2023-05-13T08:01:54+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 201 N FRANKLIN ST TAMPA FL 33602 990 2021-07-01 520591612 Frederick Health Hospital Inc FRED 2405663000 400 WEST SEVENTH STREET FREDERICK MD 21701 THOMAS A KLEINHANZL PRESIDENT AND CEO 2023-05-13 true HANNAH R JACOBS 999009999 Melanie McPeak P01346034 8132254800 2023-05-12 2021 2023-04-26 12:10:37Z THOMAS A KLEINHANZL 400 WEST SEVENTH STREET FREDERICK MD 21701 444579628 false X WWW.FREDERICKHEALTH.ORG X 1897 MD TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. 18 15 3571 286 527031 0 14123721 2164588 401077347 406201939 23432513 9572985 41288 432921 438674869 418372433 0 0 194650075 214900164 36000 33000 579554 189822978 191098059 384509053 406031223 54165816 12341210 696031572 635327125 368824007 336326595 327207565 299000530 X TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. false false 52852334 0 94568288 See Schedule O. 30343663 0 59325599 See Schedule O. 22595846 0 51068277 See Schedule O. 239924302 0 200641966 OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN AND CHILDREN AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 239924302 200641966 345716145 true true false true false false false false true true false true true true false false true false false true false false true false false true true false false true true true false false false false false false true false false false false false false false true true true false false true 298 0 true 3571 true true true false false false false false false false false false true false X 18 15 false false true false true true true true true false true true true true true true true true true true true true MD X HANNAH R JACOBS 2405663350 400 WEST SEVENTH STREET FREDERICK MD 21701 Alan D Mawdsley Treasurer 2.0 2.0 X X 0 0 0 Elizabeth Pakenas Secretary/Treasurer (ended 9/21) 2.0 1.0 X X 0 0 0 Gordon Cooley Vice Chairman 2.0 4.0 X X 0 0 0 Nikki Moberly Secretary 2.0 2.0 X X 0 0 0 Stephen Johnson Chairman 2.0 2.0 X X 0 0 0 Thomas A Kleinhanzl PRESIDENT AND CEO 40.0 10.0 X X 1172096 0 367679 Daryl Boffman Director 2.0 1.0 X 0 0 0 Douglas Stauffer Director (ENDED 6/16/22) 2.0 3.0 X 0 0 0 George Littrell III Director 2.0 1.0 X 0 0 0 Gerrit Schipper MD Past Chief of Staff 2.0 1.0 X 4238 0 0 J Frederick Manning Past Chairman 1.0 2.0 X 0 0 0 James Plamondon Director 2.0 1.0 X 0 0 0 Karlys Kline Chairman, FH Development Council 2.0 1.0 X 0 0 0 Mano Koilpillai Director (ENDED 6/28/22) 2.0 1.0 X 0 0 0 Michele Ghim MD Vice Chief of Staff 2.0 1.0 X 13332 0 0 Mihir M Jani MD Chief of Staff 2.0 42.0 X 0 537424 29523 Nancy Newmister Director 2.0 4.0 X 0 0 0 Patricia Hanberry Director 2.0 1.0 X 0 0 0 Patricia L Ray President of the Auxiliary 4.0 1.0 X 0 0 0 Richard H Ohnmacht Director 2.0 1.0 X 0 0 0 Shuchi Sharma Director 2.0 4.0 X 0 0 0 Thomas Munro MD Chief of Staff/DIR. (ENDED 9/21) 5.0 1.0 X 0 0 0 Hannah R Jacobs Sr. VP & CFO (STARTED 4/4/22) 40.0 6.0 X 277122 0 25790 Michelle K Mahan SR. VP AND CFO (ENDED 4/4/22) 40.0 6.0 X 688930 0 80702 Brent L Purscelley AVP Ambulatory Services 40.0 0 X 176228 0 23937 Cheryl L Cioffi SVP COO 14.0 26.0 X 530783 0 52553 Christopher M Bumbaugh VP HUMAN RESOURCES 30.0 10.0 X 313465 0 28114 Craig F Rosendale VP Chief Compliance Officer 40.0 0 X 270335 0 24645 Diane M McFarland Chief Nursing Officer 40.0 0 X 322169 0 12337 Donald R Schilling VP AMBULATORY SERVICES 6.0 34.0 X 348874 0 28173 Heather R Kirby VP Integrated Care Delivery & CPHO 36.0 4.0 X 307940 0 27586 Jackie L Rice VP CHIEF INFORMATION OFFICER 33.0 7.0 X 314858 0 13508 James B Sherwood VP Business Dev and Strategy 40.0 0 X 206593 0 9641 Jamie B White VP Qlty Assurance & CQO 40.0 0 X 273129 0 15760 Jennifer G Teeter VP CLINICAL INTEGRATION 16.0 24.0 X 314601 0 14695 Kathy J Weishaar VP Medical Affairs & CMO 40.0 2.0 X 321621 0 23925 Kristen B Fletcher VP Chief Compliance Officer 40.0 0 X 156100 0 8503 Mary D Barton VP Business Dev and Strategy 30.0 10.0 X 191650 0 12265 Michael G Mclane Jr VP SUPPORT SVCS 37.0 7.0 X 232967 0 24431 Robin R Rose VP DEVELOPMENT 40.0 0 X 202278 0 24776 Carlos T Graveran DIRECTOR-HOSPICE 24.0 16.0 X 227554 0 25547 Dustin M Simonson Chief Physicist Supv 40.0 0 X 263553 0 28610 Mary A Mcdonald MEDICAL DIR HOSPICE 4.0 36.0 X 338576 0 29874 Michael T Ewing Director of Supply Chain 40.0 0 X 239574 0 21698 Tamara L Kile Medical Director 40.0 0 X 276482 0 30665 7985048 537424 984937 299 false true false TXTEAM REHAB INC 9101 WESLEYAN RD SUITE 100 INDIANAPOLIS IN 46268 REHAB SERVICES 8782325 QUALIVIS 5930 CORNERSTONE CT SAN DIEGO CA 92121 LABORATORY SERVICES 1706925 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LABORATORY SERVICES 1535698 NEXERA 13034 BALLANTINE CORP PL CHARLOTTE NC 28277 CONSULTING SERVICES 1093383 MED SPEED 140 INDUSTRIAL DR ELMHURST IL 60126 COURIER SERVICES 959027 67 0 0 0 0 2164588 20124 2164588 INPATIENT REVENUE 624110 220808067 220808067 0 0 OUTPATIENT REVENUE 621410 179168812 179168812 0 0 COVID RELIEF FUNDS 900099 3221384 3221384 0 0 ALL OTHER PROGRAM SERVICE 525990 3003676 3003676 0 0 0 0 0 0 406201939 3920520 0 527031 3393489 0 0 0 0 0 0 0 0 1030730 0 0 0 1030730 0 1030730 0 0 1030730 31854788 4872 26207195 0 5647593 4872 5652465 0 0 5652465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722511 951796 951796 0 0 LOSSES INTEREST RATE SWAP 900099 -1549605 -1549605 0 0 0 0 0 0 -597809 418372433 405604130 527031 10076684 X 0 0 0 0 0 0 0 0 7097776 0 7097776 0 0 0 0 0 166521091 146486348 19844741 190002 5267095 4443973 817358 5764 23384776 19715527 3643645 25604 12629426 10934990 1679525 14911 1521929 0 1521929 0 1589048 0 1589048 0 658920 0 658920 0 22000 0 22000 0 33000 33000 386118 0 386118 0 60686775 55020443 5635462 30870 1644315 117882 1306233 220200 8748330 7063589 1666474 18267 13642108 13408916 233192 0 0 0 0 6486790 6413147 73643 58802 40485 18251 66 81202 55908 25204 90 4728177 4430302 288419 9456 0 0 0 0 27297852 19387927 7886102 23823 4543165 0 4543165 0 SUPPLIES AND COGS 59002528 58196708 798319 7501 0 0 0 0 406031223 345716145 59735524 579554 0 0 85593365 26229436 5084476 5925638 60383921 63346659 0 0 0 0 0 0 8157015 9037232 4809768 5366584 646119734 389816254 240916285 256303480 190454663 169817089 0 41335598 41205162 0 0 59296481 58095845 696031572 635327125 57701830 63399255 0 0 0 0 113909588 109400863 0 0 0 0 93875000 93057000 0 0 103337589 70469477 368824007 336326595 X 317424195 286696913 9783370 12303617 0 0 0 0 0 0 327207565 299000530 696031572 635327125 X 12341210 -30122913 0 0 0 -10425332 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 22000 22000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND THE HOSPICE AND PALLIATIVE CARE NETWORK OF MARYLAND. 976177 976177 976177 976177 976177 976177 976177 976177 976177 976177 0.0 1.0 0.0 false false 2793774 2793774 280144309 136922797 143221512 20626130 15588432 5037698 297382625 237305025 60077600 45172896 45172896 256303480 INVESTMENTS IN SUBSIDIARIES 31785157 F ASSETS LIMITED AS TO USE 9420005 F 41205162 RIGHT OF USE ASSETS 17929292 INTERCOMPANY RECEIVABLES 29948000 OTHER ASSETS 10218553 RETROSPECTIVE INSURNCE PREMIUM 58095845 LEASES - OPERATING 22007298 ADVANCES FROM THIRD PARTIES 22189292 PENSION LIABILITY INTEREST RATE SWAP 3514604 AR CREDIT LIABILITY 4954999 MALPRACTICE LIABILITY 4046000 OTHER LIABILITIES 306638 DEFERRED COMP TRUST 3010777 LEASES - FINANCING 10439869 70469477 Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. Central America and the Caribbean 1 0 Investments 25658623 Central America and the Caribbean 1 0 Program Services Self insurance 4607499 2 0 0 0 2 0 30266122 0 30266122 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA X X X X X X X true PRIDE PHILANTHROPY 885 WOODSTOCK RD ROSWELL GA 300752374 DEV CNSL SV SRVCS false 33000 33000 33000 0 33000 MD true true X true X true X 500 true true true false true true 0 0 0 0.0 58900534 57234981 1665553 0.0041 0 0 0 0.0 0 0 58900534 57234981 1665553 0.0041 4878596 553697 4324899 0.0107 0 0 0 0.0 34808835 0 34808835 0.0857 420297 72128 348169 0.0009 148317 0 148317 0.0004 0 0 40256045 625825 39630220 0.0976 0 0 99156579 57860806 41295773 0.1017 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 10039451 752959 140870807 133980381 6890426 X true true 1 1 FREDERICK HEALTH HOSPITAL INC 400 WEST SEVENTH STREET FREDERICK MD 21701 WWW.FREDERICKHEALTH.ORG 10001 X X X FREDERICK HEALTH HOSPITAL INC 1 false false true X X X X X X X X X 22 true false true true X YES, THE CHNA IS WIDELY AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEM WEBSITE HTTPS://WWW.FREDERICKH X true 19 true HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/CHNA-IMPLEMENTATION-STRATEGY-FINAL-DRAFT-10.17.22.PDF false true X 200.0 500.0 X X X true true X X X X true X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/ X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT. THE HEALTH CARE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS USING APPROPRIATE PLANNING METHODOLOGIES AND SUBJECT MATTER EXPERTS TO GUIDE THE PLANNING PROCESS. THE CHNA PROCESS INCLUDED THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA TO UNDERSTAND THE HEALTH HABITS, PRIORITIES AND ACCESS TO CARE BARRIERS OF THE COMMUNITY AT LARGE, AND AMONG VULNERABLE AND HEALTH DISPARITY POPULATIONS WITHIN FREDERICK COUNTY. THE DATA COLLECTION PROCESS WAS DESIGNED TO SOLICIT INPUT FROM REPRESENTATIVE SAMPLES OF DEMOGRAPHICS, GEOGRAPHIC DISTRIBUTION AND TARGETED POPULATIONS. PUBLIC INPUT WAS OBTAINED THROUGH TWO FORMAL MECHANISMS - COMMUNITY SURVEY AND POPULATION-SPECIFIC FOCUS GROUPS. THE COMMUNITY SURVEY WAS CONDUCTED VIA WEB, WITH AN OPTION TO COMPLETE A WRITTEN SURVEY FOR THOSE WITHOUT INTERNET ACCESS. THE SURVEY CONSISTED OF 50 QUESTIONS, WHICH INCLUDED DEMOGRAPHICS, PERCEPTIONS OF COMMUNITY HEALTH STATUS, BARRIERS TO ACCESSING HEALTH CARE, OPPORTUNITIES TO INCREASE ACCESS TO HEALTH CARE, ENGAGEMENT WITH HEALTH CARE, PERSONAL HEALTH, AND EXPERIENCES WITH SOCIAL DETERMINANTS OF HEALTH. THE WEB SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH; WRITTEN SURVEYS WERE AVAILABLE IN ENGLISH, SPANISH. THE SELECTION OF LANGUAGE OPTIONS WAS BASED ON COUNTY DEMOGRAPHICS AS REPORTED TO LOCAL GOVERNMENT. PARTNER ORGANIZATIONS WERE ENGAGED TO PROMOTE THE SURVEY AND TO PROVIDE ASSISTANCE TO THOSE WHO HAD LITERACY OR LANGUAGE BARRIERS. PRESS RELEASES, AS WELL AS WEB AND SOCIAL MEDIA OUTLETS WERE ALSO UTILIZED TO PROMOTE THE SURVEY TO THE COMMUNITY, YIELDING A STATISTICALLY RELEVANT SAMPLE OF 4,094 RESPONSES. OVERALL, SURVEY RESPONDENTS REFLECTED THE RACIAL AND ETHNICITY COMPOSITION OF THE POPULATION OF FREDERICK COUNTY. FOUR FOCUS GROUPS WERE CONDUCTED ON POPULATIONS FOR WHICH THERE WAS HEALTH DISPARITY OUTCOME DATA. TWO OF THE FOCUS GROUP POPULATIONS WERE IDENTIFIED IN THE PRIOR CHNA AS HAVING ACCESS CONCERNS. THE FOCUS GROUPS INCLUDED AFRICAN AMERICAN WOMEN (PREGNANT/CHILDBEARING), HISPANIC/LATINO WOMEN, VULNERABLE NEIGHBORHOOD (BASED ON SOCIAL VULNERABILITY INDEX SCORES VIA CENSUS TRACT DATA), LOW-INCOME/ALICE SENIORS. THE GOAL OF THE FOCUS GROUPS WS TO UNDERSTAND THE TARGET POPULATIONS' HEALTH PRIORITIES AND UNDERLYING REASONS, IDENTIFY PERCEIVED/ACTUAL BARRIERS TO CARE, ASSESS PUPULATION KNOWLEDGE OF PREVENTIVIE SCREENINGS AND SELF-CARE, UNDERSTAND THE RELATIONSHIP OF HEALTH LITERACY TO PERSONAL HEALTH MANAGEMENT, AND IDENTIFY UNIQUE CULTURAL BELIEFS OR BEHAVIORS THAT AFFECT HEALTH OUTCOMES AND HEALTH EQUITY. IN GENERAL, FOCUS GROUP PARTICIPANTS WERE LOWER INCOME, OLDER, AND OF POORER HEALTH THAN THE COMMUNITY POPULATION. FINALLY, A HEALTH EQUITY SURVEY WAS CONDUCTED TO CAPTURE FURTHER INFORMATION ON POTENTIAL VULNERABLE OR OTHER SUB-POPULATIONS IN THE COMMUNITY FOR WHICH HEALTH OUTCOME DATA WAS LIMITED. EIGHT RESPONDENTS PARTICIPATED IN THE HEALTH EQUITY SURVEY WITH INSIGHTS ON ACCESS TO CARE AND SUGGESTIONS FOR IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. THE ADVOCATES REPRESENTED ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED), DISABLED, HISPANIC, HOMELESS, LBGTQ, SENIORS AND YOUTH POPULATIONS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND THE FREDERICK COUNTY HEALTH DEPARTMENT. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH ISSUES. FREDERICK HEALTH HOSPITAL IS A FOUNDING MEMBER OF THE COALITION AND SERVES ON THE BOARD. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS, AND TO CONVENE INTERESTED PARTIES AND THE PUBLIC TO ESTABLISH A LOCAL HEALTH IMPROVEMENT PLAN TO ADDRESS THE TOP HEALTH PRIORITIES. A HEALTH IMPROVEMENT PRIORITY PLANNING SUMMIT WAS HELD ON JANUARY 19, 2022 WITH MORE THAN 140 COMMUNITY PARTICIPANTS. THE SUMMIT INCLUDED REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, BUSINESS, GOVERNMENT, ADVOCATES AND CITIZENS WHO PROVIDED INPUT INTO THE CHNA PRIORITIES. PARTICIPANTS INCLUDED: - HEALTH CARE (INCLUDING PROVIDERS OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES) - FREDERICK HEALTH, MISSION OF MERCY, MENTAL HEALTH ASSOCIATION OF FREDERICK COUNTY, CORELIFE, DANY INSTITUTE/CENTRAL EAST MENTAL HEALTH TECHNOLOGY GROUP, ENCOMPASS INTEGRATIVE WELLNESS, LLC, HOME CENTRIS PERSONAL CARE, SHEPPARD PRATT FREDERICK INSURANCE INDUSTRY - AETNA BETTER HEALTH OF MARYLAND, NCI/NIH, - LOCAL GOVERNMENT/LAW ENFORCEMENT - OFFICE OF THE FREDERICK COUNTY EXECUTIVE, FREDERICK COUNTY GOVERNMENT (INCLUDING CITIZENS & SENIOR SERVICES, HEALTH DEPARMENT DEVELOPMENT CENTER, TRANSIT, FIRE AND RESCUE SERVICES, FAMILY PARTNERSHIP, CHILDREN AND FAMILIES), FREDERICK COUNTY COUNCIL, MARYLAND DEPARTMENT OF HEALTH, OFFICE OF SENATOR VANHOLLEN - SOCIAL SERVICES ORGANIZATIONS - FREDERICK CITY DEPARTMENT OF HOURSING AND HUMAN NEEDS (ALSO A FEDERALLY QUALIFIED HEALTH CENTER), FREDERICK COUNTY DEPARTMENT OF SOCIAL SERVICES - NONPROFIT ORGANIZATIONS - ASIAN AMERICAN CENTER OF FREDERICK, CHILDREN OF INCARERATED PARENTS PARTNERSHIP, COMMUNITY COLLABORATION CENTER, CORE SERVICE AGENCY, THE FREDERICK CENTER, THE RANCH, WELLS HOUSE, YMCA OF FREDERICK COUNTY, COMMUNITY ENGAGEMENT AND CONSULTATIVE GROUP, FREDERICK COUNTY HEALTH CARE COALITION, GOLDEN MILE ALLIANCE, HEALTHCARE IS A HUMAN RIGHT FREDERICK CHAPTER, MARYLAND HUNGER SOLUTIONS, NIGERIAN IN FREDERICK, ON OUR OWN - EDUCATIONAL INSTITUTIONS - FREDERICK COUNTY PUBLIC SCHOOLS (INCLUDING NUTRITION SERVICES AND SCHOOL HEALTH COUNCIL), HOOD COLLEGE, UNIVERSITY OF MARYLAND EXTENSION SERVICE, FREDERICK COMMUNITY COLLEGE, GEORGE WASHINGTON UNIVERSITY, UNIVERSITY OF MARYLAND SPH HOROWITZ CENTER FOR HEALTH LITERACY, ZERO TO THREE - PHILANTROPHY - THE UNITED WAY OF FREDERICK COUNTY, THE COMMUNITY FOUNDATION OF FREDERICK, AUSHERMAN FAMILY FOUNDATION, HELEN J. SERINI FOUNDATION, LISTEN LOVE PRAY FOUNDATION, LOVE FOR LOCHLIN FOUNDATION, - BUSINESS - FREDERICK COUNTY CHAMBER OF COMMERCE, LEIDOS BIOMEDICAL RESEARCH, THE FREDERICK NEWS POST, RESTORATION FAMILY CHIROPRACTIC, ANALYTIC-COMMUNICATIONS LLC, CURA STRATEGIES, - RELIGIOUS ORGANIZATIONS - SETON CENTER NATIONAL ACADEMIES/QUINN CHAPEL AMC CHURCH, - SENIOR CARE- ADVOCATES FOR THE AGING IN FREDERICK COUNTY, FREDERICK COUNTY SENIOR SERVICES DIVISION, SENIOR SERVICES ADVISORY BOARD - COMMUNITY REPRESENTATIVES - GENERAL PUBLIC, FREDERICK NEWS POST, ONE FREDERICK COLLABORATIVE, DR. RACHEL MANDEL, SENIOR SERVICES ADVISORY BOARD, - SERVICE/CARE PROVIDERS - COMMUNITY LIVING, INC Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. THREE CHNA PRIORITIES WERE IDENTIFIED IN THE 2019 ASSESSMENT: - DIABETES - ADVERSE CHILDHOOD EXPERIENCES - MENTAL HEALTH FREDERICK HEALTH HOSPITAL HAS ADOPTED IMPLEMENTATION STRATEGIES AROUND THESE INITIATIVES, AS DESCRIBED BELOW. 1. DIABETES: THE GOALS ARE (1) TO INCREASE AWARENESS OF WHAT PRE-DIABETES AND DIABETES IS, INCLUDING MOIDFIABLE RISK FACTORS, PARTICULARLY IN POPULATIONS EXPERIENCING A HEALTH DISPARITY, (2) INCREASE SCREENING FOR PRE-DIABETES RISK, ESPECIALLY IN PRIORITY POPULATIONS, TO REDUCE THE INCIDENCE OF DIABETES, (3) IMPROVE THE MANAGEMENT OF INDIVIDUALS WITH DIABETS, ESPECIALLY IN PRIORITY POPULATIONS, OR POPULATIONS EXPERIENCING A HEALTH DISPARITY. FREDERICK HEALTH'S IMPLEMENTATION STRATEGY INCLUDES: (1) CONDUCTING LISTENINGS SESSIONS AND GATHER INPUT FROM PRIORITY POPULATIONS, (2) PROVIDE HEALTH LITERACY TRAINING, (3) LAUNCH A PRE-DIABETES/DIABETES AWARENESS CAMPAIGN, (4) EDUCATE PROVIDERS AND COMMUNITY ORGANIZATIONS, ENGAGE THEM IN RECRUITMENT AND REFERRAL OF PATIENTS/CLIENTS TO PROGRAMS INCLUDING DIABETES PRVENTION AND DIABETES SELF-MANAGEMENT WORKSHOPS, (5) CONDUCT COOKING/MEAL PREP CLASSES, (6) CONDUCT AT LEAST ONE GROCERY STORE TOUR PER MONTH, (7) CONDUCT AT LEAST ONE 5K FUN RUN WITH WALKING OPTIONS. 2. ADVERSE CHILDHOOD EXPERIENCES: THE GOALS ARE (1) INCREASE AWARENESS REGARDING ACES - ALL SECTORS OF FREDERICK COUNTY WILL RECOGNIZE THE IMPACT OF TRAUMA ON HEALTH FROM PRECONCEPTION ONWARD AND PROVIDE OR SUPPORT SERVICES FOR RAISING HEALTHY CHILDREN IN SAFE, STABLE AND NURTURING ENVIRONMENTS (2) PREVENTION: ALL FREDERICK COUNTY RESIDENTS WILL HAVE ACCESS TO EVIDENCE BASED OR RESEARCH-INFORMED PROGRAMSM, RESOURCES, INFORMATION, AND SKILLS TO RAISE HEALTHY CHILDREN IN SAFE, STABLE AND NURTURING ENVIRONMENTS (3) TREATMENT AND INTERVENTION: AN EQUITABLE COMMUNITY-WIDE SYSTEM FOR TRAUMA-INFORMED CARE PROVIDES ACCESSIBLE EVIDENCE-BASED TREATMENTS FROM TRAINED, KNOWELDGEABLE, AND CULTURALLY LITERATE SPECIALIST IN ADEQUATE SUPPLY. FREDERICK HEALTH'S IMPLEMENTATION STRATEGY INCLUDES: (1) PROMOTE TRAININGS AND WORKSHOPS PROVIDING CMES AND CEUS AS ABLE, (2) PLAN AND IMPLEMENT THE FAMILY CONNECTS UNIVERSAL HOME VISITING PROGRAM, (3) COLLABORATE WITH THE ADVERSE CHILDHOOD EXERIENCES WORKGROUP TO OUTREACH AND ENGAGE PEDIATRIC PRACTICES TO ENSUE KNOWLEDGE AND UNDERSTANDING OF ACES AND THE IMPORTANCE OF PREVENTION, TREATMENT AND INTERVENTION. 3. MENTAL HEALTH: THE GOALS ARE: (1) REDUCE THE NUMBER OF PEOPLE THAT DIE BY SUICIDE IN FREDERICK COUNTY, (2) REDUCE THE STIGMA ABOUT MENTAL HEALTH ISSUES AND SERVICES, (3) FREDERICK COUNTY RESIDENTS WILL BE ABLE TO ACCESS THE FULL CONTINUUM OF CULTURALLY COMPETENT, TRAUMA-INFORMED, HIGH QUALITY MENTAL HEALTH TREATMENT SERVICES IN A TIMELY MANNER, THROUGH AN INCREASED CAPACITY FOR MENTAL HEALTH PROFESSIONALS AND OTHER TRAINED SUPPORT PERSONS. FREDERICK HEALTH IMPLEMENTATION STRATEGY INCLUDES: (1) ACTIVELY ENGAGE IN SUICIDE PREVENTIONS COALITION, (2) COLLABORATE WITH THE LHIP WORKGROUP IN A SUSTAINABLE CAMPAIGN THAT REDUCES MENTAL HEALTH STIGMA THROUGH EDUCATION ABOUT THE IMPORTANCE OF NORMALCY OF MENTAL HEALTH NEEDS AND SERVICES, (3) PROVIDE EDUCATION FROM THE ANTI-STIGMA CAMPAIGN TO STAFF AND PATIENTS FROM A PERSONAL AND PROFESSIONAL PERSPECTIVE, (4) EXPLORE OPPORTUNITIES TO EXPAND BEHAVIORAL HEALTH AVAILABILITY AT THE COMPREHENSIVE CARE CENTER TO ASSIST WITH MEDICATION MANAGEMENT AND TO BRIDGE SERVICES TO COMMUNITY BASED MENTAL HEALTH PROVIDERS, (5) PROVIDE OPPORTUNTIES FOR COMMUNITY HEALTH WORKERS AND PEER RECOVERY SPECIALIST TO ASSST PROVIDERS IN ALLEVIATING THE BARRIERS TO CARE AND ASSIST WITH ADDRESSING SOCIAL DETERMINANTS OF HEALTH, (6) EXPLORE PARTNERSHIPS WITH ORGANIZATIONS ENROLLED IN HRSA PROGRAMS THAT MAY PROVIDE OPPORTUNTIES FOR PAID INTERNSHIPS AND OR CREATE A PROFESSIONAL PIPELINE FOR INDIVIDUALS INTERESTED IN MENTAL HEALTH PROFESSIONS. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. STATE REGULATIONS. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - FREDERICK HEALTH HOSPITAL, INC.. FHH REVIEWS THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE COMMUNICATION METHODOLOGY WE EMPLOY ON A REGULAR BASIS TO MAKE SURE OUR PATIENTS HAVE EASY ACCESS TO THIS INFORMATION IN A VARIETY OF FORMATS AND THAT IT IS CULTURALLY AND LINGUISTICALLY SENSITIVE. WE REVIEW THE FAP TO MAKE SURE THE READING COMPREHENSION LEVEL IS APPROPRIATE FOR OUR AUDIENCE AND WE PROVIDE ENGLISH AND SPANISH VERSIONS TO MEET THE NEEDS OF OUR CBSA. WE HAVE SERVICES AVAILABLE TO PROVIDE ANY OTHER LANGUAGES WHEN NEEDED. THE FAP IS SHOWN ON OUR WEBSITE (HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/) AND IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS AT TIME OF REGISTRATION IN THE HOSPITAL AND IN THE EMERGENCY DEPARTMENT. OUR BILLING STATEMENTS REFERENCE OUR FINANCIAL ASSISTANCE POLICY AND INCLUDE THE URL FOR THE ONLINE VERSION. THE BILLING STATEMENTS INCLUDE DETAILED EXPLANATION OF THE FAP. FHH PROVIDES ASSISTANCE TO OUR PATIENTS WHO NEED TO APPLY FOR GOVERNMENT BENEFITS WHEN APPROPRIATE. MOST COMMON EXAMPLES ARE "SELF-PAY" INPATIENTS WHO ADMIT THROUGH THE EMERGENCY DEPARTMENT AND PATIENTS WHO COME TO OUR PRENATAL CLINIC. WE HAVE A DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE ONSITE AT OUR PRENATAL CLINIC TO WORK DIRECTLY WITH THE PATIENTS. ALL PATIENTS RECEIVE THE PATIENT INFORMATION SHEET, AVAILABLE IN ENGLISH AND SPANISH, WHICH INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE. 8 FREDERICK HEALTH TOLL HOUSE 501 WEST SEVENTH STREET FREDERICK MD 21701 OUTPATIENT HEALTH CARE FREDERICK HEALTH MOUNT AIRY 504 E RIDGEVILLE BLVD MOUNT AIRY MD 21771 OUTPATIENT HEALTH CARE FREDERICK HEALTH ROSEHILL 1562 OPPOSUMTOWN PIKE FREDERICK MD 21702 OUTPATIENT HEALTH CARE FREDERICK HEALTH CRESTWOOD 7211 BANK COURT FREDERICK MD 21703 OUTPATIENT HEALTH CARE FREDERICK HEALTH ASPEN RIDGE 163 THOMAS JOHNSON DRIVE SUITE A FREDERICK MD 21702 OUTPATIENT HEALTH CARE FREDERICK HEALTH URBANA 3430 WORTHINGTON BLVD URBANA MD 21704 OUTPATIENT HEALTH CARE FREDERICK HEALTH EMMITSBURG 16403 OLD EMMITSBURG RD EMMITSBURG MD 21727 OUTPATIENT HEALTH CARE FREDERICK HEALTH LIBERTY 194 THOMAS JOHNSON DR FREDERICK MD 21702 OUTPATIENT HEALTH CARE Schedule H, Part I, Line 3c SCHEDULE H, PART I, LINE 3C IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $25,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT. UP TO $150,000 OF PRIMARY RESIDENCE EQUITY IS EXEMPT FROM CONSIDERATION. Schedule H, Part I, Line 6a SCHEDULE H, PART I, LINE 6 THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION (COALITION) TO IDENTIFY HEALTH ISSUES IN FREDERICK COUNTY AND TO PROVIDE CRITICAL INFORMATION TO THOSE IN A POSITION TO TAKE POSITIVE STEPS THAT WILL IMPACT THE HEALTH OF AREA RESIDENTS. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION'S MISSION IS TO PROMOTE QUALITY HEALTH CARE IN FREDERICK COUNTY THROUGH COLLECTIVE IMPACT EFFORTS THAT ENGAGE LOCAL ORGANIZATIONS AND CITIZENRY. A CORE RESPONSIBILITY OF THE COALITION IS THE COMPLETION OF A PERIODIC ASSESSMENT THAT INFORMS AND ENGAGES THE COMMUNITY IN HEALTH IMPROVEMENT INITIATIVES. THE ASSESSMENT PROCESS IS REPEATED EVERY THREE YEARS TO REFLECT CHANGING LOCAL CONDITIONS. Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM FREDERICK HEALTH HOSPITAL, INC. ('FHH') IS A PRIVATE, NON-STOCK, NOT-FOR-PROFIT 501(C)(3) MARYLAND CORPORATION ORGANIZED IN 1897. AS OF JULY 1, 2011, FREDERICK HEALTH, INC. ( F.K.A. FREDERICK REGIONAL HEALTH SYSTEM) BECAME THE PARENT CORPORATION UNDER WHICH THE ENTITIES DESCRIBED BELOW EXIST AND OPERATE. FREDERICK HEALTH, INC. IS GOVERNED BY EIGHTEEN MEMBER BOARD OF DIRECTORS. THE BOARD MEETS MONTHLY, WITH ELECTION OF OFFICERS AND MEMBERS OCCURRING AT THE SEPTEMBER MEETING. MUCH OF THE BOARD'S WORK IS ACCOMPLISHED THROUGH STANDING COMMITTEES, INCLUDING THE EXECUTIVE, FINANCE, GOVERNANCE, EXECUTIVE COMPENSATION, JOINT CONFERENCE (WITH MEDICAL STAFF), PLANNING, AND HOSPITAL PERFORMANCE REVIEW COMMITTEES. FREDERICK HEALTH HOSPITAL IS A 314-BED ACUTE CARE HOSPITAL LOCATED IN FREDERICK, MARYLAND, APPROXIMATELY 50 MILES WEST OF BALTIMORE AND 45 MILES NORTHWEST OF WASHINGTON D. C. THE HOSPITAL OPENED IN 1902 AND IS CURRENTLY THE ONLY ACUTE CARE HOSPITAL IN FREDERICK COUNTY AND THE ONLY ACUTE CARE HOSPITAL WITHIN A 25-MILE RADIUS OF THE CITY OF FREDERICK. THE MAIN CAMPUS OF THE HOSPITAL IS LOCATED ON AN APPROXIMATELY 15.85-ACRE SITE IN FREDERICK, MARYLAND. THE TOTAL SQUARE FOOTAGE OF THE HOSPITAL IS APPROXIMATELY 596,000 SQUARE FEET. FHH'S HOSPIT.AL-BASED AND OFF-SITE OUTPATIENT SERVICES ACCOUNT FOR OVER 419,000 VISITS ANNUALLY INCLUDING HOME HEALTH SERVICES, WHICH MAKES APPROXIMATELY 35,000 VISITS PER YEAR. IN ADDITION, HOSPITAL-BASED HOSPICE SERVICES HANDLE APPROXIMATELY 74,000 VISITS PER YEAR. FREDERICK HEALTH HOSPITAL, INC. IS THE PARENT CORPORATION FOR FREDERICK HEALTH MEDICAL GROUP, LLC, A PHYSICIAN LED ENTERPRISE COMPOSED OF OWNED PRACTICES. FREDERICK HEALTH HOSPITAL, INC. PROVIDES A FULL RANGE OF ACUTE CARE SERVICES INCLUDING: MEDICINE, SURGERY, OBSTETRICS, GYNECOLOGY, PEDIATRICS, INTENSIVE CARE, CORONARY CARE, INTERVENTIONAL CARDIOLOGY, PRIMARY STROKE PROGRAM, WOUND CARE, JOINT REPLACEMENT PROGRAM, CYBERKNIFE RADIOSURGERY CENTER, PSYCHIATRIC CARE, MEDICAL FITNESS, WELLNESS PROGRAM/CENTER AND EMERGENCY SERVICES. IN ADDITION, FREDERICK HEALTH HOSPITAL, INC. PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES, INCLUDING: EMERGENCY MEDICINE, OUTPATIENT SURGERY, HOME HEALTH, RADIATION THERAPY, MRI, PET AND CT SCANNING, MEDICAL ONCOLOGY, AND COMPREHENSIVE WOMEN'S SERVICES. THROUGH THE SATELLITE LOCATIONS AND OUTPATIENT CENTERS, THE HEALTH SYSTEM PROVIDES: URGENT CARE, LABORATORY, DIAGNOSTIC RADIOLOGY, AMBULATORY SURGERY, VASCULAR IMAGING, REHABILITATION SERVICES, PAIN AND PALLIATIVE CARE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BAD DEBT VALUATION WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. WE ESTIMATE APPROXIMATELY 7.5% OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE CONTINUE OUR EFFORTS TO QUALIFY PATIENTS FOR FREE OR REDUCED CARE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. Schedule H, Part V, Section B, Line 16a FAP website - FREDERICK HEALTH HOSPITAL, INC.: Line 16a URL: HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - FREDERICK HEALTH HOSPITAL, INC.: Line 16b URL: HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - FREDERICK HEALTH HOSPITAL, INC.: Line 16c URL: HTTPS://WWW.FREDERICKHEALTH.ORG/ABOUT/BILLING-FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment THE CHNA PLANNING PROCESS WAS LED BY AN AD-HOC PLANNING COMMITTEE COMPRISED OF HEALTH CARE COALITION BOARD MEMBERS AND SENIOR STAFF FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT. THIS GROUP HAD OVERSIGHT RESPONSIBILITY FOR THE CHNA PROCESS AND REVIEWED THE PLANNING COMPONENTS AS THEY WERE ACCOMPLISHED. ADDITIONALLY, A CHNA DATA SUB-COMMITTEE WAS FORMED TO CONDUCT THE DETAILED DATA ANALYSIS, WHICH WAS THEN REPORTED TO THE CHNA PLANNING COMMITTEE. THE 2022 CHNA INCLUDED COLLATION OF DATA FROM PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) SOURCES. FOUR INPUTS WERE IDENTIFIED FOR INCLUSION IN THE DATA ANALYSIS. THREE OF THE INPUTS PROVIDE INSIGHTS ABOUT THE PERSPECTIVE AND PRIORITY OF HEALTH ISSUES AND SOCIAL DETERMINANTS BY THE FREDERICK COUNTY POPULATION. THE FOURTH INPUT INCLUDES HEALTH OUTCOME INDICATORS GATHERED FROM RELIABLE PUBLIC RESOURCES, AND WHERE POSSIBLE, INCLUDES DATA ON HEALTH DISPARITIES. THE CHNA PROCESS BEGAN WITH A COMMUNITY SURVEY AVAILABLE TO ANY ADULT (OVER 18 YEARS OF AGE) FREDERICK COUNTY RESIDENT. THE SURVEY WAS DESIGNED TO ASSESS RESPONDENTS' PERSONAL HEALTH STATUS, HEALTH RISK BEHAVIORS, PREVENTIVE HEALTH PRACTICES, EXPERIENCE WITH SOCIAL DETERMINANTS, PERCEIVED OR REAL BARRIERS TO HEALTH CARE AS WELL AS OPPORTUNITIES TO IMPROVE ACCESS TO HEALTH CARE. THE SURVEY WAS DISTRIBUTED IN TWO PRIMARY LANGUAGES USED BY COUNTY RESIDENTS. THE NEXT STEP IN THE CHNA PROCESS FOCUSED ON INPUT FROM VULNERABLE AND KNOWN HEALTH DISPARITY POPULATIONS AS GATHERED VIA FOUR FOCUS GROUPS. THE FOCUS GROUPS WERE CONDUCTED BY A QUALITATIVE RESEARCH FIRM AND THE GOAL WAS TO DELVE DEEPER INTO HEALTH BEHAVIORS AND ACCESS ISSUES IN THE TARGETED POPULATIONS, IN ORDER TO LEARN HOW TO MORE EFFECTIVELY TAILOR SERVICES AND INTERVENTIONS THAT WILL RESULT IN A REDUCTION IN HEALTH DISPARITIES. THE ADVOCATES REPRESENTED AFRICAN AMERICAN WOMEN (PREGNANT OR CHILDBEARING), LATINA WOMEN, LOW INCOME/ALICE SENIORS, SOCIALLY VULNERABLE NEIGHBORHOOD. SECONDARY DATA WAS GATHERED ON 40+ HEALTH INDICATORS. THE DATA WAS SOURCED FROM FEDERAL AND STATE VITAL STATISTICS, HEALTH REPORTS AND DATABASES. HEALTH OUTCOME DATA WAS REVIEWED FOR THE MOST RECENT TIME PERIOD, AS WELL AS TRENDS OVER TIME THAT WOULD INDICATE CHANGES IN CONDITION. THE QUALITATIVE AND QUANTITATIVE INFORMATION COLLECTIVELY INFORMS LOCAL ADVOCACY EFFORTS AND CAN BE USED FOR PROGRAM PLANNING. COMMUNITY SURVEY AND SECONDARY DATA WERE COMPILED FOR THE PRIORITIZATION COMPONENT OF THE CHNA PROCESS. A MODIFIED PRIORITIZATION MATRIC METHOD WAS USED FOR PRIORITIZATION OF THE DATA ACROSS SEVERAL CRITERIA IN ORDER TO NARROW DOWN THE INFORMATION INTO THE TOP HEALTH CONCERNS. THE INFORMATION WAS ALSO SYNTHESIZED INTO A CONSUMER-FRIENDLY PRESENTATION FOR PUBLIC INPUT THROUGH A LOCAL HEALTH SETTING SUMMIT. SUMMIT PARTICIPANTS, REPRESENTING APPROXIMATELY 69ORGANIZATIONS AND PUBLIC, NARRROWED DOWN THE HEALTH CONCERNS INTO THE TOP THREE PRIORITIES, OF WHICH TWO WERE CONTINUATIONS OF PRIOR CHNA PRIORITIES. THE CHNA PROCESS DID INCLUDE A REVIEW OF FOUR OTHER RECENT COMMUNITY ASSESSMENTS. THE ASSESSMENTS INCLUDED THE COUNTY COMPREHENSIVE PLAN, A REGIONAL REPORT ON HEALTH INEQUITY, A HUMAN SERVICES ASSESSMENT AND COUNTY ECONOMIC ASSESSMENT. FINDINGS AND ISSUES EMPHASIZED IN THESE ASSESSMENTS WERE SIMILAR TO CONCERNS EXPRESSED BY THE PUBLIC IN THE CHNA PROCESS. THESE ASSESSMENTS WERE CONSIDERED MOST USEFUL FOR THE COMMUNITY HEALTH PRIORITY WORKGROUPS AS THEY IDENTIFY TARGET POPULATIONS AND DESIGN IMPLEMENTATION STRATEGIES. Schedule H, Part VI, Line 4 Community information FREDERICK HEALTH HOSPITAL'S SERVICE AREA IS DEFINED IN A WRITTEN AGREEMENT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION, THE DESIGNATED STATE ENTITY CHARGED WITH OVERSIGHT OF COMMUNITY BENEFIT. THE SERVICE AREA IS DETERMINED BASED ON HISTORICAL FACILITY UTILIZATION BY ZIP CODE. THE SERVICE AREA DEFINITION FOR FREDERICK HEALTH HOSPITAL IS ALL ZIP CODES IN FREDERICK COUNTY. THEREFORE, FOR CHNA PLANNING PURPOSES, FREDERICK COUNTY IS THE POPULATION SERVED. Schedule H, Part VI, Line 5 Promotion of community health DURING FY 2022, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: (TAKEN FROM THE FY HSCRC COMMUNITY BENEFIT REPORT) - CARE TRANSITIONS PROGRAM - THIS PROGRAM PROVIDES INTENSIVE COMMUNITY-BASED CARE MANAGEMENT SERVICES TO INDIVIDUALS WITH CHRONIC CONDITIONS AND THOSE WITH LIMITED ACCESS TO CARE, LOW HEALTH LITERACY AND OTHER SOCIAL DETERMINANTS OF HEALTH TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE INDIVIDUAL HEALTH STATUS. BY PROVIDING INFASTRUCTUE TO SUPPORT SOME OF THE MOST CHRONICALLY ILL, FRAGILE AND SOCIALLY COMPLEX PATIENT POPULATIONS, HOSPITAL READMISSION RATES CAN BE REDUCED. HISTORICALLY, THESE PATIENTS RECEIVED LITTLE OR NO GUIDANCE RELATIVE TO FOLLOW-UP WITH PHYSICIANS, FILLING AND TAKING THEIR PRESCRIBED MEDICATIONS, AND MAKING APPOINTMENT FOR OTHER SERVICES. PATIENTS IDENTIFIED AS HIGH EMERGENCY DEPARTMENT UTILIZERS, AND/OR PATIENTS RETURNING TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE MEET WITH AN RN OR SOCIAL WORK CASE MANAGER IN AN EFFORT TO UNDERSTAND WHY THEY HAVE RETURNED TO THE HOSPITAL FOR CARE. AN INDIVIDUALIZED COMPREHENSIVE POST DISCHARGE PLAN IS CREATED TO MEET THE SPECIFIC PATIENT NEEDS. THE SERVICES OFTEN INCLUDE FINANCIAL SUPPORT OF MEDICATIONS, TRANSPORTATION AND VARIOUS OTHER MEDICAL AND SOCIAL SUPPORT SERVICES IN THE COMMUNITY. IN FY 2022 2,156 UNIQUE PATIENTS RECEIVED SERVICES TOTALING 30,472 ENCOUNTERS (INCLUDING PHONE CALLS AND IN-PERSON VISITS) HOME/COMMUNITY BASED INTERVENTIONS FROM THE CARE TRANSITIONS TEAM, FOR A TOTAL OF ENCOUNTERS. THE HEALTH CARE TEAM PROVIDING SERVICES TO THESE INDIVIDUALS CONSISTS OF REGISTERED NURSES, SOCIAL WORKERS, PHARMACISTS, DIETITIANS AND A NURSE PRACTITIONER. - COLORECTAL CANCER SCREENING - THIS PROGRAM FOCUSED ON IDENTIFIED DISPARITY COMMUNITIES WITHIN FREDERICK COUNTY, PRIMARILY THE AFRICAN-AMERICAN COMMUNITY. THE GOAL OF THE PROGRAM WAS TO INCREASE THE NUMBER OF PERSONS SCREENED AND TREATED FOR COLORECTAL CANCER THROUGH ENGAGEMENT OF COMMUNITY PROVIDERS AND HOSTING AWARENESS EVENTS IN THE COMMUNITY TO RESULT IN AN OVERAL INCREASE IN LONG TERM FOLLOW-UP RATES IN DISPARITY COMMUNITIES. ENGAGEMNET OF COMMUNITY PHYSICIANS IN THE PROCESS WAS A KEY COMPONENT OF THE PROGRAM AND INCLUDED EDUCATION ON CURRENT CANCER SCREENING RECOMMENDATIONS, LOCAL DISPARITY DATA, CULTURAL BARRIERS/BIAS AND LOCAL REFERRAL PROCESS AND TREATMENT OPTIONS. PERIODIC SCREENING OF "AT RISK" INDIVIDUALS IS VITAL; IN ORDER TO DO THIS, A BASELINE POPULATION WAS ESTABLISHED IN FY2020 THROUGH INITIAL SCREENING. FUTURE EFFORTS INCLUDE THE PROVISION OF PERIODIC EDUCATION AND SCREENING TO HIGH-RISK INDIVIDUALS AS A MEANS OF TRACKING THESE PEOPLE OVER TIME. AS A RESULT OF THE PANDEMIC A GOAL WAS NOT SET FOR CANCER SCREENINGS DUE TO THE UNCERTAINTY OF COMMUNITY ACCESS POINTS. WE DID HOWEVER CONTINUE TO PROVIDE EDUCATION AND AWARENESS MATERIALS IN AN EFFORT TO ENCOURAGE CONVERSATIONS WITH PROVIDERS. ADDITIONALY, A NEW PROCESS WAS ESTABLISHED TO STREAMLINE RESPONSES TO ONLINE OUTREACH, SOCIAL MEDIA ANNOUNCEMENTS, AND LIVE EVENTS WITH INFORMATION, REFERRALS AND NO-COST FIT KITS WHEN APPROPRIATE. TO DATE, NO CANCER DIAGNOSIS HAVE BEEN MADE, BUT HIGH-RISK INDICATORS SUCH AS PRE-CANCEROUS LESIONS AND POLYPS HAVE BEEN IDENTIFIED. THESE PATIENTS ARE TARGETED FOR CONTINUED FOLLOW-UP IN THE COMING YEAR. - HEALTHY EATING - 5-2-1-0 IS A BEHAVIOR AWARENESS APPROACH TO MAKING KEY LIFESTYLE CHANGES THAT WILL LEAD TO HEALTHY EATING HABITS. THIS PROGRAM FOCUSES ON INCREASING FRUIT AND VEGETABLE CONSUMPTION, REDUCING INGESTION OF SUGAR ADDED BEVERAGES, REDUCING RECREATION SCREEN TIME AND INCREASING PHYSICAL ACTIVITY. A DESIGNATED 5-2-1-0 COORDINATION IS A GRANT FUNDED EMPLOYEE OF FREDERICK HEALTH HOSPITAL AND WORKS WITH THE FREDERICK COUNTY SCHOOL HEALTH COUNCIL TO IMPLEMENT THE PROGRAM THROUGH THE FREDERICK COUNTY PUBLIC SCHOOL SYSTEM. ACTIVITIES INCLUDE ESTABLISHING STUDENT WELLNESS GOALS AT EACH SCHOOL, ONGOING EDUCATION EVENTS AND ONLINE RESOURCES FOR STUDENTS, PARENTS AND EDUCATORS. 6 FREDERICK COUNTY PUBLIC SCHOOLS RECEIVED GRANTS TO IMPLEMENT PROGRAMMING TARGETING AT LEAST ONE HEALTHY BEHAVIOR (INCREASED ACTIVITY, INCREASED WATER CONSUMPTION, REDUCED SCREEN TIME, INCREASED CONSUMPTION OF FRUITS AND VEGETABLES) - DIABETES - FREDERICK HEALTH PROVIDED PREDIABETES AND DIABETES SCREENING AT A VARIETY OF LOCAL EVENTS. SUCCESSFULLY TRAINED A TOTAL OF 22 DPP (CDC DIABETES PREVENTION PROGRAM COACHES) AND LAUNCHED 8 SEPARATE DIABETES PRVENTION PROGRAM COHORTS (IN ENGLISH AND SPANISH). FREDERICK HEALTH SUCCESSFULLY LAUCHED A PROVIDER REFERRAL PROCESS AND ESTABLISHED PATIENT REGISTRIES TO SUPPORT NAVIGATION EFFORTS. BEHAVIORAL HEALTH SCREENINGS WERE INTEGRATED INTO THE REFERRAL PROCESS AND WE EXPANDED OUR COMMUNITY HEALTH WORKER WORKFORCE TO SUPPORT TARGETED OUTREACH TO COMMUNITIES EXPERIENCING A HEALTH DISPARITY. - PHYSICIAN SUBSIDIES - FREDERICK HEALTH HOSPITAL CONTRACTS FOR HOSPITAL-BASED PHYSICIANS COVERAGE FOR SPECIALIZED CARE. CONTRACTED SERVICES INCLUDE INTENSIVE CARE, OBSTETRICAL/LABOR CARE, NEONATAL INTENSIVE CARE NEUROLOGY/STROKE CARE, INPATIENT PEDIATRICS, PEDIATRIC OPTHALMOLOGY, ANESTHESIA, EMERGENCY MEDICINE AND INTERVENTIONAL CARDIOLOGY. THE DEMAND FOR THESE SERVICES CANNOT BE MET BY PROVIDERS IN THE FREDERICK COMMUNITY, AS THERE ARE NO COMMUNITY BASED PROVIDERS. - THERE IS AN INSUFFICIENT NUMBER OF PRIMARY CARE PROVIDERS IN FREDERICK COUNTY WHO CARE FOR PATIENTS THAT REQUIRE ACUTE CARE SERVICES. THE MAJORITY OF PRIMARY CARE PHYSICIANS IN THE COMMUNITY DO NOT MAINTAIN HOSPITAL PRIVILEGES; THEREFORE, THE HOSPITAL CONTRACTS FOR HOSPITALIST SERVICES FOR RESIDENTS WHO REQUIRE ACUTE CARE DIAGNOSIS AND MANAGEMENT. - FREDERICK HEALTH HOSPITAL ALSO CONTRACTS WITH SPECIALITY PROVIDERS TO PROVIDE EMERGENCY CARE COVERAGE ON A 24/7 BASIS. CONTRACTUAL SERVICES INCLUDES ANESTHESIOLOGY, BARIATRIC SURGERY, CARDIOLOGY, ENT, GASTROENTEROLOGY, GENERAL DENISTRY, GENERAL SURGERY, HEMATOLOGY/ONCOLOGY, INTERVENTIONAL CARDIOLOGY, NEPHROLOGY, NEUROLOGY, OPTHALMOLOGY, ORAL/MAXILLO FACIAL, ORTHOPEDICS, PEDIATRICS, PLASTIC SURGERY, PULMONARY MEDICINE, UROLOGY, VASCULAR SURGEY AND NEUROSURGERY. WITHOUT SUBSIDIES FROM THE ORGANIZATION TO COMPENSATE PROVIDERS FOR THIS COVERAGE, MEDICAL PRACTICES WOULD NOT BE ABLE TO RECRUIT A SUFFICIENT NUMBER OF PERSONNEL TO PROVIDE COVERAGE TO THE EMERGENCY DEPARTMENT. Schedule H, Part VI, Line 7 State filing of community benefit report MD X X X X X false true false false false false false false false Thomas A Kleinhanzl PRESIDENT AND CEO 859836 0 308906 0 3354 0 352656 0 15023 0 1539775 0 0 0 Mihir M Jani MD Chief of Staff 0 479447 0 57425 0 552 0 14500 0 15023 0 566947 0 0 Michelle K Mahan SR. VP AND CFO (ENDED 4/4/22) 540890 0 138134 0 9906 0 67029 0 13673 0 769632 0 0 0 Hannah R Jacobs Sr. VP & CFO (STARTED 4/4/22) 224880 0 50448 0 1794 0 13073 0 12717 0 302912 0 0 0 Cheryl L Cioffi SVP COO 422556 0 107057 0 1170 0 37530 0 15023 0 583336 0 0 0 Donald R Schilling VP AMBULATORY SERVICES 282068 0 56900 0 9906 0 14500 0 13673 0 377047 0 0 0 Kathy J Weishaar VP Medical Affairs & CMO 264532 0 55919 0 1170 0 12039 0 11886 0 345546 0 0 0 Christopher M Bumbaugh VP HUMAN RESOURCES 256477 0 53634 0 3354 0 13091 0 15023 0 341579 0 0 0 Heather R Kirby VP Integrated Care Delivery & CPHO 251885 0 54885 0 1170 0 12563 0 15023 0 335526 0 0 0 Diane M McFarland Chief Nursing Officer 262831 0 55984 0 3354 0 11786 0 551 0 334506 0 0 0 Jennifer G Teeter VP CLINICAL INTEGRATION 256676 0 54559 0 3366 0 6505 0 8190 0 329296 0 0 0 Jackie L Rice VP CHIEF INFORMATION OFFICER 256202 0 55302 0 3354 0 13139 0 369 0 328366 0 0 0 Craig F Rosendale VP Chief Compliance Officer 206551 0 47716 0 16068 0 10972 0 13673 0 294980 0 0 0 Jamie B White VP Qlty Assurance & CQO 224712 0 47247 0 1170 0 9155 0 6605 0 288889 0 0 0 Michael G Mclane Jr VP SUPPORT SVCS 189830 0 42357 0 780 0 9510 0 14921 0 257398 0 0 0 Robin R Rose VP DEVELOPMENT 161634 0 37290 0 3354 0 8493 0 16283 0 227054 0 0 0 James B Sherwood VP Business Dev and Strategy 206041 0 0 0 552 0 0 0 9641 0 216234 0 0 0 Mary D Barton VP Business Dev and Strategy 190138 0 309 0 1203 0 7132 0 5133 0 203915 0 0 0 Brent L Purscelley AVP Ambulatory Services 161032 0 14920 0 276 0 9016 0 14921 0 200165 0 0 0 Kristen B Fletcher VP Chief Compliance Officer 142359 0 13393 0 348 0 7952 0 551 0 164603 0 0 0 Mary A Mcdonald MEDICAL DIR HOSPICE 329367 0 8933 0 276 0 14500 0 15374 0 368450 0 0 0 Tamara L Kile Medical Director 251858 0 24072 0 552 0 13954 0 16711 0 307147 0 0 0 Dustin M Simonson Chief Physicist Supv 261736 0 1273 0 544 0 13587 0 15023 0 292163 0 0 0 Michael T Ewing Director of Supply Chain 220857 0 18441 0 276 0 12095 0 9603 0 261272 0 0 0 Carlos T Graveran DIRECTOR-HOSPICE 195641 0 31397 0 516 0 9356 0 16191 0 253101 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan FREDERICK HEALTH HOSPITAL HAS ONE 457(F) NON QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE AS FOLLOWS: MICHELLE K. MAHAN $33,029 THOMAS A. KLEINHANZL $318,656 CHERYL L. CIOFFI $25,179 A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A 520936091 57421CAD6 2020-06-25 62645000 SEE PART VI false false false B MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A 520936091 57421BLY7 2012-12-05 96240000 SEE PART VI false false false C MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B 520936091 2017-06-15 60645000 SEE PART VI false false false A 0 0 65768798 0 0 0 1159217 0 0 40000000 24890857 0 2022 true false false true B 8655000 86290000 108345805 0 1648756 0 1203561 0 0 37200000 68293488 0 2014 true false true true C 17110000 0 60645000 0 0 0 400000 0 0 60245000 0 0 2017 true false true true A false false false false 0.0 0.0 0.0 false false true B false true true true true true 0.0064 0.0 0.0064 false false true C false true true true true true 0.0027 0.0 0.0027 false false true A false true false false false true true B false false false false false false true C false false true true false false false true A true B true C true Schedule K, Part I, Column (f) LINE A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A: CURRENT REFUND 2017A BONDS ON 06/25/2020, FINANCE 2020 PROJECT AND PAY ISSUANCE COSTS. Schedule K, Part I, Column (f) LINE B MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A: FINANCE 2012 PROJECT AND CURRENT REFUND 2002 BONDS WHICH FUNDED THE 2002 PROJECT. A REFUNDING ESCROW WAS ESTABLISHED WITH PROCEEDS OF TAXABLE DEBT TO REDEEM 86,290,000 OF 2012A BONDS, WHICH WAS ACCOMPLISHED ON JULY 1, 2022. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B: TO REFUND THE 2012B BONDS. Schedule K, Part II, Line 3 Column (A) DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS MARYLAND HEALTH & HIGHER ED AUTHORITY 2020A ORIGINAL ISSUE PREMIUM OF $3,405,074 LESS underwriter discount OF $281,276. Schedule K, Part III, Line 9 THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX EXEMPT BOND POST ISSUANCE COMPLIANCE. J Frederick Manning Director 159604 PAYMENTS TO MANNING BROADCASTING, INC. FOR RADIO ADVERTISING. THE REALTIONSHIP BETWEEN THE HOSPITAL AND RADIO STATION EXISTED PRIOR TO MR. MANNING OWNING THE RADIO STATION AND PRIOR TO HIM BEING ON THE BOARD OF FHH. false Form 990, Part III, Line 4a ADULT INPATIENT SERVICES IN FY 2021, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 17,143 INPATIENTS AND OBSERVATION PATIENTS. MAJOR MEDICAL AND SURGICAL SERVICES INCLUDE CARDIOLOGY, CONGESTIVE HEART FAILURE, POST-CARDIAC CATHETERIZATION, CENTER FOR CHEST PAIN, HEMODIALYSIS, PERITONEAL DIALYSIS, NEUROLOGY, NEUROSURGERY, PULMONOLOGY, ONCOLOGY, ORTHOPEDICS, GENERAL MEDICINE AND SURGICAL CARE. INPATIENT CARE IS SUPPORTED BY A TEAM OF BOARD-CERTIFIED PHYSICIAN HOSPITALISTS. IN ADDITION, FHH IS DESIGNATED AS A PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS (MIEMSS) AND IS RECOGNIZED WITH THE STROKE CENTER GOLD PERFORMANCE AWARD BY THE AMERICAN HEART ASSOCIATION. OUR BARIATRIC SURGICAL PROGRAM IS ACCREDITED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AS A BARIATRIC SURGERY CENTER OF EXCELLENCE. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED HERE, FHH INCURRED $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. Form 990, Part III, Line 4b PERIOPERATIVE SERVICES FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 8,594 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2021. PROCEDURES WERE PERFORMED IN OUR STATE OF THE ART FACILITY WHICH INCLUDES A DEDICATED IMAGING ROOM FOR VASCULAR AND OTHER PROCEDURES. WE HAVE PARTICIPATED IN THE SCIP QUALITY IMPROVEMENT PROJECT FOR CONTINUAL IMPROVEMENTS IN CARE FOLLOWING EVIDENCE BASED MEDICINE. WE TRACKED OUR PATIENT SATISFACTION THROUGH PRESS GANEY TO BENCHMARK OUR RESULTS TO THE NATIONAL DATA BASE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. Form 990, Part III, Line 4c CLINICAL LABORATORY FREDERICK HEALTH HOSPITAL'S CLINICAL LABORATORY PLAYS A VITAL ROLE ACROSS THE ENTIRE CONTINUUM OF HEALTH CARE BOTH WITHIN THE HOSPITAL AND THE COMMUNITY. CLINICAL LABORATORY TESTING HEAVILY IMPACTS CLINICAL DECISION MAKING BY PROVIDING PHYSICIANS, NURSES AND OTHER HEALTH CARE PROVIDERS WITH IMPORTANT INFORMATION NEEDED FOR THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF DISEASE. UP TO 85 PERCENT OF DIAGNOSIS AND TREATMENT DECISIONS ARE BASED ON LABORATORY RESULTS. LABORATORY TEST RESULTS COMPRISE ABOUT 70 PERCENT OF THE AVERAGE PATIENT'S MEDICAL RECORD. VIRTUALLY EVERY PRACTICING PHYSICIAN DEPENDS UPON THE CLINICAL LABORATORY FOR THE CARE OF HIS OR HER PATIENT. FREDERICK HEALTH HOSPITAL LABORATORY PERFORMED OVER 1.6 MILLION BILLABLE LABORATORY TESTS INCLUDING 150,000 COVID-19 PCR TESTS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED HERE, FHH INCURRED $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. Form 990, Part III, Line 4d Description of other program services (Expenses $ 239,924,302 including grants of $ 0)(Revenue $ 200,641,966) OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN AND CHILDREN AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. Form 990, Part VI, Line 4 Significant changes to organizational documents ON JUNE 22, 2021, FREDERICK HEALTH HOSPITAL'S BYLAWS WERE AMENDED TO CHANGE THE COMPOSITION OF THE ORGANIZATION'S BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER, FREDERICK HEALTH, INC., HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK HEALTH HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER, FREDERICK HEALTH, INC., MUST APPROVE THE INCURRENCE OF DEBT IF SUCH DEBT EXCEEDS A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, CAPITAL EXPENDITURES EXCEEDING A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, THE DECISION TO DISSOLVE OR LIQUIDATE, THE CREATION OF A SUBSIDIARY, AND AMENDMENTS TO THE BYLAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE FREDERICK HEALTH HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT THE PRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT THE PRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK HEALTH HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT https://www.frederickhealth.org/documents/FY22_Frederick-Health-Inc.-and-Subsidiaries-FY2022-Audited-Financial-Statements.pdf Form 990, Part VII, Section A FORM 990, PART VII DIRECTOR MIHIR M. JANI RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PERFORMED AND NOT FOR SERVING ON THE BOARD. Form 990, Part IX, Line 11g Other Fees CONTRACT SERVICES - Total Expense: 32253790, Program Service Expense: 28070787, Management and General Expenses: 4152926, Fundraising Expenses: 30077; PROFESSIONAL FEES - Total Expense: 7490767, Program Service Expense: 6735036, Management and General Expenses: 755731, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 14897552, Program Service Expense: 14862542, Management and General Expenses: 35010, Fundraising Expenses: ; OTHER EXPENSES - Total Expense: 6044666, Program Service Expense: 5352078, Management and General Expenses: 691795, Fundraising Expenses: 793; Form 990, Part XI, Line 9 Other changes in net assets or fund balances UNREALIZED GAINS - INTEREST RATE SWAP - 4151192; INTERCOMPANY LOAN FORGIVENESS - -28106963; ASSETS RELEASED FROM RESTRICTIONS - -2144129; JOINT VENTURE INCOME - 5395059; RESTRICTED GIFTS, BEQUESTS & CONTRIBUTIONS - 10111377; OTHER - 168132; FREDERICK HEALTH HOSPICE INC 400 WEST SEVENTH STREET FREDERICK MD 21701 521164513 HOSPICE CARE MD 501(c)(3) 10 FHH INC true FREDERICK HEALTH INC 400 WEST SEVENTH STREET FREDERICK MD 21701 454133096 HEALTH SYSTEM MD 501(c)(3) Type II NA false FREDERICK HEALTH MEDICAL GROUP LLC 400 WEST SEVENTH STREET FREDERICK MD 21701 453001639 PHYSICIAN ORG MD 501(c)(3) 10 FHI true FREDERICK HEALTH SERVICES CORPORATION 400 WEST SEVENTH STREET FREDERICK MD 21701 521851661 HEALTH CARE MD FHI C Corporation true MONOCACY INSURANCE LTD PO BOX 1159 GRAND CAYMAN CJ KY11102 981011570 SELF INSURANCE CJ FHI C Corporation true true false true false false false false false false true true false false false true false true false true FREDERICK HEALTH MEDICAL GROUP LLC Q 67207870 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC S 44350000 CASH FREDERICK HEALTH INC S 3665000 CASH FREDERICK HEALTH MEDICAL GROUP LLC J 2547900 FMV FREDERICK HEALTH INC O 1566733 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC O 1132994 DIRECT COSTING FREDERICK HEALTH INC Q 582530 DIRECT COSTING FREDERICK HEALTH VILLAGE LLC Q 558846 DIRECT COSTING FREDERICK HEALTH HOSPICE INC S 550000 CASH FREDERICK HEALTH SERVICES CORP K 483455 FMV FREDERICK HEALTH HOSPICE INC O 274090 DIRECT COSTING FREDERICK HEALTH SERVICES CORP A 78000 FMV MONOCACY INSURANCE LTD C 50000 CASH