CARROLL HOSPITAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CARROLL HOSPITAL CENTER INC (EIN 52-1452024)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201211369349304021
Schema version: 2010v3.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T12:40:30-05:00	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	COHEN RUTHERFORD KNIGHT PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	521452024	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	CARR	NameControl
Phone	4108716859	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Kevin Kelbly	Name
Title	SR VP FINANCE CFO	Title
Date Signed	2012-05-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3018281008	Phone

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	John Sernulka	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	206214157	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.carrollhospitalcenter.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1957	YearFormation
State Legal Domicile	MD	StateLegalDomicile
Activity Or Mission Description	OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1958	TotalNbrEmployees
Total Gross UBI	3692824	TotalGrossUBI
Contributions Grants Prior Year	1176242	ContributionsGrantsPriorYear
Contributions Grants Current Year	1090000	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	190619219	ProgramServiceRevenuePriorYear
Program Service Revenue CY	201412609	ProgramServiceRevenueCY
Investment Income Prior Year	4311044	InvestmentIncomePriorYear
Investment Income Current Year	3179446	InvestmentIncomeCurrentYear
Other Revenue Prior Year	773491	OtherRevenuePriorYear
Other Revenue Current Year	532102	OtherRevenueCurrentYear
Total Revenue Prior Year	196879996	TotalRevenuePriorYear
Total Revenue Current Year	206214157	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	115000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	115000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	96985712	SalariesEtcPriorYear
Salaries Etc Current Year	97467463	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	100640157	OtherExpensePriorYear
Other Expenses Current Year	91916180	OtherExpensesCurrentYear
Total Expenses Prior Year	197740869	TotalExpensesPriorYear
Total Expenses Current Year	189498643	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-860873	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16715514	RevenuesLessExpensesCY
Total Assets BOY	300967431	TotalAssetsBOY
Total Assets EOY	313981970	TotalAssetsEOY
Total Liabilities BOY	206812673	TotalLiabilitiesBOY
Total Liabilities EOY	195306839	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	94154758	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	118675131	NetAssetsOrFundBalancesEOY
Mission Description	OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINTAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOSPITAL CENTER, WE OFFER AN UNCOMPROMISING COMMITMENT TO THE HIGHEST QUALITY HEALTH CARE EXPERIENCE FOR PEOPLE IN ALL STAGES OF LIFE. WE ARE THE HEART OF HEALTH CARE IN OUR COMMUNITIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	160054843	Expense
Grants	115000	Grants
Revenue	198252757	Revenue
Description	Carroll Hospital Center, a 189 licensed bed acute care facility located in Westminster, Maryland offers the latest in medical technology and services, combined with a state-of-the-art facility and top-notch, skilled medical professionals, caring for patients with compassion. Currently, there are more than 400 physicians representing 38 specialties on our medical staff in addition to over 1,700 individuals employed by the Hospital - making CHC the second largest employer in Carroll County. The organization operates an acute care hospital serving the communities located in Carroll and surrounding counties as well as parts of Pennsylvania. Carroll County's population alone is currently estimated to be 204,400. In accordance with our tax-exempt function the organization operates an emergency room open to all persons regardless of their ability to pay and had over 54,000 patient visits last year. The hospital participates in Medicare and Medicaid programs, has a governing body comprised of independent persons representative of the community, all financial surpluses the hospital generates are used exclusively to further the charitable purposes of the organization and its medical staff is open to all qualified physicians in the area. As the only hospital in Carroll County, we offer our community a full array of services including, emergency services, comprehensive cancer care, pediatrics, maternity, geriatrics, the latest minimally invasive surgical procedures and advanced total and partial joint replacement procedures. In the year ending June 2011, Carroll Hospital Center recorded 15,833 inpatient admissions and observation stay cases, 1,119 births and approximately 9,200 surgical procedures, all contributing to a total of 330,000 patient encounters for the period. In line with our mission-"Our communities expect and deserve superior medical treatment, compassionate care, and expert guidance in maintaining their health and well-being. At Carroll Hospital Center, we offer an uncompromising commitment to the highest quality health care experience for people in all stages of life. We are the heart of health care in our communities." -the hospital also provides planned community benefit activities to improve access to health care and improve the overall health of our community. Our mission is pursued in collaboration with our related organizations: Carroll Hospice, The Partnership for a Healthier Carroll County (our community advocacy arm), and The Carroll Hospital Center Foundation (Also listed in Part VI) for more information on these subsidiaries, please see their individual Form 990's. While we have attempted to summarize our program service accomplishments below, we urge those interested to access more detailed and complete information at www.CarrolHospitalCenter.org. In cooperation with our many community partners, including The Partnership, we seek to make measurable and sustainable progress in improving the health of the communities we serve. We gauge our progress by how effectively we identify and positively impact the underlying root causes associated with poor community health. To track and trend our progress as a community, The Partnership has organized Healthy Carroll Vital Signs - Measures of Community Health. This data is provided by various sources and is updated each year. When combined with our newly-acquired Healthy Communities Institute data, the hospital has access to the most up-to-date, comprehensive information on our community's health. Through The Partnership, Carroll Hospital Center has been involved in numerous health status assessment projects specific to our community and is in the process of conducting a comprehensive Community Health Needs Assessment. Once completed in June 2012, the assessment will provide the hospital with the important and current needs and opinions of members of our community as well as more in-depth information from key community leaders. Collectively the data will provide the hospital with the crucial information it needs to continue to make well informed decisions when it comes to effectuating positive change in the health status of our communities. Previous health needs assessments have sparked the hospital to develop key services such as Access Carroll (in coordination with the Carroll County Health Department and The Partnership), a clinic for uninsured patients and The Women's Place, a center for health and wellness for women that provides a full range of educational, complementary health and patient navigation services, a breast center and cancer boutique. Hospital staff also have helped to develop and participate in numerous committees and work groups to address age, gender and ethnic-specific living and health care issues. In addition, the hospital's focus on wellness is one that provides our community with hundreds of free education programs, screenings and support groups each year for everything from childbirth and disease prevention to nutrition and breast, prostate and skin cancers. The hospital also has committed significant resources to make certain there is an adequate supply of primary care and specialty physicians in our service area. Ensuring our communities have access to quality and medical expertise is a priority for our organization. That's why we continue to develop Carroll Health Group, our hospital-owned network of medical providers, which currently includes 32 Physicians and 11 Other Providers (PA, NP) in 19 office locations throughout Carroll and surrounding counties. During the most recent reporting period the organization provided a total of $3,011,868, $2,463,708 at cost, in charity/uncompensated care to the community. Additionally the organization expended approximately $19,147,524 (Net of Revenues) on programs and activities benefitting the communities we serve. These programs and activities included hospice services, physician support, education programs, screenings, support groups, health professional education and community contributions and required approximately 492,000 staff hours.	Description
Total Program Service Expense	160054843	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	233	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1958	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID MCCORMICK	NamePerson
Telephone Number	4108716859	TelephoneNumber

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
CHARLES O FISHER JR
DIRECTOR	1.0	X	0	0	0
CHARLES FISHER SR
DIRECTOR	1.0	X	0	0	0
MIRIAM BECK
DIRECTOR	1.0	X	0	0	0
PAULA LANGMEAD
DIRECTOR	1.0	X	0	0	0
ETHAN SEIDEL
DIRECTOR	1.0	X	0	0	0
JOHN SERNULKA
PRESIDENT	35.0	X	291984	0	292083	X
STEPHAN HOCHULI MD
BOARD MEMBER	1.0	X	0	0	0
KIMBERLY JOHNSTON MD
BOARD MEMBER	1.0	X	0	0	0
STANLEY H TEVIS III
BOARD MEMBER	1.0	X	0	0	0
HAROLD WALSH
BOARD MEMBER	1.0	X	0	0	0
HELEN W WHITEHEAD
BOARD MEMBER	1.0	X	0	0	0
CHRISTOS BALLAS MD
BOARD MEMBER	1.0	X	0	0	0
THOMAS WELLIVER
BOARD MEMBER	1.0	X	0	0	0
JEFFREY A WOTHERS
BOARD MEMBER	1.0	X	0		0
DENNIS THOMAS
BOARD MEMBER	1.0	X	0	0	0
LESLIE SIMMONS
CHIEF OPERATING OFFICER	38.0		278385	0	24101	X
KEVIN KELBLY
SR VP FINANCE CFO	34.0		303120	0	29988	X
KEVIN SMOTHERS
CHIEF MEDICAL OFFICER	40.0		366121	0	22772	X
STEPHANIE REID
ASSISTANT VICE PRESIDENT	40.0		155779	0	7033	X
DAVID HORN
VICE PRESIDENT	40.0		188775	0	23172		X
M ELLEN FINNERTY MYERS
VICE PRESIDENT	40.0		192915	0	4949		X
JOYCE ROMANS
VICE PRESIDENT	40.0		198223	0	14976		X
TRACEY ELLISON
VICE PRESIDENT	40.0		172101	0	19892		X
DANILO PERUNOVICH
VICE PRESIDENT	40.0		184371	0	13876		X
CYNTHIA ROLDAN
PHYSICIAN	40.0		174445	0	3078			X
JEROME MARAVE
PHYSICIAN	40.0		210263	0	19753			X
DANILO V SANTOS
PHYSICIAN	40.0		187300	0	13932			X
EDYTA OSWIECIMKA
nurse	40.0		163532	0	18620			X
KIMBERLY MOREAU
asst vice president	40.0		150193	0	24520			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3217507	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	532745	TotalOtherCompensation
Number Individuals GT100 K	70	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CENTRAL MD REHABILITATION
4259 HARNEY RD	TANEYTOWN	MD	21787	REHAB	3005060
CARROLL COUNTY ANES ASSOCIATION
PO BOX 75193	BALTIMORE	MD	21275	ANESTHESIA	1802745
carroll county radiology
7253 ambassador rd	BALTIMORE	MD	21244	mri	783960
DIGITRACE CARE SERVICES
200 CORPORATE PLACE	PEABODY	MA	01960	Sleep Studies	666550
university of md physicians
419 w redwood st ste 660	BALTIMORE	MD	21201	physicians	658333

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	30	NumberOfContractorsGT100K
Related Organizations	1090000	RelatedOrganizations
Total Contributions	1090000	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Business CodeBusinessCode	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	194771483	194771483
CAFETERIA/VEND.	798131	798131
LAB	3569383		621500	3569383
OTHER OPERATING REVENUE	2273612	2273612

Field	Value	IRS element (for citing)
Total Program Service Revenue	201412609	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3179446	TotalRevenueColumn
Unrelated Business Revenue	870	UnrelatedBusinessRevenue
Exclusion	$3,178,576	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	442102	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	442102	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	442102	TotalRevenueColumn
Related Or Exempt Function Income	409531	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	32571	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

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

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc

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

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

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	206214157	TotalRevenueColumn
Related Or Exempt Function Income	198252757	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3692824	UnrelatedBusinessRevenue
Exclusion	$3,178,576	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	115000	Total
Program Services	115000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2403976	Total
Program Services	0	ProgramServices
Management And General	2403976	ManagementAndGeneral
Fundraising	0	Fundraising

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	78355992	Total
Program Services	69652245	ProgramServices
Management And General	8703747	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4342488	Total
Program Services	3857380	ProgramServices
Management And General	485108	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6551084	Total
Program Services	5819249	ProgramServices
Management And General	731835	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5813923	Total
Program Services	5164438	ProgramServices
Management And General	649485	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

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

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	519862	Total
Program Services	1565	ProgramServices
Management And General	518297	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	247500	Total
Program Services	0	ProgramServices
Management And General	247500	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	7858	Total
Program Services	0	ProgramServices
Management And General	7858	ManagementAndGeneral
Fundraising	0	Fundraising

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	231741	Total
Program Services	0	ProgramServices
Management And General	231741	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8337408	Total
Program Services	7833641	ProgramServices
Management And General	503767	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	621820	Total
Program Services	8237	ProgramServices
Management And General	613583	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	855882	Total
Program Services	538583	ProgramServices
Management And General	317299	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5090673	Total
Program Services	0	ProgramServices
Management And General	5090673	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

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

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3751339	Total
Program Services	2634079	ProgramServices
Management And General	1117260	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	441163	Total
Program Services	167876	ProgramServices
Management And General	273287	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	92613	Total
Program Services	69954	ProgramServices
Management And General	22659	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	6889101	Total
Program Services	6889101	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13233722	Total
Program Services	10848419	ProgramServices
Management And General	2385303	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2332579	Total
Program Services	1341964	ProgramServices
Management And General	990615	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	22333959	22331531	2428	0
FOOD	946953	882083	64870
OTHER	619270	400320	218950
MINOR EQUIPMENT	593864	543116	50748
SUPPLIES	719270	694739	24531

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	24049603	Total
Program Services	20261323	ProgramServices
Management And General	3788280	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	189498643	Total
Program Services	160054843	ProgramServices
Management And General	29443800	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	44351604	BOY
EOY	28013039	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	18272362	BOY
EOY	16873397	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2920302	BOY
EOY	2637299	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2589854	BOY
EOY	2405896	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	255012044	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	122955606	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	133056141	BOY
EOY	132056438	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	34915453	BOY
EOY	46469198	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	20018231	BOY
EOY	35388415	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	27685775	BOY
EOY	28600900	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	4400000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17105409	BOY
EOY	17085088	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	300967431	BOY
EOY	313981970	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	25006392	BOY
EOY	20358923	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1695861	BOY
EOY	1264732	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	135147684	BOY
EOY	135424555	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	44962736	BOY
EOY	38258629	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	206812673	BOY
EOY	195306839	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	94154758	BOY
EOY	118675131	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	94154758	BOY
EOY	118675131	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	300967431	BOY
EOY	313981970	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	16715514	ReconcilationRevenueExpenses
Reconcilation Other Changes	7804859	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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$7,858	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Total Lobbying Expenditures IIB	7858	TotalLobbyingExpendituresIIB

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Field	Value	IRS element (for citing)
Current Year Minus2 Years		CurrentYearMinus2Years
Board Designated EOY Balance	0.84000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.15000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.01000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1217860	OtherCostOrOtherBasis
Book Value	1217860	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	116937179	OtherCostOrOtherBasis
Depreciation	34672871	Depreciation
Book Value	82264308	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9494934	OtherCostOrOtherBasis
Depreciation	9476596	Depreciation
Book Value	18338	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	98137291	OtherCostOrOtherBasis
Depreciation	72406132	Depreciation
Book Value	25731159	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29224780	OtherCostOrOtherBasis
Depreciation	6400007	Depreciation
Book Value	22824773	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	132056438	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
LONG-TERM INVESTMENTS OTHER	17109570	C
LONG TERM INVESTMENTS	3789611	F
CD	155960	C
SHORT TERM INVESTMENTS	14167332	F
MONEY MARKET ACCT	165942	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	35388415	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN SUBSIDIARIES	25873672	C
INVESTMENT IN PREMIER	275818	C
INVESTMENT IN ONCOLOGY CTR	0	C
INVESTMENT IN MT AIRY HLTH SER	435989	C
INVESTMENT IN CMOA	2015421	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	28600900	TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	1067195
UMAMORTIZED BOND ISSUANCE COST	1867734
OTHER RECEIVABLES	643446
FUNDS HELD BY TRUSTEE	13441518
ASSETS LIMITED TO USE	65195

Field	Value	IRS element (for citing)
Total Book Value Other Assets	17085088	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
ADVANCES FROM THIRD PARTY	$6,723,511
ACCRUED PENSION	$6,873,504
OTHER LIABILITIES	$181,248
MERRILL LYNCH SWAP RATE	$3,586,214
CAPITAL LEASE	$698,981
MOB	$16,224,312
DEF COMPENSATION	$3,970,859

Field	Value	IRS element (for citing)
Total Of Amounts	38258629	TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Type Of Activities Conducted	Investments	TypeOfActivitiesConducted
Total Expenditures	1944679	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	1944679	SubtotalAmountSpent
Total Amount Spent	1944679	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

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

Discounted Other DiscountedOther

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

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	false	AmountsBudgetedForCharityCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2463708	TotalCommunityBenefitExpense
Net Community Benefit Expense	2463708	NetCommunityBenefitExpense
Percent Of Total Expense	0.01360	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2463708	TotalCommunityBenefitExpense
Net Community Benefit Expense	2463708	NetCommunityBenefitExpense
Percent Of Total Expense	0.01360	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1383532	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33585	DirectOffsettingRevenue
Net Community Benefit Expense	1349947	NetCommunityBenefitExpense
Percent Of Total Expense	0.00750	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	625578	TotalCommunityBenefitExpense
Net Community Benefit Expense	625578	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31629284	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17825678	DirectOffsettingRevenue
Net Community Benefit Expense	13803606	NetCommunityBenefitExpense
Percent Of Total Expense	0.07620	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	207586	TotalCommunityBenefitExpense
Net Community Benefit Expense	207586	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33845980	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17859263	DirectOffsettingRevenue
Net Community Benefit Expense	15986717	NetCommunityBenefitExpense
Percent Of Total Expense	0.08830	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36309688	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17859263	DirectOffsettingRevenue
Net Community Benefit Expense	18450425	NetCommunityBenefitExpense
Percent Of Total Expense	0.10190	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	406772	TotalCommunityBuildingExpense
Direct Offsetting Revenue	103863	DirectOffsettingRevenue
Net Community Building Expense	302909	NetCommunityBuildingExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	448930	TotalCommunityBuildingExpense
Net Community Building Expense	448930	NetCommunityBuildingExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	855702	TotalCommunityBuildingExpense
Direct Offsetting Revenue	103863	DirectOffsettingRevenue
Net Community Building Expense	751839	NetCommunityBuildingExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$6,861,384	BadDebtExpenseAmount
Amount Attributable To	686138	AmountAttributableTo
Amount Reimbursed By Medicare	83961449	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	62855055	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	21106394	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

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

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

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARROLL HOSPITAL CENTER INC	BusinessNameLine1

Address Address

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

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARROLL HOSPITAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3B	FOR PATIENTS THAT EXPERIENCE A MEDICAL HARDSHIP (MEDICAL DEBT THAT EXCEEDS 25% OF HOUSEHOLD INCOME), CARROLL HOSPITAL CENTER ALSO PROVIDES DISCOUNTED CARE FOR INDIVIDUALS EARNING UP TO 500% OF THE FEDERAL POVERTY GUIDELINES.
PART I, LINE 5A	CARROLL HOSPITAL CENTER DOES NOT DENY FINANCIAL ASSISTANCE TO ANY PATIENT ELIGILBE FOR FREE OR DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICY REGARDLESS OF WHETHER OR NOT THE FINANCIAL ASSISTANCE BUDGET WAS EXCEEDED.
PART I, LINE 7A, COLUMN C	THE METHODOLOGY USED TO CALCULATE CHARITY CARE COST WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE-TO-CHARGES.
PART I, LINE 7A	MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELTED TO UNCOMPENSATED CARE.
PART I, LINE 7B	MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELTED TO UNCOMPENSATED CARE. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL FOR ITS SHARE OF MEDICAID ASSESSMENT. IN RECENT YEARS THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE-SETTING SYSTEM. FOR TAX YEAR 2010 CARROLL HOSPITAL CENTER'S MEDICAID BUDGET DEFICIT UNFUNDED ASSESSMENT AMOUNTED TO $504,659.
PART I, LINE 3C	N/A
PART I, LINE 6A	MARYLAND HOSPITAL'S ARE REQUIRED TO SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) THAT DESCRIBES THE PROGRAMS AND SERVICES OFFERED THAT ARE DESIGNED TO PROMOTE THE HEALTH AND WELLNESS OF THE COMMUNITIES SERVED. THESE REPORTS ARE AVAILABLE TO THE PUBLIC ON THE HSCRC WEBSITE (WWW.HSCRC.STATE.MD.US). ADDITIONALLY, CARROLL HOSPITAL CENTER MAKES AVAILABLE ITS COMMUNITY BENEFIT REPORT ON ITS WEBSITE (WWW.CARROLLHOSPITALCENTER.ORG)
PART I, LINE 7G	CARROLL HOSPITAL CENTER PROVIDED $13,803,606 OF NET COMMUNITY BENEFIT THROUGH SUBSIDIZED HEALTH SERVICES. THIS INCLUDES PHYSICIAN SUPPORT SPENDING INCURRED BY THE HOSPITAL ($4.2 MILLION) TO PROVIDE ON-SITE PHYSICIAN COVERAGE TO HOSPITAL OBSTETRICAL, PEDIATRIC, CRITICAL CARE, AND MEDICAL/SURGICAL PATIENTS, AS WELL AS EMERGENCY DEPARTMENT ON-CALL COVERAGE. ADDITIONALLY, CARROLL HOSPITAL CENTER INDIRECTLY SUBSIDIZES THE OPERATING LOSSES ASSOCIATED WITH ITS WHOLLY-OWNED CORPORATE SUBSIDIARY'S (CARROLL COUNTY MED-SERVICES) EMPLOYED PHYSICIAN ENTERPRISES (ELEVEN WHOLLY-OWNED PHYSICIAN PRACTICE LIMITED COMPANIES DISREGARDED FOR TAX PURPOSES). CARROLL HOSPITAL CENTER FUNDS THE OPERATING LOSSES ($9.6 MILLION) THAT ARE INCURRED DIRECTLY BY CARROLL COUNTY MED-SERVICES. AS A RESULT, CARROLL HOSPITAL CENTER HAS INCLUDED THE $9.6 MILLION OPERATING LOSS ASSOCIATED WITH THE FUNDING OF THE PHYSCIAN ENTERPRISES AS A COMMUNITY BENEFIT ON SCHEDULE H. ALL THE INITIATIVES AND SUPPORT LISTED ABOVE WOULD NOT BE PROVIDED IF CARROLL HOSPITAL CENTER DID NOT PROVIDE THEM. AS THE ONLY HOSPITAL IN THE COUNTY, IT IS OUR PRIMARY RESPONSIBILITY TO PROVIDE THESE SERVICES FOR THE UNINSURED AND UNDERINSURED, AS WELL AS ALL COMMUNITY MEMBERS. THERE IS NOT ANY OTHER ORGANIZATION OR INDIVIDUAL IN THE COUNTY THAT WOULD BE ABLE TO PROVIDE ALL OF THESE COMPREHENSIVE SERVICES IN ALL OF THE AREAS That THE HOSPITAL DOES.
PART I LINE 7	MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE-SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENTAL PAYORS, PAY THE SAME AMOUTN FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. MARYLAND'S UNIQUE ALL-PAYOR SYSTEM INCLUDES A METHOD FOR REFERENCING UNCOMPENSATED CARE IN EACH PAYOR'S RATES, WHICH DOES NOT ENABLE MARYLAND HOSPITALS TO BREAKOUT ANY OFFSETTING REVENUE RELATED TO UNCOMPENSATED CARE.
PART III, LINE 4	CARROLL HOSPTIAL CENTER INCURRED $6,861,384 BAD DEBT EXPENSE DURING THE TAX YEAR 2010. THIS REFLECTS THE AMOUNT OF GROSS PATIENT CHARGES ($8,388,000) UNCOLLECTED FROM PATIENTS THAT DID NOT QUALIFY FOR FINANCIAL ASSISTANCE DISCOUNTED BY CHC'S COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PER AUDIT REPORT (1M): "NET PATIENT SERVICE FOR THE HOSPITAL REFLECTS ACTUAL CHARGES TO PATIENTS BASED ON RATES ESTABLISHED BY THE STATE OF MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) IN EFFECT DURING THE PERIODS IN WHICH SERVICES ARE RENDERED, NET OF CONTRACTUAL ADJUSTMENTS. CONTRACTUAL ADJUSTMENTS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED BY THE HOSPITAL AND AMOUNTS PAID BY THIRD-PARTY PAYORS. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE". BAD DEBT EXPENSE REFLECTS ACTUAL PATIENT CHARGES THAT HAVE BEEN DETERMINED TO BE UNCOLLECTIBLE FOR PATIENTS THAT HAVE NOT QUALIFIED FOR CHARITY CARE. BAD DEBT EXPENSE MAY ALSO INCLUDE ADDITIONAL "BAD DEBT PROVISIONS" FOR DOUBTFUL ACCOUNTS BASED ON MANAGEMENT'S ESTIMATES OF FUTURE ACCOUNT COLLECTIONS BASED ON CHARGES IN SERVICE MIX AND PAYOR MIX. CARROLL HOSPITAL CENTER INC. DETERMINES ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH OTHER VARIOUS MEANS (CREDIT REPORTS, DEBT AND ASSET REVIEWS, AND REFERRALS FROM THE HOSPITAL'S BILLING AGENTS) WHEN THE PATIENT HAS NOT COMPLETED THE FINANCIAL ASSISTANCE APPLICATION. IF A DETERMINATION IS MADE REGARDING THE PATIENT'S INABILITY TO PAY, THE ACCOUNT CAN BE APPROVED FOR FINANCIAL ASSISTANCE ON A PRESUMPTIVE BASIS RATHER THAN BE REFLECTED AS BAD DEBT EXPENSE ($686,138 AT COST) MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE/CHARITY CARE.
PART III, LINE 8	CARROLL HOSPITAL CENTER'S TAX YEAR 2010 (FISCAL YEAR 2011) MEDICARE COST REPORT SUBMISSION WAS UTILIZED AS THE SOURCE DOCUMENT TO REPORT MEDICARE ALLOWABLE COSTS OF CARE (PART III, LINE 6) RELATING TO PAYMENTS ON (PART III, LINE 5)
PART III, LINE 9B	for those patients that do not initially apply or qualify for financial assistance, the organization continues to monitor whether the patient may qualify for financial assistance. If the patient is found to be eligible for financial assistance, at any point (including once collection efforts have begun), the organization will approve the patient for charity care. Collection efforts will be stopped immediately once the patient is found to qualify for charity care under the organization's financial assistance policy.
NEEDS ASSESSMENT	THROUGH OUR COMMUNITY ADVOCACY ARM, THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY, CHC HAS BEEN INVOLVED IN NUMEROUS HEALTH STATUS ASSESSMENT PROJECTS SPECIFIC TO OUR COMMUNITY. AN ORIGINAL CARROLL COMMUNITY HEALTH ASSESSMENT IN 1997 PRIORITIZED EIGHT BROAD AREAS WHERE IMPROVEMENT OPPORTUNITIES EXISTED. THAT NUMBER WAS EXPANDED TO 11, FOLLOWING SUCCESSIVE ASSESSMENTS. UPDATED TO THE ORIGINAL ASSESSMENT WERE ALSO COMPLETED IN 2005 AND INCLUDED TWO UPDATES, ONE SPECIFIC TO HOUSEHOLDS WITHOUT CHILDREN UNDER THE AGE OF 18 AND THOSE WITH CHILDREN UNDER THE AGE OF 18. OUR RESULTS WERE STRIKINGLY SIMILAR TO THE LEADING INDICATORS IN THE US GOVERNMENT'S HEALTHY PEOPLE 2010 PROJECT. OPERATING UNDER THE GUIDANCE OF THE SURGEON GENERAL'S OFFICE AND THE SECRETARY OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTHY PEOPLE 2010 IS THE PREVENTION AGENDA FOR THE NATION. ALL IDENTIFIED IMPROVEMENT AREAS HAVE BEEN UPDATED TO PROVIDE HEALTHY PEOPLE 2010 OBJECTIVES. ALL IDENTIFIED IMPROVEMENT AREAS WILL BE REVIEWED AND INCORPORATED INTO OUR COMMUNITY BENEFIT PLAN AS FEASIBLE AND APPROPRIATE. IN COOPERATION WITH OUR COMMUNITY PARTNERS. WE SEEK TO MAKE MEASURABLE, SUSTAINABLE, LONG-TERM PROCESS. WE GAUGE OUR PROGRESS RELATED TO OUR EFFORTS ON THE UNDERLYING ROOT CAUSES ASSOCIATED WITH THESE ISSUES, AND AGAIN, WITH AND THROUGH OUR MANY PARTNERS, WE STRIVE TO ADDRESS ROOT CAUSES. TO TRACK AND TREND OUR PROGRESS AS A COMMUNITY, THE PARTNERSHIP HAS ORGANIZED HEALTHY CARROLL VITAL SIGNS - MEASURES OF COMMUNITY HEALTH. THIS DATA IS PROVIDED BY VARIOUS SOURCES INCLUDING THE CARROLL COUNTY HEALTH DEPARTMENT AND OTHER BRANCHES OF THE CARROLL COUNTY GOVERNMENT AS WELL AS THROUGH HOSPITAL-BASED COMMUNITY OUTREACH ACTIVITIES AND EDUCATION (DATA CHARTS AVAILABLE ON-LINE AT WWW.HEALTHYCARROLL.ORG). SINCE NOT ALL OF THE DATA CHARTS ARE UPDATED EACH YEAR, DATA CHARTS ARE REVIEWED ANNUALLY AND UPDATED AS DATA IS AVAILABLE. THE PARTNERSHIP DEVELOPED A DASHBOARD REPORT TO TRACK PROGRESS AND OUTCOMES OF KEY INDICATORS (DASHBOARD AVAILABLE ON-LINE AT WWW.HEALTHYCARROLL.ORG AND PROVIDED AS SUPPORT IN QUESTION 5). OTHER ASSESSMENTS USED INCLUDE: ELDER NEEDS HEALTH ASSESSMENT: COMPLETED IN FEBRUARY 2008, (REPORT AVAILABLE IN ITS ENTIRETY ON-LINE AT WWW.HEALTHYCARROLL.ORG). COMMUNITY BENEFIT PROGRAM INITIATIVES ARE DECIDED UPON PRIMARILY BY THE INPUT, WORK AND ANNUAL STRATEGY PLANNING OF THE FOLLOWING: 1. PATIENTS 2. THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY (WITH OUR COMMUNITY PARTNERS INCLUDING THE CARROLL COUNTY HEALTH DEPARTMENT) 3. THE LEARNING CENTER 4. THE WOMEN'S PLACE 5. THE HOSPITAL'S MULTIDISCIPLINARY COMMUNITY BENEFIT PLANNING AND REVIEW TEAM 6. THE HOSPITAL'S EXECUTIVE TEAM AND BOARD OF DIRECTORS IN ADDITION, TO KEEP OUR FINGER ON THE PULSE OF PERTINENT ISSUES AND CONTINUE TO BE PROACTIVE IN INDENTIFYING AND CREATIVELY MEETING THE UNIQUE NEEDS OF OUR COMMUNITY ON AN ONGOING BASIS, THE PARTNERSHIP HAS DEVELOPED AND FACILITATES THE FOLLOWING LEADERSHIP TEAMS FOCUSED ON THE 11 CORE HEALTH IMPROVEMENT AREAS IDENTIFIED IN OUR ORIGINAL COMMUNITY HEALTH ASSESSMENT: 1. ACCESS TO HEALTH CARE - COLLABORATES WITH COMMUNITY PARTNERS TO IMPROVE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. 2. CANCER: AMERICAN CANCER SOCIETY LEADERSHIP COUNCIL - WORKS TO REDUCE CANCER INCIDENCE AND MORTALITY IN CARROLL COUNTY. 3. INTERPERSONAL VIOLENCE: DOMESTIC VIOLENCE COORDINATING COUNCIL - FOCUSES ON ISSUES OF DOMESTIC VIOLENCE IN COUNTY. AFFILIATED WITH FAMILY AND CHILDREN'S SERVICES OF CENTRAL MARYLAND, CARROLL COUNTY. 4. ELDER HEALTH - SEEKS TO INCREASE QUALITY AND YEARS OF HEALTHY LIFE FOR CARROLL COUNTIANS OVER AGE 65. 5. HEART HEALTH IMPROVEMENT - SEEKS TO IMPROVE THE CARDIOVASCULAR HEALTH AND QUALITY OF LIFE OF ADULTS AND CHILDREN THROUGH PREVENTION, DETECTION, AND TREATMENT OF RISK FACTORS. 6. L.E.A.N. CARROLL - MULTI-DISIPLINARY HOSPITAL/COMMUNITY GROUP WORKING TO ADDRESS CHILDHOOD OBESITY IN CARROLL COUNTY THROUGH LIFESTYLE, EDUCATION, ACTIVITY AND NUTRITION. 7. MENTAL HEALTH: SUBCOMMITTEE OF THE BEHAVIORAL HEALTH AND ADDICTIONS ADVISORY COUNCIL - SUPPORTS EFFORTS TO IMPROVE THE MENTAL HEALTH OF CARROLL COUNTY RESIDENTS. A MENTALLY HEALTHY COMMUNITY IS INDICATED BY MANY FACTORS INCLUDING: LOW SUICIDE ATTEMPT RATES, AND INCREASED NUMBER OF COUNTY RESIDENTS WHOSE INSURANCE COVERS MENTAL HEALTH SERVICES, AN ADEQUATE NUMBER OF OUTPATIENT SERVICES, AND A DECREASE IN THE STIGMA ASSOCIATED WITH MENTAL ILLNESS AND EMOTIONAL DISTURBANCES. 8. PREVENTION & WELLNESS PARTNERS - COORDINATES PROJECTS TO IMPROVE HEALTH OUTCOMES FOR PEOPLE IN CARROLL COUNTY AS MEASURED BY IMPROVEMENT IN LIFESTYLE/BEHAVIOR INDICATORS. 9. RESOURCE CONSERVATION COALITION - WORK GROUP FORMED TO PROMOTE HEALTH AND QUALITY OF LIFE FOR ALL COUNTY RESIDENTS THROUGH A HEALTHIER ENVIORMENT AND MANAGED GROWTH AND DEVELOPMENT AND WATER QUALITY STANDARDS. 10.POSITIVE YOUTH & FAMILY DEVELOPMENT - SCHOOL READINESS PROVIDES INFORMATION TO PARENTS AND COMMUNITY ON WAYS TO ENSURE THAT CHILDREN ENTER SCHOOL WITH THE SKILLS NEEDED FOR LEARNING. 11.SUBSTANCE ABUSE: SUB-COMMITTEE OF THE BEHAVIORAL HEALTH AND ADDICTIONS ADVISORY COUNCIL - FOCUSES ON ALL ISSUES OF SUBSTANCE ABUSE IN CARROLL COUNTY. PRODUCES SUBSTANCE ABUSE DIRECTORY (2008 VERSION). WORKS TOWARDS GAPS IN SERVICE THAT HAVE BEEN IDENTIFIED, INCLUDING NEED FOR A LONG-TERM TREATMENT FACILITY FOR HEROIN USERS, LACK OF SPACE/CAPACITY FOR CURRENT RESIDENTAL PROGRAMS, INSUFFICIENT DETOX SERVICES, INADEQUATE SERVICES FOR ADOLESCENTS WITH CO-OCCURING DISORDERS, AND A NEED FOR MORE PREVENTION SERVICES. THE ADDTIONAL PARTNERS UTILIZED IN COMMUNITY NEEDS ASSESSMENTS WERE: 1. BEHAVIORAL HEALTH AND ADDICTIONS ADVISORY COUNCIL - STATE APPOINTED LOCAL GROUP TO EVALUATE CONTINUUM OF CARE IN SUBSTANCE ABUSE AND MENTAL HEALTH FIELDS IN THE COUNTY. SERVES AS QUASI-BOARD OF DIRECTORS FOR THE CARROLL COUNTY CORE SERVICES AGENCY. ALSO COORDINATES TRAINING PROGRAMS, PROGRAMS DESIGNED TO REDUCE THE STIGMA ASSOCIATED WITH PSYCHIATRIC DISORDERS, AND PUBLIC AWARENESS PROGRAMS. 2. CARING CARROLL, INC. - OPERATES CARING CARROLL, A FAITH IN ACTION VOLUNTEER CARE GIVING PROGRAM. HELPS TO MEET THE NON-MEDICAL NEEDS OF ISOLATED ELDERLY, ILL, DISABLED, OR FRAIL CARROLL COUNTY RESIDENTS STRIVING TO REMAIN INDEPENDENT IN THEIR OWN HOMES. 3. CARROLL COUNTY LOCAL MANAGEMENT BOARD - WORKS TO IMPROVE THE LIVES OF CHILDREN AND FAMILIES IN CARROLL COUNTY. DEVELOPS AND MANAGES COMMUNITY-BASED FAMILY SERVICES. 4. MID-WESTERN REGION HIGHWAY SAFETY TASK FORCE - CARROLL COUNTY COMPREHENSIVE HIGHWAY TRAFFIC SAFETY TASK FORCE. FUNDS LAW ENFORCEMENT, INCLUDING OVERTIME FOR DUI ENFORCEMENT, AGGRESSIVE DRIVING, MOTORCYCLE, AND PEDESTRIAN ENFORCEMENT. EDUCATION AND AWARENESS PROGRAMS ON YOUNG/OLDER DRIVER ISSUES, OCCUPANT PROTECTION, CHILD PASSENGER SAFETY, BICYCLE, ALCOHOL, AGGRESSIVE DRIVING AND MORE. 5. RISKY BUSINESS PLANNING COMMITTEE - PLANS ANNUAL TRAINING/ AWARENESS-RAISING CONFERENCE IN JUNE FOR PROVIDERS REGARDING ISSUES OF TEEN RISKY BEHAVIORS, SUCH AS PREGNANCY, DRUG USE, AND SUICIDE. 6. TOBACCO COALITION (CARROLL COMMUNITY HEALTH TOBACCO COALITION) LOCAL HEALTH COALITION THAT SEEKS TO DECREASE TOBACCO USE AND EXPOSURE TO SECONDHAND SMOKE IN CARROLL COUNTY.	PART VI, LINE 2
PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE	CARROLL HOSPITAL CENTER (CHC) HAS A NUMBER OF PROGRAMS TO ASSIST PATIENTS WITH THEIR PAYMENT OBLIGATIONS. FIRST, WE PROVIDE A MEDICAID ENROLLMENT SERVICE TO PATIENTS WHO QUALIFY FOR MEDICAL ASSISTANCE. THIS SERVICE ASSISTS PATIENTS WITH PAPERWORK AND WILL EVEN PROVIDE TRANSPORTATION IF NEEDED. THIS PAST YEAR, CHC ASSISTED 310 PATIENTS IN APPLYING FO THE STATE'S MEDICAL ASSISTANCE PROGRAM. IN ADDITION, THE HOSPITAL HELD A, FREE ENROLLMENT SESSION FOR "COVER THE UNINSURED DAY' FOR UNINSURED COMMUNITY MEMBERS TO COME IN TO SEE IF THEY QUALIFIED FOR MEDICAL OR FNINANCIAL ASSISTANCE. FOR PATIENTS WHO DO NOT QUALIFY FOR MEDICAID COVERAGE, CHC HAS AN IN-HOUSE FINANCIAL ASSISTANCE PROGRAM. OUR ELIGIBILITY STANDARDS ARE MORE LENIENT THAN EVEN THOSE PROPOSED BY THE MARYLAND HOSPITAL ASSOCIATION GUIDELINES. WE WRITE OFF 100% OF THE BILL FOR PATIENTS WHOSE INCOME IS BELOW 300% OF THE FEDERAL POVERTY GUIDELINES (FPG) AND WRITE OFF A PORTION OF THE BILL FOR PATIENTS WHOSE INCOME IS BETWEEN 301%-375%OF THE FPG. WHEN PATIENTS EXPRESS THEIR INABILITY TO PAY FO SERVICES, OUR STAFF WORKS TO FIND THE BEST POSSIBLE OPTION FOR THEM BY DISCUSSING IN DETAIL THEIR SITUATION. THE FAMILY IS INVOLVED IN THOSE CONVERSATIONS TO THE EXTENT THE PATIENT FEELS COMFORTABLE. THE HOSPITAL ALSO HAS A PROCESS IN PLACE FOR PATIENTS TO HAVE FINANCIAL ASSISTANCE DECISIONS RECONSIDERED AND THAT PROCESS IS CLEARLY OUTLINED IN OUR FINANCIAL ASSISTANCE POLICY AND IN INFORMATION PROVIDED TO OUR PATIENTS. IN ADDITION, FOR PATIENTS WITH INCOME BELOW 500% OF THE FPG AND WHOSE MEDICAL DEBT AT CHC IS IN EXCESS OF 25% OF THEIR HOUSEHOLD INCOME, THE HOSPITAL HAS A MEDICAL HARDSHIP PLAN THAT PROVIDES FOR REDUCED-COST CARE. THE HOSPITAL POSTS A SUMMARY OF ITS POLICY INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. IN ALL REGISTRATION AND INTAKE AREAS FOR ALL PATIENTS TO SEE. IN ADDITION, DETAILED INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS INCLUDED IN EVERY ADMISSION FOLDER, ON BILLS MAILED TO PATIENTS AND ON THE HOSPITAL'S WEBSITE (WWW.CARROLLHOSPITALCENTER.ORG).	PART VI, LINE 3
COMMUNITY INFORMATION	AS THE ONLY HOSPITAL IN THE COUNTY, CHC'S PRIMARY SERVICE AREA IS THE ENTIRE COUNTY. THE HOSPITAL DOES, HOWEVER, ALSO SERVE PORTIONS OF BALTIMORE, FREDERICK AND MONTGOMERY COUNTIES AS WELL AS AREAS IN SOUTHERN PENNSYLVANIA. THE GENERAL DEMOGRAPHICS FOR OUR PRIMARY COMMUNITY (CARROLL COUNTY) ARE LISTED BELOW: POPULATION TOTAL POPULATION 2010: 167,134 POPULATION PERCENT CHANGE 2000 TO 2010: 10.8% POPULATION 2000: 150,897 PERSONS UNDER 5 YEARS PERCENT 2010: 5.4% PERSONS UNDER 18 YEARS PERCENT 2010: 24.7% PERSONS 65 YEARS AND OVER PERCENT 2010: 13.0% FEMALE PERSONS, PERCENT 2010: 50.6% RACE WHITE PERSONS: 92.9% BLACK PERSONS: 3.2% AMERICAN INDIAN AND ALASKA NATIVE PERSONS: 0.2% ASIAN PERSONS: 1.4% NATIVE AMERICAN AND OTHER PACIFIC ISLANDER: 0 PERSONS REPORTING TWO OR MORE RACES: 1.5% PERSONS OF HISPANIC OR LATINO ORIGIN: 2.6% WHITE PERSONS NOT HISPANIC: 91.2% SOURCE: SOURCE US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. FAMILY TOTAL NUMBER OF HOUSEHOLDS (2009): 59,915 AVERAGE HOUSEHOLD SIZE (2009): 2.77 PERSONS SOURCE: 2009 AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES. ECONOMICS MEDIAN HOUSEHOLD INCOME (2007/2008): $78,653 PERSONS BELOW POVERTY LEVEL, PERCENT, 2009: 5.9% SOURCES: CARROLL COUNTY DEPARTMENT OF ECONOMIC DEVELOPMENT AND US CENSUS BUREAU: STATE AND COUNTY QUICKFACTS. OTHER SIGNIFICANT DEMOGRAPHIC CHARACTERISTICS ACCORDING TO THE MD BRFSS (MARYLAND BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY) (AVERAGE 2008-2010 DATA) THE PERCENTAGE OF UNINSURED PATIENTS IN CARROLL COUNTY IS 7.4%. IN FY 2011, OF THE CARROLL COUNTY RESIDENTS THAT WERE HOSPITALIZED (EITHER AT CHC OR OTHER HOSPITALS), 7.2% WERE MEDICAID ADMISSIONS.	PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTH	Carroll Hospital Center, a 189 licensed bed acute care facility located in Westminster, Maryland offers the latest in medical technology and services, combined with a state-of-the-art facility and top-notch, skilled medical professionals, caring for patients with compassion. Currently, there are more than 400 physicians representing 38 specialties on our medical staff in addition to over 1,700 individuals employed by the Hospital - making CHC the second largest employer in Carroll County. The organization operates an acute care hospital serving the communities located in Carroll and surrounding counties as well as parts of Pennsylvania. Carroll County's population alone is currently estimated to be 204,400. In accordance with our tax-exempt function the organization operates an emergency room open to all persons regardless of their ability to pay and had over 54,000 patient visits last year. The hospital participates in Medicare and Medicaid programs, has a governing body comprised of independent persons representative of the community, all financial surpluses the hospital generates are used exclusively to further the charitable purposes of the organization and its medical staff is open to all qualified physicians in the area. As the only hospital in Carroll County, we offer our community a full array of services including, emergency services, comprehensive cancer care, pediatrics, maternity, geriatrics, the latest minimally invasive surgical procedures and advanced total and partial joint replacement procedures. In the year ending June 2011, Carroll Hospital Center recorded 15,833 inpatient admissions and observation stay cases, 1,119 births and approximately 9,200 surgical procedures, all contributing to a total of 330,000 patient encounters for the period. In line with our mission-"Our communities expect and deserve superior medical treatment, compassionate care, and expert guidance in maintaining their health and well-being. At Carroll Hospital Center, we offer an uncompromising commitment to the highest quality health care experience for people in all stages of life. We are the heart of health care in our communities." -the hospital also provides planned community benefit activities to improve access to health care and improve the overall health of our community. Our mission is pursued in collaboration with our related organizations: Carroll Hospice, The Partnership for a Healthier Carroll County (our community advocacy arm), and The Carroll Hospital Center Foundation (Also listed in Part VI) for more information on these subsidiaries, please see their individual Form 990's. While we have attempted to summarize our program service accomplishments below, we urge those interested to access more detailed and complete information at www.CarrolHospitalCenter.org. In cooperation with our many community partners, including The Partnership, we seek to make measurable and sustainable progress in improving the health of the communities we serve. We gauge our progress by how effectively we identify and positively impact the underlying root causes associated with poor community health. To track and trend our progress as a community, The Partnership has organized Healthy Carroll Vital Signs - Measures of Community Health. This data is provided by various sources and is updated each year. When combined with our newly-acquired Healthy Communities Institute data, the hospital has access to the most up-to-date, comprehensive information on our community's health. Through The Partnership, Carroll Hospital Center has been involved in numerous health status assessment projects specific to our community and is in the process of conducting a comprehensive Community Health Needs Assessment. Once completed in June 2012, the assessment will provide the hospital with the important and current needs and opinions of members of our community as well as more in-depth information from key community leaders. Collectively the data will provide the hospital with the crucial information it needs to continue to make well informed decisions when it comes to effectuating positive change in the health status of our communities. Previous health needs assessments have sparked the hospital to develop key services such as Access Carroll (in coordination with the Carroll County Health Department and The Partnership), a clinic for uninsured patients and The Women's Place, a center for health and wellness for women that provides a full range of educational, complementary health and patient navigation services, a breast center and cancer boutique. Hospital staff also have helped to develop and participate in numerous committees and work groups to address age, gender and ethnic-specific living and health care issues. In addition, the hospital's focus on wellness is one that provides our community with hundreds of free education programs, screenings and support groups each year for everything from childbirth and disease prevention to nutrition and breast, prostate and skin cancers. The hospital also has committed significant resources to make certain there is an adequate supply of primary care and specialty physicians in our service area. Ensuring our communities have access to quality and medical expertise is a priority for our organization. That's why we continue to develop Carroll Health Group, our hospital-owned network of medical providers, which currently includes 32 Physicians and 11 Other Providers (PA, NP) in 19 office locations throughout Carroll and surrounding counties. During the most recent reporting period the organization provided a total of $3,011,868, $2,463,708 at cost, in charity/uncompensated care to the community. Additionally the organization expended approximately $19,147,524 (Net of Revenues) on programs and activities benefitting the communities we serve. These programs and activities included hospice services, physician support, education programs, screenings, support groups, health professional education and community contributions and required approximately 492,000 staff hours. THE HOSPITAL'S EDUCATION AND WELLNESS INITIATIVES ARE DRIVEN BY THE WOMEN'S PLACE, THE LEARNING CENTER AND THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY. THESE EDUCATION ARMS OF THE HOSPITAL WORK COLLABORATIVELY TO ADDRESS THE LARGEST NUMBER OF COMMUNITY HEALTH CARE NEEDS AND WELLNESS INITIATIVES WITHOUT DUPLICATING SERVICES OR PROGRAMS. TOGETHER, IN FY11, THE HOSPITAL HAD 7,997 ENCOUNTERS FOR COMMUNITY HEATLH EDUCATION, 2,364 ENCOUNTERS FOR SUPPORT GROUPS, 1,734 ENCOUNTERS FOR FREE AND LOW-COST SCREENINGS AND 214 ENCOUNTERS FOR SELF-HELP PROGRAMS. THESE PROGRAMS, SUPPORT GROUPS AND SCREENINGS ARE NOT ONLY DIRECTED TO PATIENTS WITH A VARIETY OF CHRONIC AND ACUTE MEDIAL ISSUES RANGING FROM CANCER AND DIABETES TO HEART DISEASE AND ARTHRITIS BUT MANY ARE FOCUSED ON PREVENTION AND EDUCATION TO KEEP OUR POPULATION WELL. FIVE EXAMPLES OF PROGRAMS WITH MEASURABLE OUTCOMES ARE OUTLINED BELOW: A. LOSE to Win: Wellness Challenge DESCRIPTION:12-week collaborative community program to promote weight loss and wellness. This innovative and rigorous 12-week program features: 1. Unlimited access to exercise sessions at Merritt Athletic Club 2. Weekly group nutritional classes at Martin's Food Market 3. Weekly weigh-ins and regular blood pressure checks 4. Prize incentives 5. Pre- and post-program comprehensive blood profiles EVALUATION DATES: Fall 2010: September 2 - November 18, 2010 Spring 2011: February 24 - May 12, 2011 RESULTS/EVALUATION: AS A RESULT OF A HEALTHY COLLABORATION BETWEEN CARROLL HOSPITAL CENTER AND ITS PARTNERS IN THE SOUTH CARROLL (ELDERSBURG) AREA, MARTIN'S FOOD MARKET, MERRITT ATHLETIC CLUB AND LOCAL BEAUTY SALONS, THE LOSE TO WIN WELLNESS CHALLENGE HAS MARKED THE END TO ANOTHER SUCCESSFUL YEAR. RESULTS FOR ALL PROGRAMS ARE LISTED BELOW. FALL 2010 Total pounds lost - 383 lbs Percentage lost - 7.3% Number of participants who lost 10 pounds or more - 15 Number of participants who lost 20 pounds or more - 8 Number of participants who lost 30 pounds or more - 3 Percentage of weight lost by winner - 14.3% Pounds lost by winner - 59.6 lbs SPRING 2011 Total pounds lost - 272 lbs Percentage lost - 7.4% Number of participants who lost 10 pounds or more - 11 Number of participants who lost 20 pounds or more - 6 Number of participants who lost 30 pounds or more - 2 Percentage of weight lost by winner - 16.4% Pounds lost by winner - 29 lbs People saw significant reductions in blood sugar and blood sugar control (based on fasting Blood Sugar) during each of the three programs. B. TOTAL HEALTH EXPO: THE HEALTH & WELLNESS EVENT FOR THE ENTIRE FAMILY DESCRIPTION:The free event included: Free and low-cost Screenings Health information booths Kids activities Interactive educational displays Physical activities Adult CPR class Complementary health mini-treatments Medical assistance enrollment & information Healthy lunch free for all attendees And more! DATE OF EVENT: October 30, 20	PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEMS	Carroll Hospital Center is part of an affiliated health care system that provides an array of health care services to its community. The Hospital, as a sole community provider, provides both inpatient and outpatient care, including essential health care services such as obstetrics, emergency services, pediatric, and critical care, which would likely otherwise not be provided within Carroll County due to their unprofitable nature (high cost services with relatively low reimbursement). Additionally, the Hospital is the sole member and employer of eleven physician practices, which provide primary and specialty care services to the community. The provision of these physician services helps meet an identified community health need for additional primary and specialty care physicians in the community. The eleven physician practices run at a substantial operating loss ($6.6 million in 2010), which is funded by contributions from Carroll Hospital Center. Carroll Hospice, an affiliate of Carroll Hospital Center, provides inpatient hospice care, as well as residential hospice and palliative care, to patients nearing the end-of-life. Carroll Hospice provides pain management and symptom control and helps coordinate home and inpatient services. In order to provide comprehensive and compassionate care, Carroll Hospice utilizes an interdisciplinary team, including physicians, nurses, social workers, clergy, pharmacists, and home health aides. Further, Carroll Hospice provides bereavement care for family members for up to thirteen months.
STATE FILING OF COMMUNITY BENEFIT REPORT	MD,	990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PARTNERSHIP FOR HEALTHIER CARROLL COUNTY	BusinessNameLine1

Address US AddressUS

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

Field	Value	IRS element (for citing)
Amount Of Cash Grant	115000	AmountOfCashGrant
Purpose Of Grant	Hospital contribution to support the programs of the Partnership	PurposeOfGrant

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

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs
JOHN SERNULKA
228722	0	33110	0	30152	0	274095	0	17988	0	584067	0
LESLIE SIMMONS
238846	0	16699	0	22840	0	6689	0	17412	0	302486	0
KEVIN KELBLY
261419	0	16233	0	25468	0	12576	0	17412	0	333108	0
DAVID HORN
169643	0	8044	0	11088	0	5760	0	17412	0	211947	0
M ELLEN FINNERTY MYERS
173239	0	8880	0	10796	0	4440	0	509	0	197864	0
KEVIN SMOTHERS
319846	0	21061	0	25214	0	5361	0	17411	0	388893	0
JOYCE ROMANS
177795	0	8597	0	11831	0	2984	0	11992	0	213199	0
TRACEY ELLISON
154649	0	7541	0	9911	0	2616	0	17276	0	191993	0
CYNTHIA ROLDAN
174283	0	0	0	162	0	2216	0	862	0	177523	0
JEROME MARAVE
209075	0	0	0	1188	0	8927	0	10826	0	230016	0
DANILO V SANTOS
183592	0	0	0	3708	0	1973	0	11959	0	201232	0
EDYTA OSWIECIMKA
163274	0	0	0	258	0	6940	0	11680	0	182152	0
STEPHANIE REID
143978	0	5339	0	6462	0	6229	0	804	0	162812	0
KIMBERLY MOREAU
137939	0	5796	0	6458	0	7198	0	17322	0	174713	0
DANILO PERUNOVICH
166614	0	6732	0	11025	0	1767	0	12109	0	198247	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier

ExplanationExplanation

PART I LINE 1A

The Hospital has taken the position that it will include in taxable W-2 wages for the President and CFO certain business expenses that the IRS may question as not being tax deductible, so long as such expenses have a direct connection to the promotion of the Hospital's health care services. For 2010, these expenses were less than 3,000 in aggregate, for the President and CFO. Health or social club dues or initiation fees for the President were reimbursed by the Hospital and included on the President's W-2. The amount of the reimbursed fees was considered in the process for determining the President's compensation.

nonqualified retirement plan

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
maryland health and higher education fac authority
520936091	574217b53	2006-12-07	36179115	HOSPITAL RENOVATIONS AND EQUIP	false	false	false
MARYLAND HEALTH AND HIGHER EDUCATION FAC AUTHORITY
520936091	000000000	2010-06-30	15000000	HOSPITAL RENOVATIONS AND EQUIP	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Amount UnspentAmountUnspent
37718099	2023640	683750	35012068	2009	false	false	true	true
15000000		255500	14100077	2010	false	false	false	true	312040	644423

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	true	false	true	0.00000	0.00000	0.00000	true
false	false	true	false	true	0.00000	0.01000	0.01000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	true	false	false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	DIFFERENCE BETWEEN AMOUNT ON PART I, COLUMN E AND PART II, LINE 3	Identifier
Explanation	THE DIFFERENCE IS DUE TO INVESTMENT EARNINGS.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
KATHLEEN PALAIA
SISTER/DAUGHTER DIRECTOR	81354	EMPLOYEE OF THE HOSPITAL	false
HEATHER SIMMONS
DAUGHTER OF AN OFFICER	71810	EMPLOYEE OF THE HOSPITAL	false
CHELSEY SIMMONS
DAUGHTER OF AN OFFICER	11155	EMPLOYEE OF THE HOSPITAL	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (35 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FAMILY OR BUSINESS RELATIONSHIP	PART VI LINE 2	CHARLES FISHER SR AND CHARLES FISHER JR HAVE A FATHER/SON RELATIONSHIP. CHARLES FISHER SR AND CHARLES FISHER JR HAVE A BUSINESS RELATIONSHIP. MIRIAM BECK AND JEFF WOTHERS HAVE A MOTHER-N-LAW/SON-N-LAW RELATIONSHIP.
DESCRIPTION OF REVIEW PROCESS	PART VI LINE 11	The Hospital's Form 990 is reviewed in detail between the preparer, an outside accounting firm, and the Finance Department of the Hospital. A copy of the draft Form 990 is presented to the Hospital's Risk, Audit and Compliance ("RAC") Committee, at which time RAC Committee members may ask any questions or provide comments regarding the draft Form 990. Prior to filing the Form 990, the Hospital provides a copy of the Form 990 to each member of the Board of Directors for their review, questions, and comments, which feedback is then incorporated into the filed Form 990.
CONFLICTS MONITORING AND ENFORCEMENT	PART VI LINE 12C	The Conflict of Interest Policy applies to Carroll Hospital Center and its direct and indirect subsidiaries and parent organization. Review of Disclosure Statements/Report to the Board. The Chief Executive Officer of the Hospital Organization, the Governance Committee and the Corporate Compliance Officer shall review the matters disclosed in the Disclosure Statements and shall submit to the Hospital Organization's Board of Directors an annual summary or spreadsheet of the disclosures and his or her recommendation for the resolution of any conflicts disclosed. In formulating recommendations, the Chief Executive Officer shall consult with appropriate officers of the Hospital Organization and counsel as necessary. The Board of Directors of the Hospital Organization, acting in the best interests of the Hospital Organization, shall have sole discretion to make all final decisions regarding conflicts of interest, other than those regarding gifts to Hospital Organization employees which shall be resolved by the appropriate supervisory executive. However, no person shall be involved in considering the existence of an actual or potential conflict of interest, in the management and oversight of a conflict relationship, or in the determination of discipline for violations of this Policy, if that person is a party or potential party to that conflict. All final decisions regarding conflicts of interest shall be reflected in a revised annual summary or spreadsheet of conflict disclosures which will be shared with each director. The Chair and Vice-Chair of the Board, and all Board committee chairs, shall have this revised summary or spreadsheet available at the time of all Board and Board committee meetings in case a matter involving a potential conflict arises. CONFLICT OF INTEREST RECUSAL PROCEDURE FOR BOARD MEETINGS Whenever a Hospital Organizations' Board or Board committee is to consider a transaction or an arrangement with another organization, entity or individual in which or with whom a person covered by this Policy has a relationship creating an actual or potential conflict of interest, the following procedures shall be employed: A. The interested person must fully disclose the actual or potential conflict of interest to the Board; B. The interested person should be asked to leave the meeting during discussion of the potential conflict and any related votes, but the interested person may make a statement or answer any questions on the matter before departing the meeting; C. If appropriate, the Board or Board committee may appoint a non-interested person or committee to investigate alternatives to the proposed transaction or arrangement; D. To consider the proposed transaction or arrangement, the Board must: 1. find, by a majority vote of directors then in office, not counting the interested person, that the proposed transaction or arrangement is in the Hospital Organization's best interest and for the Hospital Organization's own benefit, it is fair and reasonable, and that, after reasonable investigation, the Hospital Organization cannot obtain a more advantageous transaction or arrangement using reasonable efforts; and 2. vote on the transaction or arrangement, approval requiring a majority vote of directors then in office, not counting the interested person. E. The minutes should include: (1) the name of the person disclosing the conflict of interest and a description of the conflict; (2) the Board's determination of whether there is a conflict; (3) the names and votes of persons present for the discussions and votes relating to the transaction or arrangement; and (4) the content of those discussions including the Board's determination of whether or not the transaction or arrangement is in the Hospital Organization's best interest, fair and reasonable, and the best reasonably available alternative Ongoing Duty to Disclose One's Own or Others' Conflicts of Interest. As an actual or potential conflict of interest can arise at any time, any actual or potential conflict must be disclosed promptly in writing by use of a supplemental Disclosure Statement, as soon as its existence is or should be known. If a person is in doubt about a situation, the person should consult with the Chief Executive Officer, Board Chairman or the Hospital Organization's Compliance Officer. Persons should err on the side of disclosure so that a conflict of interest assessment can be made. The potential conflict will be referred to the Governance committee for review and a response will be provided within 14 days. Noncompliance with the policy: The Organization's Board of Directors retains broad power and sole discretion under this Policy to: (1) determine the existence of actual or potential conflicts of interest; (2) subject conflict of interest relationships to appropriate oversight, management, conditions, restrictions and prohibitions; and (3) impose appropriate sanctions. A breach of this Policy can become grounds for discipline, up to and including removal from office or, for management personnel, termination of employment. It may also result in cessation of business with a vendor and in liability for damages. Grounds for discipline include, but are not limited to: A. willful failure to sign and return the Conflict of Interest Disclosure Statement in accord with this Policy; B. a material misstatement or omission in the Disclosure Statement; C. willful failure to disclose an actual or potential conflict of interest at any time in accord with the requirements of this Policy; D. willful participation in a vote or decision involving a transaction which raises an undisclosed conflict of interest; or E. willful disclosure or use of confidential information regarding the affairs, business or plans of a Hospital Organization for any purpose other than in furtherance of the affairs and best interests of the Hospital Organization.
PROCESS FOR DETERMINING COMPENSATION	PART VI LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF CARROLL HOSPITAL CENTER, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES.
DOCUMENT AVAILABILITY	PART VI, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF NET ASSETS	PART XI, LINE 5	UNREALIZED GAIN $ 4,498,951 BOOK/TAX DIFFERENCE K-1 (1,013,121) INTEREST RATE ADJUST ON INVEST 4,319,029 ----------- TOTAL $7,804,859
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHARLES O FISHER JR TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHARLES FISHER SR TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MIRIAM BECK TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PAULA LANGMEAD TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ETHAN SEIDEL TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN SERNULKA TITLE:PRESIDENT HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEPHAN HOCHULI MD TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KIMBERLY JOHNSTON MD TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STANLEY H TEVIS III TITLE:BOARD MEMBER HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HAROLD WALSH TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HELEN W WHITEHEAD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRISTOS BALLAS MD TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS WELLIVER TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEFFREY A WOTHERS TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DENNIS THOMAS TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LESLIE SIMMONS TITLE:CHIEF OPERATING OFFICER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN KELBLY TITLE:SR VP FINANCE CFO HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN SMOTHERS TITLE:CHIEF MEDICAL OFFICER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEPHANIE REID TITLE:ASSISTANT VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID HORN TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:M ELLEN FINNERTY MYERS TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOYCE ROMANS TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TRACEY ELLISON TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DANILO PERUNOVICH TITLE:VICE PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CYNTHIA ROLDAN TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JEROME MARAVE TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DANILO V SANTOS TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:EDYTA OSWIECIMKA TITLE:nurse HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KIMBERLY MOREAU TITLE:asst vice president HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CARROLL HOSPITAL CENTER MOB INVEST LLC	BusinessNameLine1

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	271528355	EIN
Primary Activities	INVESTMENTS	PrimaryActivities
Legal Domicile State	MD	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	2015421	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CARROLL COUNTY HEALTH SERVICES INC
200 MEMORIAL AVE	WESTMINSTER	MD	21157	520691413	SUPPORT ORG	MD	501(c)(3)	509(A)(3)	N/A
CARROLL HOSPITAL CENTER FOUNDATION INC
200 MEMORIAL AVE	WESTMINSTER	MD	21157	521115038	FOUNDATION	MD	501(c)(3)	503(A)(3)		CHC
CARROLL HOSPICE INC
292 STONER AVE	WESTMINSTER	MD	21157	521565870	HOSPICE	MD	501(c)(3)	170(B)(1A)		CHC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7253 AMBASSADOR RD	AddressLine1
City	BALTIMORE	City
State	MD	State
ZIP Code	21244	ZIPCode

Field	Value	IRS element (for citing)
EIN	522190849	EIN
Primary Activity	RADIOLOGY	PrimaryActivity
Legal Domicile State	MD	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CARROLL HOSP CT	BusinessNameLine1

Field	Value	IRS element (for citing)
Share Of Total Income	1345003	ShareOfTotalIncome
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.60000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
CARROLL COUNTY MED SERVICES INC
200 MEMORIAL AVE	WESTMINSTER	MD	21157	521891102	MEDICAL SERVI	MD	CHC	C CORP	13109103	16319122	1.00000
CEN-MAR ASSURANCE CO
				986011607	insurance		CHC	C CORP	2046200	9443919	1.00000	po box 1085	grand cayman	CJ	ky1-1102	CJ

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
CARROLL HOSPITAL CENTER FOUNDATION
C	1090000
cen-mar
p	75576
carroll county med services
a,n,p	562047