbying Activities	ReturnReference
Explanation	Expense is a portion of dues paid to the American Hospital Association, Maryland Hospital Association, National Association for Home Care and National Hospice and Palliative Care Organization.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	976177	BeginningOfYearBalance
End Of Year Balance	976177	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2421745	OtherCostOrOtherBasis
Book Value	2421745	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	183091244	OtherCostOrOtherBasis
Depreciation	63585046	Depreciation
Book Value	119506198	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20090679	OtherCostOrOtherBasis
Depreciation	17084093	Depreciation
Book Value	3006586	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	200065820	OtherCostOrOtherBasis
Depreciation	142766900	Depreciation
Book Value	57298920	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15979204	OtherCostOrOtherBasis
Book Value	15979204	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	198212653	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
ASSETS LIMITED AS TO USE	26658922	F
INVESTMENTS IN SUBSIDIARIES	17534289	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	44193211	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ADVANCES FROM THIRD PARTIES	$8,761,696
INTEREST RATE SWAP CONTRACT	$11,627,363
PENSION LIABILITY	$12,160,781
MALPRACTICE INSURANCE LIABILITY	$3,509,045
CAPITAL LEASE OBLIGATIONS	$6,104,514
OTHER LIABILITIES	$7,324,041

Field	Value	IRS element (for citing)
Total Of Amounts	49487440	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Schedule D, Part V, Line 4	Identifier
Return Reference	Intended use of Endowment Funds	ReturnReference
Explanation	ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Specific Services ProvidedSpecificServicesProvided
Central America and the Caribbean	1	Investments	9074222
Central America and the Caribbean	1	Program Services	6451236	SELF-INSURANCE

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	2	SubtotalNumberOfOffices
Total Number Of Offices	2	TotalNumberOfOffices
Subtotal Amount Spent	15525458	SubtotalAmountSpent
Total Amount Spent	15525458	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	true	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Field	Value	IRS element (for citing)
Name Of Individual	PRIDE PHILANTHROPY	NameOfIndividual

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	885 WOODSTOCK ROAD	AddressLine1
City	ROSWELL	City
State	GA	State
ZIP Code	30075	ZIPCode

Field	Value	IRS element (for citing)
Activity	Dev Cnsl Srvcs	Activity
Fundraiser Control Of Funds	false	FundraiserControlOfFunds
Amount Retained By Contractor	48000	AmountRetainedByContractor

Field	Value	IRS element (for citing)
Total Retained By Contractors	48000	TotalRetainedByContractors
Licensed States	MD	LicensedStates

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7624608	TotalCommunityBenefitExpense
Net Community Benefit Expense	7624608	NetCommunityBenefitExpense
Percent Of Total Expense	0.02240	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32101761	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25109052	DirectOffsettingRevenue
Net Community Benefit Expense	6992709	NetCommunityBenefitExpense
Percent Of Total Expense	0.02050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39726369	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25109052	DirectOffsettingRevenue
Net Community Benefit Expense	14617317	NetCommunityBenefitExpense
Percent Of Total Expense	0.04290	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2598028	TotalCommunityBenefitExpense
Direct Offsetting Revenue	781995	DirectOffsettingRevenue
Net Community Benefit Expense	1816033	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	103372	TotalCommunityBenefitExpense
Net Community Benefit Expense	103372	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12760636	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2246200	DirectOffsettingRevenue
Net Community Benefit Expense	10514436	NetCommunityBenefitExpense
Percent Of Total Expense	0.03090	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	223050	TotalCommunityBenefitExpense
Net Community Benefit Expense	223050	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15685086	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3028195	DirectOffsettingRevenue
Net Community Benefit Expense	12656891	NetCommunityBenefitExpense
Percent Of Total Expense	0.03720	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55411455	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28137247	DirectOffsettingRevenue
Net Community Benefit Expense	27274208	NetCommunityBenefitExpense
Percent Of Total Expense	0.08010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$9,557,777	BadDebtExpenseAmount
Amount Attributable To	955777	AmountAttributableTo
Amount Reimbursed By Medicare	124384153	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	104375703	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	20008450	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK MEMORIAL HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	16	NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule H, Part I	SUPPLEMENTAL INFORMATION	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. Schedule H, Part I, Line 3c Criteria for Determining Eligibility for Free or Discounted Care Patients may receive 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. Schedule H, Part I, Line 7 Cost-To-Charge Ratio AMOUNTS WERE CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2.
Schedule H, Part III, Line 4	Text of bad debt expense footnote	The amount included in part III, line 2 is the amount of charges written off of patient accounts after pursuing payment and other alternatives such as qualifying the patient for charity care or for state and federal government programs. The charges are reduced to approximate cost by using the cost to charge ratio computed in schedule H, part I, Worksheet 2. Any adjustments or payments received on accounts previously written-off to bad debt have the impact of reducing the reported bad debt cost. We adopted FAS B-issued ASU 2011-07 which provided guidance on the presentation and disclosure of patient service revenue, provisions for bad debts, and the allowance for doubtful accounts for certain health care entities effective for the fiscal year ending June 30, 2013.
Schedule H, Part III, Line 8	Medicare Costing Methodology	Medicare PS&R reports used as source of costs and payments.
Schedule H, Part III, Line 9b	Collection Practices to those Qualifying for Financial Assistance	PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS.
Schedule H, Part V, Line 18e	Other efforts made before initiating collections actions	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, Line 20d Other method for determining maximum charged amount Maryland's HSCRC determines rates charged.
Schedule H, Part V, Line 3	Input from community representatives	Seven focus groups including 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 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 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 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 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. The primary source data was supplemented by third party focus groups and surveys, most notably those of United Way of Frederick County and the Frederick County Local Management Board. The report also includes a preliminary aggregation of service delivery issues raised by key local participants in the assessment, as well as suggested quantifiable indicators for discussion by the Community Foundation and community partners of how to measure progress and impact. The qualitative analysis of needs, supply of services, and gaps in services relied to a large extent on the knowledge and opinions of Frederick County "experts," individuals who have long experience in delivering human services in Frederick County or who are currently or in the past held elected or appointed policy making positions.
Schedule H, Part VI, Needs assessment	Needs Assessment	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.
Schedule H, Part VI, Patient education	Patient Education of Eligibility for Assistance	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. IN FY11 A FINANCIAL COUNSELOR MET WITH PATIENTS WHO HAD NO INSURANCE THE DAY AFTER ADMISSION TO EXPLAIN OUR FINANCIAL ASSISTANCE PROGRAM AND THE STATE'S MEDICAL ASSISTANCE PROGRAM. BECAUSE THE MEETING WITH THE PATIENT WAS EARLY IN THEIR STAY, THE PATIENT'S ACCUMULATED CHARGES TYPICALLY DID NOT REACH A CATASTROPHIC STAGE. THEREFORE, WE HAD PATIENTS WHO LEFT THE HOSPITAL WITHOUT A DETAILED CATASTROPHIC FINANCIAL ASSISTANCE DISCUSSION AND WITHOUT A FINANCIAL ASSISTANCE APPLICATION. NOW, 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.
Schedule H, Part VI, Community information	Community Information	IN THE YEAR ENDED JUNE 30, 2013, FREDERICK MEMORIAL HOSPITAL ADMITTED 20,074 PATIENTS. THE FMH EMERGENCY DEPARTMENT TREATED NEARLY 80,000 PATIENTS. APPROX. 10% OF ALL COUNTY RESIDENTS LACK HEALTH INSURANCE AND 9% 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 2013. 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, 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.
Schedule H, Part VI, Promotion of community	Promotion of Community Health	A MAJORITY OF THE SYSTEM'S GOVERNING BODY (14 OUT OF 19) ARE PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE SYSTEM, NOR FAMILY MEMBERS THEREOF. THE SYSTEM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE SYSTEM SPENT NEARLY $31 MILLION DOLLARS ON CAPITAL EXPENDITURES DURING FISCAL YEAR 2013, FOR UPGRADES TO PHYSICAL PLANT, MEDICAL EQUIPMENT AND INFORMATION TECHNOLOGY INVESTMENTS. The Community Needs Health Assessment identified lung disease as focus need: FMH conducted Camp YesUCan, a day-long event for children with asthma. The goal of the camp is to remind children with asthma that they can safely enjoy sports and many other outdoor activities without fearing the onset of an asthma attack. Thirteen (13) children participated in this year's event. Under the watchful supervision of highly skilled nurses, respiratory therapists and certified asthma educators - the campers learned how asthma attacks start and how they can be avoided. They were taught how to take their medications appropriately and what to do to manage the onset of an attack. Of the 13 participants in this year's Camp YesUCan, only 2 required emergency department intervention for asthma attack symptoms. In FY 12, July 1, 2011 - June 30, 2012, the cost of caring for the 12 children who attended Camp YesUCan was $13,586.00. So far, in FY 13, July 1, 2012 through November 8, 2012, the children who attended the camp have logged only $478.00 in care expense. This puts the camp experience on track for decreasing cost for caring for participants by more than $12,000. The FMH Pulmonary Community Outreach Program will continue with Camp YesUCan and the other programs, events and educational opportunities to inform the community about practicing good lung hea1l5th and controlling environmental triggers. 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. 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. At the conclusion of the workshops, approximately ninety-eight (98%) percent 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. Continuation of Initiative 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 breast cancer as focus need: 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. The theme for this free and open to the public event was "Celebrating Life & Embracing Changes." Fellowship breasts surgeon, Dr. Susan Bahl spoke about life after breast cancer. Medical Oncologist, Dr. Mark Goldstein spoke about the importance of creating a survivorship plan after a diagnosis of breast cancer; and Dr. Sadaf Taimur spoke about healthy living strategies. 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. Continuation of Initiative 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 dental/oral healthcare as focus need: Frederick Memorial Hospital has been working to lay the groundwork to establish a dental clinic in Frederick County. The progress that we have made is illustrative of a dynamic working relationship between government, academia, the private sector, non-profits and Frederick Memorial Hospital. The hospital has played a pivotal role in initiating talks between local officials and the University of Maryland Dental School. 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. Continuation of Initiative 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. The Community Needs Health Assessment identified prenatal care as focus need: The FMH Auxiliary Prenatal Center provides prenatal care for women with no insurance - or with Medicaid programs who are unable to obtain care from other providers. Many of the women in the Prenatal Center's programs are high-risk pregnancy patients, and many of the women present with medical conditions of which they are unaware, that may pose significant risk to full-term fetal development. The staff of the FMH Auxiliary Prenatal Center - 2 nurse midwives, a medical assistant, a department assistant, and an interpreter - under the direction of Dr. Edwin Chen, Medical Director for the Prenatal Center, and Dr. Wayne Kramer, perinatology consultant with the practice of Mid Maryland Perinatology Associates, are able to diagnose and treat these underlying conditions before they adversely affect the course of the pregnancy. Access to the FMH Auxiliary Prenatal Center is mainly through referrals from the Frederick County Health Department (FCHD), and the Frederick County Mission of Mercy. Before the FMH Prenatal Center opened, there was a backlog of 80 patients waiting to be seen at the Mission of Mercy. The opening of the Prenatal Center has completely eliminated that backlog of patients. There is no waiting time at all at the Mission of Mercy. In FY13, 264 newborn deliveries were from women who sought prenatal care through the FMH Auxiliary Prenatal Center. Of those births, 18 (7%) newborns required admission to the FMH Neonatal Intensive Care Unit. In FY06, 372 newborn deliveries were from women who had no neonatal care. Of those births, 57 (15%) required admission to the FMH Neonatal Intensive Care Unit. Continuation of Initiative The Frederick Regional Health System will continue to fund operations of the FMH Prenatal Center through the generosity of the FMH Auxiliary. The Community Needs Health Assessment identified care management as focus need: The Care Transitions Program rolled out in July of 2012 with 1,038 patients receiving interventions from our Care Transitions RN and 470 patients receiving some intervention from a Care Transition Pharmacist. 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. This includes discussing affordability and access to the necessary services. If the Care Transition team, or case manager, identifies the need for financial assistance arrangements are made directly with the post-acute provider to ensure the patient will have the necessary access to service without concern for cost. Collaborative partnerships have established with the community to ensure services are provided and appropriate charges covered by the Care Transitions Program. Of the 1508 patients served by the Care Transition Team, approximately 20% (302) receive some amount of financial support to ensure access to the necessary care after discharge. Without the financial assistance the most vulnerable and at risk patients would continue to require care within the hospital or ED setting. Continuation of the Care Transitions Initiative is on-going. In order to fulfill our mission, The Health System has entered into a number of exclusive contracts and/or subsidy arrangements with
Schedule H, Part VI, Affiliated health care	Affiliated Health Care System	ON JUNE 28, 2011 FREDERICK MEMORIAL HOSPITAL, INC. (FMH) BOARD OF DIRECTORS APPROVED A CORPORATE RESTRUCTURING WHICH INCLUDED THE CREATION OF A NON-PROFIT PARENT CORPORATION KNOWN AS FREDERICK REGIONAL HEALTH SYSTEM (FRHS). ADDITIONALLY TWO NEW ENTITIES WERE ORGANIZED, MONOCACY INSURANCE, LTD AND MONOCACY HEALTH PARTNERS, LLC, BOTH OF WHICH ARE 100% CONTROLLED BY FRHS. MONOCACY INSURANCE, LTD IS A CAYMAN ISLANDS DOMICILED SINGLE PARENT CAPTIVE ORGANIZED TO PROVIDE A FLEXIBLE RISK FINANCING STRUCTURE TO MEET THE NEEDS OF FRHS. MONOCACY HEALTH PARTNERS, LLC WILL SERVE AS A NON-PROFIT PHYSICIAN ENTERPRISE, PROVIDING GOVERNANCE, MANAGEMENT AND SUPPORT FUNCTIONS FOR EMPLOYED PHYSICIANS. COMPLETION OF THIS RESTRUCTURING WILL OCCURED DURING FISCAL YEAR 2014. FRHS IS THE SOLE MEMBER OF FMH. AS SOLE MEMBER, FRHS SHALL EXERCISE ALL POWERS CONFERRED ON FMH BY THE FMH ARTICLES OF INCORPORATION, BYLAWS, AND THE LAWS OF THE STATE OF MARYLAND. FRHS SHALL ACT AS MEMBER THROUGH ITS BOARD OF DIRECTORS, EXECUTIVE COMMITTEE, OR SUCH OFFICER(S) DESIGNATED BY ITS BOARD OF DIRECTORS FROM TIME TO TIME.
Schedule H, Part VI, State filing	State filing of community benefit report	MARYLAND

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	FREDERICK COMMUNITY COLLEGE	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7932 Opossumtown Pike	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21702	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	520743590	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	100000	AmountOfCashGrant
Purpose Of Grant	SUPPORT OF ALLIED HEALTH PROGRAM	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANTS	Identifier
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michelle K Mahan
Sr VP and CFO	328025	0	59767	0	2322	0	71532	0	13209	0	474855	0	0	0
Mary B Mann
AVP PATIENT CARE SERVICES	149289	0	0	0	961	0	9317	0	2014	0	161581	0	0	0
Brian M O'Connor
Physician	502914	0	212	0	1584	0	19992	0	15272	0	539974	0	0	0
Terry P O'Malley
VP Human Resources	203208	0	22311	0	3564	0	31618	0	12971	0	273672	0	0	0
David JQuirke
VPChief Information Officer	240020	0	45138	0	540	0	32502	0	11078	0	329278	0	0	0
Craig F Rosendale
VP Ancillary Services	169394	0	20240	0	3564	0	17008	0	12778	0	222984	0	0	0
Donald R Schilling
VP Ambulatory Services	190072	0	22226	0	2322	0	5873	0	12971	0	233464	0	0	0
Lucy A Shamash
VP Service Line Development &	204591	0	45563	0	810	0	11617	0	12971	0	275552	0	0	0
Mark S Soberman
Physician	491600	0	212	0	552	0	5621	0	15272	0	513257	0	0	0
Jennifer G Teeter
AVP Payor Contracting	151191	0	19181	0	1242	0	10861	0	12621	0	195096	0	0	0
John R Verbus
Sr VP and COO	325147	0	61358	0	2322	0	50188	0	8710	0	447725	0	0	0
Jim R Williams
VP Business Development and Pr	183896	0	23263	0	3564	0	17856	0	12893	0	241472	0	0	0
Manual A Casiano
VP Medical Staff	315749	0	62015	0	2322	0	54843	0	12973	0	447902	0	0	0
Paul N Chomiak
Physician	494950	0	212	0	360	0	10465	0	15272	0	521259	0	0	0
Kenneth R Coffey II
VP Chief Development Officer	171442	0	21110	0	2322	0	17228	0	15569	0	227671	0	0	0
Elhamy D Eskander
Physician	499698	0	212	0	1032	0	19621	0	15272	0	535835	0	0	0
Mark G Goldstein
Physician	505184	0	212	0	216	0	10622	0	15042	0	531276	0	0	0
Hannah R Jacobs
VP-Finance	158001	0	19536	0	475	0	8424	0	2195	0	188631	0	0	0
Thomas A Kleinhanzl
President and CEO	549614	0	191412	0	3405	0	158666	0	16312	0	919409	0	0	0
Rose A Labriola
Former Sr VP Patient Care	268004	0	35795	0	2322	0	20804	0	12971	0	339896	0	125335	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Schedule J, Part I, Line 1a	Compensation Provided by Org listed in 990, Part VII, Section A, 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. IS BUSINESS RELATED, GENERAL PERSONAL USE EXPENSES ARE REIMBURSED BACK TO THE HOSPITAL BY THESE INDIVIDUALS AS NEEDED.
Form 990, Schedule J, Part I, Line 4b	Payment from a Supplemental Nonqualified Retirement Plan	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 $349,000 FOR THE YEAR.
Form 990, Schedule J, Part I, Line 6	Compensation Contingent on Net Earnings of a Related Organization	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 CHAIR, VICE CHAIR, IMMEDIATE PRECEDING CHAIR, CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE GOVERNANCE COMMITTEE. ANNUALLY, UTILIZING AN INDEPENDENT OUTSIDE COMPENSATION CONSULTING FIRM, THE COMMITTEE REVIEWS AND RECOMMENDS TO THE BOARD VARIABLE PAY GOALS FOR THE COMING YEAR, AND PAYMENT LEVELS BASED ON PERFORMANCE FOR THE CURRENT YEAR. THE EXECUTIVE COMPENSATION PHILOSOPHY OF THE BOARD PROVIDES FOR BASE COMPENSATION AT THE 50TH TO 60TH PERCENTILE WITH VARIABLE PAY DESIGNED TO PROVIDE A TARGET OPPORTUNITY FOR TOTAL COMPENSATION TO REACH THE 75TH PERCENTILE. VARIABLE PAY CRITERIA ARE CLINICAL QUALITY (33%), CUSTOMER SERVICE (11%), PEOPLE (11%), FINANCIAL VIABILITY (28%), AND GROWTH (17%). GOALS USING THE VARIABLE PAY CRITERIA ARE ESTABLISHED AT BOTH THE CORPORATE AND INDIVIDUAL LEVEL. INDIVIDUAL PAYMENTS ARE BASED ON PERFORMANCE AGAINST CORPORATE GOALS, INDIVIDUALS GOALS, AND DISCRETION OF THE BOARD.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A
A	520936091	574218ly7	2012-12-05	96240000	SEE PART VI	false	false	false
Maryland Health & Higher Edu Facilities Auth 2012B
B	520936091		2012-12-05	70020000	SEE PART VI	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	68293488	0	108345805	0	1648756	0	1203561	0	0	14450568	0	22749432	2014	true	false	false	false
B	70020000	0	70690852	0	0	320948	349253	0	0	0	0	0	2012	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Prcntge Bond Financed PropPrcntgeBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	true	true	true	true	true	0.00000	0.00630	0.00630	false	false	0.00000	false	true
B	false	true	true	true	true	true	0.00210	0.00050	0.00260	false	false	0.00000	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
0
A	false	true	false	false	false	0	false	true
UBS AG Stamford
B	false	true	true	true	false	0	false	true	3.8	false	false

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of tax exempt bonds	schedule K, part I, column F	Maryland Health & Higher Ed Authority 2012a: Finance 2012 Project and current refund 2002 bonds which funded the 2002 Project. Maryland Health & Higher Ed Authority 2012b: Refund the 2008 series bonds which were used to finance the 2006 and prior projects.
Difference between issue price and total proceeds	Schedule K, Part II, Line 3	Maryland Health & Higher Ed Authority 2012a: Original issue premium of $3,989,854 and previously trusteed held funds of $8,115,951.
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.

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	PAUL CHOMIAK	NamePerson
Relationship With Organization	PHYSICIAN	RelationshipWithOrganization
Purpose Of Loan	PHYSICIAN RECRUITMNT	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$649,518	OriginalPrincipalAmount
Balance Due	27063	BalanceDue
Default	false	Default
Approved By Board	false	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	27063	TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	LOANS TO AND FROM INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART II	ReturnReference
Explanation	PURPOSE OF LOAN: PHYSICIAN RECRUITMENT AND INCOME GUARANTEE AGREEMENT.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	40415	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 2	Family or Business Relationships	MARVIN AUSHERMAN, FORMER DIRECTOR OF FMH, INC. IS ENGAGED IN AN INDIRECT BUSINESS RELATIONSHIP WITH THOMAS KLEINHANZL, JOHN VERBUS, KENNETH COFFEY, JAMES REINSCH AND ANNE HERBERT ROLLINS.
Form 990, Part VI, Line 6	Members or Stockholders	THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK REGIONAL HEALTH SYSTEM.
Form 990, Part VI, Line 7a	Power to Elect or Appoint Members	THE SOLE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK MEMORIAL HOSPITAL.
Form 990, Part VI, Line 7b	Decisions Reserved to Members or Stockholders	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.
Form 990, Part VI, Line 11b	Process used to Review the Form 990	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.
Form 990, Part VI, Line 12c	Monitoring and Enforcement of Compliance with Conflict of Interest Policy	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 TRAN SACTION AT EITHER 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 ARTICIPATEIN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS).
Form 990, Part VI, Line 15	Process for Determining Compensation	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. THE EXECUTIVE COMPENSATION PHILOSOPHY OF THE BOARD PROVIDES FOR BASE COMPENSATION AT THE 50TH TO 60TH PERCENTILE OF OUR PEER GROUP. 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, Part VI, Line 19	Process for Making Documents Available to the Public	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.
Form 990, Part IX, Line 11g	Other fees exceed 10%	Contract services for physical therapy, physicians, laboratory services. Also see Part VII, Section B.
Form 990, Part XI, Line 9	Other Changes in Net Assets or Fund Balances	UNREALIZED GAIN ON INTEREST RATE SWAP: 4,885,113 PENSION ADJUSTMENT: 13,534,300 RELEASES FROM RESTRICTION: 119,397 CHANGE IN TEMP RESTRICTED NET ASSETS: 226,348 LOSS ON EXTINGUISHMENT OF DEBT: (3,063,268) --------------- 15,701,890.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	EMMITSBURG PROPERTIES LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 WEST SEVENTH STREET	AddressLine1
City	FREDERICK	City
State	MD	State
ZIP Code	21701	ZIPCode

Field	Value	IRS element (for citing)
EIN	521910823	EIN
Primary Activities	HOLDINGINVEST	PrimaryActivities
Legal Domicile State	MD	LegalDomicileState
Total Income	-3415	TotalIncome
EOY Assets	404374	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
HOSPICE OF FREDERICK COUNTY INC
400 WEST 7TH STREET	FREDERICK	MD	21701	521164513	HOSPICE CARE	MD	501(c)(3)	7	NA	true
FREDERICK REGIONAL HEALTH SYSTEM
400 WEST 7TH STREET	FREDERICK	MD	21701	454133096	HEALTH SYSTEM	MD	501(c)(3)	11b	NA	false
MONOCACY HEALTH PARTNERS LLC
400 WEST 7TH STREET	FREDERICK	MD	21701	453007639	PHYSICIAN ORG	MD	501(c)(3)	7	NA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Legal Domicile Foreign CountryLegalDomicileForeignCountry
FREDERICK HEALTH SERVICES CORPORATION
400 WEST 7TH STREET	FREDERICK	MD	21701	521851661	MANAGEMENT CO.	MD	N/A	C Corp	1442000	11553000	1.00000
FREDERICK SURGICAL SERVICES CORPORATION
400 WEST 7TH STREET	FREDERICK	MD	21701	521642334	HOLDING COMPANY	MD		C Corp	562825	2115571	1.00000	FHSC
MONOCACY INSURANCE LTD
				981011570	INSURANCE			C Corp				NA	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
HOSPICE OF FREDERICK COUNTY INC
n	689000	FAIR MARKET VAL
FREDERICK HEALTH SERVICES CORPORATION
n	324350	FAIR MARKET VAL