2012-05-15T10:57:48-07:00 2011-06-30 Meritus Medical Center 251 East Antietam Street Hagerstown MD 21740 990 2010-07-01 520607949 Meritus Medical Center Inc MERI 3017908872 11116 Medical Campus Road Hagerstown MD 21742 Raymond A Grahe 2012-05-15 2010 2016-02-24 21:20:13Z Joseph Ross 11116 Medical Campus Road Hagerstown MD 21742 303228089 false false X www.meritushealth.com X 1904 MD 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. 8 4 2212 370 1024534 -454254 458483 450488 251494585 276520687 2910754 7175560 1157188 1133628 256021010 285280363 112903 119271 0 132508787 131824483 0 0 123975811 143293039 256597501 275236793 -576491 10043570 435961170 428264494 333379439 311188035 102581731 117076459 X 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. true false 211307119 119271 276520687 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. 211307119 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false true true true false false false false false false false true true true false false false false false true false false false false true 219 0 true 2212 true true true false false false false false false false false false 0 false false false false false false false false false false false X 8 4 true false false false true true true true true false false false true true true true true true true true true true MD X Raymond A Grahe 3017908872 11116 Medical Campus Road Hagerstown MD 21742 William Su MD 20.00 X 135506 0 0 Thomas Gilbert MD 50.00 X 769417 0 21205 T Michael White 50.00 X 326557 0 19631 Rodney Shoop 3.00 X 0 0 0 Raymond Grahe 50.00 X 288799 0 27880 Pamela Bradford MD 3.00 X 0 0 0 Nancy Rothrock 40.00 X 77124 0 11313 Michael Zampelli 10.00 X 0 286650 41031 Matthew Wagner MD 50.00 X 300557 0 24116 Mary Towe 50.00 X 188540 0 15200 Marc Kross MD 3.00 X 0 0 0 Kelly Corbi 50.00 X 181442 0 19673 Joseph Ross 3.00 X X 0 0 0 Jayantilal Kadiwar MD 50.00 X 420662 0 19023 James P Hamill 50.00 X X 482711 0 22807 Gregory Snook 3.00 X 0 0 0 Garry Seligman MD 50.00 X 216108 0 20445 Deborah Addo-Samuels 50.00 X 203620 0 18455 Cynthia Pellegrino 3.00 X 0 0 0 Carolyn Simonsen 50.00 X 182404 0 11894 Carey Leverett 50.00 X 175448 0 18321 Barbara Miller 3.00 X 0 0 0 Adriana Maldonaldo-Brem 50.00 X 189166 0 28360 4138061 286650 319354 139 false true false 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 37 54125 396363 450488 Wellness 900099 109725 109725 Pharmacy 900099 105925 105925 Patient revenue 900099 273822984 273822984 Other revenue 900099 1117066 1117066 Cafeteria sales 900099 1244532 1244532 120455 120455 276520687 5682950 5682950 0 0 109094 109094 109094 109094 19650415 -210079 17947726 1702689 -210079 1492610 1492610 0 0 0 Robinwood Food Service 722210 539597 539597 Clinical Trials 541700 484937 484937 1024534 285280363 276629781 1024534 7175560 0 119271 119271 0 0 4012261 4012261 0 99863747 79890998 19972749 0 20044961 16035969 4008992 7903514 6322811 1580703 0 309957 247966 61991 233580 186864 46716 15430 15430 0 99218 79374 19844 15480896 12384717 3096179 685891 548713 137178 1255332 1004266 251066 1715919 1372735 343184 0 4409854 3527883 881971 585684 468547 117137 0 121922 97538 24384 8909404 5345642 3563762 327110 261688 65422 19587835 11752701 7835134 1370882 1096706 274176 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 2853429 2282743 570686 275236793 211307119 63929674 0 0 19955626 17126778 0 32272912 37340076 0 0 6069111 4546136 5534418 6270491 5595625 5344130 350725287 77398922 242146761 273326365 24228879 33868350 0 0 0 100157838 50442168 435961170 428264494 55138183 38853319 262903342 263026204 10158902 6477567 5179012 2830945 333379439 311188035 X 97723567 110748543 3829546 5299298 1028618 1028618 102581731 117076459 435961170 428264494 X 10043570 4451158 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false true true 15430 15430 false false 1044234 24155 22163 1046226 1056042 23318 35126 1044234 1031425 29534 4917 1056042 0.53000 0.47000 false false false 15585243 15585243 168903230 9177169 159726061 165082991 68221753 96861238 1153823 1153823 273326365 Other assets Net assets held by MHF 5237853 Assets held by trustee-debt & construct. 27776762 50442168 Accrued retirement benefits 2830945 2830945 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 true true true X true X 150.000000000 true true false false true true 3725 9588597 9588597 0.03480 638272 638272 0.00230 3725 10226869 10226869 0.03710 397490 1286029 1286029 0.00470 4496 117003 117003 0.00040 24829 11851304 2733447 9117857 0.03310 406 811458 484937 326521 0.00120 1672 444471 287649 156822 0.00060 428893 14510265 3506033 11004232 0.04000 432618 24737134 3506033 21231101 0.07710 48 1258 1258 4 1279 1279 1000 693 693 1052 3230 3230 true 9984049 1806601 261906044 239028749 22877295 X true true Tri-State Health Part Inc PHO 0.50000 0.50000 Maryland Care Inc healthcare 0.25000 1 0 Meritus Medical Center Inc

11116 Medical Campus Road Hagerstown MD 21742

X X X X Meritus Medical Center Inc 1 false true true 200.0000 true 300.0000 true X X true true X X X X X X true X X true X X X X X X true X false false 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. Number of Hospital Faciltiy - 0 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. 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. true X 0 0 HSCRC Nursing Grant 13 119271 N/A N/A Grantmaker's Description of How Grants are Used 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. X true true X X X X X false true false false false false false false false false 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 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. MD Hlth & Hig Ed Fac Aut 520936091 574217T21 2008-02-12 264300000 Construction-new hospital false false 262855181 18344513 3121975 235980961 5407732 2010 false false true true false false false false true 0.30000 0.30000 true true false false false false true 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 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. 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 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 15b 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 12c 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 11 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 7a 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 6 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 2 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 III, 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. 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 Meritus Insurance Company Ltd PO Box 1109GT Grand Cayman CJ 980162257 Captive insurance CJ MH 1.00000 Meritus Enterprises Inc 11116 Medical Campus Road Hagerstown MD 21742 521393624 Health serv MD MH C corp 1.00000 false false false false false false false false false false false false false false false false false false