2021-05-14T17:22:48-05:00 2020-06-30 ERNST & YOUNG US LLP 201 NORTH FRANKLIN STE 2400 TAMPA FL 33602 990 2019-07-01 521164513 Frederick Health Hospice Inc % MICHELLE K MAHAN FRED 2405663030 400 WEST SEVENTH STREET FREDERICK MD 21701 MICHELLE K MAHAN CFO-HOSPITAL 2405663300 2021-05-14 true MELANIE A MCPEAK P01346034 8132254800 2021-05-11 2019 2022-09-23 18:48:47Z MICHELLE K MAHAN 400 W 7TH STREET FREDERICK MD 21701 3455960 false X www.frederickhealthhospice.org X 1981 MD To promote quality of life by providing compassionate, medical, emotional, spiritual and bereavement support to individuals and their loved ones facing a life-limiting illness. 15 13 0 210 0 0 1197599 2816445 304187 377519 328429 27096 197300 204462 2027515 3425522 0 0 0 0 0 0 0 0 21817 1290100 1409773 1290100 1409773 737415 2015749 6200696 7880581 66877 26699 6133819 7853882 X To promote quality of life by providing compassionate, medical, emotional, spiritual and bereavement support to individuals and their loved ones facing a life-limiting illness. false false 1250477 0 377519 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 OPERATES THE KLINE HOSPICE HOUSE. 1250477 true true false false false false false false false false true false false false false false false true false false false false false false true false false false false true false false false false false false false false false 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 13 false false false false true true true true true false false true true true true true true false false false MD X MICHELLE K MAHAN 2405663300 400 WEST SEVENTH STREET FREDERICK MD 21701 X THOMAS KLEINHANZL Director, CEO-HOSPITAL 2.0 46.0 X 0 1422493 349499 MICHELLE MAHAN CFO-HOSPITAL 2.0 44.0 X 0 741958 77310 Patrick Mansky DIRECTOR/PHYSICIAN FHMG 2.0 40.0 X 0 521310 20694 KATHY WEISHAAR MD DIRECTOR/VP of Medical Affairs 2.0 40.0 X 0 179748 8946 WILLIAM HAUGH DIRECTOR 2.0 0.0 X 0 0 0 REV TIMOTHY MAY PRESIDENT 2.0 0.0 X X 0 0 0 CARL MILLER DIRECTOR (ENDED 2/15/20) 4.0 0.0 X 0 0 0 JUSTIN SALTZMAN DIRECTOR 1.0 0.0 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 Cathy S Alexander VICE PRESIDENT 2.0 0.0 X X 0 0 0 Arthur Anderson SECRETARY 2.0 0.0 X X 0 0 0 Tejal Gandhi DIRECTOR 2.0 0.0 X 0 0 0 Shabri Moore 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 0 2865509 456449 0 false true false 0 2250 2814195 10073 2816445 INPATIENT - HOSPICE HOUSE 623110 377519 377519 0 0 377519 27096 27096 0 0 0 0 0 0 234900 2250 30438 204462 204462 0 0 0 0 0 0 0 3425522 377519 0 231558 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 57488 0 57488 0 0 176024 141793 21829 12402 0 0 0 0 0 0 0 14105 13990 38 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57826 57826 0 0 0 0 0 0 0 0 0 SUPPLIES AND COGS 98772 77620 11814 9338 CONTRACT SVCS 1005558 959248 46310 0 1409773 1250477 137479 21817 0 0 0 577748 968909 0 0 2501 2149 0 0 0 0 0 0 0 0 0 0 1892606 1267674 682758 624932 4937689 6137606 0 0 0 0 0 0 0 146985 6200696 7880581 66877 26699 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66877 26699 X 6133819 7853882 0 0 6133819 7853882 6200696 7880581 X 2015749 -27546 0 0 0 -268140 X false true X true false X 963381 1064727 1207702 1197599 2816445 7249854 184660 227073 290465 304187 377519 1383904 224512 241088 207780 232128 234900 1140408 0 0 1372553 1532888 1705947 1733914 3428864 9774166 0 604004 100629 131707 68130 1702920 2607390 604004 100629 131707 68130 1702920 2607390 7166776 115311 113072 122928 328429 27096 706836 0 115311 113072 122928 328429 27096 706836 0 0 1487864 1645960 1828875 2062343 3455960 10481002 0.68379 0.76140 0.06744 0.09960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 145000 145000 1334057 880553 453504 227798 226754 1044 185751 160367 25384 624932 GOLF TOURNEY 237150 2250 234900 975 10400 18013 1050 0 237150 2250 234900 975 10400 18013 1050 30438 204462 false true false false false false false false false THOMAS KLEINHANZL Director, CEO-HOSPITAL 0 1110217 0 311366 0 910 0 329811 0 19688 0 1771992 0 298762 MICHELLE MAHAN CFO-HOSPITAL 0 603728 0 137320 0 910 0 63996 0 13314 0 819268 0 87490 KATHY WEISHAAR MD DIRECTOR/VP of Medical Affairs 0 161928 0 17820 0 0 0 0 0 8946 0 188694 0 0 Patrick Mansky DIRECTOR/PHYSICIAN FHMG 0 498735 0 22250 0 325 0 14000 0 6694 0 542004 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 FREDERICK HEALTH HOSPITAL'S 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 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 $30,942 THOMAS A. KLEINHANZL $296,811 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 PRESIDENT/CEO OF THE CORPORATION; PROVIDED, HOWEVER, THAT THE MEMBER SHALL TAKE NO SUCH ACTION WITHOUT PRIOR CONSULTATION WITH THE BOARD OF DIRECTORS THE CORPORATION MAY TAKE THE FOLLOWING ACTIONS ONLY WITH THE PRIOR APPROVAL OF THE MEMBER: - ELECTION OR REPLACEMENT OF A DIRECTOR OR THE FILLING OF A VACANCY ON THE BOARD OF DIRECTORS 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. Decisions reserved to members or stockholders FORM 990, PART VI, LINE 7B THE MEMBER (FHH, INC.) SHALL TAKE THE FOLLOWING ACTIONS ON BEHALF OF THE CORPORATION: - FORMULATE, COMMUNICATE AND IMPLEMENT STRATEGIC PLANNING AND FINANCIAL MANAGEMENT - SELECT A FISCAL AUDITOR THE CORPORATION MAY TAKE THE FOLLOWING ACTIONS ONLY WITH THE PRIOR APPROVAL OF THE MEMBER: - EXPEND OR DIVEST ITS CAPITAL ASSETS, IF THE VALUE OF SUCH EXPENDITURE OR DIVESTITURE IS IN EXCESS OF AN AMOUNT TO BE DESIGNATED BY THE MEMBER FROM TIME TO TIME - INCUR DEBT OR GUARANTEE DEBT, IF THE AGGREGATE AMOUNT OF SUCH DEBT DURING ANY TWELVE MONTH PERIOD IS IN EXCESS OF AN AMOUNT TO BE DESIGNATED BY THE MEMBER FROM TIME TO TIME - EXPEND AMOUNTS IN EXCESS OF THE CORPORATION'S APPROVED ANNUAL OPERATING BUDGET IF SUCH AMOUNTS EXCEED AN AMOUNT TO BE DESIGNATED BY THE MEMBER FROM TIME TO TIME - DISSOLVE OR LIQUIDATE - CREATE, DISSOLVE OR DIVEST ANY SUBSIDIARY, PARTNERSHIP OR LLC - AMEND THE ARTICLES OF INCORPORATION AND/OR BY LAWS OF THE CORPORATION THE FOLLOWING SHALL NOT BE DEEMED TO HAVE TAKEN PLACE ABSENT SUBSEQUENT RATIFICATION BY THE MEMBER: - THE ADOPTION BY THE CORPORATION OF ITS ANNUAL OPERATING BUDGET OR CAPITAL BUDGET - CHANGE THE MISSION 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 JOHANNES MANSKY RECEIVED COMPENSATION FROM FREDERICK HEALTH MEDICAL GROUP, LLC FOR PHYSICIAN SERVICES. DIRECTOR KATHY WEISHAAR RECEIVED COMPENSATION FROM FREDERICK HEALTH HOSPITAL, INC. FOR EMPLOYMENT AS VP OF MEDICAL AFFAIRS OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 Fundraiser net income $(206,712) Gifts-in-kind expense $ (30,989) Fundraiser expense $ (30,438) ROUNDING $ (1) ---------- Total $(268,140) 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 PHYS ORG MA 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 998003 DIRECT COSTING