CALVERTHEALTH MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CALVERTHEALTH MEDICAL CENTER INC (EIN 52-0619000)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202501339349307030
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-13T15:49:12+00:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1Txt
CityAshevilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520619000EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CalvertHealth Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCALVBusinessNameControlTxt
Phone4105354000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Hospital RoadAddressLine1Txt
CityPrince FrederickCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20678ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeremy BradfordPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone4105354000PhoneNum
Signature2025-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2025-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeremy BradfordBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Hospital RoadAddressLine1Txt
CityPrince FrederickCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20678ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$166,336,279GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CALVERTHEALTHMEDICINE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1918FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionCALVERTHEALTH MEDICAL CENTER PROVIDES QUALITY INPATIENT AND AMBULATORY HEALTH CARE TO THE PEOPLE OF SOUTHERN MARYLAND THAT IS ACCESSIBLE, COST-EFFECTIVE AND COMPASSIONATE. CHMC WORKS IN PARTNERSHIP WITH THE COMMUNITY TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1283TotalEmployeeCnt
Total Volunteers149TotalVolunteersCnt
Total Gross UBI$305,899TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$760,182PYContributionsGrantsAmt
CY Contributions Grants$2,955,515CYContributionsGrantsAmt
PY Program Service Revenue$150,611,547PYProgramServiceRevenueAmt
CY Program Service Revenue$161,176,933CYProgramServiceRevenueAmt
PY Investment Income$947,111PYInvestmentIncomeAmt
CY Investment Income$246,452CYInvestmentIncomeAmt
PY Other Revenue$2,205,222PYOtherRevenueAmt
CY Other Revenue$1,957,379CYOtherRevenueAmt
PY Total Revenue$154,524,062PYTotalRevenueAmt
CY Total Revenue$166,336,279CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$83,093,321PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$84,879,776CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$77,679,670PYOtherExpensesAmt
CY Other Expenses$79,567,050CYOtherExpensesAmt
PY Total Expenses$160,772,991PYTotalExpensesAmt
CY Total Expenses$164,446,826CYTotalExpensesAmt
PY Revenues Less Expenses-$6,248,929PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,889,453CYRevenuesLessExpensesAmt
Total Assets BOY$143,295,217TotalAssetsBOYAmt
Total Assets EOY$144,776,794TotalAssetsEOYAmt
Total Liabilities BOY$86,004,034TotalLiabilitiesBOYAmt
Total Liabilities EOY$87,179,516TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$57,291,183NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$57,597,278NetAssetsOrFundBalancesEOYAmt
MissionCALVERTHEALTH MEDICAL CENTER PROVIDES QUALITY INPATIENT AND AMBULATORY HEALTH CARE TO THE PEOPLE OF SOUTHERN MARYLAND THAT IS ACCESSIBLE, COST-EFFECTIVE AND COMPASSIONATE. CHMC WORKS IN PARTNERSHIP WITH THE COMMUNITY TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$141,966,946ExpenseAmt
Revenue$162,446,427RevenueAmt
DescCALVERTHEALTH MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THE HOSPITAL WORKS IN PARTNERSHIP WITH THE COMMUNITY TO IMPROVE THE HEALTH STATUS OF ITS MEMBERS. THE HOSPITAL PROVIDES MEDICAL SERVICES TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN FY 2024, THE HOSPITAL SERVED 5,795 INPATIENTS, 29,187 OUTPATIENTS AND PROVIDED 36,107 EMERGENCY ROOM VISITS. IN ADDITION TO THE INPATIENTS SERVED, THE HOSPITAL ALSO TREATED 3,026 MEDICAL OBSERVATION PATIENTS. FOR FY 2024, THE HOSPITAL FILED WITH THE STATE OF MARYLAND A COMMUNITY BENEFIT REPORT THAT DOCUMENTED $3,149,123 IN COMMUNITY BENEFIT PROVIDED BY CALVERTHEALTH MEDICAL CENTER. THE COMMUNITY BENEFIT REPORT IS AVAILABLE UPON REQUEST. ALL FINANCIAL SURPLUSES THE HOSPITAL GENERATES ARE USED EXCLUSIVELY TO FURTHER THE CHARITABLE PURPOSES OF THE ORGANIZATION. THE HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF CIVIC LEADERS THROUGHOUT CALVERT COUNTY WHO ARE COMMITTED TO AND REPRESENT THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL IN FY 2024 PROVIDED $3,149,123 IN CHARITY CARE TO RESIDENTS WHO WERE UNABLE TO PAY FOR THOSE SERVICES AND MET ELIGIBILITY CRITERIA. THE HOSPITAL, AS A SOLE COMMUNITY PROVIDER, PROVIDES ESSENTIAL HEALTHCARE SERVICES SUCH AS OBSTETRICS, PSYCHIATRY (BOTH INPATIENT AND OUTPATIENT), EMERGENCY SERVICES, URGENT CARE AND LONG-TERM CARE THAT OTHERWISE WOULD NOT BE PROVIDED WITHIN CALVERT COUNTY OR WOULD HAVE TO BE PROVIDED BY THE GOVERNMENT. MANY OF THESE SERVICES BY THEIR NATURE ARE UNPROFITABLE SERVICES DUE TO THEIR HIGH COST AND LOW REIMBURSEMENT. THESE SERVICES WOULD NOT BE PROVIDED IF THE HOSPITAL DID NOT STEP IN TO PROVIDE THEM.Desc
Total Program Service Expenses$141,966,946TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1283EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Carolyn HeithausBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4105358241PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Hospital RoadAddressLine1Txt
CityPrince FrederickCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20678ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jeremy S Bradford
PRESIDENT & CEO40.08.0Yes (X)Yes (X)$779,873$0$102,596
Anthony Butters
Director2.01.0Yes (X)$0$0$0
Barbara Gardner
Director / Secretary44.04.0Yes (X)$0$0$0
Chang Choi MD
Director40.01.0Yes (X)$0$0$0
Christopher Garcia
Director4.01.0Yes (X)$0$0$0
David Showers
Director / Chairperson4.08.0Yes (X)$0$0$0
Gail Harkins
Director4.02.5Yes (X)$675$0$0
Gerald Clark
Director1.01.0Yes (X)$0$0$0
Karen O'Brien
Director2.03.0Yes (X)$0$0$0
Kathy Dickenson
Director2.01.0Yes (X)$0$0$0
Laural H Brinkley
VP CLINICAL SERVICES CHIEF NURSING OFFICER40.05.0Yes (X)$137,019$0$20,171
Marjorie Clagett
Director1.01.0Yes (X)$0$0$0
Mike Cox
Director1.01.0Yes (X)$0$0$0
Sally Showalter
Director1.51.0Yes (X)$0$0$0
Samuel Foster MD
Director4.01.0Yes (X)$36,663$0$0
Scott Reeves
Director / Treasurer1.03.0Yes (X)$0$0$0
Stephanie Dabulis MD
Director40.01.0Yes (X)$37,000$0$0
Uday Patel MD
Director1.01.0Yes (X)$0$0$0
Wilson Parran
Director / Vice Chairperson1.01.0Yes (X)$0$0$0
Yolanda Wilson
Director1.01.0Yes (X)$0$0$0
Anthony M Bladen
CHIEF OPERATING OFFICER40.05.0Yes (X)$748,647$0$47,639
Carolyn M Heithaus
VP FINANCE40.08.0Yes (X)$613,746$0$56,711
Christian J Sorochty
VICE PRESIDENT HUMAN RESOURCES40.05.0Yes (X)$105,487$0$2,106
Joseph Patrick Garcia-Valle
CHIEF COMPLIANCE COUNSEL40.05.0Yes (X)$251,123$0$11,238
Melissa Hall
VP CLINICAL SERVICES CHIEF NURSING OFFICER40.05.0Yes (X)$303,213$0$30,696
Benjamin I Cox
AVP INFORMATION SERVICES/CIO40.05.0$201,515$0$31,235Yes (X)
Diane Couchman
VICE PRESIDENT HUMAN RESOURCES-INTERIM40.05.0$205,477$0$37,434Yes (X)
Kara A Harrer
AVP ANCILLARY OPERATIONS40.05.0$255,419$0$11,395Yes (X)
Kasia A Sweeney
VP STRATEGY & BUSINESS DEVELOPMENT40.05.0$325,108$0$13,129Yes (X)
Nicole M Hedderich
ASSOC VP QUALITY & RISK MGMT40.05.0$236,402$0$11,850Yes (X)
Theodore N Tsangaris MD
VP MEDICAL AFFAIRS/CHIEF MEDICAL OFFICER40.040.0$464,765$0$14,850Yes (X)
Theresa L Johnson
VP BRAND STRATEGY & PHILANTHROPY40.05.0$311,287$0$13,191Yes (X)
Franklin Daley
PLANT OPERATIONS PROJECT COORDINATOR40.00.0$241,594$0$13,879Yes (X)
Kathleen Lanham
CHARGE NURSE40.00.0$203,280$0$10,998Yes (X)
Kimberly S Girard
CHARGE NURSE40.00.0$181,306$0$8,627Yes (X)
Peter Gloggner
VICE PRESIDENT HUMAN RESOURCES40.05.0$266,273$0$4,051Yes (X)
Richard Pellegrino
DIRECTOR FINANCIAL PLANNING & REIMBURSEMENT40.00.0$182,842$0$8,246Yes (X)
Dean Teague
PRESIDENT & CEO-RETIRED40.08.0$1,144,434$0$2,606Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,233,148TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$452,648TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K164IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
L2 CONSTRUCTION MANAGEMENT CORP
15002 NORTHRIDGE DR SUITE 150ChantillyVA20151Construction$4,571,952
MDICS AT CALVERT LLC
7250 PARKWAY DRIVE SUITE 500HanoverMD21076Medical Services$2,956,031
BENERATION LLC
2124 RACE STREET GROUND FLOORPhiladelphiaPA19103Health Benefits$1,661,946
COMPUTER DESIGN & INTEGRATION LLC
PO BOX 23246New YorkNY100873246Computer Consulting$1,499,038
CFA LLC
1501 S CLINTON ST 7TH FLOORBaltimoreMD21224Health Benefits$1,036,600
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K113CntrctRcvdGreaterThan100KCnt
Related Organizations$1,071,762RelatedOrganizationsAmt
All Other Contributions$1,883,753AllOtherContributionsAmt
Total Contributions$2,955,515TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Inpatient Revenue621110$66,041,163$66,041,163
Outpatient Revenue621110$69,048,027$69,048,027
Emergency Revenue621110$26,087,743$26,087,743

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$161,176,933TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,711TotalRevenueColumnAmt
Exclusion$64,711ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$408,386RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$408,386RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$408,386TotalRevenueColumnAmt
Unrelated Business Revenue$26,400UnrelatedBusinessRevenueAmt
Exclusion$381,986ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$175,741SecuritiesAmt
Other$6,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$175,741SecuritiesAmt
Other$6,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$181,741TotalRevenueColumnAmt
Exclusion$181,741ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria Sales722514$638,925$638,925
Building Services Fees811000$251,528$251,528
Amber EHR Service Revenue621910$210,513$210,513

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$448,027TotalRevenueColumnAmt
Related Or Exempt Func Income$420,056RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$27,971UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,548,993OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,336,279TotalRevenueColumnAmt
Related Or Exempt Func Income$162,446,427RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$305,899UnrelatedBusinessRevenueAmt
Exclusion$628,438ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,939,081TotalAmt
Program Services$791,237ProgramServicesAmt
Management And General$4,147,844ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$66,111,319TotalAmt
Program Services$60,546,573ProgramServicesAmt
Management And General$5,564,746ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,457,845TotalAmt
Program Services$2,121,858ProgramServicesAmt
Management And General$335,987ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,285,425TotalAmt
Program Services$5,426,207ProgramServicesAmt
Management And General$859,218ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,086,106TotalAmt
Program Services$4,390,835ProgramServicesAmt
Management And General$695,271ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$129,707TotalAmt
Management And General$129,707ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$219,087TotalAmt
Management And General$219,087ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,943,214TotalAmt
Program Services$13,201,591ProgramServicesAmt
Management And General$1,741,623ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$182,417TotalAmt
Program Services$157,481ProgramServicesAmt
Management And General$24,936ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,226,983TotalAmt
Program Services$4,512,454ProgramServicesAmt
Management And General$714,529ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,098,484TotalAmt
Program Services$2,674,921ProgramServicesAmt
Management And General$423,563ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,452,688TotalAmt
Program Services$4,707,306ProgramServicesAmt
Management And General$745,382ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$116,184TotalAmt
Program Services$100,302ProgramServicesAmt
Management And General$15,882ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$106,165TotalAmt
Program Services$91,652ProgramServicesAmt
Management And General$14,513ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,071,891TotalAmt
Program Services$925,364ProgramServicesAmt
Management And General$146,527ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,286,972TotalAmt
Program Services$5,393,947ProgramServicesAmt
Management And General$4,893,025ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,643,685TotalAmt
Program Services$1,418,993ProgramServicesAmt
Management And General$224,692ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$25,506,923$25,506,923
REPAIRS AND MAINTENANCE$6,469,021$5,584,706$884,315
PURCHASED SERVICES$4,974,058$4,294,104$679,954
Bad Debt Expense$139,571$120,492$19,079

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$164,446,826TotalAmt
Program Services$141,966,946ProgramServicesAmt
Management And General$22,479,880ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,947,880BOYAmt
EOY$3,294,309EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$398,562BOYAmt
EOY$818,568EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,896,236BOYAmt
EOY$18,956,724EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$266,881BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,864,110BOYAmt
EOY$2,758,249EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,829,138BOYAmt
EOY$2,753,846EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$242,678,426LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$152,095,257LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$89,035,356BOYAmt
EOY$90,583,169EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$816,889BOYAmt
EOY$602,280EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$273,961BOYAmt
EOY$263,514EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$11,348,314BOYAmt
EOY$12,481,208EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,617,890BOYAmt
EOY$12,264,927EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$143,295,217BOYAmt
EOY$144,776,794EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,829,883BOYAmt
EOY$25,017,432EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$75,000BOYAmt
EOY$70,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,846,901BOYAmt
EOY$14,807,427EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$32,380,750BOYAmt
EOY$31,102,775EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,871,500BOYAmt
EOY$16,181,882EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,004,034BOYAmt
EOY$87,179,516EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$54,510,103BOYAmt
EOY$54,009,584EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,781,080BOYAmt
EOY$3,587,694EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,291,183BOYAmt
EOY$57,597,278EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$143,295,217BOYAmt
EOY$144,776,794EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,889,453ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,583,358OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,239,640OtherCostOrOtherBasisAmt
Book Value$5,239,640BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$104,138,447OtherCostOrOtherBasisAmt
Depreciation$58,604,964DepreciationAmt
Book Value$45,533,483BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,560,559OtherCostOrOtherBasisAmt
Depreciation$2,593,497DepreciationAmt
Book Value-$32,938BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,105,652OtherCostOrOtherBasisAmt
Depreciation$87,634,095DepreciationAmt
Book Value$36,471,557BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,634,128OtherCostOrOtherBasisAmt
Depreciation$3,262,701DepreciationAmt
Book Value$3,371,427BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$90,583,169TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Freestate$33,875F
Investment in CPHA$4,227,267F
INVESTMENT IN FOUNDATION$7,560,155F
Investment in Choiceone$659,911F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$12,481,208TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
LT BOND FINANCING COSTS$72,749
OTHER RECEIVABLES$817,162
GOODWILL$15,000
MALPRACTICE INS RECOVERY$5,720,463
DUE FROM RELATED PARTIES$75,459
Right of Use Asset$5,564,094
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,264,927TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
EXECUTIVE 457B 457F PLANS$605,938
ADVANCES FROM THIRD PARTIES$3,662,370
ACCRUED PENSION COSTS$758,858
PROFESSIONAL LIABILITY$6,745,130
Other liabilities$3,401,232
capital lease liability$1,008,354
FieldValueIRS element (for citing)
Total Liability$16,181,882TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationThe Medical Center is exempt from federal income tax under section 501(c)(3) of the IRC as a public charity. The Medical Center is entitled to rely on this determination as long as there are no substantial changes in its character, purposes, or methods of operation. Management has concluded that there have been no such changes and, therefore, the Medical Center's status as a public charity exempt from federal income taxation remains in effect. The state in which the Medical Center operates also provides general exemption from state income taxation for organizations that are exempt from federal income taxation. However, the Medical Center is subject to both federal and state income taxation at corporate tax rates on its unrelated business income. Exemption from other state taxes, such as real and personal property taxes, is separately determined. The Medical Center had no unrecognized tax benefits or such amounts were immaterial during the periods presented. For tax periods with respect to which no unrelated business income was recognized, no tax return was required. Management has also considered the impact of unrelated business activities and has concluded that the Medical Center is not subject to unrelated business tax or any other taxes that could be imposed by the IRC or state taxing authorities. As such, no provision is made for income taxes and no asset or liability has been recognized for deferred taxes.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,594,412TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,594,412NetCommunityBenefitExpnsAmt
Total Expense0.0158TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,594,412TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,594,412NetCommunityBenefitExpnsAmt
Total Expense0.0158TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$862,086TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,397DirectOffsettingRevenueAmt
Net Community Benefit Expns$806,689NetCommunityBenefitExpnsAmt
Total Expense0.0049TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,734TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92,734NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,208,712TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$104,261DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,104,451NetCommunityBenefitExpnsAmt
Total Expense0.0067TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,578TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$44,578NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,208,110TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$159,658DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,048,452NetCommunityBenefitExpnsAmt
Total Expense0.0125TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$4,802,522TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$159,658DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,642,864NetCommunityBenefitExpnsAmt
Total Expense0.0282TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,685TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,685NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,256TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,256NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,983TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,983NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,413TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,413NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,283TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,283NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$125,620TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$125,620NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$597,875BadDebtExpenseAmt
Bad Debt Expense Attributable$492,589BadDebtExpenseAttributableAmt
Reimbursed By Medicare$64,751,237ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$54,650,921CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$10,100,316MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Calverthealth Medical Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Hospital RoadAddressLine1Txt
CityPrince FrederickCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20678ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.calverthealthmedicine.orgWebsiteAddressTxt
State License04-001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Calverthealth Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted23CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.calverthealthmedicine.org/Community-Health-Needs-AssessmentOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.healthycalvert.org/content/sites/calverthospital/CHNA/2023/CalvertHealth_FY_2023-2025_CHStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CALVERTHEALTHMEDICINE.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CALVERTHEALTHMEDICINE.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CALVERTHEALTHMEDICINE.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - CalvertHealth Medical Center, Inc.. Facility and community leaders conducted a community wide online survey and conducted key informant interview.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - CalvertHealth Medical Center, Inc.. Calvert County Government, Calvert County Government Office of Aging, Calvert County Health Department, Calvert County Library, Calvert County Parks and Recreation, Calvert County Sheriff's Department, Local Behavioral Health Authority, NAACP and St. John Vianney Catholic Church
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - CalvertHealth Medical Center, Inc.. See implementation strategy on website.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - CalvertHealth Medical Center, Inc.. The facility uses the FPG in addition to state mandated assistant programs, which are HSCRC state mandated programs.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
calverthealth outpatient rehabilitation
130 HOSPITAL ROAD SUITE 103Prince FrederickMD20678Outpatient Rehab
calverthealth outpatient rehabilitation
10845 TOWN CENTER BLVD SUITE 100DunkirkMD20754Outpatient Rehab
calverthealth outpatient rehabilitation
14090 HG TRUEMAN ROAD SUITE 1500SolomonsMD20688Outpatient Rehab
SHELDON E GOLDBERG CTR FOR BREAST CARE
130 HOSPITAL ROAD SUITE 201Prince FrederickMD20678Outpatient Clinic

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 5aCHMC OFFERS FREE OR DISCOUNTED CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR THEIR SERVICES AND MEET THE ELIGIBILITY CRITERIA REGARDLESS OF THE AMOUNT BUDGETED FOR FINANCIAL ASSISTANCE IN THE HOSPITAL'S ANNUAL OPERATING PLAN.
Schedule H, Part I, Line 6aMARYLAND'S HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) REQUIRES ALL MARYLAND HOSPITALS TO COMPLETE AND SUBMIT A COMMUNITY BENEFITS REPORT ANNUALLY. THE HSCRC IS RESPONSIBLE FOR COLLECTING THE DATA FROM THE INDIVIDUAL HOSPITALS AND COMPILING A STATEWIDE DOCUMENT THAT CONTAINS SUMMARY INFORMATION AS WELL AS INDIVIDUAL HOSPITAL REPORTS. THE STATEWIDE DOCUMENT IS MADE AVAILABLE TO THE PUBLIC ON THE HSCRC'S WEBSITE.
Schedule H, Part I, Line 7MARYLAND'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. COMMUNITY BENEFIT EXPENSES ARE EQUAL TO MEDICAID REVENUES IN MARYLAND, AS SUCH, THE NET EFFECT IS ZERO. THE EXCEPTION TO THIS IS THE IMPACT ON THE HOSPITAL OF ITS SHARE OF THE MEDICAID ASSESSMENT. IN RECENT YEARS, THE STATE OF MARYLAND HAS CLOSED FISCAL GAPS IN THE STATE MEDICAID BUDGET BY ASSESSING HOSPITALS THROUGH THE RATE SETTING SYSTEM.
Schedule H, Part V, Section B, Line 22PURSUANT TO THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) ALL-PAYOR SYSTEM FOR HOSPITALS IN THE STATE OF MARYLAND, THE GREATEST DISCOUNT OFF OF GROSS CHARGES FOR THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PERMITTED TO ANY COMMERCIAL INSURER OR MEDICARE IS ONLY 6%. AS A RESULT, THE HOSPITAL FACILITY WAS ABLE TO DETERMINE THAT THE MAXIMUM AMOUNT CHARGED TO INDIVIDUALS THAT WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY WAS NOT GREATER THAN THE AMOUNT GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationCalvert County Government, Calvert County Government Office of Aging, Calvert County Health Department, Calvert County Library, Calvert County Parks and Recreation, Calvert County Sheriff's Department, Local Behavioral Health Authority, NAACP and St. John Vianney Catholic Church
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE COSTING METHODOLOGY USED TO CALCULATE AMOUNTS REPORTED IN LINE 7 WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
Schedule H, Part II Community Building ActivitiesCHMC IS RECOGNIZED AS A LEADER IN THE PROVISION OF HEALTH CARE IN THE LOCAL AREA. IT PARTNERS WITH MANY ORGANIZATIONS AND AGENCIES TO EXPAND THE REACH FOR IMPROVING THE HEALTH OF ITS COMMUNITY. Community Support FARMERS MARKET - PROMOTES LOCAL FARMERS AND PRODUCERS OF GOODS, PROMOTES HEALTHY EATING AND PROVIDES VENUE FOR NUTRITIOUS FOOD, AND INFORMATION TO REDUCE FOOD INSECURITIES. MOBILE HEALTH UNIT AND COMMUNITY WELLNESS ONSITE AT MARKET TO PROVIDE EDUCATION AND SOME SCREENING SERVICES. MEN'S HEALTH EXPO - PROVIDES EDUCATION, AWARENESS, AND RESOURCE TOPICS HIGHLIGHTING MEN'S HEALTH AT EVENTS IN THE COMMUNITY. Leadership development and training for community members COMMUNITY EDUCATION/PRESENTATIONS/HEALTH FAIRS/SCHOOLS - PROVIDES EDUCATION, RESOURCES, AND AWARENESS THROUGHOUT THE COMMUNITY AT SCHOOLS, FOOD PANTRIES, BUSINESSES, CHURCHES, AND COMMUNITY PARTNERS TO HIGHLIGHT THE AREAS OF HEALTH WHERE IMPROVEMENT IS NEEDED. DIABETES WELLNESS WORKSHOP - PROVIDES EDUCATION, AWARENESS, SUPPORT, AND PREVENTION FOR COMMUNITY MEMBERS AND CAREGIVERS THAT HAVE EXPERIENCED DIABETES OR HAVE A LOVED ONE WHO HAS EXPERIENCED DIABETES. PARKINSONS WELLNESS WORKSHOP - PROVIDES EDUCATION, AWARENESS, SUPPORT, AND PREVENTION FOR COMMUNITY MEMBERS AND CAREGIVERS THAT HAVE EXPERIENCED PARKINSONS OR HAVE A LOVED ONE WHO HAS EXPERIENCED PARKINSONS. STROKE WELLNESS WORKSHOP - PROVIDES EDUCATION, AWARENESS, SUPPORT, AND PREVENTION FOR COMMUNITY MEMBERS AND CAREGIVERS THAT HAVE EXPERIENCED A STROKE OR HAVE A LOVED ONE WHO HAS EXPERIENCED A STROKE. Coalition building DIABETES EXPO - EVENT HOSTED BY 42 VENDORS AND IMPLEMENTED STRATEGIES BASED ON THE MARYLAND DEPARTMENT OF HEALTH DIABETES ACTION PLAN WHICH PROVIDED A DIABETES FOCUSED COMMUNITY EVENT THAT EDUCATED, PROVIDED RESOURCES, CREATED AWARENESS, AND PROMOTED PREVENTION. WOMEN'S HEALTH EXPO, FAIRS, LUNCHEONS - PROVIDE EDUCATION, AWARENESS, AND RESOURCE TOPICS HIGHLIGHTING WOMEN'S HEALTH AT EVENTS IN THE COMMUNITY. BEHAVIORAL HEALTH OUTREACH - COLLABORATE WITH COMMUNITY PARTNERS TO ADDRESS BEHAVIORAL HEALTH AND SUBSTANCE ABUSE, INCLUDING STRESS REDUCTION AND COPING SKILLS. TOBACCO ROAD SHOW - EXPANSION OF EXISTING PROGRAM WHICH EDUCATES CHILDREN ON RISKS AND HEALTH IMPACT OF TOBACCO USE, INCLUDING SMOKING AND VAPING. ADVERTISING FOR COMMUNITY PROGRAMS - ADVERTISING FOR COMMUNITY EDUCATIONS PROGRAMS, PODCASTS, VLOGS, AND BLOGS TO EDUCATE THE COMMUNITY ON HEALTH INFORMATION AND RESOURCES AVAILABLE. Community health improvement advocacy VARIOUS TUMOR BOARDS INCLUDING BREAST, MULIT-D, AND THORACIC - A MULTI-DISCIPLINARY TEAM WORKING COLLABORATIVELY TOGETHER TO IMPROVE AND NAVIGATE THE CARE OF PATIENTS WITH VARIOUS CANCERS, THE TEAM INCLUDES LOCAL HOSPITALS AND OTHER HEALTH CARE PROVIDERS. CANCER COMMITTEE - COMMITTEE PROVIDES CANCER SCREENINGS AND EDUCATION PROGRAMS IN THE COMMUNITY. DEVELOPS COMMUNITY RESOURCES TO EDUCATE AND CREATE AWARENESS ON CANCER, INCLUDING SKIN, ORAL, PROSTATE, LUNG, AND BREAST. CANCER SURVIVORSHIP - PROVIDES EDUCATION, RESOURCES, AND SUPPORT TO CANCER SURVIVORS AND THEIR SUPPORT PEOPLE. OPIOID STEWARDSHIP COMMITTEE - CROSS SECTIONAL HEALTH CARE TEAM TO ADDRESS OPIOID EPIDEMIC ON WAYS HOSPITALS CAN REDUCE USE OF OPIOID FOR PAIN MANAGEMENT, EDUCATE PATIENTS AND PHYSICIAN ABOUT DANGERS OF OPIOID USE AS WELL AS DEVELOP POLICIES AND PROTOCOL FOR THE HEALTH SYSTEM. THIS TEAM ALSO WORKS COLLABORATIVELY WITH OTHER COMMUNITY AGENCIES AND PROGRAMS TO PROVIDE A "COMMUNITY WIDE" APPROACH TO HELP SOLVE THE OPIOID EPIDEMIC. PATIENT ENGAGEMENT & RIGHTS COMMITTEE - STAFF AND COMMUNITY MEMBERS EVALUATE AND UPDATE HOSPITAL FORMS, PROCESS, POLICIES AND COMMUNICATION TOOLS TO ENSURE ALL PATIENTS RECEIVE ADEQUATE SERVICES WITHIN THEIR OWN LANGUAGE AND SPECIAL NEEDS. HEALTH MINISTRY - CHIR (COMMUNITY HEALTH INNOVATION REGION) SUBCOMMITTEE THAT SUPPORTS AND EDUCATES FAITH COMMUNITY IN AN EFFORT TO IMPROVE THE HEALTH OF COMMUNITY MEMBERS. ADOLESCENT CLUBHOUSE - PROVIDES RESOURCES, EDUCATION, AND AWARENESS ADDRESSING THE FOLLOWING; HEALTHY BEHAVIORS INCLUDING ANTI-VAPING, ANTI-TOBACCO AND ANTI-MARIJUANA, NUTRITION AND PREPARING HEALTHY MEALS, FITNESS AND PHYSICAL ACTIVITY THROUGH ACTIVITIES SUCH AS TEAM BUILDING, GAMES, WORK GROUPS, AND DEMONSTRATIONS. ASK THE EXPERT - PROVIDES COMMUNITY RESOURCES, EDUCATION, AND HEALTH SERVICES TO INCREASE UNDERSTANDING OF MEDICATIONS, PROVIDES BLOOD PRESSURE SCREENINGS, PROVIDES FITNESS CONSULTATIONS AND CLASSES TO INCREASE MOBILITY, AND INCREASE REFERRALS FOR FOLLOW UP CARE WITH PROVIDERS TO INCREASE COMPLIANCE. COOL KIDS CAMP - PROVIDES EDUCATION AND AWARENESS TO ENCOURAGE ELEMENTARY AND MIDDLE SCHOOL AGED CHILDREN TO LIVE A LIFE OF HEALTHY BEHAVIORS INCLUDING PHYSICAL ACTIVITY AND EATING HEALTHY. BARIATRIC INFORMATION SESSIONS AND WELLNESS WORKSHOPS - INFORMATION SESSIONS PROVIDED FOR COMMUNITY BY BARIATRIC SURGEON TO PROMOTE HEALTHY WEIGHT AND LIFESTYLE. WORKSHOPS PROVIDE EDUCATION, AWARENESS, SUPPORT FOR COMMUNITY MEMBERS TO MANAGE WEIGHT. CALVERT COUNTY INTERAGENCY COUNCIL AND COMMUNITY HEALTH IMPROVEMENT ROUNDTABLE - COMMUNITY PARTNERSHIPS THAT PROVIDE RESOURCES AND EDUCATION THROUGHOUT NONPROFIT ORGANIZATIONS AND COMMUNITY LEADERS; AND MEETINGS THAT PROMOTE CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) HEALTH PRORITIES. CLERGY PROGRAMS - PROVIDES EDUCATION AND SUPPORT TO INTERFAITH COUNTY ORGANIZATIONS, SUPPORT PROGRAMS, AND PARISHES INCLUDING PROVIDING GRIEF SUPPORT FOR THE HOLIDAYS. DIABETES COMMUNITY CLASSES - FREE CLASSES OFFERED TO THE COMMUNITY TO EDUCATE, PREVENT, AND PROVIDE SUPPORT TO INDIVIDUALS WITH DIABETES OR PRE-DIABETES. THERAPUTIC RECREATION HEALTH LIFESTYLES - PROVIDES EDUCATION ON HEALTHY LIVING AND NUTRITION TO ADULTS WITH DISABILITIES. Workforce development LBHA COALITION BUILDING - HOSPITAL REPRESENTATION ON LBHA COMMITTEE MEETINGS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountA procedure similar to that used to determine contractual allowances is used to determine the allowance for doubtful accounts. Historical collections data, from the same periods as used in the contractual procedures, is used to determine collections percentages by service line (in-patient, out-patient, unregulated, etc.) per aging category. Those percentages are then applied to the outstanding AR to determine the amounts likely collectible and uncollectible. The amount determined unlikely to be collected is placed to the allowance. Calvert attempts to collect on services provided at the time the service is provided. For scheduled procedures, Calvert attempts to collect the pertinent patient information and gives the patient notice of what the amount due will be before they are scheduled. A bill is sent to each patient, whether scheduled or unscheduled, approximately 3 days after the services were provided. If the amount remains unpaid, the patient will receive additional bills at approximately 30, 60, 90 days and a final notice after the service was provided. Final screenings for charity and patient calls are made before the account is sent to a collection agency. The account is typically aged at greater than 120 days before reaching an agency.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe estimated bad debt expense attributable to patients eligible under the organization's financial assistance policy is the ratio of patient care cost to charges to the organization's bad debt expense for the year ($597,875) * 82.39%
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteCalvert patients who are covered by third party payors are responsible for related deductibles and coinsurance, which vary in amount. The Hospital also provides services to uninsured patients, and offers those uninsured or underinsured patients financial assistance, by either policy or law, from standard charges. The Hospital estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charges by any explicit price concession, financial assistance, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustment to net patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense (Pg. 15 of the Audited Financial Statements). Calvert attempts to collect on services provided at the time the service is provided. For scheduled procedures, Calvert attempts to collect the pertinent patient information and gives the patient notice of what the amount due will be before they are scheduled. A bill is sent to each patient, whether scheduled or unscheduled, approximately 3 days after the services were provided. If the amount remains unpaid, the patient will receive additional bills at approximately 30, 60, 90 days and a final notice after the service was provided. Final screenings for charity and patient calls are made before the account is sent to a collection agency. The account is typically aged at greater than 120 days before reaching an agency.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE COSTING SOURCE IS THE MEDICARE COST REPORT AND THE METHODOLOGY IS MEDICARE ALLOWABLE COST TO MEDICARE REVENUES RECEIVED.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceAS STATED IN CALVERT HEALTH SYTEM'S (CHS) FINANCIAL ASSISTANCE POLICY, PART IV, SECTION H: CHS'S MANAGEMENT SHALL DEVELOP POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR FINANCIAL ASSISTANCE FROM CHS, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH CHS. DURING THE FINANCIAL ASSISTANCE APPLICATION PROCESS, THE HOSPITAL WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES IF THE PATIENT COOPERATES WITH THE APPLICATION PROCESS.
Schedule H, Part V, Section B, Line 16a FAP website- Calverthealth Medical Center, Inc.: Line 16a URL: WWW.CALVERTHEALTHMEDICINE.ORG;
Schedule H, Part V, Section B, Line 16b FAP Application website- Calverthealth Medical Center, Inc.: Line 16b URL: WWW.CALVERTHEALTHMEDICINE.ORG;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Calverthealth Medical Center, Inc.: Line 16c URL: WWW.CALVERTHEALTHMEDICINE.ORG;
Schedule H, Part VI, Line 2 Needs assessmentTHROUGHOUT FY 2024, THE HOSPITAL CONTINUED TO UTILIZE THE HEALTH COMMUNITY INSTITUTE'S COMMUNITY PLATFORM (HEALTHYCALVERT.ORG) TO PROVIDE HEALTH INDICATORS AS AN ONGOING ASSESSMENT OF THE NEEDS OF OUR COMMUNITY. HEALTH INDICATORS ARE UPATED AS SOON AS NEW DATA BECOMES AVAILABLE AND ALLOWS THE HOSPITAL AND COMMUNITY MEMBERS TO UTILIZE THE MOST UP-TO-DATE DATA TO ASSESS THE IMPACT OF PROGRAMS AND SERVICES AS WELL AS MODIFY EXISTING PROGRAMS AND SERVICES OR BEGIN INITIATION OF NEW SERVICES BASED UPON TRENDING OF NEW DATA. THE PLATFORM ALSO INCORPORATES THE STATE AND NATIONAL HEALTH IMPROVEMENT GOALS. THIS ALLOWS THE HOSPITAL AND COMMUNITY PARTNERS TO MONITOR IMPACT OF COMMUNITY PROGRAMS BY EVALUATION IF DATA IS TRENDING UP OR DOWN AND TO ENSURE THE HOSPITAL IS TRENDING IN THE CORRECT DIRECTION. AN ADDITIONAL HEALTH INDICATORS, THE FOOD INSECURITY INDEX WAS ADDED IN 2021. THE ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) REPORT CONDUCTED BY THE UNITED WAY WAS ADDED TO THE CHNA INTERACTIVE WEBSITE AS ANOTHER DATA SOURCE. ALICE HOUSEHOLDS REPRESENT MEN AND WOMEN OF ALL AGES AND RACES WHO ARE WORKING BUT UNABLE TO AFFORD THE BASIC NECESSITIES OF HOUSING, FOOD, CHILD CARE, HEALTH CARE AND TRANSPORTATION DUE TO THE LACK OF JOBS THAT CAN SUPPORT BASIC NECESSITIES AND INCREASES IN THE BASIC COST OF LIVING. THE HOSPITAL AND THE LOCAL HEALTH DEPARTMENT CO-HOST QUARTERLY LOCAL HEALTH IMPROVEMENT COALITION MEETINGS TO HEAR INPUT FROM OTHER AGENCIES, HEALTH CARE ORGANIZATIONS, THE SCHOOL SYSTEM, COUNTY GOVERNMENT, LOCAL LAW ENFORCMENT AND OTHER COMMUNITY PARTNERS. DURNG FY 2023, THE STRUCTURE, COLLOBORATION, AND IMPLACT OF THIS COALITION WAS STRENGTHENED BY ESTABLISHING BYLAWS, A GOVERNANCE COMMITTEE, AND FORMALIZING THE WORK OF ITS SUBCOMMITTEES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceNOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHMC INCLUDES A CONTACT NUMBER AND IS DISSEMINATED BY CHMC BY VARIOUS MEANS, WHICH INCLUDES, BUT IS NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN THE EMERGENCY DEPARTMENT, URGENT CARE CENTERS, WAITING ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND PATIENT FINANCIAL SERVICES OFFICES. INFORMATION IS ALSO INCLUDED ON THE HOSPITAL'S WEBSITE AND AT LEAST ANNUALLY, THE HOSPITAL PUBLISHES IN THE LOCAL NEWSPAPERS A NOTICE OF FINANCIAL ASSISTANCE AND ALSO HIGHLIGHTS OTHER PROGRAMS THE HOSPITAL OFFERS FOR PATIENTS WITHOUT INSURANCE OR FOR PATIENTS IN FINANCIAL NEED. NOTIFICATION OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROGRAM IS PROVIDED TO EACH PATIENT AT THE TIME OF REGISTRATION AND A SECOND TIME WHEN PATIENTS RECEIVE THEIR BILL/STATEMENT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY CHMC. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHMC STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, AND CHAPLAINS. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
Schedule H, Part VI, Line 4 Community informationACCORDING TO THE NIELSEN CLARITAS MARCH 2024 POPULATION ESTIMATES, CALVERT COUNTY HAS A POPULATION OF APPROXIMATELY 95,265 PERSONS. THE RACIAL MAKEUP OF CALVERT COUNTY IS SOMEWHAT HOMOGENOUS, WITH 73.1% OF THE POPULATION IDENTIFYING AS WHITE. THE PROPORTION OF BLACK/AFRICAN AMERICAN COMMUNITY MEMBERS IS THE SECOND LARGEST OF ALL RACES IN CALVERT COUNTY AT 13.97% AND IS THE ONLY OTHER RACE THAT MAKES UP MORE THAN 10% OF THE POPULATION. 9.12% OF THE POPULATION OF CALVERT COUNTY IDENTIFIES AS 2+ RACES. THE OVERALL MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $130,287. TWO RACES, WHITE AND ASIAN, HAVE MEDIAN HOUSEHOLD INCOMES THAT FALL ABOVE THE OVERALL MEDIAN VALUE. ALL OTHER RACES ARE BELOW THE OVERALL VALUE WITH NATIVE HAWAIIAN/PACIFIC ISLANDER HAVING THE LOWEST VALUE AT $62,500. IN THIS CASE, IT IS IMPORTANT TO CONSIDER THAT THE AMERICAN INDIAN/ALASKAN NATIVE AND NATIVE HAWAIIAN/PACIFIC ISLANDER SUBGROUPS MAKE UP ONLY 0.34% AND 0.10%, RESPECTIVELY, OF THE COMMUNITY'S POPULATION. THE HIGHEST PERCENTAGE OF FAMILIES LIVING BELOW THE POVERTY LEVEL ARE IN THE FOLLOWING ZIP CODES; 20732 (CHESAPEAKE BEACH), 20678 (PRINCE FREDERICK), 20676 (PORT REPUBLIC), 20689 (SUNDERLAND), AND 20657 (LUSBY).
Schedule H, Part VI, Line 5 Promotion of community healthCALVERT HEALTH MEDICAL CENTER IS AN INDEPENDENT COMMUNITY HOSPITAL LOCATED IN SOUTHERN MARYLAND. THE 90,000 COMMUNITY MEMBERS SERVED HAVE ACCESS TO OTHER HOSPITALS WITHIN A 30-MILE RADIUS. CALVERT HEALTH MEDICAL CENTER HAS A 62% MARKET SHARE OF INPATIENT ADMISSIONS. THE MAJORITY OF THE 20 MEMBER BOARD ARE LOCATED WITHIN THE COUNTY. THE 300 MEMBER MEDICAL STAFF IS COMPRISED OF EMPLOYED AND PRIVATE PRACTICING PROVIDERS FROM THE COUNTY AND SURROUNDING COUNTIES. THE HOSPITAL RENOVATED THE INPATIENT MEDICAL SURGICAL AREA TO PROVIDE ALL PRIVATE ROOMS AND MODERNIZE THE PATIENT CARE AREA.
Schedule H, Part VI, Line 6 Affiliated health care systemCHMC IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, CALVERT HEALTH SYSTEM, INC. (CHS) THAT COOPERATES IN PROVIDING HEALTH CARE SERVICES TO ITS COMMUNITY. THE HOSPITAL, AS A SOLE COMMUNITY PROVIDER, PROVIDES ESSENTIAL HEALTH CARE SERVICES SUCH AS OBSTETRICS, PSYCHIATRY (INPATIENT AND OUTPATIENT) AND EMERGENCY SERVICES THAT OTHERWISE WOULD NOT BE PROVIDED WITHIN CALVERT COUNTY DUE TO THEIR UNPROFITABLE NATURE (HIGH COST SERVICES WITH LOW REIMBURSEMENT), OR WOULD NEED TO BE PROVIDED BY ANOTHER TAX-EXEMPT ORGANIZATION OR THE GOVERNMENT. FOR THE 2022 TAX YEAR, THE HOSPITAL PROVIDED CHARITY CARE, AT COST, TO PATIENTS THAT QUALIFIED FOR FINANCIAL ASSISTANCE. IN ADDITION TO THE HOSPITAL, CHS IS ALSO THE SOLE MEMBER AND EMPLOYER OF A PHYSICIAN GROUP, CALVERTHEALTH MEDICAL GROUP, LLC, WHICH PROVIDES PRIMARY AND SPECIALTY CARE SERVICES TO CALVERTHEALTH MEDICAL CENTER, THE COMMUNITY. THE PROVISION OF THESE PHYSICIAN SERVICES TO THE COMMUNITY MEETS AN IDENTIFIED NEED.
Schedule H, Part VI, Line 7 State filing of community benefit reportMD

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dean Teague
PRESIDENT & CEO-RETIRED$135,000$0$135,000$0$874,434$0$2,606$0$0$0$1,147,040$0$0$0
Jeremy S Bradford
PRESIDENT & CEO$565,548$0$220,694$0-$6,369$0$89,030$0$13,566$0$882,469$0$0$0
Laural H Brinkley
VP CLINICAL SERVICES CHIEF NURSING OFFICER$146,662$0$0$0-$9,643$0$6,602$0$13,569$0$157,190$0$0$0
Anthony M Bladen
CHIEF OPERATING OFFICER$487,722$0$113,351$0$147,574$0$41,956$0$5,683$0$796,286$0$0$0
Carolyn M Heithaus
VP FINANCE$448,642$0$69,619$0$95,485$0$50,397$0$6,314$0$670,457$0$0$0
Melissa Hall
VP CLINICAL SERVICES CHIEF NURSING OFFICER$262,806$0$36,447$0$3,960$0$27,744$0$2,952$0$333,909$0$0$0
Joseph Patrick Garcia-Valle
CHIEF COMPLIANCE COUNSEL$228,289$0$22,672$0$162$0$11,076$0$162$0$262,361$0$0$0
Theodore N Tsangaris MD
VP MEDICAL AFFAIRS/CHIEF MEDICAL OFFICER$472,915$0$0$0-$8,150$0$14,850$0$0$0$479,615$0$0$0
Kasia A Sweeney
VP STRATEGY & BUSINESS DEVELOPMENT$240,774$0$88,010$0-$3,676$0$13,129$0$0$0$338,237$0$0$0
Theresa L Johnson
VP BRAND STRATEGY & PHILANTHROPY$243,870$0$34,800$0$32,617$0$13,191$0$0$0$324,478$0$0$0
Kara A Harrer
AVP ANCILLARY OPERATIONS$212,473$0$27,351$0$15,595$0$10,965$0$430$0$266,814$0$0$0
Nicole M Hedderich
ASSOC VP QUALITY & RISK MGMT$201,378$0$33,082$0$1,942$0$10,016$0$1,834$0$248,252$0$0$0
Diane Couchman
VICE PRESIDENT HUMAN RESOURCES-INTERIM$202,352$0$0$0$3,125$0$26,359$0$11,075$0$242,911$0$0$0
Benjamin I Cox
AVP INFORMATION SERVICES/CIO$204,278$0$0$0-$2,763$0$9,702$0$21,533$0$232,750$0$0$0
Peter Gloggner
VICE PRESIDENT HUMAN RESOURCES$0$0$3,923$0$262,350$0$4,051$0$0$0$270,324$0$0$0
Franklin Daley
PLANT OPERATIONS PROJECT COORDINATOR$188,826$0$50,000$0$2,768$0$11,681$0$2,198$0$255,473$0$0$0
Kathleen Lanham
CHARGE NURSE$194,087$0$1,100$0$8,093$0$10,998$0$0$0$214,278$0$0$0
Richard Pellegrino
DIRECTOR FINANCIAL PLANNING & REIMBURSEMENT$182,277$0$0$0$565$0$8,246$0$0$0$191,088$0$0$0
Kimberly S Girard
CHARGE NURSE$179,108$0$1,750$0$448$0$8,300$0$327$0$189,933$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companionsTHE PRESIDENT/CEO RECEIVED BENEFITS THAT ARE INCLUDED IN PART I, LINE 1.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING EMPLOYEES CONTRIBUTED TO (EMPLOYEE AND EMPLOYER PORTION) THE ORGANIZATION'S 457(F) DEFERRED COMPENSATION PLAN: Anthony Bladen: $1,863 Jeremy Bradford: $74,180 Carolyn Heithaus: $35,547 Melissa Hall: $14,963

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Maryland Health and Higher Educational Facilities Autority
A5209360912021-04-15$16,539,000Refund the Series 2015 revenue bondsfalsefalsefalse
Maryland Health and Higher Educational Facilities Authority
B5209360912023-07-03$31,169,000Refund the Series 2023 Revenue Bondsfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,263,000$16,539,000$125,431$16,413,569Yes (true)falseYes (true)Yes (true)
B$31,169,000$31,169,000Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Bfalsefalsefalsefalse0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)
BfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CALVERT INTERNAL MEDICINE GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDR. FOSTER IS A PARTNER IN CALVERT INTERNAL MEDICINE GROUPRelationshipDescriptionTxt
Transaction$461,242TransactionAmt
TransactionPHYSICIAN SERVICESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholdersCalvert Health System, Inc. (CHS) is the sole member of CalvertHealth Medical Center (CHMC).
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyBoard members of CalvertHealth Medical Center (CHMC) are also board members of Calvert Health System, Inc. (CHS). There is common supervision or control by the persons supervising or controlling both CHS and CHMC. and management positions at CHS are held by the same individuals that hold such management positions at CHMC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersBecause Calvert Health System, Inc. (CHS) and CalvertHealth Medical Center (CHMC) have the same board members and managements, any governance decisions of CHMC are under the supervision of and subject to approval by CHS.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE CALVERT HEALTH SYSTEM, INC. BOARD OF DIRECTORS AFTER COMPLETION AND PRIOR TO SUBMISSION TO THE IRS. THE DOCUMENT IS DELIVERED TO THE COMMITTEE MEMBERS PRIOR TO THE COMMITTEE MEETING SO THAT THEY CAN REVIEW THE INFORMATION AND RESPOND TO OR QUESTION ANY OR ALL OF THE DATA. THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER ARE PRESENT AT THE AUDIT COMMITTEE MEETING. PRIOR TO SUBMISSION TO THE IRS, A COPY OF THE FINAL FORM 990 IS POSTED ON THE BOARD OF DIRECTORS PORTAL WHICH IS PASSWORD-PROTECTED. ALL BOARD MEMBERS ARE NOTIFIED BY EMAIL THAT THE FORM 990 HAS BEEN POSTED ON THE PORTAL AND IS AVAILABLE FOR REVIEW. ANY ADDITIONAL COMMENTS OR QUESTIONS FROM BOARD MEMBERS ARE RESPONDED TO PRIOR TO FILING THE FORM 990.
Form 990, Part VI, Line 12c Conflict of interest policyCALVERT HEALTH SYSTEM, INC. AND SUBSIDIARIES (THE HEALTH SYSTEM) HAVE A CONFLICT OF INTEREST PROCESS. AT ITS CORE ARE THREE DISTINCT POLICIES; ONE EACH FOR THE BOARD OF DIRECTORS, MEDICAL STAFF, AND ALL EMPLOYEES AND ASSOCIATES OF THE HEALTH SYSTEM. THESE POLICIES REQUIRE ALL ORGANIZATIONAL LEADERSHIP, AS WELL AS RANK AND FILE ASSOCIATES IN KEY POSITIONS OR WITH RELATIONSHIPS WITH OUTSIDE PARTIES THAT DO BUSINESS WITH THE HEALTH SYSTEM, TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. ANNUAL DISCLOSURES ARE REQUIRED AND DOCUMENTED WITH A FURTHER REQUIREMENT TO PROMPTLY SUPPLEMENT WHEN AN ACTUAL OR POTENTIAL CONFLICT IS DISCOVERED OR CREATED. THE HEALTH SYSTEM REQUIRES THAT THESE POLICIES BE CONSTRUED BROADLY TO AVOID THE APPEARANCE OF IMPROPER ACTIVITY AND REQUIRES DISCLOSURE AND RESOLUTION OF POTENTIAL CONFLICTS AS WELL. THE PROCESS IS OVERSEEN BY THE CHIEF COMPLIANCE OFFICER OF THE HEALTH SYSTEM WHO HAS ACCESS TO EXTERNAL RESOURCES, INCLUDING OUTSIDE COUNSEL. REMEDIES RANGE FROM DISCLOSURE AND MONITORING FOR THE MOST ATTENUATED POTENTIAL CONFLICTS TO RESIGNATION/TERMINATION FOR UNRESOLVABLE CONFLICTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, APPROVAL BY BOARD/COMPENSATION COMMITTEE AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS TO DETERMINE COMPENSATION OF THE CEO.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesTHE ORGANIZATION UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, APPROVAL BY BOARD/COMPENSATION COMMITTEE AND CONTEMPORANEOUS WRITTEN SUBSTANTIATION OF THE DECISION-MAKING PROCESS TO DETERMINE COMPENSATION OF THE CEO.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueSupport Fees - Total Revenue: 103500, Related or Exempt Function Revenue: 103500, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Revenue - Total Revenue: 82455, Related or Exempt Function Revenue: 82455, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Oncology Practice Revenue - Total Revenue: 81834, Related or Exempt Function Revenue: 81834, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Billing Revenue - Total Revenue: 76360, Related or Exempt Function Revenue: 76360, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Community Wellness - Total Revenue: 75907, Related or Exempt Function Revenue: 75907, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Physicians Answer Service - Total Revenue: 27971, Related or Exempt Function Revenue: , Unrelated Business Revenue: 27971, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesEquity Contribution - -1983091; CHF - Transfer of Net Assets - 399733;
Form 990, Part XII, Line 2bThe organizations financial statements are audited by an independent accounting firm as part of the consolidated audit of the health system.
Form 990, Part XII, Line 2c Change of oversight process or selection processthe process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CALVERT HEALTH SYSTEM INC
100 HOSPITAL RDPRINCE FREDERICKMD20678522347324HEALTHCAREMD501(c)(3)3nafalse
CMH HOLDING CO
100 HOSPITAL RDPRINCE FREDERICKMD20678522176827REAL ESTATEMD501(c)(2)Calvert Health Systemfalse
CMH II HOLDING CO
100 HOSPITAL RDPRINCE FREDERICKMD20678522178784REAL ESTATEMD501(c)(2)Calvert Health Systemfalse
CalvertHealth Foundation Inc
100 HOSPITAL RDPRINCE FREDERICKMD20678521680647FUNDRAISINGMD501(c)(3)Type ICalvertHealth Medical CenterYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Corelife Calvert Partnership LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11099 Winterson Rd Ste 300AddressLine1Txt
CityLinthicum HeightsCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21090ZIPCd
FieldValueIRS element (for citing)
EIN843544145EIN
Primary ActivitiesHealthcarePrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CALVERT HEALTH VENTURES INC
100 HOSPITAL RDPRINCE FREDERICKMD20678521625432HEALTHCAREMDCHSC Corporation$0$00false
CALVERT COMMUNITY HEALTH INC
100 HOSPITAL RDPRINCE FREDERICKMD20678521996371HEALTHCAREMDCHMCC Corporation$0$01false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CalvertHealth Foundation Inc
C$1,071,762Cash
CMH Holding Co I
K$96,123Cash
CMH Holding Co I
L$239,289Cash
Calvert Health Systems
Q$119,606Cash
Calvert Health Systems
R$800,000Cash
Calvert Health Systems
S$3,825,000Cash

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