2022-05-16T16:13:35-05:00 2021-06-30 ERNST & YOUNG US LLP 201 NORTH FRANKLIN ST STE 2400 TAMPA FL 33602 990 2020-07-01 521164513 Frederick Health Hospice Inc % HANNAH R JACOBS FRED 2405663030 400 WEST SEVENTH STREET FREDERICK MD 21701 MICHELLE K MAHAN CFO-HOSPITAL 2405663300 2022-05-13 true MICHELLE K MAHAN XXX-XX-XXXX MELANIE A MCPEAK P01346034 8132254800 2 2020 2022-09-23 18:48:47Z MICHELLE K MAHAN 400 WEST SEVENTH STREET FREDERICK MD 21701 4189745 false X www.frederickhealthhospice.org X 1981 MD TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. 15 11 0 183 0 0 2816445 3066067 377519 0 27096 876558 204462 214927 3425522 4157552 0 0 0 0 0 0 0 0 18614 1409773 640362 1409773 640362 2015749 3517190 7880581 11866018 26699 217449 7853882 11648569 TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. false false 478223 0 0 THE PURPOSE OF FREDERICK HEALTH HOSPICE, INC. IS TO PROVIDE AND PROMOTE HOSPICE CARE FOR INDIVIDUALS WHO ARE TERMINALLY ILL AND FOR THEIR FAMILIES. FREDERICK HEALTH HOSPICE, INC. OPERATES AS A FUNDRAISING ORGANIZATION FOR THE BENEFIT OF HOSPICE SERVICES AND OWNERSHIP OF THE KLINE HOSPICE HOUSE. 478223 true true false false false false false false false false true false false false true false false true false false false false false false true false false false false true false false false false false false false false true false false false false true true true false false true 2 0 true 0 false false false false false true true false false false false false false X 15 11 false false true false true true true true true false false true true true true true true false false false MD X HANNAH R JACOBS 2405663300 400 WEST SEVENTH STREET FREDERICK MD 21701 X THOMAS A KLEINHANZL DIRECTOR/PRES. & CEO-HOSPITAL 2.0 46.0 X X 0 1365568 367705 MICHELLE K MAHAN CFO-HOSPITAL 2.0 44.0 X 0 807351 83054 PATRICK J MANSKY DIRECTOR/PHYSICIAN FHMG 2.0 40.0 X 0 536083 21188 KATHY J WEISHAAR MD DIRECTOR/VP of Medical Affairs 2.0 40.0 X 0 282587 22962 HEATHER R KIRBY DIRECTOR/FHH VP IC & CPHO 4.0 36.0 X 0 278641 25364 Cathy S Alexander VICE PRESIDENT 2.0 0.0 X X 0 0 0 Tejal Gandhi DIRECTOR 2.0 0.0 X 0 0 0 Thomas Sinton DIRECTOR 2.0 0.0 X 0 0 0 Allison Zerr DIRECTOR 2.0 0.0 X 0 0 0 LAUREL CUCCHI DIRECTOR 2.0 0.0 X 0 0 0 WILLIAM HAUGH DIRECTOR 2.0 0.0 X 0 0 0 REV TIMOTHY MAY PRESIDENT 2.0 0.0 X X 0 0 0 RICHARD SANDY DIRECTOR 2.0 0.0 X 0 0 0 DOUGLAS STAUFFER TREASURER 2.0 2.0 X X 0 0 0 JOHN VERBUS DIRECTOR 2.0 0.0 X 0 0 0 Arthur Anderson SECRETARY 2.0 0.0 X X 0 0 0 0 3270230 520273 0 false true false 0 3066067 317431 3066067 0 876558 876558 0 0 0 0 0 0 247120 32193 214927 214927 0 0 0 0 0 0 0 4157552 1091485 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63252 0 63252 0 0 0 0 0 0 0 0 0 79271 52157 19044 8070 0 0 0 0 0 0 0 0 13830 13734 32 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58124 58124 0 0 0 0 0 CONTRACT SERVICES 315557 268971 46586 0 SUPPLIES 110328 85237 14611 10480 640362 478223 143525 18614 0 0 0 968909 3445790 0 0 2149 0 0 0 0 0 0 0 0 0 0 0 1910465 1325798 624932 584667 6137606 7835561 0 0 0 0 0 0 146985 0 7880581 11866018 26699 17860 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 199589 26699 217449 X 7853882 11648569 0 0 7853882 11648569 7880581 11866018 X 3517190 515301 0 0 0 -237804 X false true X true false X 1064727 1207702 1197599 2816445 3066067 9352540 227073 290465 304187 377519 0 1199244 241088 207780 232128 234900 247120 1163016 0 0 1532888 1705947 1733914 3428864 3313187 11714800 0 100629 131707 68130 1702920 1893536 3896922 100629 131707 68130 1702920 1893536 3896922 7817878 113072 122928 328429 27096 876558 1468083 0 113072 122928 328429 27096 876558 1468083 0 0 1645960 1828875 2062343 3455960 4189745 13182883 0.59303 0.68379 0.11136 0.06744 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 145000 145000 1334057 933450 400607 227799 226897 902 203609 165451 38158 584667 0 INTERCOMPANY LIABILITIES 199589 199589 GOLF TOURNEY 247120 247120 975 10725 19319 1174 0 247120 247120 975 10725 19319 1174 32193 214927 false true false false false false false false false THOMAS A KLEINHANZL DIRECTOR/PRES. & CEO-HOSPITAL 0 824793 0 537421 0 3354 0 348489 0 19216 0 1733273 0 0 MICHELLE K MAHAN CFO-HOSPITAL 0 544932 0 252513 0 9906 0 67196 0 15858 0 890405 0 0 PATRICK J MANSKY DIRECTOR/PHYSICIAN FHMG 0 481426 0 53625 0 1032 0 14000 0 7188 0 557271 0 0 KATHY J WEISHAAR MD DIRECTOR/VP of Medical Affairs 0 231068 0 50484 0 1035 0 10689 0 12273 0 305549 0 0 HEATHER R KIRBY DIRECTOR/FHH VP IC & CPHO 0 225860 0 51611 0 1170 0 10112 0 15252 0 304005 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 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. FORM 990, SCHEDULE J, PART I, LINE 4B FREDERICK HEALTH HOSPITAL HAS ONE 457(F) NON-QUALIFIED DEFERRED OMPENSATION 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 $33,696 THOMAS A. KLEINHANZL $314,989 X 89618 317431 FAIR MARKET VALUE false true false CHANGES TO GOVERNING DOCUMENTS SINCE THE PRIOR 990 WAS FILED FORM 990, PART VI, LINE 4 ON JUNE 17, 2021, FREDERICK HEALTH HOSPICE'S BYLAWS WERE AMENDED TO CHANGE THE MISSION STATEMENT AND RESERVED POWERS. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 FREDERICK HEALTH HOSPITAL, INC, FORMERLY KNOWN AS FREDERICK MEMORIAL HOSPITAL, INC., IS THE SOLE MEMBER OF THE CORPORATION. POWER TO ELECT OR APPOINT MEMBERS FORM 990, PART VI, LINE 7A THE MEMBER (FHH, INC.) SHALL TAKE THE FOLLOWING ACTIONS ON BEHALF OF THE CORPORATION: - APPOINT, AND AS NECESSARY, REMOVE THE EXECUTIVE DIRECTOR OF THE CORPORATION; PROVIDED, HOWEVER, THAT THE MEMBER SHALL TAKE NO SUCH ACTION WITHOUT PRIOR CONSULTATION WITH THE BOARD OF DIRECTORS; - FORMULATE, COMMUNICATE AND IMPLEMENT STRATEGIC PLANNING AND FINANCIAL MANAGEMENT; AND - SELECT A FISCAL AUDITOR. THE CORPORATION MAY TAKE THE FOLLOWING ACTIONS ONLY WITH THE PRIOR APPROVAL OF THE MEMBER: - DISOLVE OR LIQUIDATE; AND - CREATE, DISSOLVE OR DIVEST ANY SUBSIDIARY, PARTNERSHIP OR LLC. DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 7B THE FOLLOWING SHALL NOT BE DEEMED TO HAVE TAKEN PLACE ABSENT SUBSEQUENT RATIFICATION BY THE MEMBER: - ELECTION OR REPLACEMENT OF A DIRECTOR OR THE FILLING OF A VACANCY ON THE BOARD OF DIRECTORS; OR - AT SUCH TIMES AS THE MEMBER DEEMS NECESSARY, AND PURSUANT TO THE VOTE OF AT LEAST TWO-THIRDS OF THE MEMBER'S DIRECTORS, REMOVE A DIRECTOR OF THE CORPORATION; OR - CHANGE THE MISSION OF THE CORPORATION; OR - AMEND THE ARTICLES OF INCORPORATION AND/OR BYLAWS OF THE CORPORATION. PROCESS USED TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND IS REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C THE FREDERICK HEALTH HOSPICE, 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 WILL DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, TO DECIDE WHAT ACTION TO TAKE. ALTERNATIVELY, THE CHAIR PERSON 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 WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE, AND THE CHAIRPERSON WILL NOTIFY THE FULL BOARD OF SUCH ACTION. 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 EITHER 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 MEMBERSOFFICERS' 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., UNREASONABLE HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK HEALTH, INC'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FREDERICKHEALTH.ORG. FORM 990, PART VII DIRECTOR PATRICK J. MANSKY RECEIVED COMPENSATION FROM FREDERICK HEALTH MEDICAL GROUP, LLC FOR PHYSICIAN SERVICES. DIRECTOR KATHY J. WEISHAAR RECEIVED COMPENSATION FROM FREDERICK HEALTH HOSPITAL, INC. FOR EMPLOYMENT AS VP OF MEDICAL AFFAIRS. DIRECTOR THOMAS A. KLEINHANZL RECEIVED COMPENSATION FROM FREDERICK HEALTH HOSPITAL, INC. FOR EMPLOYMENT AS PRESIDENT AND CEO. DIRECTOR HEATHER R. KIRBY RECEIVED COMPENSATION FROM FREDERICK HEALTH HOSPITAL, INC. FOR EMPLOYMENT AS VP INTEGRATED CARE & CPHO. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES FUNDRAISER NET INCOME $(214,928) GIFTS-IN-KIND EXPENSE $ (8,684) FUNDRAISER EXPENSE $ (32,192) RELEASED FROM RESTRICTION TO PURCHASE CAPITAL $ 18,000 ---------- Total $(237,804) FREDERICK HEALTH HOSPITAL INC 400 WEST SEVENTH STREET FREDERICK MD 21701 520591612 HOSPITAL MD 501(c)(3) 3 FHI false FREDERICK HEALTH INC 400 WEST SEVENTH STREET FREDERICK MD 21701 454133096 HEALTH SYSTEM MD 501(c)(3) 12b NA false FREDERICK HEALTH MEDICAL GROUP LLC 400 WEST SEVENTH STREET FREDERICK MD 21701 453007639 PHYSICIAN ORG MD 501(c)(3) 7 FHI true FREDERICK HEALTH SERVICES CORPORATION 400 WEST SEVENTH STREET FREDERICK MD 21701 521851661 HEALTHCARE MD FHI C Corp 0 0 true MONOCACY INSURANCE LTD PO BOX 1159 Grand Cayman KY1-1102 CJ 981011570 SELF INSURANCE CJ FHI C Corp 0 0 true false false false false false false false false false false false false false false true false false false false FREDERICK HEALTH HOSPITAL INC o 310961 DIRECT COSTING