CARROLL HOSPITAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CARROLL HOSPITAL CENTER INC (EIN 52-1452024)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201111369349304671
Schema version: 2009v1.7
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T13:27:03-05:00	Timestamp
Tax Period End Date	2010-06-30	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	2009-07-01	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 & CFO	Title
Phone	4104566861	Phone
Date Signed	2011-05-16	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3018281008	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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	196879996	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2016	TotalNbrEmployees
Total Nbr Volunteers	32	TotalNbrVolunteers
Total Gross UBI	3838853	TotalGrossUBI
Net Unrelated Business Txbl Income	-32318	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1212414	ContributionsGrantsPriorYear
Contributions Grants Current Year	1176242	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	188989874	ProgramServiceRevenuePriorYear
Program Service Revenue CY	190619219	ProgramServiceRevenueCY
Investment Income Prior Year	7134814	InvestmentIncomePriorYear
Investment Income Current Year	4311044	InvestmentIncomeCurrentYear
Other Revenue Prior Year	888466	OtherRevenuePriorYear
Other Revenue Current Year	773491	OtherRevenueCurrentYear
Total Revenue Prior Year	198225568	TotalRevenuePriorYear
Total Revenue Current Year	196879996	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	95941166	SalariesEtcPriorYear
Salaries Etc Current Year	96985712	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	95045320	OtherExpensePriorYear
Other Expenses Current Year	100640157	OtherExpensesCurrentYear
Total Expenses Prior Year	191101486	TotalExpensesPriorYear
Total Expenses Current Year	197740869	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7124082	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-860873	RevenuesLessExpensesCY
Total Assets BOY	278489621	TotalAssetsBOY
Total Assets EOY	300967431	TotalAssetsEOY
Total Liabilities BOY	178878933	TotalLiabilitiesBOY
Total Liabilities EOY	206812673	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	99610688	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	94154758	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	168026199	Expense
Grants	115000	Grants
Revenue	190155656	Revenue
Description	CARROLL HOPSITAL CENTER, A 218-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 A COMPASSION AND SKILL. CURRENTLY, THERE ARE MORE THAN 400 PHYSICIANS REPRESENTING 38 SPECIALITIES ON OUR MEDICAL STAFF AND 1,295 FULL TIME EMPLOYEES (EQUIVALENT) ON OUR PAYROLL. AS THE ONLY HOPSITAL IN CARROLL COUNTY, WE OFFER OUR COMMUNITY A FULL ARRAY OF SERVICES, FROM PEDIATRICS TO GERIATRICS, MINIMALLY INVASIVE SURGERY TO TOTAL HIP REPLACEMENTS AND EMERGENCY CARE TO MATERNITY CARE. IN THE YEAR ENDING JUNE 2010, CARROLL HOSPITAL CENTER HAD 16,139 INPATIENT ADMISSIONS, PERFORMED 1,178 DELIVERIES AND APPROXIMATELY 8,610 OUTPATIENT SURGERIES-ALL CONTRIBUTING TO A TOTAL OF 304,580 PATIENT ENCOUNTERS FOR THE PERIOD. IN ADDITION TO THE SERVICES MENTIONED ABOVE THE ORGANIZATION PROVIDES COMMUNITY BENEFITS THROUGH PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE. OUR STATED MISSION IS "OUR COMMUNITIES EXPECT AND DESERVE SUPERIOR MEDICAL TREATMENT, COMPASSIONATE CARE, AND EXPERT GUIDANCE IN MAINITAINING THEIR HEALTH AND WELL-BEING. AT CARROLL HOPSITAL 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 COMMUNITITES." THIS MISSION IS PURSUED IN COLLABORATION WITH OUR RELATED ORGANIZATIONS: CARROLL HOSPICE, THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY AND THE CARROLL HOSPITAL CENTER FOUNDATION (ALSO LISTED IN PART VI) FOR MORE INFORMATION ON THESE SUBSIDIARIES, PLEASE SEE THEIR INDIVIDUAL FORM 990S. WHILE WE HAVE ATTEMPTED TO SUMMARIZE OUR PROGRAM SEVICE ACCOMPLISHMENTS BELOW, WE URGE THOSE INTERESTED TO ACCESS MORE DETAILED AND COMPLETE INFORMATION AT WWW.CARROLLHOSPITALCENTER.ORG 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 ABILITY TO PAY THAT SERVED APPRXOMATELY 53,000 PATIENTS, HAS AN OPEN MEDICAL STAFF WITH PRIVILEDGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, AND A GOVERNING BODY PRIMARILY COMPRISED OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY, AND PARTICIAPTES IN THE MEDICARE AND MEDICAID PROGRAMS. THROUGH THE PARTNERSHIP FOR A HEALTHIER CARROLL COUNTY'S HEALTHY CARROLL VITAL SIGNS PROJECT, WE HAVE IDENTIFIED SEVERAL HEALTH-RELATED TRENDS, NEEDS AND PROBLEMS FACING OUR POPULATION, INCLUDING ACCESS TO HEALTH CARE, PREVENTION AND WELLNESS, MENTAL HEALTH, HEART HEALTH AND CANCER. THE PARTNERSHIP'S STRATEGIES FOR ADDRESSING THESE ISSUES INCLUDES A NUMBER OF INITIATIVES SUCH AS THE DEVELOPMENT OF ACCESS CARROLL (IN COORDINATION WITH THE CARROLL COUNTY HEALTH DEPARTMENT), A FREE HEALTH CARE CLINIC FOR UNINSURED PATIENTS; THE COMPLETION OF A SURVEY OF OLDER ADULTS IN THE COUNTY TO GATHER INFORMATION TO HELP COMMUNITY ORGANIZATIONS BETTER ADDRESS THEIR NEEDS; AND THE PARTICIPATION IN AND DEVELOPMENT OF NUMEROUS COMMITTEES AND WORK GROUPS TO ADDRESS AGE, GENDER AND ETHNIC-SPECIFIC LIVING AND HEALTH CARE ISSUES. THE HOSPITAL ALSO SUPPORTS THE WELLNESS OF THE COMMUNITIES IT SERVES BY OFFERING HUNDREDS OF FREE EDUCATION PROGRAMS, SCREENINGS AND SUPPORT GROUPS EACH YEAR THAT ADDRESS NUMEROUS HEALTH AND WELLNESS ISSUES. IN ADDITION, FOR THE PAST 11 YEARS, THE HOSPITAL HAS PROVIDED THE WOMEN'S PLACE, A CENTER FOR HEALTH AND WELLNESS FOR WOMEN THAT PROVIDES CANCER NAVIGATION SERVICES, A COMPREHENSIVE BREAST CENTER, EDUCATIONAL PROGRAMS, SUPPORT GROUPS AND A RESOURCE LIBRARY, ALL OFFERED FREE OF CHARGE. 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 MEDICAL EXPERTISE IS A PRIORITY FOR OUR ORGANIZATION. DURING THE MOST RECENT REPORTING PERIOD THE ORGANIZATION PROVIDED A TOTAL OF $4,992,380 IN CHARITY/UNCOMPENSATED CARE TO THE COMMUNITY. ADDITIONALLY, THE ORGANIZATION EXPENDED APPROXIMATELY $16,483,441 (NET OF REVENUES) ON PROGRAMS AND ACTIVITIES BENEFITTING THE COMMUNITIES WE SERVE. THESE PROGRAMS AND ACTIVITIES INCLUDED HOSPICE SERVICES, PHYISICIAN SUPPORT, EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS, HEATLH PROFESSIONAL EDUCATION AND COMMUNITY CONTRIBUTIONS, THE COMMUNITY, AND REQUIRED APPROXIMATELY 436,812 STAFF HOURS TO PROVIDE.	Description
Total Program Service Expense	168026199	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
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	240	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2016	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
Nbr Voting Governing Body Members	16	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

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
MARCUS LEE PRIMM
DIRECTOR	1.0	X	0	0	0
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	40.0	X	303433	0	329019	X
KEVIN KELBLY
SR VP FINANCE CFO	40.0	X	298109	0	54210	X
STEPHAN HOCHULI MD
BOARD MEMBER	1.0	X	0	0	0
K WAYNE LOCKARD
DIRECTOR	1.0	X	0	0	0
KIMBERLY JOHNSTON
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
MOKHTAR NASSIR MD
BOARD MEMBER	1.0	X	0	0	0
MICHAEL OSTER
BOARD MEMBER	1.0	X	0	0	0
JEFFREY A WOTHERS
BOARD MEMBER	1.0	X	0	0	0
LESLIE SIMMONS
CHIEF OPERATING OFFICER	40.0		267990	0	44937	X
KEVIN SMOTHERS
CHIEF MEDICAL OFFICER	40.0		357428	0	40974	X
STEPHANIE REID
ASSISTANT VICE PRESIDENT	40.0		158509	0	16405	X
DAVID HORN
VICE PRESIDENT	40.0		187786	0	39067		X
M ELLEN FINNERTY MYERS
VICE PRESIDENT	40.0		178930	0	19092		X
JOYCE ROMANS
VICE PRESIDENT	40.0		197064	0	28521		X
TRACEY ELLISON
VICE PRESIDENT	40.0		167538	0	31541		X
BASSAM BARAKAT
PHYSICIAN	40.0		232074	0	16162			X
JEROME MARAVE
PHYSICIAN	40.0		201705	0	18110			X
DANILO V SANTOS
PHYSICIAN	40.0		197989	0	11445			X
ROBERT WACK
PHYSICIAN	40.0		180405	0	25987			X
JEFFREY M ZALE
PHYSICIAN	40.0		202236	0	13435			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3131196	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	688905	TotalOtherCompensation
Number Individuals GT100 K	102	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	3074819
CARROLL COUNTY ANES ASSOCIATION
PO BOX 75193	BALTIMORE	MD	21275	ANESTHESIA	1953100
PHYSICIAN MANAGEMENT LTD
3 BETHESDA METRO CENTER	BETHESDA	MD	20814	emergency physicians	932924
DIGITRACE CARE SERVICES
200 CORPORATE PLACE	PEABODY	MA	01960	Sleep Studies	787050
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	841270964	LAB SERVICES	672464

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	28	NumberOfContractorsGT100K
Related Organizations	1166242	RelatedOrganizations
All Other Contributions	10000	AllOtherContributions
Total Contributions	1176242	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	184784978	184784978
CAFETERIA/VEND.	681314	681314
LAB	3727699		621500	3727699
OTHER OPERATING REVENUE	1425228	1425228

Field	Value	IRS element (for citing)
Total Program Service Revenue	190619219	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4311044	TotalRevenueColumn
Unrelated Business Revenue	12542	UnrelatedBusinessRevenue
Exclusion	$4,298,502	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	683491	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	683491	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	683491	TotalRevenueColumn
Unrelated Business Revenue	8612	UnrelatedBusinessRevenue
Exclusion	$674,879	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	196879996	TotalRevenueColumn
Related Or Exempt Function Income	186891520	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3838853	UnrelatedBusinessRevenue
Exclusion	$4,973,381	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
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

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

Benefits To Members BenefitsToMembers

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

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2720553	Total
Program Services	2444884	ProgramServices
Management And General	275669	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	75139285	Total
Program Services	67525543	ProgramServices
Management And General	7613742	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4285285	Total
Program Services	3848741	ProgramServices
Management And General	436544	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9113739	Total
Program Services	8185319	ProgramServices
Management And General	928420	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5726850	Total
Program Services	5143454	ProgramServices
Management And General	583396	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	26649	Total
Program Services	15487	ProgramServices
Management And General	11162	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	237500	Total
Management And General	237500	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

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	282918	Total
Management And General	282918	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13186512	Total
Program Services	8497516	ProgramServices
Management And General	4688996	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	610545	Total
Program Services	5610	ProgramServices
Management And General	604935	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	889399	Total
Program Services	562474	ProgramServices
Management And General	326925	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	129086	Total
Program Services	12921	ProgramServices
Management And General	116165	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3511452	Total
Program Services	2936197	ProgramServices
Management And General	575255	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	480260	Total
Program Services	163896	ProgramServices
Management And General	316364	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	90103	Total
Program Services	71625	ProgramServices
Management And General	18478	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6787739	Total
Program Services	6787739	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13802098	Total
Program Services	13802098	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3322891	Total
Program Services	2281440	ProgramServices
Management And General	1041451	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	24642609	24640579	2030
FOOD	948186	897820	50366
OTHER	653361	428415	224946
MINOR EQUIPMENT	550515	428781	121734
SUPPLIES	709297	697364	11933

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	29779037	Total
Program Services	18533296	ProgramServices
Management And General	11245741	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	197740869	Total
Program Services	168026199	ProgramServices
Management And General	29714670	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2075	BOY
EOY	2300	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	50526272	BOY
EOY	44351604	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	20239932	BOY
EOY	18272362	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3009819	BOY
EOY	2920302	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2832953	BOY
EOY	2589854	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	243655778	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	110599637	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	126246689	BOY
EOY	133056141	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	10120314	BOY
EOY	34915453	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	22908888	BOY
EOY	20018231	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	25731385	BOY
EOY	27685775	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16871294	BOY
EOY	17105409	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	278489621	BOY
EOY	300967431	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	24116181	BOY
EOY	25006392	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	221299	BOY
EOY	1695861	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	124020474	BOY
EOY	135147684	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	30520979	BOY
EOY	44962736	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	178878933	BOY
EOY	206812673	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	99610688	BOY
EOY	94154758	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	99610688	BOY
EOY	94154758	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	278489621	BOY
EOY	300967431	EOY

Field	Value	IRS element (for citing)
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	$5,247	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Total Lobbying Expenditures IIB	5247	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	7009809	BeginningOfYearBalance
Contributions	251338	Contributions
Investment Earnings Or Losses	639362	InvestmentEarningsOrLosses
End Of Year Balance	7900509	EndOfYearBalance

Field	Value	IRS element (for citing)
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	113767731	OtherCostOrOtherBasis
Depreciation	31865368	Depreciation
Book Value	81902363	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9494934	OtherCostOrOtherBasis
Depreciation	9439919	Depreciation
Book Value	55015	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	92595841	OtherCostOrOtherBasis
Depreciation	63892658	Depreciation
Book Value	28703183	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26579412	OtherCostOrOtherBasis
Depreciation	5401692	Depreciation
Book Value	21177720	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	133056141	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
LONG-TERM INVESTMENTS OTHER	2190683	C
LONG TERM INVESTMENTS	4682328	F
CD	3000000	C
SHORT TERM INVESTMENTS	6804814	F
MONEY MARKET ACCT	3340406	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	20018231	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN SUBSIDIARIES	24770685	C
INVESTMENT IN PREMIER	231287	C
INVESTMENT IN ONCOLOGY CTR	100000	C
INVESTMENT IN MT AIRY HLTH SER	517094	C
INVESTMENT IN CMOA	2066709	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	27685775	TotalOfBookValueProgramRelated

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	803691
UMAMORTIZED BOND ISSUANCE COST	1921702
OTHER RECEIVABLES	557122
FUNDS HELD BY TRUSTEE	13577154
ASSETS LIMITED TO USE	245740

Field	Value	IRS element (for citing)
Total Book Value Other Assets	17105409	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ADVANCES FROM THIRD PARTY	$4,453,690
ACCRUED PENSION	$15,877,222
OTHER LIABILITIES	$338,841
MERRILL LYNCH SWAP RATE	$7,905,243
CAPITAL LEASE	$554,742
MOB	$15,832,998

Field	Value	IRS element (for citing)
Total Of Amounts	44962736	TotalOfAmounts

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	4291095	TotalCommunityBenefitExpense
Net Community Benefit Expense	4291095	NetCommunityBenefitExpense
Percent Of Total Expense	0.02170	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4291095	TotalCommunityBenefitExpense
Net Community Benefit Expense	4291095	NetCommunityBenefitExpense
Percent Of Total Expense	0.02170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1692889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32634	DirectOffsettingRevenue
Net Community Benefit Expense	1660255	NetCommunityBenefitExpense
Percent Of Total Expense	0.00840	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	379411	TotalCommunityBenefitExpense
Net Community Benefit Expense	379411	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28541040	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17050759	DirectOffsettingRevenue
Net Community Benefit Expense	11490281	NetCommunityBenefitExpense
Percent Of Total Expense	0.05810	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	201918	TotalCommunityBenefitExpense
Net Community Benefit Expense	201918	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30815258	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17083393	DirectOffsettingRevenue
Net Community Benefit Expense	13731865	NetCommunityBenefitExpense
Percent Of Total Expense	0.06940	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35106353	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17083393	DirectOffsettingRevenue
Net Community Benefit Expense	18022960	NetCommunityBenefitExpense
Percent Of Total Expense	0.09110	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	451455	TotalCommunityBuildingExpense
Direct Offsetting Revenue	116263	DirectOffsettingRevenue
Net Community Building Expense	335192	NetCommunityBuildingExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	450759	TotalCommunityBuildingExpense
Net Community Building Expense	450759	NetCommunityBuildingExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	902214	TotalCommunityBuildingExpense
Direct Offsetting Revenue	116263	DirectOffsettingRevenue
Net Community Building Expense	785951	NetCommunityBuildingExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,626,000	BadDebtExpenseAmount
Amount Attributable To	362000	AmountAttributableTo
Amount Reimbursed By Medicare	70998969	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	62373654	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	8625315	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 V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	N/A	IncomeBasedCriteria
Annual Community Benefit Expln	Maryland hospitals are required to submit an annual community benefit report to the Health Services Cost Review Commission (HSCRC) that describes the programs and services offered that are designed to promote the health and wellness of the communities served. These reports are available to the public on the HSCRC website (www.hscrc.state.md.us). Additionally, Carroll Hospital Center makes available its Community Benefit Report on its website (www.carrollhospitalcenter.org)	AnnualCommunityBenefitExpln
Subsidized Health Services Expln	Carroll Hospital Center provided $11,490,281 of net community benefit through subsidized health services. This includes physician support spending incurred by the Hospital ($4.0 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 liability companies disregarded for tax purposes). Carroll Hospital Center funds the operating losses ($6.6 million) that are incurred directly by Carroll County Med-Services. As a result, Carroll Hospital Center has included the $6.6 million operating loss associated with the funding of the physician enterprises as a community benefit on Schedule H.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission (HSCRC) determines payment through a rate-setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all-payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Carroll Hospital Center incurred $3,626,000 in bad debt expense during Tax Year 2009. This reflects the amount of gross patient charges ($4,064,000) uncollected from patients that did not qualify for financial assistance discounted by CHC's HSCRC approved mark-up factor of 1.1206 in effect for the year. 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. As such, CHC estimates that 10% of reported bad debt expense ($362,000 at cost) may be attributable to patients eligible for financial assistance / charity care. 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 represents 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 changes 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. As such, CHC estimates that 10% of reported bad debt expense ($362,000 at cost) may be attributable to patients eligible for financial assistance / charity care.	BadDebtFootnote
Shortfall As Community Benefit	Carroll Hospital Center's Tax Year 2009 (Fiscal Year 2010) 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)	ShortfallAsCommunityBenefit
General Explanation	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.	GeneralExplanation
General Explanation	Carroll Hospital Center does not deny financial assistance to any patient eligible for free or discounted care under its financial assistance policy regardless of whether or not the financial assistance budget was exceeded.	GeneralExplanation
General Explanation	Maryland hospitals are required to submit an annual community benefit report to the Health Services Cost Review Commission (HSCRC) that describes the programs and services offered that are designed to promote the health and wellness of the communities served. These reports are available to the public on the HSCRC website (www.hscrc.state.md.us). Additionally, Carroll Hospital Center makes available its Community Benefit Report on its website (www.carrollhospitalcenter.org)	GeneralExplanation
General Explanation	The methodology used to calculate charity care cost was a cost-to-charge ratio derived from worksheet 2, ratio of patient care cost-to-charges.	GeneralExplanation
General Explanation	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 related to Uncompensated Care.	GeneralExplanation
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. Later, following successive assessments, that number was expanded to 11. Updates 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 U.S. 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. Once the national Healthy People 2020 objectives are finalized, 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 progress. We gauge our progress related to our effect 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, 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: * Patients * The Partnership for a Healthier Carroll County (with our community partners including the Carroll County Health Department) * The Learning Center * The Women's Place * The hospital's multidisciplinary Community Benefit Planning and Review Team * 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 identifying and creatively meeting the unique needs of our community on an ongoing basis, the hospital has developed and facilitates the following leadership teams focused on the 11 core health improvement areas identified in our original community health assessment: * Access to Health Care - Collaborates with community partners to improve access to health care for the uninsured and underinsured. * Cancer: American Cancer Society Leadership Council - Works to reduce cancer incidence and mortality in Carroll County. * 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 * Elder Health - Seeks to increase quality and years of healthy life for Carroll Countians over age 65. * 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. * L.E.A.N. Carroll - Multi-disciplinary hospital/community group working to address childhood obesity in Carroll County through Lifestyle, Education, Activity and Nutrition. * 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. * Prevention & Wellness Partners - Coordinates projects to improve health outcomes for people in Carroll County as measured by improvement in lifestyle / behavior indicators. * Resource Conservation Coalition - Work group formed to promote health and quality of life for all county residents through a healthier environment and managed growth and development and water quality standards. * 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. * 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 toward gaps in service that have been identified, including need for a long-term treatment facility for heroin users, lack of space/ capacity for current residential programs, insufficient detox services, inadequate services for adolescents with co-occurring disorders, and a need for more prevention services * 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 a 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. * 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. * Carroll County Local Management Board - Works to improve the lives of children and families in Carroll County. Develops and manages community-based family services. * 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. * 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. * Tobacco Coalition (Carroll Community Health Tobacco Coalition) - Local health coalition that seeks to decrease tobacco use and exposure to secondhand smoke in Carroll County	NeedsAssessment
Patient Education 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 416 patients in applying for 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 financial assistance. For patients who do not qualify for Medicaid coverage, CHC has an in-house financial assistance program. Our eligibility standards are more lenient that even those proposed by the Maryland Hospital Association guidelines. We write off 100% of the bill for patients whose income is below 300% of the federal poverty guidelines (FPG) and write off a portion of the bill for patients whose income is between 301%-375% of the FPG. When patients express their inability to pay for services, our staff works to find the best possible option for them by discussing in detail their situation. The family is involved in those conversations to the extent the patient feels comfortable. The hospital also has a process in place for patients to have financial assistance decisions reconsidered and that process is clearly outlined in our financial assistance policy and in information provided to our patients. In addition, for patients with income below 500% of the FPG and whose medical debt at CHC is in excess of 25% of their household income, the hospital has a Medical Hardship plan that provides for reduced-cost care. The hospital posts a summary of its 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 Web site (www.CarrollHospitalCenter.org).	PatientEducationAssistance
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 Northern Pennsylvania. The general demographics for our primary community (Carroll County) are listed below: Geography Land area 452 sq. miles (289,280 acres) Persons per square mile (2008) 387 Land in farms (2007) 141,934 acres Agricultural Land Preservation farms (2010) 562 Agricultural Land Preservation acres (2010) 60,167 Sources: Carroll County Department of Planning; US Census Bureau Quickfacts; National Agricultural Statistics Service; MD DHR 2004 FACT PACK; Carroll County Department of Economic Development Population Total population estimate (2009) 204,486 Projected population (2014) 217,091 Race (2008): White 93.22% African American 3.15% Hispanic 1.9% Multi-Racial 1.13% Native American .24% Asian/Pacific Islander .03% Age (Projections for 2010): 0 - 17 50,159 18 - 44 70,780 45 - 65 59,195 65+ 24,352 Source: Solucient: Market Planner Plus 2009 Family Total number of households (2009) 64,675 Average household size (2009) 2.8 persons Sources: MD State Data Center Carroll County Demographic and Socio-Economic Outlook; 2005 Strengths & Needs Assessment Secondary Family Data Analysis, MD DHMH Vital Statistics Economics Per capita personal income (2007) $ 41,147 Median household income (2007) $ 78,200 State rank 11th Households below poverty level (2008) 5,565, 8% Unemployment rate (2009) 6.5% Median cost of homes purchased (2008) $299,450 Housing units authorized for construction (2007) 312 Sources: MD DHR 2005 Carroll County Snap Shot; Carroll County Department of Economic Development and Solucient Business Private non-farm establishments with paid employees (2007) 4,650 Private non-farm employment (2005) 51,718 Sources: US Census Bureau Quickfacts; National Agricultural Statistics Service; Carroll Commuter Survey (2001) Other Significant Demographic Characteristics According to the most recent MD BRFSS (Maryland Behavioral Risk Factor Surveillance Survey) data report (2008), our community has a high rate of insured residents with 96.3% of residents reporting that they have some level of health insurance. In 2010, of the Carroll County residents that were hospitalized (either at CHC or other hospitals), 2,655 or approximately 12% were Medicaid admissions and 220 or 1% were uninsured.	CommunityInformation
Community Building Activities	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 FY10, the hospital had 5,346 encounters for community health education, 2,105 encounters for support groups, 2096 encounters for free and low-cost screenings and 666 encounters for self-help programs. These programs, support groups and screenings are not only directed to patients with a variety of chronic and acute medical issues ranging from cancer and diabetes to heart disease and arthritis but many are focused on prevention and education to keep our population well. Two examples of programs with measurable outcomes are outlined below: A. Lose to Win Program Description: Twelve-week collaborative community program to promote weight loss and wellness. This innovative and rigorous 12-week program features: o Unlimited access to exercise sessions at Merritt Athletic Club o Weekly group nutritional classes at Martin's Food Market o Weekly weigh-ins and regular blood pressure checks o Prize incentives o Pre- and post-program comprehensive blood profiles Year of Evaluation: Developed in early 2009, our first session was held in the spring of 2009 and has been held a total of three times since its development. 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 a second successful year. Results for all three programs are listed below. SPRING 2010 Total pounds lost - 341 Percentage lost - 6.9% Number of participants who lost 10 pounds or more - 16 Number of participants who lost 20 pounds or more - 4 Number of participants who lost 30 pounds or more - 1 Percentage of weight lost by winner - 19.8% Pounds lost by winner - 60.8 lbs FALL 2009 Total pounds lost - 340 lbs Percentage lost - 6.8% Number of participants who lost 10 pounds or more - 15 Number of participants who lost 20 pounds or more - 5 Number of participants who lost 30 pounds or more - 1 Percentage of weight lost by winner - 14.6% Pounds lost by winner - 28.8 lbs SPRING 2009 Total pounds lost - 192.8 lbs Percentage lost - 4.8% Number of participants who lost 10 pounds or more - 8 Number of participants who lost 20 pounds or more - 2 Number of participants who lost 30 pounds or more - 2 Percentage of weight lost by winner - 15.8% Pounds lost by winner - 30.2 lbs People saw significant reductions in blood sugar and blood sugar control (based on fasting Blood Sugar) during each of the three programs. B. Best Beginnings Program Description: Program to provide women without health insurance access to high-quality prenatal, labor and delivery, and in-hospital newborn care at an affordable cost. Year of Evaluation: FY 2010 Results/Evaluation: In place since August 2007, the Best Beginnings Program has provided uninsured women with vital prenatal care in addition to in-hospital labor, delivery and newborn care who otherwise would not have access to such services. The program is a joint effort between the hospital and its affiliated physicians who agree to see and care for patients for a nominal fee, ensuring a healthier pregnancy, delivery and newborn. The program was revamped and renamed in FY 2008 and outreach was done to at risk populations to ensure those individuals were aware of the program. Fiscal Year Total Number of Patients Number Reached First Trimester % Reached in First Trimester % Change Reached in First Trimester 2008 35 16 46% n/a 2009 35 23 66% 20% 2010 28 23 82% 15% In FY 10, all mothers enrolled in the program had successful deliveries with newborns at or over normal birth weight. What's most notable is the consistent increase of women we reached during their first trimester when we could more positively affect the pregnancy and delivery instead of later in their pregnancies. This helped significantly to ensure both mom and baby were healthy throughout the pregnancy and delivery. The hospital plans to continue to promote the program to at-risk populations through the proven methods used over the past two years including using churches that have Spanish services. In addition to providing a full range of programs and support groups, The Women's Place provides free cancer navigation services and support for men and women with any type and in any stage of the disease. Our navigators provide one-on-one support and help patients with education, support and community resources and can also help coordinate financial assistance with prescription and physician visit co-pays, transportation to and from treatments, free complimentary health treatments and meal delivery. The Women's Place also houses a boutique for wigs, headpieces, breast prosthesis and undergarments. Patients are able to purchase items and often can receive many items for free that have been donated to the center by the community. In total, The Women's Place had 4,665 encounters in FY10. When community members want to register for a hospital program or need any information on hospital or community based health resources, they call Health Access. Health Access, the hospital's call center, had 8,210 encounters in FY10. That includes calls from patients wanting to register for classes, programs, screenings or support groups as well as those searching for a physician. The center is a true community resource and receives many more calls than are logged and tracked in our system. Those calls are patients looking for other health care resources, contact numbers, etc. Our staff takes the time to ensure every caller is provided with the very best service and is referred to an appropriate organization/agency for assistance. The Partnership for a Healthier Carroll County, as referenced in question 2, is the hospital's community health advocacy partner. The Partnership, which is funded by the hospital and the Carroll County Health Department, focuses their efforts on health improvement by partnering with other organizations in the community. They work collaboratively to reach thousands of community members by providing a variety of initiatives that focus on key health improvement areas. Partnership staff and leadership set annual target goals track and their progress on a dashboard below. In FY10 the hospital provided $300,506 in financial support to The Partnership for a Healthier Carroll County.	CommunityBuildingActivities
Other Information	Like most hospitals, Carroll Hospital Center is challenged to provide care to an ever-increasing number of uninsured patients. Last fiscal year, more than 5,778 patients received some form of charity care/financial assistance from the hospital, totaling $4,992,380. Assistance ranged from emergency, inpatient and outpatient care and testing that was written off, to care provided in our free outpatient clinic, Access Carroll. While Carroll Hospital Center cares for patients with no means to pay their medical expenses throughout the hospital, it is seen most acutely in the Emergency Department (ED), where many uninsured patients often come for primary and emergent care. Since all patients presenting to the ED are treated for any medical condition regardless of their ability to pay for care, the uninsured population poses a significant challenge not only to the hospital, but to physicians providing care in the hospital and in the ED. Due in part to a lack of, or minimal reimbursement, it has become increasingly difficult to find specialists to provide on-call services for the ED around-the-clock. The more serious issue is that Tthis trend affects not only our uninsured patients, but all patients seeking treatment in our ED.	OtherInformation

Schedule I IRS990ScheduleI

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

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 (14 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	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN SERNULKA
239693	0	50000	0	13740	0	311260	0	17759	0	632452	0	0	0
LESLIE SIMMONS
247569	0	17840	0	2581	0	28254	0	16683	0	312927	0	0	0
KEVIN KELBLY
272776	0	18823	0	6510	0	37527	0	16683	0	352319	0	0	0
DAVID HORN
177402	0	9826	0	558	0	22011	0	17056	0	226853	0	0	0
M ELLEN FINNERTY MYERS
168986	0	9530	0	414	0	18583	0	509	0	198022	0	0	0
KEVIN SMOTHERS
333154	0	22426	0	1848	0	24291	0	16683	0	398402	0	0	0
JOYCE ROMANS
185668	0	10541	0	855	0	16758	0	11763	0	225585	0	0	0
TRACEY ELLISON
157795	0	8813	0	930	0	14485	0	17056	0	199079	0	0	0
BASSAM BARAKAT
229788	0	0	0	2286	0	4432	0	11730	0	248236	0	0	0
JEROME MARAVE
200517	0	0	0	1188	0	7517	0	10593	0	219815	0	0	0
DANILO V SANTOS
194281	0	0	0	3708	0	0	0	11445	0	209434	0	0	0
ROBERT WACK
180135	0	0	0	270	0	9364	0	16623	0	206392	0	0	0
STEPHANIE REID
151100	0	6995	0	414	0	15583	0	822	0	174914	0	0	0
JEFFREY M ZALE
195114	0	6279	0	843	0	1931	0	11504	0	215671	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART I LINE 1A	THE PRESIDENT RECEIVED THE FOLLOWING BENEFITS: 1. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS 2. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES THE CFO RECEIVED THE FOLLOWING BENEFIT: 1. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS
nonqualified retirement plan	The following employees participated in the organization's [457(b) and/or 457(f)] deferred compensation plans and were paid and/or credited with the following amounts: John Sernulka - 290,775 Kevin Smothers - 16,500 Kevin Kelbly - 16,500 Leslie Simmons - 16,500 Joyce Romans - 10,951 David Horn - 10,584 Ellen Myers - 9,833 Tracey Ellison - 9,606 Stephanie Reid - 5,787

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
MARYLAND HEALTH AND HIGHER EDUCATIONAL FAC AUTHORT
520936091	574217B53	2006-12-07	36179115	HOSPITAL RENOVATIONS AND EQUIP	false	false
MARYLAND HEALTH AND HIGHER EDUCATION FAC AUTHORITY
520936091	000000000	2010-06-30	15000000	HOSPITAL RENOVATIONS AND EQUIP	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 UnspentAmountUnspent
37718099	2022281	683750	35012068	2009	false	false	true	true
15000000		255500	12149500	2010	false	false	false	true	2595000

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	0.01000	0.01000	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

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	82346	EMPLOYEE OF THE HOSPITAL	false
HEATHER SIMMONS
DAUGHTER OF AN OFFICER	75623	EMPLOYEE OF THE HOSPITAL	false
CHELSEY SIMMONS
DAUGHTER OF AN OFFICER	16522	EMPLOYEE OF THE HOSPITAL	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 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 tax return is reviewed in detail between the preprarer and the Finance department of the hospital. A copy is provided to the Board of the Hospital and the return is approved by the Risk, Audit and Compliance Committee
CONFLICTS MONITORING AND ENFORCEMENT	PART VI LINE 12C	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.

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	521452024	EIN
Primary Activities	INVESTMENTS	PrimaryActivities
Legal Domicile State	MD	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	2100000	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	CARROLL COUNTY 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)
Predominant Income Type	INVESTMENT	PredominantIncomeType
Share Of Total Income	1972428	ShareOfTotalIncome
Share Of EOY Assets	11923631	ShareOfEOYAssets

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	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
CEN-MAR ASSURANCE CO
				986011607	insurance		CHC	C CORP	po box 1085	grand cayman	CJ	ky1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	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	false	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

Name Of Other Organization NameOfOtherOrganization

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

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionType