2021-05-14T13:28:28-05:00 2020-06-30 KPMG LLP 8350 Broad Street Suite 900 McLean VA 22102 990 2019-07-01 520591531 UPMC Western Maryland Corporation % AMBER RUBLE UPMC 2409648002 PO BOX 539 CUMBERLAND MD 215010539 MICHELE MARTZ PRESIDENT 2409648002 2021-05-13 true JG WHITE P01498698 7032868000 2021-05-13 2019 2022-09-23 18:48:47Z MICHELE MARTZ PO BOX 539 CUMBERLAND MD 215010539 535845072 false X WWW.WMHS.COM X 1905 MD UPMC WESTERN MARYLAND IS DEDICATED TO PROVIDING PATIENT CENTERED CARE AND IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE. 12 12 2701 335 783570 39879 2629401 2745715 333666515 332012049 5916131 39958547 4109560 3718422 346321607 378434733 425817 17388 0 0 168333277 186359977 0 0 0 165545761 159061722 334304855 345439087 12016752 32995646 536398919 634435651 342693428 451473053 193705491 182962598 X THE MISSION OF UPMC WESTERN MARYLAND IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE INDIVIDUALS AND THE COMMUNITIES SERVED, ESPECIALLY THOSE IN NEED SUPERIOR CARE FOR ALL WE SERVE. false false 181053545 201253032 ANCILLARY CARE - REGULATED UPMC WESTERN MARYLAND OFFERS A COMPREHENSIVE RANGE OF GENERAL AND SPECIALTY SERVICES FOR PATIENTS. SURGICAL, LABORATORY, RADIOLOGY, CARDIOLOGY, CANCER, RESPIRATORY AND PULMONARY ARE THE LARGER SERVICES PROVIDED AT THE HOSPITAL. A SMALLER SCALE OF ANCILLARY SERVICES ARE PROVIDED AT THE NURSING HOME. 55481645 17388 61817048 INPATIENT ROUTINE CARE - REGULATED UPMC WESTERN MARYLAND IS A FULL SERVICE COMMUNITY HOSPITAL LICENSED FOR 224 BEDS INCLUDING MEDICAL-SURGICAL INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC REHABILITATION, NURSERY, AND 88 NURSING HOME BEDS. THE NURSING HOME WAS SOLD ON MARCH 1, 2020. FOR THE YEAR, 10,950 PATIENTS WERE ADMITTED TO THE HOSPITAL AND FOR THE NURSING HOME, THE AVERAGE DAILY CENSUS WAS 65 PATIENTS, BEFORE THE SALE. HEALTH SYSTEM ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THOSE PATIENTS WHO MEET CERTAIN CRITERIA UNDER WMHS'S CHARITY CARE POLICIES RECEIVE SERVICES AT NO CHARGE OR AT AN AMOUNT LESS THAN FULL CHARGES. 57004670 19352397 PHYSICIAN PRACTICES, CLINICS, AND HOME CARE UPMC WESTERN MARYLAND OPERATES 15 PHYSICIAN PRACTICES, 3 URGENT CARE CLINICS, AND A HOME CARE PRACTICE. THE PHYSICIAN PRACTICES HAD 145,959 ENCOUNTERS; THE CLINICS HAD 31,009 ENCOUNTERS AND HOME CARE HAD 35,211 VISITS FOR THE YEAR. 17281678 49945103 EMERGENCY CARE - REGULATED 17281678 49945103 310821538 true true false false false false false false false true true true true false true true false true false true true false false false true false true true true true true false false false false false false false false false false false false true true true true false false true 99 0 true 2701 true true true true CJ false false false true false false false false false false false true false X 12 12 false false true true true true true true true false false true true true true true true true true true true MD X AMBER RUBLE 2409648002 PO BOX 539 CUMBERLAND MD 215010539 X BARRY P RONAN PRESIDENT/CEO 40.0 0.0 X 1117295 0 234925 MARK G NELSON MD PHYSICIAN 40.0 0.0 X 702083 0 69837 KIMBERLY S REPAC SR VP/CFO (Thru 12/2019) 40.0 0.0 X 635511 0 76667 NANCY D ADAMS SR VP/COO 40.0 0.0 X 614924 0 94399 NII LAMPTEY-MILLS MD PHYSICIAN 40.0 0.0 X 616550 0 67973 VAMSHIDHAR VOOTLA PHYSICIAN 40.0 0.0 X 591153 0 66115 CHRISTOPHER HAAS PHYSICIAN 40.0 0.0 X 585535 0 55036 KENNETH G JUDSON MD PHYSICIAN 40.0 0.0 X 572955 0 67303 STEVEN R SMITH MD MEDICAL DIRECTOR 40.0 0.0 X 409558 0 183492 GERALD GOLDSTEIN MD SR VP/CMO 40.0 0.0 X 494465 0 69860 WILLIAM BYERS VP, CIO 40.0 0.0 X 360665 0 54048 KEVIN R TURLEY VP, SUPPORT OPERATIONS 40.0 0.0 X 313975 0 49188 MICHELE R MARTZ SR VP/CFO (As of 1/2020) 40.0 0.0 X 292022 0 47905 JAMES KARSTETTER VP, CNO 40.0 0.0 X 277678 0 48016 JO M WILSON VP, POPULATION HEALTH 40.0 0.0 X 275612 0 43907 ROLF K HAARSTAD AIA CHAIRMAN 4.0 0.0 X X 0 0 0 MARY ANN JENKINS DDS VICE CHAIR 4.0 0.0 X X 0 0 0 KEITH L FUNKHOUSER TREASURER 4.0 0.0 X X 0 0 0 DAVID T MARTIN SECRETARY 4.0 0.0 X X 0 0 0 DAVID BURWELL MD BOARD MEMBER 3.0 0.0 X 0 0 0 DAVID C RUSSELL BOARD MEMBER 3.0 0.0 X 0 0 0 EILEEN SIMMONS BOARD MEMBER 3.0 0.0 X 0 0 0 JONATHAN HUTCHERSON BOARD MEMBER 3.0 0.0 X 0 0 0 KIM B LEONARD BOARD MEMBER 3.0 0.0 X 0 0 0 PATRICIA NOBLE RN BOARD MEMBER 3.0 0.0 X 0 0 0 JOHN N PAPPAS MD BOARD MEMBER 3.0 0.0 X 0 0 0 COURTNEY A THOMAS-WINTERBERG BOARD MEMBER 3.0 0.0 X 0 0 0 7859981 0 1228671 158 false true false HAYSTACK IMAGING SERVICES PO BOX 539 CUMBERLAND MD 215010539 DIAGNOSTIC 6011874 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 900742936 PHYSICIAN STAFFING 5058281 NORTH AMERICAN PARTNERS IN ANESTHES 68 SOUTH SERVICE ROAD STE 350 MELVILLE NY 11747 ANESTHESIA 4547869 CARL BELT INC PO BOX 1210 CUMBERLAND MD 215011210 CONSTRUCTION 2648484 ARAMARK PO BOX 978839 DALLAS TX 753978839 DIETARY 2545645 87 54192 560989 1369944 760590 2745715 ANCILLARY CARE 621990 201218696 200804897 413799 INPATIENT ROUTINE CARE 621990 61679723 61679723 EMERGENCY CARE 621990 49902328 49902328 PHYSICIAN PRACTICES, CLINICS, HH, & HOSPICE 621990 19211302 19211302 332012049 6973268 6973268 0 0 816981 4500 514769 302212 4500 306712 306712 180141882 9512368 153500042 3168929 26641840 6343439 32985279 32985279 43257 54192 70886 -27629 -27629 0 0 0 247613 155713 91900 91900 AMORTIZATION - 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SCHEDULE D, PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN 48 FOOTNOTE) THE HEALTH SYSTEM AND AFFILIATES ACCOUNT FOR TAX PROVISIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC SUBTOPIC 740-10., INCOME TAXES OVERALL, WHICH CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF ASC SUBTOPIC 740-10, AN ENTITY COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THE HEALTH SYSTEM AND AFFILIATES HAVE DETERMINED THAT IT DID NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JANUARY 31, 2020 OR JUNE 30, 2019. 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X X X X true true X X X true X WWW.WMHS.COM X WWW.WMHS.COM X WWW.WMHS.COM X X X X X true X false X X X X true X false true SCHEDULE H, PART V, SECTION B, FACILITY INFORMATION LINE 3, COMMUNITY HEALTH NEEDS ASSESSMENT AND LINE 5, PERSONS CONSULTED THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE UPMC WESTERN MARYLAND CO-CHAIR THE ALLEGANY COUNTY HEALTH PLANNING COALITION (COMPRISED OF 78 INDIVIDUALS REPRESENTING FOUNDING PARTNERS, AN ADVISORY BOARD, AND COMMUNITY AFFILIATES). THE MISSION OF THE ALLEGANY COUNTY HEALTH PLANNING COALITION IS "HEALTHY LIFESTYLES THROUGH COLLABORATIVE PARTNERSHIPS, EVIDENCE-BASED PRACTICES, AND PERSONAL COMMITMENTS." OVER THE YEARS, VARIOUS COMMUNITY STAKEHOLDERS HAVE PARTNERED TO IMPROVE THE HEALTH OF OUR COMMUNITY. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND UPMC WESTERN MARYLAND IS A TOTAL PATIENT REVENUE HOSPITALAND THE ONLY HOSPITAL IN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. LINE 6B, CHNA CONDUCTED WITH OTHER ORGANIZATIONS THE CHNA WAS CONDUCTED JOINTLY WITH THE ALLEGANY COUNTY HEALTH DEPARTMENT. LINE 7B: OTHER WEBSITE WHERE CHNA IS AVAILABLE: HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM LINE 11, ADDRESSING SIGNIFICANT NEEDS IN THE CHNA PRIOR CHNAS WERE COMPLETED IN 2011, 2014 AND 2017. THE ASSESSMENT BEING COMPLETED IN JUNE 2020 IS THE FOURTH CYCLE AND BUILD UPON IMPROVEMENTS MADE AND LESSONS LEARNED IN PRIOR CYCLES. THE PRIORITIES IN THE 2017 CHNA WERE SUBSTANCE ABUSE, POVERTY, HEART DISEASE, AND ACCESS TO CARE/HEALTH LITERACY. AFTER REVIEW OF HEALTH STATUS INDICATORS AND CAUSATIVE FACTORS, THE FOLLOWING PRIORITIES WERE SELECTED FOR THE MOST RECENT CHNA: TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH, AND PREVENTION-YOUTH RISK REDUCTION. THROUGHOUT EACH THREE-YEAR CYCLE, PROGRESS ON THE LOCAL HEALTH ACTION PLAN WAS MONITORED AND ITS IMPACT ON THE IDENTIFIED OUTCOME MEASURES WAS EVALUATED. KEY MEASURES AND THE CHANGES SEEN OVER TIME: - RESIDENTS THAT REPORTED MISSING APPOINTMENTS DUE TO TRANSPORTATION INCREASED FROM 16% TO 19% - LEVEL 1 AND 2 EMERGENCY DEPARTMENT VISITS INCREASED FROM 6,476 TO 7,345 - 21.2% PERCENT OF ELEMENTARY AGE CHILDREN ARE IN THE 95TH PERCENTILE OR HIGHER F OR BODY MASS INDEX AND THE PERCENTAGE IS INCREASING - EMERGENCY DEPARTMENT VISITS FOR HYPERTENSION ARE AT 453.3 PER 100,000 POPULATION AND THE RATE HAS INCREASED STEADILY SINCE 2010 - 52.6 DRUG INDUCED DEATHS CAUSED BY ILLICIT OR PRESCRIPTION DRUGS PER 100,000 POPULATION AND DEATHS ARE RISING. AFTER REVIEWING PROGRESS AND AREAS FOR IMPROVEMENT IN BOTH PRIOR AND THE CURRENT LOCAL HEALTH ACTION PLAN, A VARIETY OF SECONDARY DATA SOURCES WERE COMPILED AND REVIEWED BY THE LHAP WORKGROUP. THE WORKGROUP INCLUDES REPRESENTATIVES FROM THE HOSPITAL, HEALTH DEPARTMENT, COMMUNITY ACTION AGENCY AND AREA HEALTH EDUCATION CENTER. EACH OF THESE REPRESENTATIVES WAS TASKED WITH PULLING SOURCES AVAILABLE TO THEM AND SHARING THEM FOR REVIEW. 4 THE METRICS AND SOURCES INCLUDED: MARYLAND'S STATE HEALTH IMPROVEMENT PROCESS (SHIP) COUNTY HEALTH RANKING COMMUNITY COMMONS US NEWS CIVIC RANKING ALLEGANY COUNTY YOUTH RISK BEHAVIORAL SURVEY (YRBS) KIDS COUNT AMERICAN COMMUNITY SURVEY HEALTHY PEOPLE 2020 ALLEGANY COUNTY PUBLIC SCHOOL BMI DATA OPPORTUNITY NATION COMMUNITY NEEDS INDEX FEEDING AMERICA STATE CANCER PROFILE LOCAL TRANSPORTATION SURVEY WMHS DENTAL ED VISITS MD COLLEGE SURVEY DRUG AND ALCOHOL RELATED DEATHS- BHA, MDH HOMELESS DATA-HRDC TOP 10 REASONS WMHS ED VISITS AND ADMISSIONS WMHS DIMENSIONAL INSIGHT NEEDS TRENDING IN THE WRONG DIRECTION OR OFF TARGET COMPARED TO THE STATE OR NATION WERE COMPILED FOR REVIEW BY THE ALLEGANY COUNTY HEALTH PLANNING COALITION. THE COUNTY HEALTH RANKING DATA FROM 2010-2019 WERE REVIEWED AND COMPARED OVER TIME WHEN VALID. DATA POINTS WERE ELIMINATED FROM CONTINUED REVIEW IF THE SAMPLE SIZE WAS TOO SMALL, NEED APPEARED STABLE, OR ISSUE WAS REPRESENTED BY ANOTHER METRIC. COMMUNITY HEALTH AND WELLNESS CONNECTIONS ARE IDENTIFIED BETWEEN THE IMPLEMENTATION STRATEGY AND THE STRATEGIC PLAN AS PART OF THE COMMUNITY BENEFIT PLANNING. THE POPULATION HEALTH COUNCIL REVIEWS THE FINDINGS TO IDENTIFY KEY OPPORTUNITIES FOR INVOLVEMENT OF UPMC WESTERN MARYLAND INTERNALLY AND WITH THE LOCAL HEALTH IMPROVEMENT COALITION (LHIC) REGARDING THE COMMUNITY. AS A CYCLE OF LEARNING, THESE OPPORTUNITIES ARE THEN CONSIDERED IN THE STRATEGIC PLANNING PROCESS. ONCE PRIORITIES, PLANS AND METRICS ARE APPROVED AND ALIGNED WITH THE BUDGET PROCESS, THE CHNA AND IMPLEMENTATION PLAN ARE PRESENTED TO THE BOARD FOR APPROVAL, THEN IMPLEMENTED, TRACKED AND MEASURED. THE FOLLOWING ARE SOME OF THE STRATEGIC OBJECTIVES FOR 2018-2020 IN THE UPMC WESTERN MARYLAND STRATEGIC PLAN THAT HAVE A CONNECTION TO THE COALITIONS LOCAL HEALTH ACTION PLAN. * IMPROVE HEALTH STATUS AND SOCIAL DETERMINANTS OF HEALTH * EXPAND PRE-HOSPITALIZATION AND POST-ACUTE CARE SERVICES TO REDUCE UTILIZATION * TRANSFORM CARE DELIVERY MODELS LINE 22, FINANCIAL ASSISTANCE POLICY UPMCWM DETERMINES THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO THE FINANCIAL ASSISTANCE POLICY ("FAP") ELIGIBLE INDIVIDUALS BY USING HSCRC RATE ORDER AND REGULATIONS. LINE 24, INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COST REVIEW COMMISSION (HSCRC) DETERMINES PAYMENT THROUGH A RATE SETTING PROCESS AND ALL PAYORS, INCLUDING GOVERNMENT PAYORS, PAY THE SAME AMOUNT FOR THE SAME SERVICES DELIVERED AT THE SAME HOSPITAL. IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE. UPMC WESTERN MARYLAND ALSO CONSIDERS PERSONS WHO DO NOT MEET THE FAP INCOME GUIDELINES UNDER EXPANSION OF THE FAP POLICY FOR FINANCIAL HARDSHIP THAT WOULD LIMIT THE AMOUNT EXPECTED TO BE PAID BASED ON PERCENTAGE OF INCOME. 1 Frostburg Nursing and Rehabilitation Ctr 48 Tarn Terrace Frostburg MD 21532 Nursing Home SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT UPMC WESTERN MARYLAND HAS IN PLACE A DISASTER READINESS PROGRAM. AS THE LARGEST HOSPITAL IN THE AREA AND THE LARGEST EMPLOYER, UPMC WESTERN MARYLAND HAS INCURRED COSTS TO BE ABLE TO DEAL WITH A DISASTER IF THE NEED ARISES. COALITION BUILDING - UPMC WESTERN MARYLAND WORKS WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH IN THE COMMUNITY. EDUCATION PROGRAMS, SCREENINGS, AND VARIOUS OTHER EVENTS ARE CONDUCTED BY WMHS. WORKFORCE DEVELOPMENT - UPMC WESTERN MARYLAND IS ACTIVELY INVOLVED IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS FOR THE FEDERALLY MEDICAL UNDERSERVED AREA THROUGH A COLLABORATION WITH REGIONAL PARTNERS. SCHEDULE H, PART III BAD DEBT EXPENSE, LINE 4 PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR BAD DEBTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOUCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR UNCOLLECTABLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS ITS ESTIMATE AND EVALUATES THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. THE HEALTH SYSTEM ANALYZES CONTRACTUAL AMOUNTS DUE FROM PATIENTS WHO HAVE THIRD-PARTY COVERAGE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE FOR A PORTION OF THE BILL, THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAS BEEN EXHAUSTED. SCHEDULE H, PART III SECTION B MEDICARE MARYLAND'S REGULATORY SYSTEM CREATES A UNIQUE PROCESS FOR HOSPITAL PAYMENT THAT DIFFERS FROM THE REST OF THE NATION. THE HEALTH SERVICES COURT 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. METHOD USED: COST TO CHARGE RATIO SCHEDULE H, PART III SECTION C COLLECTION PRACTICES, LINE 9B UPMC WESTERN MARYLAND PROVIDES CARE TO ALL PATIENTS SEEKING CARE, REGARDLESS OF THEIR ABILITY TO PAY. AN ABILITY TO PAY IS BASED ON A REVIEW WHICH IS DONE BY A MEMBER OF THE HEALTH SYSTEM'S BUSINESS OFFICE. THIS REVIEW ASSURES THAT ALL PATIENTS WHO SEEK EMERGENCY OR URGENT CARE RECEIVE THOSE SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY. -IN ACCORDANCE WITH MARYLAND LAW, UPMC WESTERN MARYLAND HAS A FINANCIAL ASSISTANCE POLICY AND PATIENTS MAY BE ENTITLED TO RECEIVE FINANCIAL ASSISTANCE WITH THE COST OF MEDICALLY NECESSARY HOSPITAL SERVICES IF THEY HAVE A LOW INCOME, DO NOT HAVE INSURANCE, OR THEIR INSURANCE DOES NOT COVER MEDICALLY-NECESSARY HOSPITAL CARE. -UPMC WESTERN MARYLAND MEETS OR EXCEEDS THE STATE'S LEGAL REQUIREMENT BY PROVIDING FINANCIAL ASSISTANCE BASED ON INCOME ESTABLISHED BY AND PUBLISHED BY THE FEDERAL GOVERNMENT EACH YEAR. -THOSE PATIENTS THAT MEET THE FINANCIAL ASSISTANCE POLICY CRITERIA DESCRIBED ABOVE MAY RECEIVE ASSISTANCE FROM THE HEALTH SYSTEM IN PAYING THEIR BILL. IF A PATIENT BELIEVES HE HAS WRONGLY BEEN REFERRED TO A COLLECTION AGENCY, HE HAS THE RIGHT TO CONTACT THE HOSPITAL TO REQUEST ASSISTANCE. - UPMC WESTERN MARYLAND ADJUSTED ITS POLICIES AND PRACTICES TO MEET ALL 501R REQUIREMENTS AS OF FEBRUARY 2017. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION COMMUNITY HEALTH NEEDS ASSESSMENT, LINE 2 THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS. THE LATEST PLAN WAS APPROVED BY THE HOSPITAL'S GOVERNING BODY ON JUNE 29, 2020 AND IS AVAILABLE AT HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM THE ALLEGANY COUNTY HEALTH DEPARTMENT AND UPMC WESTERN MARYLAND (WMHS) IS RESPONSIBLE FOR FACILITATING THE NEEDS ASSESSMENT PROCESS. ALLEGANY COUNTY IS LOCATED IN RURAL WESTERN MARYLAND WITH A POPULATION OF 71,977. IT IS PART OF THE APPALACHIAN REGION AND HAS LOW EDUCATION LEVELS, LIMITED RACIAL DIVERSITY, A LARGE ELDERLY POPULATION AND LOW HOUSEHOLD INCOMES. ALLEGANY COUNTY AND ITS SERVICE PROVIDERS ARE IMPACTED BY BEING A TRI-STATE REGION WHICH INCLUDES PENNSYLVANIA AND WEST VIRGINIA. UPMC WESTERN MARYLAND SERVES 7 COUNTIES IN 3 STATES. THE PROCESS INVOLVES THE REVIEW OF THE 3 PRIORITY AREAS THAT WERE IDENTIFIED IN THE PREVIOUS CHNA AS WELL AS UPDATES FOR THE COUNTY. PROBLEM AREAS AND TRENDS IDENTIFIED THROUGH COUNTY HEALTH RANKINGS AND COMMUNITY COMMONS ARE ALSO REVIEWED. IN THE REVIEW BOTH HEALTH STATUS INDICATORS AND CAUSATIVE FACTORS ARE CONSIDERED. DATA SOURCES FROM THE LAST NEEDS ASSESSMENT ARE REVIEWED AND UTILIZED TO CLARIFY ISSUES. After review of health status indicators and causative factors, the following priorities were selected for the most recent CHNA: Transportation, Social Determinants of Health, and Prevention-Youth Risk Reduction. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE, LINE 3 UPMC WESTERN MARYLAND IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY, FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL SITUATION. A PATIENT CAN QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH LACK OF SUFFICIENT INSURANCE OR FINANCIAL HARDSHIP DUE TO EXCESSIVE MEDICAL DEBT. UPMC Western Maryland is committed to providing quality health care for all patients regardless of their ability to pay and without discrimination on the grounds of race, color, national origin or creed. Notice of the Availability of Financial Assistance: a. UPMCWM will make available brochures informing the public of its Financial Assistance Policy. Such brochures will be available at UPMCWM locations. b. Notices of the availability of financial assistance will be posted at appropriate admission areas, the Billing Office, website, and other key patient access areas. c. A statement on the availability of financial assistance will be included on patient billing statements. d. A Plain Language Summary of UPMCWM Financial Assistance Policy will be provided to patients receiving inpatient services with their Summary Bill and will be made available to all patients upon request. e. UPMCWM Financial Assistance Policy, a Plain Language Summary of the policy, and the Financial Assistance Application are available to patients upon request at UPMCWM or via mail as well as on UPMCWM website at https://www.wmhs.com/patients-and-visitors/patients/ financial-assistance f. UPMCWM Financial Assistance Policy, Plain Language Summary, and Financial Assistance Application are available in a different language upon request. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION COMMUNITY INFORMATION, LINE 4 UPMC Western Maryland provides healthcare services for residents in Allegany and Garrett Counties in Maryland and surrounding counties in West Virginia and Pennsylvania. ALLEGANY COUNTY, MARYLAND, IS CONSIDERED UPMC WESTERN MARYLANDS COMMUNITY BENEFIT SERVICE AREA. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION PROMOTION OF COMMUNITY HEALTH, LINE 5 SEE COMMUNITY BENEFIT SUMMARY THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE UPMC WESTERN MARYLAND (WMHS) LEAD COMMUNITY HEALTH NEEDS ASSESSMENTS EFFORTS. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND UPMCWM IS A GLOBAL BUDGET REVENUE HOSPITAL AND THE ONLY HOSPITAL IN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION AFFILIATED HEALTH CARE SYSTEM, LINE 6 -WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(C)(3), PUBLIC CHARITY STATUS 12 TYPE III, FUNDRAISING -UPMC (EIN: 25-1423657), C CORPORATION, TAX EXEMPT UNDER 501(C)(3) HEALTHCARE, EDUCATION, AND RESEARCH -WILLOWBROOK HC CONDO (37-1538510), C CORPORATION, CONDO MANAGEMENT -HAYSTACK CONSOLIDATED (52-1335895), C CORPORATION, MEDICAL SERVICES SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION STATE FILING OF COMMUNITY BENEFIT REPORT, LINE 7 WMHS FILES A COMMUNITY BENEFIT REPORT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC). true WMHS Foundation PO Box 539 Cumberland MD 20501 352289841 501(c)(3) 9388 General Support 1 Scholarships 8 8000 SCHEDULE I, PART I, PART I AN ACCOUNTANT COMPLETES AN ANNUAL REVIEW OF THE CONTRIBUTIONS IN ORDER TO SUBSTANTIATE THE INTENDED USE OF THE FUNDS EXPENDED. APPLICATIONS ARE SUBMITTED IN ORDER TO APPLY FOR A SCHOLARSHIP, ALONG WITH A ONE PAGE TYPED ESSAY DESCRIBING THE STUDENT'S EDUCATIONAL AND PROFESSIONAL GOALS. FUNDS ARE PAID DIRECTLY TO THE SCHOOL UPON RECEIPT OF A TRANSCRIPT SHOWING A MINIMUM 3.0 GPA X X X X X X false true false false false false false true false BARRY P RONAN PRESIDENT/CEO 754449 0 214000 0 148846 0 212832 0 22093 0 1352220 0 139846 0 MICHELE R MARTZ SR VP/CFO (As of 1/2020) 245022 0 47000 0 0 0 23896 0 24009 0 339927 0 0 0 KIMBERLY S REPAC SR VP/CFO (Thru 12/2019) 496438 0 111250 0 27823 0 75465 0 1202 0 712178 0 27823 0 NANCY D ADAMS SR VP/COO 474802 0 112250 0 27872 0 72306 0 22093 0 709323 0 27872 0 GERALD GOLDSTEIN MD SR VP/CMO 378706 0 92500 0 23259 0 57894 0 11966 0 564325 0 23259 0 JO M WILSON VP, POPULATION HEALTH 229812 0 45800 0 0 22196 0 21711 0 319519 0 0 0 KEVIN R TURLEY VP, SUPPORT OPERATIONS 263775 0 50200 0 0 24585 0 24603 0 363163 0 0 0 WILLIAM BYERS VP, CIO 286759 0 73906 0 0 28993 0 25055 0 414713 0 0 0 JAMES KARSTETTER VP, CNO 232478 0 45200 0 0 0 23026 0 24990 0 325694 0 0 0 STEVEN R SMITH MD MEDICAL DIRECTOR 254558 0 30000 0 125000 0 159080 0 24412 0 593050 0 125000 0 MARK G NELSON MD PHYSICIAN 672083 0 30000 0 0 0 47980 0 21857 0 771920 0 0 0 NII LAMPTEY-MILLS MD PHYSICIAN 556550 0 60000 0 0 0 43339 0 24634 0 684523 0 0 0 VAMSHIDHAR VOOTLA PHYSICIAN 504594 0 86559 0 0 0 40977 0 25138 0 657268 0 0 0 CHRISTOPHER HAAS PHYSICIAN 522908 0 62627 0 0 0 42773 0 12263 0 640571 0 0 0 KENNETH G JUDSON MD PHYSICIAN 552555 0 20400 0 0 0 42165 0 25138 0 640258 0 0 0 SCHEDULE J, PART I, LINE 4B AND 7 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BONUSES ARE BASED UPON THE ACHIEVEMENT OF TARGETS AND IN MINIMAL OCCURENCES, ARE DISCRETIONARY IN NATURE. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS INCLUDED IN OTHER REPORTABLE COMPENSATION. BARRY P. RONAN RECEIVED A SERP PAYMENT IN THE AMOUNT OF $139,846 ON 01/10/2019. KIMBERLY S. REPAC RECEIVED A SERP PAYMENT IN THE AMOUNT OF $27,823 ON 01/10/2019. NANCY D. ADAMS RECEIVED A SERP PAYMENT IN THE AMOUNT OF $27,872 ON 01/10/2019. GERALD GOLDSTEIN RECEIVED A SERP PAYMENT IN THE AMOUNT OF $23,259 ON 01/10/2019. STEVEN R SMITH MD RECEIVED A 457(B) PAYMENT IN THE AMOUNT OF $125,000 ON 02/07/2019. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES EMERGENCY CARE UPMC WESTERN MARYLAND (UPMCWM) OPERATES A 24-HOUR/7-DAY-A-WEEK EMERGENCY ROOM WHICH SERVES AS THE DESIGNATED AREA-WIDE TRAUMA CENTER. 40,251 VISITS WERE REGISTERED IN THE EMERGENCY ROOM FOR THE YEAR ENDING JUNE 30, 2020. FORM 990, PART VI, LINE 4 CHANGES TO GOVERNING DOCS Western Maryland Health System Corporation (WMHS) and UPMC (University of Pittsburgh Medical Center) entered into an integration and affiliation agreement with a closing date of January 31, 2020. WMHS and UPMC concluded that the mutual purposes of their organizations, as well as their ability to meet the existing and projected healthcare needs of the residents in their communities, could best be served through the alignment of the organizations. WMHSs name was changed to UPMC Western Maryland Corporation. FORM 990, PART VI, LINE 5 DIVERSION OF ASSETS As a result of email hacking, $270,000 was inadvertently wired to a fraudulent account. The monies were not recovered. New policies and procedures were put in place to verify accounts prior to wires being forwarded. FORM 990, PART VI, LINES 6, 7A, & 7B THE SOLE MEMBER OF UPMC WESTERN MARYLAND CORPORATION IS UPMC (UNIVERSITY OF PITTSBURGH MEDICAL CENTER), A PENNSYLVANIA NONPROFIT CORPORATION. UPMC, the member, has the overall responsibility and authority for the governance and operation of UPMC Western Maryland Corporation. Of the 12 voting directors of the UPMC Western Maryland Corporation Board, 4 directors shall be appointed by UPMC. UPMC, as the sole member of UPMC Western Maryland Corporation, will have the power, right, and privilege, on its own, to make decisions and initiate/implement actions involving UPMC Western Maryland Corporation, and to reverse actions taken by the Board, such power, right and privilege to be limited as expressly provided in the Corporation's Bylaws and Integration Agreement. FORM 990, PART VI, LINE 11B FORM 990 GOVERNING BODY REVIEW ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO REVIEW IRS FORM 990 AND 990-T BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. THE CHIEF FINANCIAL OFFICER (CFO) PRESENTS AN EXECUTIVE SUMMARY AND THEN PROVIDES A DETAILED REVIEW AND EXPLANATION OF EACH FORM. ANY OPEN ITEMS OR QUESTIONS ARE RESOLVED PRIOR TO THE FILING OF THE FORM. SUBSEQUENT TO ITS REVIEW, THE EXECUTIVE COMMITTEE REPORTS BACK TO THE BOARD REGARDING ITS OVERSIGHT OF THE FORM 990. THE BOARD IS INFORMED THAT A COMPLETE COPY OF THE FORM 990 IS AVAILABLE ON THE BOARD'S SECURE PASSWORD PROTECTED WEB SITE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE THE UPMCWM BOARD OF DIRECTORS MONITORS PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRSESES ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICTS OF INTEREST POLICY, AN ANNUAL CONFLICT QUESTIONNAIRE IS DISTRIBUTED TO ALL INTERESTED PERSONS INCLUDING OFFICERS, DIRECTORS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONLFICTS ARISE. WHEN ONE BECOMES AN INTERESTED PERSON AND ANNUALLY THEREAFTER, THEY ARE REQUIRED TO SIGN A STATEMENT AFFIRMING THAT THEY HAVE RECEIVED, READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE POLICY. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE BOARD. THE PROCEDURES FOR ADDRESSING ANY CONFLICT INCLUDE THE CONFLICT BEING FULLY DISCLOSED AND DISCUSSED WITH THE INTERESTED PERSON ALONG WITH THE POTENTIAL RESOLUTIONS OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION THE BOARD APPOINTS A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS WITHOUT A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, RESPONSIBLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER OR KEY EMPLOYEE, INCLUDING THE CEO. THE COMMITTEE DEVELOPS, CONSISTENT WITH ORGANIZATIONAL PHILOSOPHY AND PRINCIPLE, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION. THE COMMITTEE ALSO HIRES AN INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES. COMPARABILITY DATA IS OBTAINED FOR SIMILAR JOB RESPONSIBILITIES. WRITTEN RECORDS OF ALL ANALYSES ARE MAINTAINED TO SUPPORT DECISIONS RELATED TO KEY EMPLOYEES AND OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS TO PUBLIC FORM WHILE THE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. IN MARYLAND, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO SUBMITTED TO THE HEALTH SERVICES COST REVIEW COMMISSION WHICH IS AVAILABLE FOR PUBLIC INSPECTION AS WELL. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CHANGES IN FUNDED STATUS OF PENSION PLAN ($22,828,000) Captive Dividend ($3,000,000) ------------- TOTAL ($25,828,000) FORM 990, Part XII, Audited Financial Statements Due to the integration agreement with UPMC being effective Feb 1, 2020, AFS were prepared to Western Maryland Health System for the stub period July 2019 through January 31, 2020. UPMC Western Maryland will be included in the AFS for UPMC for CY 2020. WESTERN MARYLAND PHYSICIAN NETWORK LLC 12500 WILLOWBROOK RD CUMBERLAND MD 21502 465765443 CLINICAL SVCS MD 700601 1100478 NA WMHS Foundation PO Box 539 Cumberland MD 20501 352289841 Fundraising MD 501(c)(3) 12A NA false Johnson Heights 625 Kent Avenue Cumberland MD 20501 521775175 Rental MD NA Related 51588 977641 false 0 true 0.83950 Haystack Imaging PO Box 539 Cumberland MD 20501 043783141 Health Care MD NA Related 2181853 1776819 false 0 true 0.50000 Surgcenter of Western Maryland LLC 12252 Williams Road SE Cumberland MD 21502 272969860 SURGERY MD NA RELATED 162993 550714 false 0 true 0.41765 Memorial Med Ctr Svcs PO Box 539 Cumberland MD 20501 521317704 Bldg Maint MD UPMCWM C Corp 608 0 1.00000 true Willowbrook HC Condo PO Box 539 Cumberland MD 20501 371538510 Condo Mgmt MD UPMCWM C Corp 49925 111530 0.53300 true Haystack Consolidated PO Box 539 Cumberland MD 20501 521335895 Med Svcs MD UPMCWM C Corp 11097 1212457 1.00000 true Trivergent Health Alliance 1800 Dual Hghwy Hagerstown MD 20501 465555337 Mgmt Svcs MD NA C Corp -286433 0 0.33000 false Western Maryland Insurance Company Ltd PO BOX 10233 GRAND CAYMAN CJ KY1-1002 980446260 INSURANCE CJ UPMCWM C CORP 1.00000 true false true true true false true false false false true true true false true true true true true true WMHS Foundation Inc b 3000000 FMV WMHS Foundation Inc c 539720 FMV WMHS Foundation Inc o 419111 FMV WMHS Foundation Inc q 60368 FMV Western Maryland Insurance Company Ltd f 3000000 FMV Willowbrook Health Center Condominium k 293245 FMV Johnson Heights Medical Building p 65788 FMV Memorial Medical Center Services q 35867 FMV