MERITUS MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MERITUS MEDICAL CENTER INC (EIN 52-0607949)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201201369349304085
Schema version: 2010v3.2
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T10:57:48-07:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Medical Center	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	251 East Antietam Street	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21740	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	520607949	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERI	NameControl
Phone	3017908872	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Raymond A Grahe	Name
Title	VP/Treasurer	Title
Date Signed	2012-05-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Joseph Ross	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	303228089	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.meritushealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1904	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	Meritus Medical Center, Inc. (MMC) is an acute care hospital located in Hagerstown, Maryland and serves the residents of western Maryland, southern Pennsylvania and the panhandle of West Virginia.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	2212	TotalNbrEmployees
Total Nbr Volunteers	370	TotalNbrVolunteers
Total Gross UBI	1024534	TotalGrossUBI
Net Unrelated Business Txbl Income	-454254	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	458483	ContributionsGrantsPriorYear
Contributions Grants Current Year	450488	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	251494585	ProgramServiceRevenuePriorYear
Program Service Revenue CY	276520687	ProgramServiceRevenueCY
Investment Income Prior Year	2910754	InvestmentIncomePriorYear
Investment Income Current Year	7175560	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1157188	OtherRevenuePriorYear
Other Revenue Current Year	1133628	OtherRevenueCurrentYear
Total Revenue Prior Year	256021010	TotalRevenuePriorYear
Total Revenue Current Year	285280363	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	112903	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	119271	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	132508787	SalariesEtcPriorYear
Salaries Etc Current Year	131824483	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	123975811	OtherExpensePriorYear
Other Expenses Current Year	143293039	OtherExpensesCurrentYear
Total Expenses Prior Year	256597501	TotalExpensesPriorYear
Total Expenses Current Year	275236793	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-576491	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	10043570	RevenuesLessExpensesCY
Total Assets BOY	435961170	TotalAssetsBOY
Total Assets EOY	428264494	TotalAssetsEOY
Total Liabilities BOY	333379439	TotalLiabilitiesBOY
Total Liabilities EOY	311188035	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	102581731	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	117076459	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The mission of MMC is to be the most effective provider of health services in our service area through: (1) Leadership and responsiveness to our community's healthcare needs: (2) Accessibility of those services in partnership with our extended community: (3) The high level of respect we afford our patients, physicians, customers, and employees.MMC will succeed in accomplishing its mission of ensuring it is the community's preeminent quality healthcare provider via a five-part strategy. This strategy includes: (1) Creating and enhancing regional healthcare through an integrated delivery system; (2) Forming a framework of partnerships and affiliations; (3) Establishing centers of excellence in partnership with the medical community; (4) Providing excellent health education in cooperation with appropriate institutions and (5) Developing a health plan that assures a holistic approach to medical issues and coverage.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	211307119	Expense
Grants	119271	Grants
Revenue	276520687	Revenue
Description	Meritus Medical Center offers a variety of specialized services to meet the healthcare needs of the tri-state region.The Cardiac Catheterization Lab has focused on bringing the very best in cardiac services to the community. Services in cardiac screening, diagnosis, intervention, and rehabilitation are offered. Meritus Medical Center has invested in the most up-to-date technologies to assist physicians in diagnosing and treating heart disease. The board certified cardiologists and interventional cardiologists offer patients a highly specialized experience in structual heart disease and electrical heart malfunctions. They are supported by a team of highly-trained nurses and technicians.The Center for Clinical Research is a growing program that manages from fifteen to twenty active research studies at any given time. The researchers are certified by the Association of Clinical Research Professionals. Physicians serve as the principal investigators for the research studies performed by the center.The Center for Joint Replacement offers a comprehensive program that includes pre- and postoperative therapy as well as the actual surgery. The program has clearly demonstrated a decreased length of hospital stay and improved recovery rates.The Family Birthing Center is a special place where single-room maternity care provides privacy and family bonding. The room is equipped for labor, delivery, postpartum, and newborn care. The special care nursery allows babies born as early as 32 weeks gestation to be treated at Meritus Medical Center.The Home Health Care Services cover the full spectrum of care, ranging from skilled nursing to assistance with the activities of daily living. They also can help with medication management issues.The John R. Marsh Cancer Center offers chemotherapy, intensity modulated radiation therapy, and image guided radiation therapy. The center also offers MammoSite which delivers partial irradiation treatment for breat cancer patients in just five days.Total Rehab Care is a comprehensive service providing a full range of rehabiliation programs, including pediatric services, traumatic brain injury rehab, outpatient therapies, inpatient joint replacement, occupational rehabiliation, and support groups. Skilled physicians, nurses, and therapists develop individualized treatment plans for every patient.As a level III trauma service, the medical center offers twenty four hour a day, seven days a week access to trauma surgeons, neurosurgeons, and orthopedic surgeons, as well as a specialized trauma team and consulting physicians.The Weight Loss Clinic offers bariatric surgery which includes the most common procedures of gastric bypass and adjustable gastric banding. This can be a treatment for the lifelong condition of morbid obesity.The Wound Center care is customized to each patient's unique situation to promote the healing process. The Wound Center team specializes in diabetic foot and leg ulcers, bone infections, preparation and preservation of skin grafts, crash injuries, and thermal burns.The vision of the Nursing Department at Meritus Medical Center is to be a dynamic force in the advancement of nursing practice and an advocate for the promotion of quality healthcare for all. Their mission is to foster the development and advancement of nursing practive and to work to achieve quality healthcare for all. They believe that the excellence of care for patients and families matters the most and that superior customer service and constant innovation sustains excellence.	Description
Total Program Service Expense	211307119	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	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	false	GrantsToOrganizations
Grants To Individuals	true	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	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	219	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2212	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Raymond A Grahe	NamePerson
Telephone Number	3017908872	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	Key EmployeeKeyEmployee	OfficerOfficer
William Su MD
Director	20.00	X	135506	0	0
Thomas Gilbert MD
Physician	50.00		769417	0	21205	X
T Michael White
Vice President	50.00		326557	0	19631		X
Rodney Shoop
Director	3.00	X	0	0	0
Raymond Grahe
VP/Treasurer	50.00		288799	0	27880			X
Pamela Bradford MD
Director	3.00	X	0	0	0
Nancy Rothrock
Secretary	40.00		77124	0	11313			X
Michael Zampelli
Vice President	10.00		0	286650	41031		X
Matthew Wagner MD
Physician	50.00		300557	0	24116	X
Mary Towe
Vice President	50.00		188540	0	15200		X
Marc Kross MD
Director	3.00	X	0	0	0
Kelly Corbi
Vice President	50.00		181442	0	19673		X
Joseph Ross
President & CEO	3.00	X	0	0	0			X
Jayantilal Kadiwar MD
Physician	50.00		420662	0	19023	X
James P Hamill
Former Pres	50.00	X	482711	0	22807			X
Gregory Snook
Chairman	3.00	X	0	0	0
Garry Seligman MD
Physician	50.00		216108	0	20445	X
Deborah Addo-Samuels
Vice President	50.00		203620	0	18455		X
Cynthia Pellegrino
Vice Chairman	3.00	X	0	0	0
Carolyn Simonsen
Vice President	50.00		182404	0	11894		X
Carey Leverett
Vice President	50.00		175448	0	18321		X
Barbara Miller
Director	3.00	X	0	0	0
Adriana Maldonaldo-Brem
Physician	50.00		189166	0	28360	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4138061	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	286650	TotalReportableCompFrmRltdOrgs
Total Other Compensation	319354	TotalOtherCompensation
Number Individuals GT100 K	139	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
Neurosurgical Specialists LLC
1150 Professional Court	Hagerstown	MD	21740	Medical	497434
Hagerstown Heart PA
1733 Howell Road	Hagerstown	MD	21740	Medical	465045
EmCare Inc
7032 Collection Center Drive	Chicago	IL	60693	Medical	898437
Blue Ridge Anesthesia Associates LLC
119 King Street	Hagerstown	MD	21740	Medical	1533757
Associates in Medical Physics
7505 Greenway Center Drive	Greenbelt	MD	20770	Medical	488905

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	37	NumberOfContractorsGT100K
Government Grants	54125	GovernmentGrants
All Other Contributions	396363	AllOtherContributions
Total Contributions	450488	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Wellness	900099	109725	109725
Pharmacy	900099	105925	105925
Patient revenue	900099	273822984	273822984
Other revenue	900099	1117066	1117066
Cafeteria sales	900099	1244532	1244532

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	120455	TotalRevenueColumn
Related Or Exempt Function Income	120455	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	276520687	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5682950	TotalRevenueColumn
Exclusion	$5,682,950	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	109094	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	109094	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	109094	TotalRevenueColumn
Related Or Exempt Function Income	109094	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	19650415	Securities
Other	-210079	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	17947726	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1702689	Securities
Other	-210079	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1492610	TotalRevenueColumn
Exclusion	$1,492,610	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 (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue
Robinwood Food Service	722210	539597	539597
Clinical Trials	541700	484937	484937

Field	Value	IRS element (for citing)
Total Other Revenue	1024534	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	285280363	TotalRevenueColumn
Related Or Exempt Function Income	276629781	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1024534	UnrelatedBusinessRevenue
Exclusion	$7,175,560	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	119271	Total
Program Services	119271	ProgramServices

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	4012261	Total
Management And General	4012261	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	99863747	Total
Program Services	79890998	ProgramServices
Management And General	19972749	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20044961	Total
Program Services	16035969	ProgramServices
Management And General	4008992	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7903514	Total
Program Services	6322811	ProgramServices
Management And General	1580703	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	309957	Total
Program Services	247966	ProgramServices
Management And General	61991	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	233580	Total
Program Services	186864	ProgramServices
Management And General	46716	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	15430	Total
Program Services	15430	ProgramServices

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	99218	Total
Program Services	79374	ProgramServices
Management And General	19844	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	15480896	Total
Program Services	12384717	ProgramServices
Management And General	3096179	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	685891	Total
Program Services	548713	ProgramServices
Management And General	137178	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1255332	Total
Program Services	1004266	ProgramServices
Management And General	251066	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1715919	Total
Program Services	1372735	ProgramServices
Management And General	343184	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4409854	Total
Program Services	3527883	ProgramServices
Management And General	881971	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	585684	Total
Program Services	468547	ProgramServices
Management And General	117137	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	121922	Total
Program Services	97538	ProgramServices
Management And General	24384	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8909404	Total
Program Services	5345642	ProgramServices
Management And General	3563762	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	327110	Total
Program Services	261688	ProgramServices
Management And General	65422	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19587835	Total
Program Services	11752701	ProgramServices
Management And General	7835134	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1370882	Total
Program Services	1096706	ProgramServices
Management And General	274176	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased linen service	759375	607500	151875
Prov for uncollectible acc	12904290	10323432	2580858
Physician fees	8696248	6956998	1739250
Medical supplies	59732777	47786222	11946555
Equipment maintenance	3238006	2590405	647601

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2853429	Total
Program Services	2282743	ProgramServices
Management And General	570686	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	275236793	Total
Program Services	211307119	ProgramServices
Management And General	63929674	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	19955626	BOY
EOY	17126778	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	32272912	BOY
EOY	37340076	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	6069111	BOY
EOY	4546136	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5534418	BOY
EOY	6270491	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5595625	BOY
EOY	5344130	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	350725287	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	77398922	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	242146761	BOY
EOY	273326365	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	24228879	BOY
EOY	33868350	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	100157838	BOY
EOY	50442168	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	435961170	BOY
EOY	428264494	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	55138183	BOY
EOY	38853319	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	262903342	BOY
EOY	263026204	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	10158902	BOY
EOY	6477567	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5179012	BOY
EOY	2830945	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	333379439	BOY
EOY	311188035	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	97723567	BOY
EOY	110748543	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3829546	BOY
EOY	5299298	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1028618	BOY
EOY	1028618	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	102581731	BOY
EOY	117076459	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	435961170	BOY
EOY	428264494	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	10043570	ReconcilationRevenueExpenses
Reconcilation Other Changes	4451158	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
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

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)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
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	false	DirectContactLegislators
Rallies Demonstrations	true	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$15,430	OtherActivitiesAmount
Total Lobbying Expenditures IIB	15430	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1044234	BeginningOfYearBalance
Investment Earnings Or Losses	24155	InvestmentEarningsOrLosses
Other Expenditures	22163	OtherExpenditures
End Of Year Balance	1046226	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1056042	BeginningOfYearBalance
Investment Earnings Or Losses	23318	InvestmentEarningsOrLosses
Other Expenditures	35126	OtherExpenditures
End Of Year Balance	1044234	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1031425	BeginningOfYearBalance
Investment Earnings Or Losses	29534	InvestmentEarningsOrLosses
Other Expenditures	4917	OtherExpenditures
End Of Year Balance	1056042	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.53000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.47000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15585243	OtherCostOrOtherBasis
Book Value	15585243	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	168903230	OtherCostOrOtherBasis
Depreciation	9177169	Depreciation
Book Value	159726061	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	165082991	OtherCostOrOtherBasis
Depreciation	68221753	Depreciation
Book Value	96861238	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1153823	OtherCostOrOtherBasis
Book Value	1153823	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	273326365	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
Other assets
Net assets held by MHF	5237853
Assets held by trustee-debt & construct.	27776762

Field	Value	IRS element (for citing)
Total Book Value Other Assets	50442168	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Accrued retirement benefits	Description
Amount	$2,830,945	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	2830945	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X	Part X : FIN48 Footnote	MMC follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positons taken or expected to be taken in a tax return.
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	Minimum pension liability adjustment $714279 Net assets held by Meritus Healthcare Foundation $1470059 Other $ -444468
Part V, Line 4	Part V, Line 4: Intended uses of the endowment fund.	Charity care

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	150.000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	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)
Persons Served	3725	PersonsServed
Total Community Benefit Expense	9588597	TotalCommunityBenefitExpense
Net Community Benefit Expense	9588597	NetCommunityBenefitExpense
Percent Of Total Expense	0.03480	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	638272	TotalCommunityBenefitExpense
Net Community Benefit Expense	638272	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	3725	PersonsServed
Total Community Benefit Expense	10226869	TotalCommunityBenefitExpense
Net Community Benefit Expense	10226869	NetCommunityBenefitExpense
Percent Of Total Expense	0.03710	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	397490	PersonsServed
Total Community Benefit Expense	1286029	TotalCommunityBenefitExpense
Net Community Benefit Expense	1286029	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	4496	PersonsServed
Total Community Benefit Expense	117003	TotalCommunityBenefitExpense
Net Community Benefit Expense	117003	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	24829	PersonsServed
Total Community Benefit Expense	11851304	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2733447	DirectOffsettingRevenue
Net Community Benefit Expense	9117857	NetCommunityBenefitExpense
Percent Of Total Expense	0.03310	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	406	PersonsServed
Total Community Benefit Expense	811458	TotalCommunityBenefitExpense
Direct Offsetting Revenue	484937	DirectOffsettingRevenue
Net Community Benefit Expense	326521	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	1672	PersonsServed
Total Community Benefit Expense	444471	TotalCommunityBenefitExpense
Direct Offsetting Revenue	287649	DirectOffsettingRevenue
Net Community Benefit Expense	156822	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	428893	PersonsServed
Total Community Benefit Expense	14510265	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3506033	DirectOffsettingRevenue
Net Community Benefit Expense	11004232	NetCommunityBenefitExpense
Percent Of Total Expense	0.04000	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	432618	PersonsServed
Total Community Benefit Expense	24737134	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3506033	DirectOffsettingRevenue
Net Community Benefit Expense	21231101	NetCommunityBenefitExpense
Percent Of Total Expense	0.07710	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	48	PersonsServed
Total Community Building Expense	1258	TotalCommunityBuildingExpense
Net Community Building Expense	1258	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Persons Served	4	PersonsServed
Total Community Building Expense	1279	TotalCommunityBuildingExpense
Net Community Building Expense	1279	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Persons Served	1000	PersonsServed
Total Community Building Expense	693	TotalCommunityBuildingExpense
Net Community Building Expense	693	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	1052	PersonsServed
Total Community Building Expense	3230	TotalCommunityBuildingExpense
Net Community Building Expense	3230	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$9,984,049	BadDebtExpenseAmount
Amount Attributable To	1806601	AmountAttributableTo
Amount Reimbursed By Medicare	261906044	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	239028749	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	22877295	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Tri-State Health Part Inc
PHO	0.50000	0.50000
Maryland Care Inc
healthcare	0.25000

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	0	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Medical Center Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	11116 Medical Campus Road	AddressLine1
City	Hagerstown	City
State	MD	State
ZIP Code	21742	ZIPCode

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Meritus Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
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
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
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 VI Form990ScheduleHPartVI (16 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part VI - Additional Information	Line 7a Column (d), Line 7f Columns (c) and (d) - 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 same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.Line 7b Columns (c) through (f) - 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 same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any directed offsetting revenue related 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 of its share of the 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.
Part V - Explanation of Number of Facility Type	N/A
Part VI - States Where Community Benefit Report Filed	MD
Part VI - Affilated Health Care System Roles and Promotion	Meritus Health - the largest healthcare provider in Western Maryland - is located at the crossroads of Western Maryland, southern Pennsylvania, and the Eastern Panhandle of West Virginia. As the largest employer in Washington County, it has a deep understanding of the needs of the community. Its programs span the continuum of healthcare, ranging from inpatient care to occupational health services to physician practices and outpatient care. The system delivers patient care through two primary components, MMC and ME. Located in Hagerstown, MMC, an acute care hospital- which opened December 11, 2010 - has 267 single-patient rooms, along with the most advanced technologies available. Services include a special care nursery, a level III trauma program, a primary stroke center, a wound center, as well as a cardiac diagnostic laboratory. Other hospital services that address outpatient needs continue to be available, such as the John R. Marsh Cancer Center, Total Rehab Care, the Center for Clinical Research, and the Center for Bariatric Surgery.State-of-the-art medical technologies at MMC include new technologies such as advanced 3T magnetic resonance imaging, single-photo-emission computed tomography (SPECT) scanners, and cardiac interventions. Patients will benefit from the convenient location of MMC, which is adjacent to the Robinwood Professional Center, operated by ME. With this proximity, patients can take advantage of an array of both inpatient and outpatient services. The medical mall houses a pharmacy, medical laboratory, an urgent care clinic, surgery centers,and diagnostic imaging services. In addition, there are numerous physician practices, offering a wide variety of medical specialties.ME, an affiliate of MH, is a leading provider in ambulatory health care services in the tri-state region. Its mission is to engage in ambulatory health activities that complement the goals and objectives of MH. ME vigorously recruits physicians and other healthcare providers to the region, to assure an adequate supply of physicians in many medical specialties. ME has a very successful record of joint-venture relationships with physicians that has greatly benefited the wellbeing of tri-state area residents. ME includes a number of businesses and medical practices. It maintains three urgent care clinics in Hagerstown. The urgent care clinics work closely with primary care physicians, caring for patients with minor illnesses or injuries. Because numerous patients can be seen at these clinics, local physicians have more time to spend with regularly-scheduled patients in their offices. Tri-State Health Partners (THP) is a physician hospital organization (PHO) owned by more than 200 physicians and MMC. This partnership enhances the ability of its physician owners and the medical center to focus on technology and initiatives to improve quality and patient care outcomes in the community.THP's mission is to be the region's most comprehensive healthcare solutions company, fostering collaboration with community practitioners and providers to create a fully-integrated medical care delivery system.Clinical integration engages THP physicians in a cooperative effort to improve the quality of healthcare and the cost-effectiveness of healthcare services. MHF is a private, not-for-profit, tax-exempt organization managed by a volunteer board of community leaders whose mission is to support hospital programs and services, scientific research, equipment, technology, medical training and community education. The foundation is an integral part of the overall health system organization, and contributions have a direct impact on the quality of care MH is able to provide. The Foundation Board of Directors works closely with the MH boards and leadership to match resources with MH needs, enabling caregivers to provide the very best care possible every single day.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	The mission, vision and values of the Meritus Medical Center (MMC) are summarized in MMC's pledge: Responsiveness to need. Excellence in Caring. Respect for All. The pledge says that MMC strives to meet the healthcare needs of the citizens of the tri-state region, is dedicated to providing quality patient care in a safe and caring environment andthat MMC esteems the personal diginity of patients and staff alike.Every day, the hospital's employees live out MMC's values by treating others as they would like to be treated. MMC participates in a variety of activities that focus on the well-being of the patients, including committees and teams that evaluate the progress in the areas of quality patient care, patient safety and professional development. Many staff members provide outreach to the community through educational offerings which have been identified by a survey of community health education needs.MMC is a vibrant healthcare facility, where dedicated staff engages patients and their families in their care, promoting a partnership that leads to improved patient outcomes. At the same time, employees work together to plan a future that focuses on the well-being of the citizens of the tri-state region.The focus for any healthcare organization is the community it serves. At Meritus Health, the parent company of Meritus Medical Center, we want to ensure that we are a good corporate citizen. We do that in two very important ways: the way we use our financial resources to provide healthcare services and through the oversight provided by our boards of directors. All surplus funds are used for the purchase of capital equipment which improves the quality of care provided. As a tax exempt hospital, we contribute funds to help many people who might not be able to afford their healthcare. These dollars are used to provide free, reduced-cost or subsidized services to many individuals in the community. It's a collaborative effort involving numerous areas of the health system in activities such as health education and outreach, screenings, programs and events, as well as helping individuals obtain prescription medications, access to needed services, and even transportation to healthcare appointments.Unlike giant healthcare corporations -where every decision is made at company headquarters-all decisions regarding Meritus Health are made here in Hagerstown. That's because as a regional health system, our local governing board of directors, made up entirely of volunteers, guides the health system's decisions with the best interests of the community at heart.In addition to attending quarterly meetings to determine the direction the health system will take, the health system board members, who are community and business leaders as well as physicians, serve on various committees, including quality, finance and capital, audit and business integrity, compensation, and governance.The board and its committees ensure that the health system complies with state and federal requirements, while keeping the organization's mission of providing quality care front and center. By working together toward this goal, the board members create policies and procedures that help deliver results.As a community trust that works hard to keep the values and interests of the community at heart, the Meritus Heath Board of Directors is ensuring that the health system has the support necessary to provide care for future generations.The opening of MMC on December 11, 2010 was a realization of the planning and hard work by staff that went into creating a cutting-edge facility to take the region into the next century in health care.Through the planning and implementation of a project this size, people were tapped along the way to make sure the replacement facility was going to meet the needs of the community now and beyond. With the new facility, basic needs such as a larger emergency room are being met, and technologies that were not available even a year ago have been added.
Part VI - Community Building Activities	Meritus Medical Center participates in an on-going, nationally recognized program called KidShape. It seeks to improve the health and well-being of children from ages 6 to 17. It targets overweight and obese children by involving them and their parents in a program that emphasizes eating management and fun activities to get kids active. The program benefits the whole family. Children are referred by their physicians and parents may self-refer. It is an outreach program implemented by the hospital's community health education outreach department.The KidShape program was initiated in April 2008. Since that time, 19 families have completed the course. Evaluations were done at the end of each course. KidShape staff reported the following: 1. 69% decreased or maintained their BMI 2. 72% decreased their blood pressure 3. 52% increased vegetable consumption 4. 45% increased fruit consumption 5. 67% decreased their "junk" food intake 6. 54% decreased TV time on weekends 7. 46% increased time they spend exercising 8. 46% increased their self esteemAs a result of the evaluations, the hospital is continuing its commitment to providing the KidShape program in our community.
Part VI - Community Information	Meritus Medical Center is a regional medical center for residents of the tri-state area including Washington County, Maryland; Frederick County, Maryland; Franklin County, PA; Fulton County, PA; Morgan County, WV; Jefferson County, WV; and Berkley County, WV. The hospital's primary service area is Washington County, MD and residents of the county make up the majority of the hospital's customers. However, with service offerings including a regional trauma center, a center for bariatric surgery, non-primary and primary angioplasty, and a designated stroke center, the hospital draws from southern PA and northern WV for a variety of services. For example, in 2009, emergency medical service providers brought more than 200 Frederick county residents to Meritus Medical Center's trauma center for treatment.According to the Hagerstown-Washington County Economic Development Commission, people are moving to Washington County for its employment opportunities, world-class educational system, and excellent quality of life. With a net increase of 1,000 people, Washington County ranks first in Maryland for the largest total migration increase according to the U.S. Census Bureau 2007 Statistics. The population of the county is 145,384 and is projected to grow to 170,950 by 2020, according to the Maryland Department of Planning.
Part VI - Patient Education of Eligibility for Assistance	Meritus Medical Center informs patients and/or their families of the hospital's financial assistance policy by providing a copy of the policy and contact information as part of the intake process. The financial assistance policy and contact information is posted in the admitting area, emergency room and other areas throughout the facility where eligible patients are likely to present. When applicable, a representative of the hospital discusses the availability of financial assistance as well as Medicaid and other governmental benefits with patients or their families. The hospital makes every effort to inform patients of this policy throughout their visit.MMC follows the Maryland Hospital Association's Standards for Financial Assistance for Maryland. MMC will provide 100 percent free hospital care for patients below 150 percent of Federal Poverty levels and who have less than $10,000 in net assets. When a patient's income and/or net assets does not qualify them for 100 percent financial assistance, they may be eligible to qualify for financial assistance based on a sliding scale. MMC will consider the size of a patient's bill relative to their ability to pay in determining financial assistance options, which could include payment plans. MMC will grant financial assistance for services determined to be medically necessary.
Part VI - Needs Assessment	Meritus Medical Center completed a commmunity health needs assessment in the Spring of 2009. It was sent to major community agencies to determine what they knew and perceived to be the most important healthcare needs of Washington County residents. Twenty agencies were surveyed, including the healthcare organizations, the United Way, and the Department of Social Services. Internal healthcare providers were also surveyed; some of them included the healthcare management department, medical director of internal medicine, and the community health education and outreach department.Respondents completed a survey which asked them to identify: the three most important health needs they have encountered; which ones they have designated as current fiscal year priorities; and to name any other agencies that should be included in the survey.Respondents listed the following as the most important health needs: mental health services, services for the elderly, dental services, and obesity.They identified three that are fiscal year priorities: mental health, dental services, and substance abuse.In response to the community needs assessment completed in 2009, MMC responded to the identified needs during fiscal year 2011. The first need identified was to improve access to adolescent mental health and social functioning. MMC developed a model to provide in-school assessment and counseling services at Boonsboro High School which experienced above average substance abuse rates and suicide. MMC secured grant funding of $70,000 from Maryland Physicians Care and secured funding for building renovations from Washington County Community Partnership. The program services were implemented by Villa Maria Catholic Charities and 34 adolescents were treated. MMC also worked to advocate and enhance existing community child and adult mental health services by providing expertise to the mental health providers. MMC helped to secure an early childhood mental health grant from Maryland Hospital Association and provided board support and clinical supervision of services. Service expansion included case managment and juvenile drug court diversion.Secondly MMC increased awareness of senior services. Seniors living in the Washington County region were identified as having a lack of awareness of health issues unique to an aging population. Through community health fairs, screenings, and educational events, MMC provides the information necessary to heighten awareness of senior issues and assist seniors in identifying where help can be obtained.A third identified area was the need to decrease adult obesity. MMC provided BMI screenings and nutritional information at community educational events and health fairs to increase awareness and knowledge of elevated body mass index and potential health risks. Participants were able to identify the need to make lifestyle changes and where such assistance could be obtained. 204 persons completed obesity screening and education for fiscal year 2011.
Part V, Line 19d - Other Billing Determination of Individuals Without Insurance	MMC will follow the Maryland Hospital Association Standards for Financial Assistance for Maryland.a. MMC will provide 100 percent free hospital care for patients below 200 percent of Federal Poverty levels and the income threshold for reduced-cost medically necessary care is between 200 and 300 percent of the federal poverty level and who have less than $10,000 in net assets.b. When a patient's income and/or net assets does not qualify them for 100 percent Financial Assistance, they may be eligible to qualify for financial assistance based on a sliding scale as referenced in Appendix 1.c. MMC will consider the size of a patient's bill relative to their ability to pay in determining financial assistance and financial assistance options, which could include payment plans.d. MMC will grant financial assistance for services determined to be medically necessary.e. It is recognized that Amish and Mennonite patients do not rely on in any manner on any type of government programs or private insurance based upon their religious beliefs. These groups rely on their religious community to pull resources together to pay for healthcare bills for members of their community. These patients, who are 100% self-pay, will be granted a 25% discount when bill is paid in full within 30 days of service.	Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Meritus Medical Center is committed to providing quality health care for all patients regardless of their inability to meet the associated financial obligation and without discrimination on the grounds of race, color, national origin or creed. Financial assistance can be offered during, or after services are rendered. The financial assistance procedures are designed to assist individuals who qualify for less than full coverage under available federal, state and local medical assistance programs, but whom residual "self-pay" balances exceed their own ability to pay.Meritus Medical Center informs patients and/or their families of the hospital's financial assistance policy by providing a copy of the policy and contact information as part of the intake process. The financial assistance policy and contact information is posted in the admitting area, emergency room and other areas throughout the facility where eligible patients are likely to present. When applicable, a representative of the hospital discusses the availability of financial assistance as well as Medicaid and other governmental benefits with patients or their families. The hospital makes every effort to inform patients of this policy throughout their visit.A financial application that has been approved for financial assistance will remain eligible for a period of six months. Patients or guarantors incurring accounts after the six month period will be required to reapply, so that any changes in their financial status can be reassessed. Accounts receivable accounts approved for financial assistance will be reconciled by the Finance Department at fiscal year endand reported annually to the Health Services Cost Review Commission of the State of Maryland. If financial assistance is denied, a payment arrangement will be obtained on any balance due by the patient or the guarantor by a Patient Financial Services Representative.
Part III, Line 4 - Bad Debt Expense	Meritus Medical Center (MMC) provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management detemines that recovery is unlikely and MMC ceases collection efforts. Losses have been consistant with management's expectations.
Part I, Line 7g - Costs Associated With Physicans Clinics	Subsidized health services for Meritus Medical Center include the following: (1) Hospital owned endocrinology and diabetes program (2) Western Maryland Medication Assistance Center (3) Hospital owned psychiatric practice (4) Level III trauma program (5) On-call fees for emergency specialist call (6) Hospital owned respiratory care program (7) Hospice of Washington County allowed a voluntary contractual allowance
Part I, Line 7, Column F - Explanation of Bad Debt Expense	Meritus Medical Center (MMC) is committed to providing quality health care for all patients regardless of their inability to meet the associated financial obligation and without discrimination on the grounds of race, color, national origin or creed. It shall be the policy of MMC to ensure that all appropriate and reasonable efforts have been made prior to referring an account to bad debt, a collection agency or outside attorney. In addition, a satisfactory level of control is maintained over bad debts and levels of management are involved in the decision making process prior to write-off and/or assignment of bad debt.
Part I, Line 7 - Explanation of Costing Methodology	The direct cost was calculated by using the expense categories for salaries and wages, benefits, expendable suppiles, purchased services, repairs and maintenance and depreciation. The indirect cost was calculated using the approved methodology on the community benefit report.
Part I, Line 6a - Related Organization Community Benefit Report	MMC prepares a community benefits report through the Maryland Health Services Cost Review Commission (HSCRC), and it is available via their website.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	HSCRC Nursing Grant	TypeOfGrant
Number Of Recipients	13	NumberOfRecipients
Amount Of Cash Grant	119271	AmountOfCashGrant
Method Of Valuation	N/A	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	The HSCRC grant provides money to employees of the Hospital who are enrolled in the Hagerstown Community College nursing program. The grant program pays for all of the student's tuition, books, and fees with an agreement that upon graduation the student will work for the Hospital as a registered nurse. The grant also provides monies for registered nurses who are working on their MSN in education. Each award recipient will be required to sign a Service Card Agreement with the Meritus Medical Center. The length of payback will be one year of service (equivalent to 2,080 hours of service) for each year of the grant you receive. The program is five semesters long and most recipients will owe 4,160 hours.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
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
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs
Thomas Gilbert MD
765329	4088	6125	15080	790622
T Michael White
319237	7320	8674	10957	346188
Raymond Grahe
280919	7880	17150	10730	316679
Michael Zampelli
					281022	5628	26790	14241	327681
Matthew Wagner MD
296419	4138	9800	14316	324673
Mary Towe
186656	1884	12882	2318	203740
Kelly Corbi
173137	8305	6046	13627	201115
Jayantilal Kadiwar MD
414540	6122	6164	12859	439685
James P Hamill
459897	22814	10922	11885	505518
Garry Seligman MD
209735	6373	8697	11748	236553
Deborah Addo-Samuels
201304	2316	8243	10212	222075
Carolyn Simonsen
175898	6506	6006	5888	194298
Carey Leverett
171776	3672	6832	11489	193769
Adriana Maldonaldo-Brem
182259	6907	10152	18208	217526

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MD Hlth & Hig Ed Fac Aut	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	520936091	IssuerEIN
CUSIP Number	574217T21	CUSIPNumber
Date Issued	2008-02-12	DateIssued
Issue Price	264300000	IssuePrice
Description Of Purpose	Construction-new hospital	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	262855181	TotalProceeds
Amount In Reserve Fund	18344513	AmountInReserveFund
Issuance Costs From Proceeds	3121975	IssuanceCostsFromProceeds
Capital Expenditures	235980961	CapitalExpenditures
Other Spent Proceeds	5407732	OtherSpentProceeds
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.30000	PrcntgePrvtBusinessUseByOthers
Total Private Business Use	0.30000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	true	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	true	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Greg Snook
Director	146181	See suppl. info. below	false
Marc Kross MD
Director	614374	See suppl. info. below	false
Raymond A Grahe
Officer	99218	See suppl. info. below	false
William Su MD
Director	135506	See suppl. info. below	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	Marc Kross, MD has contracts with MMC to serve as Surgeon and Chief of Trauma, to provide emergency room call coverage and to provide trauma call coverage.William Su, MD has a contract directly with MMC to provide emergency room and trauma call coverage.Raymond Grahe is an officer of the MHF board and an employee of MMC and served on the local board of Columbia Bank until 1/1/2011.Greg Snook is the owner of a property that is leased by Meritus Enterprises and his brother owns a storage company in which various entities under MH lease space.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Statement of Program Service Acc.	Meritus Health is the largest healthcare provider in Western Maryland, located at the crossroads of Western Maryland, southern Pennsylvania, and the eastern panhandle of West Virginia. MMC is an acute care hospital with 272 single-patient rooms providing services including a spiecial care nursery, a designated trauma center, a primary stroke center, a wound center, and a designated cardiac interventional center. As the leading provider of healthcare services in the tri-state region, Meritus Health's primary service area is Washington County, Maryland - with residents of that county making up the majority of the hospital's customers - while also serving residents of Frederick County, Maryland; Franklin County, Pennsylvania; Fulton County, Pennsylvania; Morgan County, West Virginia; Jefferson County, West Virginia; and Berkeley County, West Virginia. In a quest to meet the health care needs of the community and region, MMC constructed a new facility that opened in December of 2010. With the new facility, basic needs such as a larger emergency room are being met, and technologies that were not available even a year ago have been added to bring the facility into the next century. The improvements will benefit the staff and the patients of MMC. From single-patient rooms to high-tech operating suites, MMC will maximize patient care.As a sole community provider, MMC must provide around the clock care in the Emergency Department (ED). It has become increasingly difficult to insure 24/7 specialist coverage for the ED in the current environment of decreased physician reimbursement and increasing volume. Therefore, MMC pays on-call fees for emergency specialist call to insure adequate physician coverage in the ED. Those specialties contracted with to provide emergency specialist call include: cardiology, critical care, ENT, eye, GI, general surgery, interventional cardiologist, neurology, neurosurgery, ortho, pediatrics, plastics, and urology.
Schedule K	As of the fiscal year ending June 30, 2010, MMC was entering the final stages of its new hospital, which was the purpose of Maryland Health & Higher Educational Facility's 2008 bond.In this regard, the above mentioned new hospital facility was completed and opened on December 11, 2010.
Part XI, Line 2b	Meritus Medcial Center is audited as part of the consolidated audit of the Meritus Health, Inc. entities. The medical center received consolidated audited financial statements prepared in accordance with GAAP from an independent accounting firm.
Part VII, Section 6, Line 8	Joseph Ross began employment on March 30, 2011 and did not receive any compensation during calendar year 2010.
Part VI, Line 16b	As defined by the Meritus Medical Center bylaws which state the process for joint venture activity, a joint venture arrangement with a taxable entity would first be evaluated by the the Meritus Medical Center Board and the Meritus Health, Inc. Board. After presentation and approval by those two boards, the Finance & Capital Board of Meritus Health, Inc. would evaluate the financial implications of the joint venture. The Audit & Business Integrity Committee of the Meritus Health, Inc. Board would analyze any possible interested party transactions and the limitations and prohibitions associated with the section 501(c)(3) status of the medical center. The Meritus Health, Inc. Board would ultimately need to approve any joint venture resolutions.
Part VI, Line 16a	Meritus Medical Center holds a 25% equity interest in Maryland Care, Inc. Maryland Care, Inc. is a managed care organization ("MCO") that was established to serve Maryland's Medicaid population as a result of the State's requirement for Medicaid patients to be a member of an MCO.Meritus Medical Center holds a 50% equity interest in Tri-State Health Partners ("THP"). THP is an innovative physician-hospital organization ("PHO") established to organize, assemble and facilitate the provision of cost effective health care services. The partnership consists of more than 200 local physicians and the Hospital. THP is involved in the medical management of more than 6,000 covered lives through regional self-insured businesses. In April of 2009, THP developed a clinical integration program that was approved by the Federal Trade Commission ("FTC"). THP has one of only three clinical integration programs that have been approved by the FTC to date. Within a clinical integration program, physicians agree to work together with a high degree of cooperation, collaboration and mutual interdependence that focuses on improving the quality of care they collectively provide. Physicians use electronic health record technology to coordinate treatment among the patients' healthcare providers, which can substantially reduce the cost of care.
Part I, Line 6 - Volunteers	Meritus Medical Center receives volunteers that are recruited by the Meritus Medical Center Auxiliary, Inc. ("Auxiliary"). The mission of the Auxiliary is to cooperate and assist in the work of the medical center by promoting the medical center's work in the community and supplementing the work of the staff of the medical center.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, conflict of interest policy, and financial statements are available upon request. In addition, the annual audited financial statements are available on the organization's website.	Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Annually in September, the Compensation Committee of the MH Board meets and reviews the following as it relates to compensation of the CEO and other key employees: Market Data - Presented by an independent third party compensation consultant Performance Evaluation - Provided by the CEO Overall Financials- used for Bonus Current Salary Along with Merit GuidelinesThe independent third party compensation consultant then makes recommendations to the compensation committee and the committee deliberates, discusses, and approves the recommendation as is or makes amendments to it before approval. The report and resulting decision is then reported to the MH Board.The positions reviewed on 9/24/10 were as follows: CEO, VP for Information Services, VP for Financial Services, VP for Patient Care Services, Chief Medical Officer, VP for Business Integrity, VP for Human Resources, VP for Nursing Services, VP for Meritus Enterprises and Executive Director of the MHF.	Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	An annual disclosure of interest is required for all officers, directors or trustees, and key employees. These disclosures are then reviewed against the accounts payable system to determine the amount, if any, of transactions that have occurred. All disclosures and transactions are reviewed in detail by the following group of individuals: Vice President for Business Integrity, Director of Internal Audit, Chair of the MH Board, Chair of the Audit and Business Integrity Committee, President and CEO of MH, and Legal Counsel. A summmary of all disclosures are then provided to the full Audit and Business Integrity Committee for review. After this review, a copy of the disclosures, by Board or Committee, listing the type of involvement/transactions the entity has with the named disclosure, if any, are provided to the chair of the Board or Committee. Any director with a determined conflict is prohibited from participating in the Board's decisions and decisions with regards to that transaction.	Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review Process	The Form 990 was prepared by the Finance department of MH and reviewed by an independent accounting firm. A copy of the Form 990 was provided to the Audit and Business Integrity Committee of the MH Board (Parent). Acting under the authority of the MH Board, the Committee reviewed the Form 990 prior to the submission of the Form 990 to the Internal Revenue Service. In addition, the Form 990 will be provided to the MHF Board before it is filed with the Internal Revenue Service.	Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	MMC nominates candidates for their board and presents the nominees to the MH Board (Parent) through the board designated Governance Committee. Final election occurs through the MH Board. The MH Board also approves the budget.	Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The sole member of the Corporation, MMC, is MH. MH has the right to elect the members of the governing body and approve significant decisions of the governing body.	Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Marc Kross, MD has contracts with MMC to serve as Surgeon and Chief of Trauma, to provide emergency room call coverage and to provide trauma call coverage.William Su, MD has a contract directly with MMC to provide emergency room and trauma call coverage.Raymond Grahe is an officer of the MHF board and an employee of MMC and served on the local board of Columbia Bank until 1/1/2011.Greg Snook is the owner of a property that is leased by Meritus Enterprises and his brother owns a storage company in which various entities under MH lease space.	Form 990, Part VI, Line 2
Form 990, Part III, Line 2: New Services	eICU (eCare Program) - A technology that links video cameras and physiologic monitoring systems within ICU units, as well as other data from clinical information systems to a remote eICU site. The remote site is staffed by experienced board-certified intensivists and specially trained nursing staff, who monitor the condition of the patients and apply the latest evidence-based decision support toolsin managing the care provided to each of the patients.	Form 990, Part III, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Meritus Healthcare Foundation Inc
11116 Medical Campus Road	Hagerstown	MD	21742	010639265	Fundraising	MD	501(c)(3)	11c	MH	false
Meritus Health Inc
11116 Medical Campus Road	Hagerstown	MD	21742	521656378	Parent corporation	MD	501(c)(3)	11-III FI	NA	false
Meritus Medical Center Endowment Fund
11116 Medical Campus Road	Hagerstown	MD	21742	237411960	Develops rental properties	MD	501(c)(3)	11-III FI	MH	false

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState	Type Of EntityTypeOfEntity
Meritus Insurance Company Ltd
PO Box 1109GT	Grand Cayman	CJ	980162257	Captive insurance	CJ	MH	1.00000
Meritus Enterprises Inc
			521393624	Health serv		MH	1.00000	11116 Medical Campus Road	Hagerstown	MD	21742	MD	C corp

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