CARROLL HOSPITAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CARROLL HOSPITAL CENTER INC (EIN 52-1452024)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201311349349306316
Schema version: 2011v1.5
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T16:03:39-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COHEN RUTHERFORD KNIGHT PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	6903 ROCKLEDGE DRIVE SUITE 500	AddressLine1
City	BETHESDA	City
State	MD	State
ZIP Code	208171800	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	521452024	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Carroll Hospital Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DAVID MCCORMICK	InCareOfName
Name Control	CARR	NameControl
Phone	4108716859	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Memorial Avenue	AddressLine1
City	Westminster	City
State	MD	State
ZIP Code	21157	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KEVIN KELBLY	Name
Title	SR VP FINANCE CFO	Title
Date Signed	2013-05-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TINA C ECKLOFF	Name
Phone	3018281008	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	John Sernulka	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	200 MEMORIAL AVE	AddressLine1
City	WESTMINSTER	City
State	MD	State
ZIP Code	21774	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	229915438	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.carrollhospitalcenter.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1957	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1997	TotalNbrEmployees
Total Nbr Volunteers	355	TotalNbrVolunteers
Total Gross UBI	3124515	TotalGrossUBI
Contributions Grants Prior Year	1090000	ContributionsGrantsPriorYear
Contributions Grants Current Year	925000	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	201412609	ProgramServiceRevenuePriorYear
Program Service Revenue CY	224019831	ProgramServiceRevenueCY
Investment Income Prior Year	3179446	InvestmentIncomePriorYear
Investment Income Current Year	4597814	InvestmentIncomeCurrentYear
Other Revenue Prior Year	532102	OtherRevenuePriorYear
Other Revenue Current Year	372793	OtherRevenueCurrentYear
Total Revenue Prior Year	206214157	TotalRevenuePriorYear
Total Revenue Current Year	229915438	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	115000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	155000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	97467463	SalariesEtcPriorYear
Salaries Etc Current Year	106909146	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	91916180	OtherExpensePriorYear
Other Expenses Current Year	107142153	OtherExpensesCurrentYear
Total Expenses Prior Year	189498643	TotalExpensesPriorYear
Total Expenses Current Year	214206299	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16715514	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	15709139	RevenuesLessExpensesCY
Total Assets BOY	313981970	TotalAssetsBOY
Total Assets EOY	338128205	TotalAssetsEOY
Total Liabilities BOY	195306839	TotalLiabilitiesBOY
Total Liabilities EOY	233448150	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	118675131	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	104680055	NetAssetsOrFundBalancesEOY
Mission Description	OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTH CARE IN OUR COMMUNITIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	184976441	Expense
Grants	155000	Grants
Revenue	221206753	Revenue
Description	Carroll Hospital Center, a 189 licensed bed acute care facility located in Westminster, Maryland offers the latest in medical technology and services, combined with a state-of-the-art facility and top-notch, skilled medical professionals, caring for patients with compassion. Currently, there are more than 400 physicians representing 38 specialties on our medical staff in addition to over 1,700 individuals employed by the Hospital - making CHC the second largest employer in Carroll County. The organization operates an acute care hospital serving the communities located in Carroll and surrounding counties as well as parts of Pennsylvania. In accordance with our tax-exempt function the organization operates an emergency room open to all persons regardless of their ability to pay and had over 56,600 patient visits last year. The hospital participates in Medicare and Medicaid programs, has a governing body comprised of independent persons representative of the community, all financial surpluses the hospital generates are used exclusively to further the charitable purposes of the organization and its medical staff is open to all qualified physicians in the area. As the only hospital in Carroll County, we offer our community a full array of services including, emergency services, comprehensive cancer care, pediatrics, maternity, geriatrics, the latest minimally invasive surgical procedures and advanced total and partial joint replacement procedures. In the year ending June 2012, Carroll Hospital Center recorded 15,083 inpatient admissions and observation stay cases, 1,128 births and approximately 8,500 surgical procedures, all contributing to a total of 330,000 patient encounters for the period. In line with our mission-"Our communities expect and deserve superior medical treatment, compassionate care, and expert guidance in maintaining their health and well-being. At Carroll Hospital Center, we offer an uncompromising commitment to the highest quality health care experience for people in all stages of life. We are the heart of health care in our communities." - the hospital also provides planned community benefit activities to improve access to health care and improve the overall health of our community. Our mission is pursued in collaboration with our related organizations: Carroll County Health Services, Carroll Hospice, The Partnership for a Healthier Carroll County (our community advocacy arm), and The Carroll Hospital Center Foundation (Also listed in Part VI) for more information on these subsidiaries, please see their individual Forms 990.	Description
Total Program Service Expense	184976441	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	true	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	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	false	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	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	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	256	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1997	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
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
Excess Business Holdings	false	ExcessBusinessHoldings
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	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	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
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	CA	StatesWhereCopyOfReturnIsFiled
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	DAVID MCCORMICK	NamePerson
Telephone Number	4108716859	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 MEMORIAL AVE	AddressLine1
City	Westminster	City
State	MD	State
ZIP Code	21157	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
CHARLES O FISHER JR
DIRECTOR	1.0	X	0	0	0
MIRIAM BECK
DIRECTOR	1.0	X	0	0	0
ETHAN SEIDEL
DIRECTOR	1.0	X	0	0	0
JOHN SERNULKA
PRESIDENT	35.0	X	409261	0	290544	X
KIMBERLY JOHNSTON MD
BOARD MEMBER	1.0	X	0	0	0
HAROLD WALSH
BOARD MEMBER	1.0	X	0	0	0
HELEN W WHITEHEAD
BOARD MEMBER	1.0	X	0	0	0
SYED HOSAIN MD
BOARD MEMBER	1.0	X	0	0	0
THOMAS WELLIVER
BOARD MEMBER	1.0	X	0	0	0
JEFFREY A WOTHERS
BOARD MEMBER	1.0	X	0	0	0
W DENNIS THOMAS
BOARD MEMBER	1.0	X
GERALD LEE STURGILL
BOARD MEMBER	1.0	X	0	0	0
LARRY VAN SANT SR
BOARD MEMBER	1.0	X	0	0	0
JOHN STEERS MD
BOARD MEMBER	1.0	X	0	0	0
MARTIN HILL
BOARD MEMBER	1.0	X	0	0	0
CHARLES O FISHER SR
DIRECTOR	1.0	X	0	0	0
CHRISTOS BALLAS
DIRECTOR	1.0	X	0	0	0
STEPHAN HOCHULI MD
DIRECTOR	1.0	X	0	0	0
PAULA LANGMEAD
DIRECTOR	1.0	X	0	0	0
JACK TEVIS
DIRECTOR	1.0	X	0	0	0
LESLIE SIMMONS
CHIEF OPERATING OFFICER	38.0		329679	0	26026	X
KEVIN KELBLY
SR VP FINANCE CFO	34.0		350751	0	28812	X
KEVIN SMOTHERS
CHIEF MEDICAL OFFICER	40.0		421153	0	22640	X
STEPHANIE REID
ASSISTANT VICE PRESIDENT	40.0		170910	0	6782	X
DAVID HORN
VICE PRESIDENT	40.0		215086	0	23952		X
M ELLEN FINNERTY MYERS
VICE PRESIDENT	20.0		222452	0	6435		X
JOYCE ROMANS
VICE PRESIDENT	40.0		211525	0	15078		X
TRACEY ELLISON
VICE PRESIDENT	40.0		197579	0	0		X
DAVID LOUDER
VICE PRESIDENT	40.0		324881	0	2135		X
FLAVIO KRUTER
PHYSICIAN	38.0		475016	0	9947			X
JEROME MARAVE
PHYSICIAN	40.0		223125	0	15151			X
DAVID SALINGER
PHYSICIAN	39.0		301061	0	9606			X
DEE HUBBARD
PHYSICIAN	40.0		264666	0	17630			X
AMANDEEP SINGH
PHYSICIAN	40.0		245000	0	19730			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4362145	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	494468	TotalOtherCompensation
Number Individuals GT100 K	95	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
CENTRAL MD REHABILITATION
4259 HARNEY RD	TANEYTOWN	MD	21787	physical therapy	3005060
CARROLL COUNTY ANES ASSOCIATION
PO BOX 75193	BALTIMORE	MD	21275	ANESTHESIA services	1800339
carroll county radiology
7253 ambassador rd	BALTIMORE	MD	21244	radiology services	712075
DIGITRACE CARE SERVICES
200 CORPORATE PLACE	PEABODY	MA	01960	neurology services	653150
healthcares information edge llc
PO BOX 462	CHURCHVILLE	MD	21028	CONSULTING	652426

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Related Organizations	925000	RelatedOrganizations
Total Contributions	925000	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Business CodeBusinessCode	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	216395218	216395218
CAFETERIA/VEND.	878942	878942
LAB	3073563		621500	3073563
OTHER OPERATING REVENUE	3672108	3672108

Field	Value	IRS element (for citing)
Total Program Service Revenue	224019831	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4593966	TotalRevenueColumn
Unrelated Business Revenue	-61356	UnrelatedBusinessRevenue
Exclusion	$4,655,322	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	282793	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	282793	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	282793	TotalRevenueColumn
Related Or Exempt Function Income	260485	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	22308	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3848	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	3848	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3848	TotalRevenueColumn
Exclusion	$3,848	ExclusionAmount

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

Field	Value	IRS element (for citing)
Description	CARROLL COUNTY MED SERVICES MGMT FEE	Description
Business Code	541610	BusinessCode
Total Revenue Column	90000	TotalRevenueColumn
Unrelated Business Revenue	90000	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	90000	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	229915438	TotalRevenueColumn
Related Or Exempt Function Income	221206753	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3124515	UnrelatedBusinessRevenue
Exclusion	$4,659,170	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	155000	Total
Program Services	155000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2823798	Total
Management And General	2823798	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	85208531	Total
Program Services	78008875	ProgramServices
Management And General	7199656	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3449302	Total
Program Services	3057574	ProgramServices
Management And General	391728	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9204080	Total
Program Services	8171021	ProgramServices
Management And General	1033059	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6223435	Total
Program Services	5516656	ProgramServices
Management And General	706779	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	37944	Total
Management And General	37944	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	411201	Total
Management And General	411201	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	36281	Total
Management And General	36281	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	226700	Total
Management And General	226700	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14509521	Total
Program Services	8318989	ProgramServices
Management And General	6190532	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	864916	Total
Program Services	11008	ProgramServices
Management And General	853908	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	922777	Total
Program Services	599894	ProgramServices
Management And General	322883	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	96041	Total
Program Services	8869	ProgramServices
Management And General	87172	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4055195	Total
Program Services	2732686	ProgramServices
Management And General	1322509	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	482354	Total
Program Services	280742	ProgramServices
Management And General	201612	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	213098	Total
Program Services	176041	ProgramServices
Management And General	37057	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7746635	Total
Program Services	7746635	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14451395	Total
Program Services	13842571	ProgramServices
Management And General	608824	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3343796	Total
Program Services	2595687	ProgramServices
Management And General	748109	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	30033055	30030665	2390
FOOD	1054133	980312	73821
OTHER	1117335	802723	314612
MINOR EQUIPMENT	1030807	716815	313992

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	26508969	Total
Program Services	21223678	ProgramServices
Management And General	5285291	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	214206299	Total
Program Services	184976441	ProgramServices
Management And General	29229858	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2300	BOY
EOY	2300	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	28013039	BOY
EOY	30205023	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16873397	BOY
EOY	17620679	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	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	50000	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2637299	BOY
EOY	3054835	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2405896	BOY
EOY	3034669	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	267617865	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	138206604	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	132056438	BOY
EOY	129411261	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	46469198	BOY
EOY	43942335	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	35388415	BOY
EOY	34054195	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	28600900	BOY
EOY	39097680	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	4400000	BOY
EOY	3950000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17085088	BOY
EOY	33755228	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	313981970	BOY
EOY	338128205	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	20358923	BOY
EOY	22217367	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	1264732	BOY
EOY	917882	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	135424555	BOY
EOY	138135615	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	0	BOY
EOY	0	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	38258629	BOY
EOY	72177286	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	195306839	BOY
EOY	233448150	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	118675131	BOY
EOY	93036912	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	10527844	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	1115299	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	118675131	BOY
EOY	104680055	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	313981970	BOY
EOY	338128205	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	15709139	ReconcilationRevenueExpenses
Reconcilation Other Changes	-29704215	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$36,281	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Total Lobbying Expenditures IIB	36281	TotalLobbyingExpendituresIIB

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	10086170	BeginningOfYearBalance
Contributions	735458	Contributions
Investment Earnings Or Losses	48548	InvestmentEarningsOrLosses
Grants Or Scholarships	11000	GrantsOrScholarships
End Of Year Balance	10859176	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7900509	BeginningOfYearBalance
Contributions	690978	Contributions
Investment Earnings Or Losses	1503183	InvestmentEarningsOrLosses
Grants Or Scholarships	8500	GrantsOrScholarships
End Of Year Balance	10086170	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7009809	BeginningOfYearBalance
Contributions	251338	Contributions
Investment Earnings Or Losses	639362	InvestmentEarningsOrLosses
End Of Year Balance	7900509	EndOfYearBalance

Field	Value	IRS element (for citing)
Current Year Minus3 Years		CurrentYearMinus3Years
Board Designated EOY Balance	0.87000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.10000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.03000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1983973	OtherCostOrOtherBasis
Book Value	1983973	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	119385388	OtherCostOrOtherBasis
Depreciation	37660852	Depreciation
Book Value	81724536	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9494934	OtherCostOrOtherBasis
Depreciation	9494934	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	108993240	OtherCostOrOtherBasis
Depreciation	83653619	Depreciation
Book Value	25339621	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27760330	OtherCostOrOtherBasis
Depreciation	7397199	Depreciation
Book Value	20363131	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	129411261	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
LONG-TERM INVESTMENTS OTHER	15245002	C
LONG TERM INVESTMENTS	4038632	F
CD	169335	C
SHORT TERM INVESTMENTS	14501226	F
MONEY MARKET ACCT	100000	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	34054195	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN SUBSIDIARIES	36989036	C
INVESTMENT IN PREMIER	245968	C
INVESTMENT IN MT AIRY HLTH SER	384402	C
INVESTMENT IN COLONIAL	64097	C
INVESTMENT IN CMOA	1414177	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	39097680	TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	10037146
UMAMORTIZED BOND ISSUANCE COST	2007413
OTHER RECEIVABLES	1973326
FUNDS HELD BY TRUSTEE	19737343
ASSETS LIMITED TO USE	0

Field	Value	IRS element (for citing)
Total Book Value Other Assets	33755228	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
ADVANCES FROM THIRD PARTY	$8,490,822
ACCRUED PENSION	$19,848,753
MERRILL LYNCH SWAP RATE	$14,701,979
CAPITAL LEASE	$610,286
MOB	$16,247,812
DEF COMPENSATION	$4,038,632
CENMAR	$8,239,002

Field	Value	IRS element (for citing)
Total Of Amounts	72177286	TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Type Of Activities Conducted	Investments	TypeOfActivitiesConducted
Total Expenditures	11447288	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	11447288	SubtotalAmountSpent
Total Amount Spent	11447288	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	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	375.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
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	2330747	TotalCommunityBenefitExpense
Net Community Benefit Expense	2330747	NetCommunityBenefitExpense
Percent Of Total Expense	0.01140	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2330747	TotalCommunityBenefitExpense
Net Community Benefit Expense	2330747	NetCommunityBenefitExpense
Percent Of Total Expense	0.01140	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2255032	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121315	DirectOffsettingRevenue
Net Community Benefit Expense	2133717	NetCommunityBenefitExpense
Percent Of Total Expense	0.01040	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	543703	TotalCommunityBenefitExpense
Net Community Benefit Expense	543703	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7391994	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1942795	DirectOffsettingRevenue
Net Community Benefit Expense	5449199	NetCommunityBenefitExpense
Percent Of Total Expense	0.02650	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	286175	TotalCommunityBenefitExpense
Net Community Benefit Expense	286175	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10476904	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2064110	DirectOffsettingRevenue
Net Community Benefit Expense	8412794	NetCommunityBenefitExpense
Percent Of Total Expense	0.04090	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12807651	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2064110	DirectOffsettingRevenue
Net Community Benefit Expense	10743541	NetCommunityBenefitExpense
Percent Of Total Expense	0.05230	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	520593	TotalCommunityBuildingExpense
Net Community Building Expense	520593	NetCommunityBuildingExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	520593	TotalCommunityBuildingExpense
Net Community Building Expense	520593	NetCommunityBuildingExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$8,854,000	BadDebtExpenseAmount
Amount Attributable To	711000	AmountAttributableTo
Amount Reimbursed By Medicare	92594124	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	76622349	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	15971775	MedicareSurplusOrShortfall
Costing Methodology Used		CostingMethodologyUsed
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	cc radiology llc	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	imaging center	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.60000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.40000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
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	Carroll Hospital Center Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	200 MEMORIAL AVE	AddressLine1
City	WESTMINSTER	City
State	MD	State
ZIP Code	21157	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Carroll Hospital Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	300.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	375.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Medicaid Medicare	X	MedicaidMedicare
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
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
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	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
carroll county radiology
7253 ambassador road	baltimore	MD	21244	imaging center
carroll county radiology
1430 progress way ste 108	eldersburg	MD	21784	imaging center
carroll county radiology
193 stoner ave ste 200	westminster	MD	21157	imaging center
carroll county radiology
1 village square	westminster	MD	21157	imaging center
carroll county radiology
844 washington road ste 102	westminster	MD	21157	imaging center

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	For patients that experience a medical hardship (medical debt that exceeds 25% of household income), Carroll Hospital Center also provides discounted care for individuals earning up to 500% of the federal poverty guidelines. If a patient has received reduced cost medically necessary care due to a medical hardship, the patient or any immediate family member of the patient living in the same household shall remain eligible for reduced cost medically necessary care when seeking subsequent care at the same hospital during the 12 month period beginning on the date on which the reduced cost medically necessary care was initially received. In addition, some patients are presumed to be eligible for financial assistance discounts on the basis of life circumstances. These patients that the Hospital has determined presumptively qualify for financial assistance are not required to complete additional forms or provide additional information and are granted 100% financial assistance discounts. The Hospital internally documents any and all recommendations to provide presumptive financial assistance discounts from patients and other sources, such as physicians, community or religious groups, internal or external social services or financial counseling personnel. The following are examples of patient situations that may reasonably assist in the determination of presumptive eligibility for financial assistance: (1) Patient has received care from and/or has participated in Women's, Infants and Children (WIC) programs, (2) patient is homeless and/or has received care from a homeless clinic, (3) patient's family is eligible for and is receiving food stamps, (4) patient's family is eligible for and is participating in subsidized school lunch programs, (5) patient qualifies for other state or local assistance programs that are unfounded or the patient's eligibility has been dismissed due to a technicality (i.e. Medicaid spend-down), (6) family or friends of a patient have provided information establishing the patient's inability to pay, (7) the patient's street address and documentation evidencing status in an affordable or subsidized housing development, (8) patient/guarantor's wages are insufficient for garnishment, as defined by state law, or (9) patient is deceased, with no known estate.
PART I, LINE 5A	CARROLL HOSPITAL CENTER DOES NOT DENY FINANCIAL ASSISTANCE TO ANY PATIENT ELIGILBE FOR FREE OR DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICY REGARDLESS OF WHETHER OR NOT THE FINANCIAL ASSISTANCE BUDGET WAS EXCEEDED.
PART I, LINE 7A, COLUMN C	THE METHODOLOGY USED TO CALCULATE CHARITY CARE COST WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE-TO-CHARGES.
PART I, LINE 7A	MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELTED TO UNCOMPENSATED CARE.
PART I, LINE 7B	MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELTED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL FOR ITS SHARE OF MEDICAID ASSESSMENT. IN RECENT YEARS THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. FOR TAX YEAR 2010 CARROLL HOSPITAL CENTER'S MEDICAID BUDGET DEFICIT UNFUNDED ASSESSMENT AMOUNTED TO $504,659.
PART I, LINE 6A	MARYLAND HOSPITALS ARE REQUIRED TO SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) THAT DESCRIBES THE PROGRAMS AND SERVICES OFFERED THAT ARE DESIGNED TO PROMOTE THE HEALTH AND WELLNESS OF THE COMMUNITIES SERVED. THESE REPORTS ARE AVAILABLE TO THE PUBLIC ON THE HSCRC WEBSITE (WWW.HSCRC.STATE.MD.US). ADDITIONALLY, CARROLL HOSPITAL CENTER MAKES AVAILABLE ITS COMMUNITY BENEFIT REPORT ON ITS WEBSITE (WWW.CARROLLHOSPITALCENTER.ORG)
PART I, LINE 7G	Carroll Hospital Center incurred $5.4 million of net community benefit expense as a result of undertaking subsidized health services. A shortage of primary or specialty providers has perhaps posed the most significant challenges in inpatient care delivery. Substantial physician subsidies have become necessary to ensure that all patients requiring anesthesia and pediatric, psychiatric, obstetrical and critical and general medical care have the access they need once admitted to the hospital, including 24/7 coverage. Carroll Hospital Center has hospitalist programs in each of these areas and allocates a significant amount of resources sustaining the programs. In FY12, approximately $7 million was spent in ensuring care for all patients and recruiting and retaining Physicians - of which $4.8 million has been reported as subsidized health services. Equally important is access to physicians on an outpatient basis, not just for the uninsured, but also for all patients in our growing community. To ensure our community has access to quality physicians, Carroll Hospital Center continually monitors statistically calculated need by developing a comprehensive medical staff development plan based on the health care needs of our medical service area. The report includes both an analysis of the hospital's service area and specific recommendations regarding appropriate staffing levels in a variety of medical specialties. The physician needs assessment methodology used is based on a qualitative standard established by the Internal Revenue Service (IRS). The report guides the hospital's recruiting strategy, helps us to prioritize recruiting efforts and allows the hospital to place contingencies on recruited physicians to ensure they see medically underserved, uninsured, Medicare and Medicaid patients. While Carroll Hospital Center cares for patients with no means to pay their medical expenses throughout the hospital, it is seen most acutely in the Emergency Department (ED), where many uninsured patients often come for primary and emergent care. Since all patients presenting to the ED are treated for any medical condition regardless of their ability to pay for care, the uninsured population poses a significant challenge not only to the hospital, but also to physicians providing care in the hospital and in the ED. Due in part to a lack of, or minimal reimbursement, it has become increasingly difficult to find specialists to provide on-call services for the ED around-the-clock. The more serious issue is that this trend affects not only our uninsured patients, but all patients seeking treatment in our ED. The likelihood that patients present more acutely in the uninsured population and the accompanying increased potential for malpractice claims also has contributed to specialists choosing not to cover nonpaying patients in the ED. That gap is most significant in surgical specialties including, orthopaedics, otolaryngology (ENT), general surgery and plastic surgery. There also has been increasing reluctance from other specialties with significant ED volumes, including vascular surgery, neurosurgery and neurology. To help ease the effects of uncompensated care on physicians and address the gap in care for our patients, Carroll Hospital Center has continued two major, costly initiatives to address the gap proactively. First, the hospital contracts with 10 medical specialties to ensure 24/7 coverage in the ED. Implemented in 2006, those specialties include neurosurgery; general, plastic, vascular and oral surgery; orthopaedics; urology; podiatry; ophthalmology and ENT. Additionally, the growing volumes of uninsured patients has caused the hospital to recently institute an additional policy which allows physicians who see patients without a payment source in the ED to be reimbursed for physician services by the hospital at current Medicare rates. While payment for ED call may help with the gaps in coverage for the uninsured, it bears a significant financial toll on the hospital. The expense to pay physicians for ED call has cost the hospital $426,992 in FY12. All the initiatives and support listed above would not be provided if Carroll Hospital Center did not provide them. As the only hospital in the county, it is our primary responsibility to provide these services for the uninsured and underinsured, as well as all community members. No other organization or individual in the county would be able to provide all of these comprehensive services in the areas that the hospital does.
PART I LINE 7	MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUTN FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
PART III, LINE 4	CARROLL HOSPTIAL CENTER INCURRED $8,854,000 BAD DEBT EXPENSE DURING THE TAX YEAR 2011. THIS REFLECTS THE AMOUNT OF GROSS PATIENT CHARGES UNCOLLECTED FROM PATIENTS THAT DID NOT QUALIFY FOR FINANCIAL ASSISTANCE. PER AUDIT REPORT (1M): "NET PATIENT SERVICE FOR THE HOSPITAL REFLECTS ACTUAL CHARGES TO PATIENTS BASED ON RATES ESTABLISHED BY THE STATE OF MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) IN EFFECT DURING THE PERIODS IN WHICH SERVICES ARE RENDERED, NET OF CONTRACTUAL ADJUSTMENTS. CONTRACTUAL ADJUSTMENTS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED BY THE HOSPITAL AND AMOUNTS PAID BY THIRD-PARTY PAYORS. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE". BAD DEBT EXPENSE REFLECTS ACTUAL PATIENT CHARGES THAT HAVE BEEN DETERMINED TO BE UNCOLLECTIBLE FOR PATIENTS THAT HAVE NOT QUALIFIED FOR CHARITY CARE. BAD DEBT EXPENSE MAY ALSO INCLUDE ADDITIONAL "BAD DEBT PROVISIONS" FOR DOUBTFUL ACCOUNTS BASED ON MANAGEMENT'S ESTIMATES OF FUTURE ACCOUNT COLLECTIONS BASED ON CHARGES IN SERVICE MIX AND PAYOR MIX. CARROLL HOSPITAL CENTER INC. DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH OTHER VARIOUS MEANS (CREDIT REPORTS, DEBT AND ASSET REVIEWS, AND REFERRALS FROM THE HOSPITAL'S BILLING AGENTS) WHEN THE PATIENT HAS NOT COMPLETED THE FINANCIAL ASSISTANCE APPLICATION. IF A DETERMINATION IS MADE REGARDING THE PATIENT'S INABILITY TO PAY, THE ACCOUNT CAN BE APPROVED FOR FINANCIAL ASSISTANCE ON A PRESUMPTIVE BASIS RATHER THAN BE REFLECTED AS BAD DEBT EXPENSE. OF THE REMAINING BAD DEBT EXPENSE, IT IS ESTIMATED THAT $711,000 AT COST (10%) MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE.
PART III, LINE 8	CARROLL HOSPITAL CENTER'S TAX YEAR 2011 (FISCAL YEAR 2012) MEDICARE COST REPORT SUBMISSION WAS UTILIZED AS THE SOURCE DOCUMENT TO REPORT MEDICARE TOTAL REVENUE AND ALLOWABLE COSTS.
PART III, LINE 9B	For those patients that do not initially apply or qualify for financial assistance, the organization continues to monitor whether the patient may qualify for financial assistance. If the patient is found to be eligible for financial assistance, at any point (including once collection efforts have begun), the organization will approve the patient for financial assistance. Collection efforts will be stopped immediately once the patient is found to qualify for financial assistance under the organization's financial assistance policy. Patients determined to be eligible for financial assistance subsequent to the date of service may be eligible for a refund of payments made if it is determined that the patient was eligible for financial assistance at the time of service.
PART V, LINE 17	THE HOSPITAL FACILITY OR AN AUTHORIZED THIRD PARTY DID NOT UNDERTAKE ANY OF THE COLLECTION ACTIONS NOTED IN PART V, SECTION B, LINE 16 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE ANY PATIENTS ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IN ORDER TO HELP DETERMINE PATIENTS' ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL UNDERTAKES A NUMBER OF ACTIONS, INCLUDING NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION, NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE, NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN COMMIUNICATIONS WITH THE PATIENTS' BILLS, AND DOCUMENTING ITS DETERMINATION OF WHETHER PATIENTS WERE EILIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART V, LINE 19D	THE HOSPITAL FACILITY PROVIDES A DISCOUNT OF AT LEAST 25$% OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE TO ANY INDIVIDUAL THAT IS ELIGIBLE FOR DISCOUNTED CARE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY AND AT LEAST 15% OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE TO ANY INDIVIDUAL THAT QUALIFIES UNDER THE MEDICAL HARDSHIP PROVISIONS OF THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. PURSUANT TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) ALL-PAYOR SYSTEM FOR HOSPITALS IN THE STATE OF MARYLAND, THE GREATEST DISCOUNT OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PERMITTED TO ANY COMMERCIAL INSURER OR MEDICARE IS ONLY 6% AS A RESULT, THE HOSPTIAL FACILITY WAS ABLE TO DETERMINE THAT THE MAXIMUM AMOUNT CHARGED TO INDIVIDUALS THAT WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY WAS NOT GREATER THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
PART V, LINE 21	The Hospital facility does not charge any individuals that it knows are eligible for financial assistance an amount equal to the gross charge for any service. The Hospital uses the charge master rates for a service as a starting point against which the discounts mandated in the hospital facility's financial assistance policy are applied to determine the amount actually billed to patients eligible under the financial assistance policy. The hospital facility will not collect payment from any patient eligible under the financial assistance policy in excess of the reduced amount that is actually billed to such financial assistance patient.
NEEDS ASSESSMENT	Monitoring the health status of the community is an ongoing and interactive process engaged in by the Hospital, with substantial involvement from our community via The Partnership for a Healthier Carroll County, Inc. ("The Partnership"), an entity established by the Hospital and the Carroll County Health Department specifically to assess unmet health needs in the community, expand the capacity for health and quality of life improvement in the community, serve as a collaborative vehicle for interaction with the community, and with our community, to drive the effort to create a healthier Carroll County. The Partnership is a related Section 501(c)(3) tax-exempt organization of the Hospital, which receives a majority of its operating funds from contributions made directly by the Hospital. Improvement in the core health improvement areas (C.H.I.A.s) is one of the Hospital's goals. The C.H.I.A.s are the need areas requiring individual and organizational action to achieve targeted improved status using the U.S. Department of Health and Human Services' Healthy People 2020 targets as the benchmark. The Hospital participates actively in many of the C.H.I.A. Leadership Teams comprised of diverse individuals and organizations from throughout the hospital's service area, who share expertise and interest in the CHIA. With support and guidance from The Partnership, those leadership teams develop and implement action plans specifically intended to accomplish targeted results. "Healthy Carroll Vital Signs" (described below) are then affirmed, are specific to each CHIA Leadership Team and serve as one of the primary tools for measuring and reporting results to the Hospital leadership and to the community. Recently the Hospital has collaborated with The Partnership with respect to an assessment of health needs via Maryland's State Health Improvement Process (S.H.I.P.), which was organized to produce a Local Health Improvement Plan (L.H.I.P.). The Partnership organization enthusiastically agreed to serve as the local coalition required in the S.H.I.P. process. This provided Carroll Hospital Center yet another opportunity for linkage to important, validated information about health needs in our community and ongoing opportunities to collaborate with our local and state health department regarding implementation strategies for targeted results. Pursuant to the S.H.I.P. assessment, thirty-nine "High Impact Objectives" were identified by the staff at Maryland's Department of Health and Mental Hygiene. A Carroll County specific data profile served as the baseline document. After thorough analysis, a local team, which included the hospital, produced a Local Health Improvement Plan (L.H.I.P.) addressing five priority need areas. The S.H.I.P. and L.H.I.P. provide another important set of very useful information and is being fully integrated within the hospital's first IRS compliant Community Health NEeds Assessment (CHNA) and community benefit planning processes. The Hospital and The Partnership have conducted multiple previous needs assessments, have made real progress towards community engagement in these processes and have integrated annual measurement systems into the health improvement work known as "Healthy Carroll Vital Signs (HCVS)." These measures build on national benchmarks and improvement targets such as HP 2020. Future editions of Healthy Carroll Vital Signs will also integrate S.H.I.P. 2014 benchmarks and improvment targets. IN TY 2011, the Hospital, in collaboration with The Partnership, began the process of undertaking the CHNA for the Carroll Hospital Center hospital facility. The Hospital expects that this CHNA will be completed in June 2013. The CHNA process being pursued by the Hospital will be in compliance with the IRS requirements. Furthermore the CHNA assessment and documentation process will assure the Hospital's ablility to develop a Hospital Board approved Community Benefits Plan for review and action by the Hospital's Board of Directors by spring 2013, as well as action by the Hospital to pursue and analyze the CHNA Implementation Strategy adopted by the Hospital thereafter.	PART VI, LINE 2
PATIENTS EDUCATION OF ELIGIBILITY FOR ASSISTANCE	CARROLL HOSPITAL CENTER (CHC) HAS A NUMBER OF PROGRAMS TO ASSIST PATIENTS WITH THEIR PAYMENT OBLIGATIONS. FIRST, WE PROVIDE A MEDICAID ENROLLMENT SERVICE TO PATIENTS WHO QUALIFY FOR MEDICAL ASSISTANCE. THIS SERVICE ASSISTS PATIENTS WITH PAPERWORK AND WILL EVEN PROVIDE TRANSPORTATION IF NEEDED. THIS PAST YEAR, CHC ASSISTED 310 PATIENTS IN APPLYING FO THE STATE'S MEDICAL ASSISTANCE PROGRAM. IN ADDITION, THE HOSPITAL HELD A, FREE ENROLLMENT SESSION FOR "COVER THE UNINSURED DAY' FOR UNINSURED COMMUNITY MEMBERS TO COME IN TO SEE IF THEY QUALIFIED FOR MEDICAL OR FNINANCIAL ASSISTANCE. FOR PATIENTS WHO DO NOT QUALIFY FOR MEDICAID COVERAGE, CHC HAS AN IN-HOUSE FINANCIAL ASSISTANCE PROGRAM. OUR ELIGIBILITY STANDARDS ARE MORE LENIENT THAN EVEN THOSE PROPOSED BY THE MARYLAND HOSPITAL ASSOCIATION GUIDELINES. WE WRITE OFF 100% OF THE BILL FOR PATIENTS WHOSE INCOME IS BELOW 300% OF THE FEDERAL POVERTY GUIDELINES (FPG) AND WRITE OFF A PORTION OF THE BILL FOR PATIENTS WHOSE INCOME IS BETWEEN 301%-375% OF THE FPG. WHEN PATIENTS EXPRESS THEIR INABILITY TO PAY FOR SERVICES, OUR STAFF WORKS TO FIND THE BEST POSSIBLE OPTION FOR THEM BY DISCUSSING IN DETAIL THEIR SITUATION. THE FAMILY IS INVOLVED IN THOSE CONVERSATIONS TO THE EXTENT THE PATIENT FEELS COMFORTABLE. THE HOSPITAL ALSO HAS A PROCESS IN PLACE FOR PATIENTS TO HAVE FINANCIAL ASSISTANCE DECISIONS RECONSIDERED AND THAT PROCESS IS CLEARLY OUTLINED IN OUR FINANCIAL ASSISTANCE POLICY AND IN INFORMATION PROVIDED TO OUR PATIENTS. IN ADDITION, FOR PATIENTS WITH INCOME BELOW 500% OF THE FPG AND WHOSE MEDICAL DEBT AT CHC IS IN EXCESS OF 25% OF THEIR HOUSEHOLD INCOME, THE HOSPITAL HAS A MEDICAL HARDSHIP PLAN THAT PROVIDES FOR REDUCED-COST CARE. THE HOSPITAL POSTS A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY, INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, IN ALL REGISTRATION AND INTAKE AREAS FOR ALL PATIENTS TO SEE. IN ADDITION, DETAILED INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS INCLUDED IN EVERY ADMISSION FOLDER, ON BILLS MAILED TO PATIENTS AND ON THE HOSPITAL'S WEBSITE (WWW.CARROLLHOSPITALCENTER.ORG).	PART VI, LINE 3
COMMUNITY INFORMATION	AS THE ONLY HOSPITAL IN THE COUNTY, CHC'S PRIMARY SERVICE AREA IS THE ENTIRE COUNTY. THE HOSPITAL DOES, HOWEVER, ALSO SERVE PORTIONS OF BALTIMORE, FREDERICK AND MONTGOMERY COUNTIES AS WELL AS AREAS IN SOUTHERN PENNSYLVANIA. THE GENERAL DEMOGRAPHICS FOR OUR PRIMARY COMMUNITY (CARROLL COUNTY) ARE LISTED BELOW: POPULATION TOTAL POPULATION 2011: 167,288 POPULATION PERCENT CHANGE 2010 TO 2011: 0.1% PERSONS UNDER 5 YEARS PERCENT 2011: 5.1% PERSONS UNDER 18 YEARS PERCENT 2011: 23.8% PERSONS 65 YEARS AND OVER PERCENT 2011: 13.5% FEMALE PERSONS, PERCENT 2011: 50.6% RACE WHITE PERSONS: 93.2% BLACK PERSONS: 3.5% AMERICAN INDIAN AND ALASKA NATIVE PERSONS: 0.2% ASIAN PERSONS: 1.5% NATIVE AMERICAN AND OTHER PACIFIC ISLANDER: 0 PERSONS REPORTING TWO OR MORE RACES: 1.5% PERSONS OF HISPANIC OR LATINO ORIGIN: 2.8% WHITE PERSONS NOT HISPANIC: 90.8% SOURCE: SOURCE US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. FAMILY TOTAL NUMBER OF HOUSEHOLDS (2007-2011): 59,314 AVERAGE HOUSEHOLD SIZE (2007-2011): 2.75 PERSONS SOURCE: US CENSUS BUREAU: STATE AND COUNTY QUICK FACTS. ECONOMICS MEDIAN HOUSEHOLD INCOME (2007-2011): $83,325 PERSONS BELOW POVERTY LEVEL, PERCENT (2007-2011): 5.6% SOURCES: CARROLL COUNTY DEPARTMENT OF ECONOMIC DEVELOPMENT AND US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. OTHER SIGNIFICANT DEMOGRAPHIC CHARACTERISTICS ACCORDING TO AMREICAN COMMUNITY SURVEY (2011) THE PERCENTAGE OF UNINSURED PATIENTS IN CARROLL COUNTY IS 6.6%. IN TY 2011, OF THE CARROLL COUNTY RESIDENTS THAT WERE HOSPITALIZED (EITHER AT CHC OR OTHER HOSPITALS), 10.4% WERE ENROLLED IN MEDICAL ASSISTANCE PROGRAMS IN CARROLL COUNTY, WHICH INCLUDES MCHIP, PAC, AND MEDICAL ASSISTANCE. THE AVERAGE LIFE EXPECTANCY WITH CARROLL COUNTY WAS 79.6.	PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTH	Carroll Hospital Center, founded in 1961, is the sole hospital serving the jurisdiction of Carroll County, Maryland with a FY 2012 population estimated at more than 168,000 persons. Carroll Hospital Center is the second -largest employer in Carroll County with over 1,750 Associates in FY 2012. Carroll Hospital Center is accredited with commendation by the Joint Commission. Our governing body is comprised predominantly of independent leaders representative of our community who assure that all financial surpluses the hospital generates are used exclusively to further the charitable purposes of the organization. We are a not-for-profit organization with diverse service lines including comprehensive acute care such as medical, surgical, peri-natal, pediatrics, psychiatry, medical and radiation oncology, adult intensive care and cardiovascular services, including emergency Percutaneous interventional heart surgery. Both home-based and inpatient Hospice care is provided through our affiliated agency, Carroll Hospice Inc. Diverse diagnostic services are provided at multiple locations and include both laboratory and radiologic capabilities. We participate in Medicare and Medicaid programs. There are more than 400 Physicians representing 38 specialties on our medical staff whose membership is open to all qualified area physicians. We operate an Emergency Department (ED) serving all persons regardless of ability to pay. The ED had over 56,000 patient visits in FY 2012 and we also recorded 12,276 inpatient admissions, 2,807 observation stay cases, 1,128 births and approximately 8,485 surgical procedures. An extensive network of hospital operated physician practices assures adequate availability of both primary and specialty care physicians throughout the service area-meeting the Carroll Hospital Center standards of excellence and incorporating the same values and principles. Building on our long tradition of collaboration with our local residents, the hospital in joint effort with the Carroll County Health Department, established The Partnership for a Healthier Carroll County, Inc. (The Partnership) in 1999 to link hospital strengths, alongside those of other well-established community partners to achieve an improved health status. The Partnership is a related Section 501(c)(3) tax-exempt organization of Carroll Hospital Center, which receives a majority of its operating funds from contributions made directly by the Hospital. The Partnership was established to: * Assess unmet health needs in our community * Expand the capacity for health and quality of life improvement in our community * Serve as our collaborative vehicle for interaction with the community * Drive the effort to create a healthier Carroll County community. This strategy has allowed Carroll Hospital Center to remain continually well-connected to the community, to leverage our resources in action alongside those of other key organizations and agencies (particularly, the Carroll county health department) and to assure measurable results. Monitoring the health status of the community is an ongoing and interactive process engaged in by Carroll Hospital Center and The Partnership. Carroll Hospital Center and The Partnership pursue improvement in the core health improvement areas (CHIAs) via Leadership Teams comprised of diverse individuals and organizations who share expertise and interest in the CHIA. Those leaders develop and implement action plans specifically intended to accomplish targeted results. "Healthy Carroll Vital Signs" are then affirmed, are specific to each CHIA Leadership Team and serve as one of the primary tools for results reporting. www.HealthyCarroll.org is The Partnership's website where current secondary data, national benchmarks, improvement targets and best practice references are easily available, are as current as available and are available to anyone at no cost. Carroll Hospital Center has long recognized that promoting the Health of its community is one of its essential responsibilities. Extensive community outreach and learning programs are offered by the hospital with an emphasis on disease prevention, early intervention and wellness. In FY 2012 we expanded on an integrated approach to population health; seeking to assure access to excellent health care and disease management assistance. Our integrated approach recognizes and strives to eliminate barriers such as transportation challenges or limited abilities to purchase essential prescription products; it also includes more in-community care coordination and assistance with navigating the often complex world of health care associated services. CHC is one of the founding and funding partners in a unique and highly successful integrated primary care center known as Access Carroll. Inc. At Access Carroll, Inc. the barriers of low income and ineligibility for state, federal or other insurance assistance are being eliminated for significant numbers of Carroll County residents who are receiving the same stellar integrated primary and specialty care services needed to manage their acute and/or chronic disease issues as their higher income and insured neighbors. In addition to primary and specialty medical care and care management navigation assistance, the Access Carroll patients receive diagnostic laboratory and radiology services, prescription assistance (more than $1,000,000 retail value in FY 2012 from Pharmaceutical Prescription Assistance Programs coordinated by Access Carroll) and more. Carroll Hospital Center contributed $259,068 to Access Carroll in FY12 to cover salary and benefit expenses for the executive director, one full time RN case manager and two part-time positions (aide and development specialist), as well as additional funds toward their facility move and expansion. The hospital also provides laboratory and diagnostic imaging services to Access Carroll captured under Charity Care, which totaled $282,910 in FY12. Many Carroll Hospital Center affiliated physicians and specialists donate their time to and accept referrals from Access Carroll. In FY12, Access Carroll had 40,135 patient encounters. These health promotion efforts are in addition to programs and services that seek to also help people change their lifestyles to move toward a state of optimal health in mind, body and spirit. Carroll Hospital Center demonstrates its commitment to improving the health and wellness of the communities it serves by providing services and programs that address critical needs, including health care to vulnerable or underserved people; public health programs; and health education, screening and prevention services. As reported in the Fy 2012 State of Maryland Health Services Cost Review Commission (HSCRC) Community Benefit Report, Carroll Hospital Center provided $14,918,396 (net of revenues) on programs and activities benefiting the communities we serve. These programs and activities included hospice services, physician support, charity/uncompensated care, education programs, health screenings, support groups, health professions education and community contributions. The hospital's community education and wellness efforts are led by community educators in The Women's Place and The Learning Center departments, in coordination with The Partnership for a Healthier Carroll County, so as to maximize strategies and programs in addressing community health needs. Carroll Hospital Center, in Fy 2012, had 21,109 encounters in Community Health Education activities, 2,520 encounters for Support Groups, 153 encounters for Self-help programs and 1,825 encounters for screenings. Carroll Hospital Center offers these programs and services not only to address the needs of people with chronic or acute medical issues, but also to address prevention and education to keep our population well. The following are five examples of initiatives with measurable outcomes. Initiative A. Total Health Expo 2011 Costs: $32,732 Description: To provide free and low-cost screenings, as well as health and wellness educational informaiton, all in one free, fun event designed for the whole family. The free event included: * Free and low-cost screenings * Medical assistance enrollment & information * Health information booths * Kids activities * Interactive educational displays on nutrition, heart health, behavioral health, sleep disorders, cancer education, health department resources, prenatal resources, diabetes, concussion awareness, durable medical equipment, car seat safety, medication safety and more. * Physical activities * Adult CPR class * Complementary health mini-treatments * Healthy lunch free for all attendees * AND MORE! Participants were encouraged to fill out a healthy passport by visiting at least 4 educational booths and one screening. Completed passports were entered in a drawing for prizes. Outcome/results: * More than 300 people attended. More than 350 encounters with screenings, complementary health treatments and cla	PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEM	Carroll Hospital Center is part of an affiliated health care system that provides an array of health care services to its community. The Hospital, as a sole community provider, provides both inpatient and outpatient care, including essential health care services such as obstetrics, emergency services, pediatric, and critical care, which would likely otherwise not be provided within Carroll County due to their unprofitable nature (high cost services with relatively low reimbursement). Additionally, the Hospital is the sole member and employer of a group physician practice (Carroll Health Group), which provides primary and specialty care services to the community. The provision of the physician service helps meet an identified community health need for additional primary and specialty care physicians in the community. The physician practice runs at a substantial operating loss ($____ million in 2012), which is funded by contributions from Carroll Hospital Center. Carroll Hospice, an affiliate of Carroll Hospital Center, provides inpatient hospice care, as well as residential hospice and palliative care, to patients nearing the end-of-life. Carroll Hospice provides pain management and symptom control and helps coordinate home and inpatient services. In order to provide comprehensive and compassionate care, Carroll Hospice utilizes an interdisciplinary team, including physicians, nurses, social workers, clergy, pharmacists, and home health aides. Further, Carroll Hospice provides bereavement care for family members for up to thirteen months.	PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORT	MD,	990 SCHEDULE H, PART VI

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	PARTNERSHIP FOR HEALTHIER CARROLL COUNTY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	95 CARROLL ST	AddressLine1
City	WESTMINSTER	City
State	MD	State
ZIP Code	21157	ZIPCode

Field	Value	IRS element (for citing)
Amount Of Cash Grant	155000	AmountOfCashGrant
Purpose Of Grant	Hospital contribution to support the programs of the Partnership	PurposeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	part i, line 2	Identifier
Explanation	The grant provided is to a related organization that is controlled by the organiYation and is a joint venture with the Carroll County Health department. The Partnership for a Healthier Carroll County is a 501(c)(3) tax-exempt organization that is dedicated to improving the health and quality of life of individuals living in Carroll County, Maryland.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
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
Written Employment Contract	X	WrittenEmploymentContract
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	false	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 (15 entries)

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
JOHN SERNULKA
243112	0	136955	0	29194	0	272296	0	18248	0	699805	0
LESLIE SIMMONS
254441	0	47184	0	28054	0	7489	0	18537	0	355705	0
KEVIN KELBLY
267672	0	52971	0	30108	0	11632	0	17180	0	379563	0
DAVID HORN
169233	0	34999	0	10854	0	5453	0	18499	0	239038	0
M ELLEN FINNERTY MYERS
185011	0	25946	0	11495	0	5549	0	886	0	228887	0
KEVIN SMOTHERS
325807	0	65784	0	29562	0	4103	0	18537	0	443793	0
JOYCE ROMANS
181379	0	18234	0	11912	0	2842	0	12236	0	226603	0
TRACEY ELLISON
163062	0	24303	0	10214	0	0	0	0	0	197579	0
FLAVIO KRUTER
300503	0	105671	0	68842	0	0	0	9947	0	484963	0
JEROME MARAVE
220839	0	0	0	2286	0	4114	0	11037	0	238276	0
DAVID SALINGER
240152	0	49842	0	11067	0	403	0	9203	0	310667	0
DEE HUBBARD
239069	0	24823	0	774	0	464	0	17166	0	282296	0
STEPHANIE REID
146640	0	17970	0	6300	0	5962	0	820	0	177692	0
AMANDEEP SINGH
228276	0	16562	0	162	0	1193	0	18537	0	264730	0
DAVID LOUDER
274954	0	34888	0	15039	0	1225	0	910	0	327016	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

PART I LINE 1A

The Hospital has taken the position that it will include in taxable W-2 wages for the President and CFO certain business expenses that the IRS may question as not being tax deductible, so long as such expenses have a direct connection to the promotion of the Hospital's health care services. For 2011, these expenses were less than 3,000 in aggregate, for the President and CFO. Health or social club dues or initiation fees for the President were reimbursed by the Hospital and included on the President's W-2. The amount of the reimbursed fees was considered in the process for determining the President's compensation.

nonqualified retirement plan

The following employees participated in the organization's 457(f) deferred compensation plans and were paid and/or credited with the following amounts: John Sernulka - 260,900

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MARYLAND HEALTH AND HIGHER EDUCATION FAC AUTHORITY
520936091	574217B53	2006-12-07	36179115	HOSPITAL RENOVATIONS AND EQUIPMENT	false	false	false
MARYLAND HEALTH & HIGHER EDUCATIONAL FAC AUTHORITY
520936091	000000000	2010-06-30	15000000	HOSPITAL RENOVATIONS AND EQUIPMENT	false	false	false
MARYLAND HEALTH & HIGHER EDUCATIONAL FAC AUTHORITY
520936091	574218HJ5	2012-05-31	93596537	REFUND 2002 BONDS, FAC ACQ, RENOVA	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0	38924938	3229120	683750	35012068	0	0	2009	false	false	true	true
660640	15000000	0	255500	14744500	0	0	2010	false	false	true	true
0	93596537	0	100764	9022546	78596537	5876690	2012	true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs	Engage Bond Counsel ResearchEngageBondCounselResearch
false	false	true	true	false	0.01000	0.01000	true
false	false	true	true	false	0.01000	0.01000	true
false	false	true	true	true	0.01000	0.01000	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	true
0
false	true	false	false	0	false	true
0
false	true	false	false	0	false	true

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	0	ReturnReference
Explanation	DIFFERENCES BETWEEN ISSUE PRICE REPORTED IN PART I, COLUMN E AND TOTAL PROCEEDS REPORTED IN PART II, LINE 3 ARE ATTRIBUTABLE TO INVESTMENT EARNINGS AND CHANGES IN AMOUNTS REQUIRED TO BE HELD IN RESERVE FUNDS.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
KATHLEEN PALAIA
SISTER/DAUGHTER DIRECTOR	85056	EMPLOYEE OF THE HOSPITAL	false
HEATHER SIMMONS
DAUGHTER OF AN OFFICER	72217	EMPLOYEE OF THE HOSPITAL	false
CHELSEY SIMMONS
DAUGHTER OF AN OFFICER	29884	EMPLOYEE OF THE HOSPITAL	false
ROBERT J BEAUVAIS
SON-IN-LAW OF AN OFFICER	52916	EMPLOYEE OF THE HOSPITAL	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (53 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FAMILY OR BUSINESS RELATIONSHIP	PART VI LINE 2	CHARLES FISHER SR AND CHARLES FISHER JR HAVE A FATHER/SON RELATIONSHIP. CHARLES FISHER SR AND CHARLES FISHER JR HAVE A BUSINESS RELATIONSHIP. MIRIAM BECK AND JEFF WOTHERS HAVE A MOTHER-N-LAW/SON-N-LAW RELATIONSHIP.
DESCRIPTION OF REVIEW PROCESS	PART VI LINE 11	The Hospital's Form 990 is reviewed in detail between the preparer, an outside accounting firm, and the Finance Department of the Hospital. A copy of the draft Form 990 is presented to the Hospital's Risk, Audit and Compliance ("RAC") Committee, at which time RAC Committee members may ask any questions or provide comments regarding the draft Form 990. Prior to filing the Form 990, the Hospital provides a copy of the Form 990 to each member of the Board of Directors for their review, questions, and comments, which feedback is then incorporated into the filed Form 990.
CONFLICTS MONITORING AND ENFORCEMENT	PART VI LINE 12C	The Conflict of Interest Policy applies to Carroll Hospital Center and its direct and indirect subsidiaries and parent organization. Review of Disclosure Statements/Report to the Board. The Chief Executive Officer of the Hospital Organization, the Governance Committee and the Corporate Compliance Officer shall review the matters disclosed in the Disclosure Statements and shall submit to the Hospital Organization's Board of Directors an annual summary or spreadsheet of the disclosures and his or her recommendation for the resolution of any conflicts disclosed. In formulating recommendations, the Chief Executive Officer shall consult with appropriate officers of the Hospital Organization and counsel as necessary. The Board of Directors of the Hospital Organization, acting in the best interests of the Hospital Organization, shall have sole discretion to make all final decisions regarding conflicts of interest, other than those regarding gifts to Hospital Organization employees which shall be resolved by the appropriate supervisory executive. However, no person shall be involved in considering the existence of an actual or potential conflict of interest, in the management and oversight of a conflict relationship, or in the determination of discipline for violations of this Policy, if that person is a party or potential party to that conflict. All final decisions regarding conflicts of interest shall be reflected in a revised annual summary or spreadsheet of conflict disclosures which will be shared with each director. The Chair and Vice-Chair of the Board, and all Board committee chairs, shall have this revised summary or spreadsheet available at the time of all Board and Board committee meetings in case a matter involving a potential conflict arises. CONFLICT OF INTEREST RECUSAL PROCEDURE FOR BOARD MEETINGS Whenever a Hospital Organizations' Board or Board committee is to consider a transaction or an arrangement with another organization, entity or individual in which or with whom a person covered by this Policy has a relationship creating an actual or potential conflict of interest, the following procedures shall be employed: A. The interested person must fully disclose the actual or potential conflict of interest to the Board; B. The interested person should be asked to leave the meeting during discussion of the potential conflict and any related votes, but the interested person may make a statement or answer any questions on the matter before departing the meeting; C. If appropriate, the Board or Board committee may appoint a non-interested person or committee to investigate alternatives to the proposed transaction or arrangement; D. To consider the proposed transaction or arrangement, the Board must: 1. find, by a majority vote of directors then in office, not counting the interested person, that the proposed transaction or arrangement is in the Hospital Organization's best interest and for the Hospital Organization's own benefit, it is fair and reasonable, and that, after reasonable investigation, the Hospital Organization cannot obtain a more advantageous transaction or arrangement using reasonable efforts; and 2. vote on the transaction or arrangement, approval requiring a majority vote of directors then in office, not counting the interested person. E. The minutes should include: (1) the name of the person disclosing the conflict of interest and a description of the conflict; (2) the Board's determination of whether there is a conflict; (3) the names and votes of persons present for the discussions and votes relating to the transaction or arrangement; and (4) the content of those discussions including the Board's determination of whether or not the transaction or arrangement is in the Hospital Organization's best interest, fair and reasonable, and the best reasonably available alternative Ongoing Duty to Disclose One's Own or Others' Conflicts of Interest. As an actual or potential conflict of interest can arise at any time, any actual or potential conflict must be disclosed promptly in writing by use of a supplemental Disclosure Statement, as soon as its existence is or should be known. If a person is in doubt about a situation, the person should consult with the Chief Executive Officer, Board Chairman or the Hospital Organization's Compliance Officer. Persons should err on the side of disclosure so that a conflict of interest assessment can be made. The potential conflict will be referred to the Governance committee for review and a response will be provided within 14 days. Noncompliance with the policy: The Organization's Board of Directors retains broad power and sole discretion under this Policy to: (1) determine the existence of actual or potential conflicts of interest; (2) subject conflict of interest relationships to appropriate oversight, management, conditions, restrictions and prohibitions; and (3) impose appropriate sanctions. A breach of this Policy can become grounds for discipline, up to and including removal from office or, for management personnel, termination of employment. It may also result in cessation of business with a vendor and in liability for damages. Grounds for discipline include, but are not limited to: A. willful failure to sign and return the Conflict of Interest Disclosure Statement in accord with this Policy; B. a material misstatement or omission in the Disclosure Statement; C. willful failure to disclose an actual or potential conflict of interest at any time in accord with the requirements of this Policy; D. willful participation in a vote or decision involving a transaction which raises an undisclosed conflict of interest; or E. willful disclosure or use of confidential information regarding the affairs, business or plans of a Hospital Organization for any purpose other than in furtherance of the affairs and best interests of the Hospital Organization.
PROCESS FOR DETERMINING COMPENSATION	PART VI LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CARROLL HOSPITAL CENTER, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES.
DOCUMENT AVAILABILITY	PART VI, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF NET ASSETS	PART XI, LINE 5	UNREALIZED Loss $( 1,776,104) BOOK/TAX DIFFERENCE K-1 ( 2,133,773) INTEREST RATE ADJUST ON INVEST (11,115,765) changes to investment 130,967 investment in cc med-services (14,809,540) ----------- TOTAL $(29,704,215)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHARLES O FISHER JR TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MIRIAM BECK TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ETHAN SEIDEL TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN SERNULKA TITLE:PRESIDENT HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KIMBERLY JOHNSTON MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HAROLD WALSH TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HELEN W WHITEHEAD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SYED HOSAIN MD TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS WELLIVER TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFFREY A WOTHERS TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:W DENNIS THOMAS TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:GERALD LEE STURGILL TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LARRY VAN SANT SR TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN STEERS MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARTIN HILL TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHARLES O FISHER, SR TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRISTOS BALLAS TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEPHAN HOCHULI, MD TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PAULA LANGMEAD TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JACK TEVIS TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LESLIE SIMMONS TITLE:CHIEF OPERATING OFFICER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN KELBLY TITLE:SR VP FINANCE CFO HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN SMOTHERS TITLE:CHIEF MEDICAL OFFICER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEPHANIE REID TITLE:ASSISTANT VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID HORN TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:M ELLEN FINNERTY MYERS TITLE:VICE PRESIDENT HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOYCE ROMANS TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TRACEY ELLISON TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID LOUDER TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:FLAVIO KRUTER TITLE:PHYSICIAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEROME MARAVE TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID SALINGER TITLE:PHYSICIAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DEE HUBBARD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:AMANDEEP SINGH TITLE:PHYSICIAN HOURS:
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:SUPPLIES TOTAL EXPENSES:710595 PROGRAM SERVICES:678383 MANAGEMENT AND GENERAL:32212
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:REPAIRS AND MAINT TOTAL EXPENSES:1325580 PROGRAM SERVICES:1279640 MANAGEMENT AND GENERAL:45940
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:DUES BOOKS AND SUBS TOTAL EXPENSES:1795641 PROGRAM SERVICES:343363 MANAGEMENT AND GENERAL:1452278
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:LICENSES AND TAXES TOTAL EXPENSES:73834 PROGRAM SERVICES:25932 MANAGEMENT AND GENERAL:47902
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:TELEPHONE AND CABLE TOTAL EXPENSES:338375 PROGRAM SERVICES:63196 MANAGEMENT AND GENERAL:275179
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:EQUIPMENT RENTALS TOTAL EXPENSES:1212791 PROGRAM SERVICES:791613 MANAGEMENT AND GENERAL:421178
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:PROFESSIONAL FEES TOTAL EXPENSES:11078083 PROGRAM SERVICES:9187491 MANAGEMENT AND GENERAL:1890592
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:BAD DEBTS TOTAL EXPENSES:8854060 PROGRAM SERVICES:8854060
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:K-1 GREENSPRING GLOBAL TOTAL EXPENSES:9333 MANAGEMENT AND GENERAL:9333
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:K-1 COLONIAL REGIONAL ALLIANCE TOTAL EXPENSES:20202 MANAGEMENT AND GENERAL:20202
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:K-1 SEAMARK FUND TOTAL EXPENSES:53944 MANAGEMENT AND GENERAL:53944
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:BANK CHARGES TOTAL EXPENSES:128259 MANAGEMENT AND GENERAL:128259
OTHER EXPENSES	FORM 990 PART IX	DESCRIPTION:LOSS ON EARLY EXTINGUISH DEBT TOTAL EXPENSES:908272 MANAGEMENT AND GENERAL:908272

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CARROLL HOSPITAL CENTER MOB INVEST LLC
200 MEMORIAL AVENUE	WESTMINSTER	MD	21157	271528355	INVESTMENTS	MD	0	1414177	CHC
Carroll Regional Cancer Ctr Physicians
200 Memorial Ave	Westminster	MD	21157	452463175	health care	MD	1184772	637112	chc

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CARROLL COUNTY HEALTH SERVICES INC
200 MEMORIAL AVE	WESTMINSTER	MD	21157	520691413	SUPPORT ORG	MD	501(C)(3)	509(A)(3)	N/A	false
CARROLL HOSPITAL CENTER FOUNDATION INC
200 MEMORIAL AVE	WESTMINSTER	MD	21157	521115038	FOUNDATION	MD	501(C)(3)	503(A)(3)		true	CHC
CARROLL HOSPICE INC
292 STONER AVE	WESTMINSTER	MD	21157	521565870	HOSPICE	MD	501(C)(3)	170(B)(1A)		true	cchs
Partnership for a Healthier Carroll Cty
535 old westminster pike	Westminster	MD	21157	522156892	Health Servic	MD	501(c)(3)	170b1(a)vi		false	na

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Percentage OwnershipPercentageOwnership
cc radiology llc
7253 AMBASSADOR RD	BALTIMORE	MD	21244	522190849	RADIOLOGY	MD	CARROLL HOSP CT	21607496	14398826	false	0.60000
CARROLL CARE PHARMACIES LLC
95 CARROLL STREET SUITE 104	WESTMINSTER	MD	21158	201141106	PHARMACY	MD	CC MED-SERVICES
carroll occupational health llc
7001 Corporate Center Ct	Westminster	MD	21157	202769332	occupational hlth	MD	cc med-services

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
CARROLL COUNTY MED SERVICES INC
200 MEMORIAL AVE	WESTMINSTER	MD	21157	521891102	MEDICAL SERVI	MD	cchs	C CORP
CEN-MAR ASSURANCE CO
				986011607	insurance		CHC	C CORP	po box 1085	grand cayman	CJ	ky1-1102	CJ	2548146	11805824	1.00000
carroll health group
200 memorial ave	Westminster	MD	21157	271956453	health care	MD	cc med-services	c corp

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	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	true	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	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CARROLL HOSPITAL CENTER FOUNDATION
C	925000	fmv
cen-mar
p	399440	fmv
carroll county med services
a,n,p	1074759	fmv