2020-07-15T12:42:29-05:00 2019-06-30 ERNST & YOUNG US LLP 201 NORTH FRANKLIN ST STE 2400 TAMPA FL 33602 990 2018-07-01 520591612 Frederick Health Hospital Inc % MICHELLE K MAHAN FRED 2405663000 400 WEST SEVENTH STREET FREDERICK MD 21701 MICHELLE K MAHAN CFO 2405663350 2020-07-14 true MELANIE A MCPEAK P01346034 8132254800 148.255.224.165 59196620201975000015 2020-07-15 P 39EE7DD29E90BE0401C8CC276E6B939C34F22AC1 721E3ACDB1620A7A66E3A23C7EDFA845AECA81ED 2018 2021-01-29 14:40:06Z THOMAS A KLEINHANZL 400 W 7TH STREET FREDERICK MD 21701 370256261 false X www.frederickhealth.org X 1897 MD TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS PROVIDING QUALITY HEALTHCARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER. 21 16 2583 733 -329712 -329712 4531422 2630852 361042800 361885792 9647166 4811639 404958 927978 375626346 370256261 50000 50000 0 0 153776754 157989371 54000 54000 654818 190547838 182130372 344428592 340223743 31197754 30032518 571551539 521826736 267422277 258831421 304129262 262995315 X TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. false false 38501231 50000 64387907 ADULT INPATIENT SERVICES IN FY 2019, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 18,706 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 SERVICES EXPENSE LISTED HERE, FHH INCURRED $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 31770140 0 61868375 PERIOPERATIVE SERVICES FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 10,473 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2019. 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 $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 16455825 0 32343321 INPATIENT WOMEN AND CHILDREN THE BIRTHPLACE ENCOMPASSES THE BIRTHING SUITE, THE FAMILY CENTER, THE NEWBORN NURSERY, AND THE NEONATAL INTENSIVE CARE UNIT. THE BIRTHING SUITE IS WHERE LABOR, BIRTHING AND RECOVERY OCCURS IN A COMFORTABLE, PRIVATE ROOM WITH SUPPORT PEOPLE WHO WILL ENCOURAGE AND COACH YOU THROUGHOUT YOUR LABOR AND DELIVERY. FREDERICK HEALTH HOSPITAL CARES FOR MORE THAN 2,400 FAMILIES EACH YEAR IN THE BIRTHPLACE. WHILE MANY OF THESE BIRTHS ARE HEALTHY NEWBORNS, ABOUT 10% OF ALL BABIES MAY NEED HIGH-RISK CARE FROM OUR NICU TEAM. AS A PERINATAL LEVEL III REFERRAL CENTER, FHH HAS A LEVEL III NICU WITH THE ABILITY TO CARE FOR BABIES OF ALL GESTATIONAL AGES, AND AS YOUNG AS 23 WEEKS PREMATURE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 211181891 0 203279528 297909087 true true false true false false false false false true true false true false true false false true false false true false false true false false true true true false true true false false false false false false false false true true true false false false false true true true false false true 336 0 true 2583 true true true false false false false false false false false false false false X 21 16 false false true false true true true true true false true true true true true true true true true true true true MD X MICHELLE K MAHAN 2405663350 400 W 7TH STREET FREDERICK MD 21701 X TERRENCE MCPHERSON DIRECTOR 2.0 0.0 X 0 0 0 LAURA MELIA DIRECTOR 2.0 2.0 X 0 0 0 THOMAS A KLEINHANZL PRESIDENT AND CEO 32.0 8.0 X X 2079039 0 317626 R CARL BENNA DIRECTOR 2.0 0.0 X 0 0 0 ALLEN D 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246813 0 18374 RACHEL I MANDEL VP MEDICAL AFFAIRS (END 10/18) 40.0 0.0 X 323479 0 19640 CRAIG F ROSENDALE VP COMPLIANCE 24.0 16.0 X 245372 0 31088 DONALD R SCHILLING VP AMBULATORY SERVICES 6.0 34.0 X 278929 0 31967 JENNIFER G TEETER VP CLINICAL INTEGRATION 16.0 24.0 X 282020 0 34007 HEATHER R KIRBY VP INTEGRATED CARE DELIVERY 36.0 4.0 X 205912 0 24441 MARY D BARTON VP-BUSINESS DEVELOP. & STRAT. 40.0 0.0 X 306691 0 7005 MICHAEL G MCLANE JR VP SUPPORT SVCS 40.0 0.0 X 201385 0 30637 ROBIN R ROSE VP DEVELOPMENT 40.0 0.0 X 183235 0 28525 DIANE M MCFARLAND VP PATIENT CARE SVCS 40.0 0.0 X 222047 0 20909 JACKIE L RICE VP-CIO 40.0 0.0 X 268085 0 11319 DUSTIN M SIMONSON ONCOLOGY MEDICAL PHYSICIST 40.0 0.0 X 219438 0 32659 JAMES BLAKE TRUMBLE MEDICAL DIRECTOR (ENDED 11/18) 40.0 0.0 X 218179 0 30131 CARLOS T GRAVERAN DIRECTOR OF HOSPICE 40.0 4.0 X 203713 0 19366 MARK S SOBERMAN PHYSICIAN 40.0 0.0 X 455595 0 36336 MARY A MCDONALD MEDICAL DIRECTOR-HOSPICE 35.0 5.0 X 327624 0 17999 JIM R WILLIAMS 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PARTIES 7721778 INTEREST RATE SWAP CONTRACT 8364715 PENSION LIABILITY 14373115 MALPRACTICE INSURANCE LIABILITY 3301000 CAPITAL LEASE OBLIGATIONS 1218767 OTHER LIABILITIES 7304144 42283519 INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. Central America and the Caribbean 1 0 Investments 21473946 Central America and the Caribbean 1 0 Program Services SELF INSURANCE 4177260 2 0 2 0 25651206 25651206 true false true false false false PROCEDURES FOR MONITORING USE OF GRANTS SCHEDULE F, PART I, LINE 2 THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE 501(C)(3) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS. X X X X X X X true PRIDE PHILANTHROPY DEV CNSL SRVCS false 54000 54000 MD true true true X true X true true true false true true 5076766 5076766 0.01530 50832946 53546294 -2713348 0.00000 55909712 53546294 2363418 0.01530 3875584 525738 3349846 0.01010 50000 0 50000 0.00020 18014794 18014794 0.05430 421073 240114 180959 0.00050 76552 76552 0.00020 22438003 765852 21672151 0.06530 78347715 54312146 24035569 0.08060 false 8356333 626725 135414427 118594345 16820082 X true true 1 1 FREDERICK HEALTH HOSPITAL 400 WEST SEVENTH STREET FREDERICK MD 21701 WWW.FREDERICKHEALTH.ORG 210005 X X X FREDERICK HEALTH HOSPITAL 1 false false true X X X X X X X X X 18 true false true true X SEE PART V, SECTION C X false true SEE PART V, SECTION C false true X 200. 300. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X X true X false false INPUT FROM COMMUNITY REPRESENTATIVES SCHEDULE H, PART V, SECTION B, LINE 5 FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT PARTNERED WITH THE GEORGE WASHINGTON UNIVERSITY, MILKEN INSTITUTE SCHOOL OF PUBLIC HEALTH, TO COLLECT QUALITATIVE DATA. DATA WAS COLLATED USING AN IN-PERSON SURVEY AND SIX FACILITATED FOCUS GROUPS. THE SURVEY WAS ADMINISTERED TO A REPRESENTATIVE SAMPLE OF FREDERICK COUNTY RESIDENTS AND INCLUDED 83 QUESTIONS COVERING DEMOGRAPHICS, ENVIRONMENTAL INFLUENCERS, HEALTH BEHAVIOR, HEALTH STATUS, HEALTH PRIORITIES AND PERCEIVED BARRIERS TO CARE. A TOTAL OF 483 SURVEYS WERE COLLECTED FROM GEOGRAPHIC COMMUNITIES THROUGHOUT FREDERICK COUNTY, AND SURVEY SITES INCLUDED RETAIL LOCATIONS, HEALTH CARE FACILITIES, RELIGIOUS ORGANIZATIONS, COMMUNITY CENTERS, SENIOR CENTERS, RECREATION CENTERS AND A HUMAN SERVICE ORGANIZATION THAT SERVES SPANISH-SPEAKING RESIDENTS. SIX TARGET POPULATIONS WERE IDENTIFIED FOR THE FOCUS GROUPS SENIOR CITIZENS, HEALTH CARE PROVIDERS, COMMUNITY HEALTH EDUCATORS, SPANISH-SPEAKERS AND HOMELESS. FOCUS GROUP TOPICS EXPLORED THE ADVANTAGES AND DISADVANTAGES OF LIVING IN FREDERICK COUNTY, AREAS FOR IMPROVEMENT, BARRIERS TO CARE AND FAMILY HEALTH NEEDS. THE PROVIDER FOCUS GROUP ALSO EXPLORED THE NEEDS OF THE COMMUNITY THEY CARE FOR, AND THE AVAILABILITY AND ACCESSIBILITY OF HEALTH AND SUPPORTIVE SERVICES. ADDITIONAL PUBLIC INPUT WAS RECEIVED UPON PUBLICATION OF THE 2016 CHNA AND HEALTH IMPROVEMENT SUMMIT PRIORITIES REPORTS. WRITTEN REPORTS AND MATERIALS WERE POSTED ON FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT WEB SITES, AND COMMUNITY FORUMS WERE HELD AT VARIOUS SITES, SUCH AS THE LIBRARY AND SENIOR CENTERS, TO SHARE THE FINDINGS OF THE CHNA PROCESS AND TO RESPOND TO QUESTIONS. IN JULY 2018, THE PLANNING PROCESS FOR THE NEXT COMMMUNITY HEALTH NEEDS ASSESSMENT CYCLE WAS INITIATED. ONCE AGAIN, FREDERICK HEALTH HOSPITAL PARTNERED WITH THE FREDERICK COUNTY HEALTH DEPARTMENT TO COLLECT QUALITATIVE DATA, SOLICIT COMMUNITY INPUT AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY. THE PLANNING PROCESS WAS STRUCTURED IN A SIMILAR MANNER TO THE 2016 PROCESS THAT IS DETAILED ABOVE. THE 2019 CHNA WAS PUBLISHED IN MAY, 2019 WITH AN IMPLEMENTATION STRATEGY TO BE INITIATED ON 7/1/2019. SCHEDULE H, PART V, SECTION B, LINE 6B THE 2016 CHNA WAS COMPLETED IN PARTNERSHIP WITH THE FREDERICK COUNTY HEALTH DEPARTMENT. OTHER COMMUNITY ORGANIZATIONS PARTICIPATED IN THE CHNA PLANNING PROCESS, INCLUDING DATA REVIEW AND INPUT ON PROCESS STEPS. THE CHNA PROCESS CONCLUDED WITH A HEALTH IMPROVEMENT PRIORITY SUMMIT OPEN TO THE PUBLIC. ORGANIZATIONS, OR THEIR REPRESENTATIVES, PARTICIPATING IN THE CHNA PROCESS INCLUDE: - SENIOR CARE- AMADA SENIOR SERVICES, INDEPENDENT LIVING SERVICES, MONTEVUE/CITIZENS AUXILIARY - NONPROFIT- THE FREDERICK WOMEN'S CIVIC CLUB, FREDERICK COUNTY HEALTH CARE COALITION, FEDERATED CHARITIES, WELLS HOUSE, VOLUNTEER MARYLAND, ON OUR OWN, THE CHILD ADVOCACY CENTER, MARYLAND 211, SAFE KIDS FREDERICK COUNTY, ASIAN AMERICAN FOUNDATION CENTER, COMMUNITY ACTION AGENCY - GOVERNMENT- FREDERICK COUNTY GOVERNMENT, CITY OF FREDERICK COUNCIL, FREDERICK COUNTY PARKS & RECREATION, CITY OF MYERSVILLE, STATE OF MARYLAND PLANNING DIVISION - PHILANTHROPY- UNITED WAY OF FREDERICK COUNTY, THE COMMUNITY FOUNDATION OF FREDERICK - BUSINESS- FREDERICK CHAMBER OF COMMERCE, BIOMEDICAL RESEARCH - OTHERS- GRACE EPISCOPAL CHURCH, HOOD COLLEGE, EAST FREDERICK RISING ON JANUARY 15, 2019, A PRIORITY SETTING SUMMIT WAS CONVENED WITH REPRESENTATIVES OF THE COMMUNITY AS PART OF THE PLANNING PROCESS FOR THE 2019 CHNA. THE LIST OF PARTICIPANTS MIRRORS THOSE THAT ATTENDED THE 2016 SESSION. SCHEDULE H, PART V, SECTION B, LINE 7A https://www.frederickhealth.org/documents/2019-Frederick-County-CHNA-FINAL -5.1.19.pdf. SCHEDULE H, PART V, SECTION B, LINE 8 EVEN THOUGH NOT IMPLEMENTED BY FISCAL YEAR END, AN IMPLEMENTATION STRATEGY REPORT WAS ADOPTED AND IMPLEMENTED IN SEPTEMBER 2019. THE 2019 IMPLEMENTATION STRATEGY IS POSTED ON THE HOSPITALS WEBSITE: HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/FMH-CHNA-IMPLEMENTATION-STRATEGY -SIGNED-9-24-19.PDF SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/FMH-COMMUNITY-NEEDS-ASSESSMENT-I MPLEMENTATION-STRATEGY-2016.PDF SCHEDULE H, PART V, SECTION B, LINE 11 THE 2016 CHNA IDENTIFIED THREE HEALTH IMPROVEMENT PRIORITIES: BEHAVIORAL HEALTH, ELDERLY SUPPORT, AND ADVERSE CHILDHOOD EXPERIENCES. THE DATA IN THE CHNA IDENTIFIED THEMES THAT SHOULD BE CONSIDERED DEVELOPMENT OF FREDERICK HEALTH HOSPITALS' IMPLEMENTATION STRATEGIES - ACCESS, SERVICE NAVIGATION, AND HEALTH LITERACY. FREDERICK HEALTH HOSPITAL WAS AN ACTIVE PARTICIPANT IN ALL THREE COMMUNITY WORKGROUPS CHARGED WITH THE RESPONSIBILITY FOR DEVELOPING AN ACTION PLAN FOR THE HEALTH IMPROVEMENT PRIORITIES. FREDERICK HEALTH HOSPITAL HAS ADOPTED IMPLEMENTATION STRATEGIES AROUND THE THREE PRIORITIES. THE STATUS OF THESE STRATEGIES AS OF JUNE 30, 2019 IS AS FOLLOWS. BEHAVIORAL HEALTH: - BEHAVIORAL HEALTH SPECIALISTS WERE EMBEDDED WITH HOSPITAL AFFILIATED PRACTICES. THE PRACTICES UTILIZED THE PHQ9 AND OTHER SCREENING TOOLS TO IDENTIFY PATIENTS WITH BEHAVIORAL HEALTH NEEDS. FOR THE REPORT PERIOD, BEHAVIORAL HEALTH SPECIALISTS ENCOUNTERED 857 UNIQUE PATIENTS WITH A TOTAL OF 2061 INTERVENTIONS INCLUDING TELEPHONE CALLS, FACE TO FACE VISITS AND HOME VISITS. - THROUGH A PARTNERSHIP WITH POTOMAC CASE MANAGEMENT, COMMUNITY CASE MANAGERS PROVIDE INTENSIVE COMMUNITY-BASED MANAGEMENT SERVICES FOR HIGH RISK CLIENTS. FOR THE REPORT PERIOD, 270 CLIENTS WERE ENGAGED IN CASE MANAGEMENT. ENGAGED CLIENTS HAD A 20% EMERGENCY DEPARTMENT RE-VISIT RATE, WHICH IS LOWER THAN HIGH RISK CLIENTS WHO DID NOT RECEIVE CASE MANAGEMENT. - IN PARTNERSHIP WITH THE FREDERICK COUNTY HEALTH DEPARTMENT, PEER RECOVERY SUPPORT SPECIALISTS WERE EMBEDDED IN THE EMERGENCY DEPARTMENT TO ASSIST CLIENTS WITH SUBSTANCE USE DISORDER. PEER RECOVERY SPECIALISTS MET WITH 806 INDIVIDUALS DURING THIS REPORTING PERIOD FOR A TOTAL OF 1153 ENCOUNTERS. APPROXIMATELY 1 IN 3 INDIVIDUALS WERE CONNECTED WITH ADDITIONAL BEHAVIORAL HEALTH SERVICES; WHILE 1 IN 10 ACCESSED PEER SUPPORT SERVICES. -THE HOSPITAL'S BRIDGES PROGRAM TRAINED COMMUNITY 14 HEALTH LAY EDUCATORS ABOUT COMMUNITY BASED CRISIS SERVICES. THE MAJORITY OF THOSE COMPLETING THE PROGRAM ARE MEMBERS OF FAITH BASED COMMUNITIES WHO ARE ABLE TO USE THIS INFORMATION AS THEY PROVIDE ONGOING EDUCATION AND SUPPORT TO OTHER MEMBERS OF THEIR COMMUNITY. BEHAVIORAL HEALTH WAS IDENTIFIED AS A PRIORITY ONCE AGAIN IN 2019 AND HAS BEEN INCLUDED IN THE IMPLEMENTATION STRATEGY THAT HAS BEEN DEVELOPED AS PART OF THE 2019 CHNA PROCESS. ELDERLY SUPPORT: ESTABLISHMENT OF AN ALTERNATIVE PUBLIC TRANSPORTATION SERVICE MODEL FOR SENIOR CITIZENS WAS A PRIMARY GOAL OF THE COMMUNITY ACTION PLAN. LOCAL NONPROFIT ORGANIZATIONS FORMED A TRANSPORTATION AND MOBILE CARE TASK FORCE, WHICH SUBSEQUENTLY EXPANDED TO TRANSIT PROVIDERS AND OTHER AGENCIES INVOLVED IN TRANSPORTATION PLANNING. THIS COLLABORATION WAS LED BY A SENIOR LEADER AT FREDERICK HEALTH HOSPITAL WHO WAS IDENTIFYING TRANSPORTATION COORDINATION SOLUTIONS FOR PATIENTS NEEDING NON-EMERGENCY MEDICAL TRANSPORT TO APPOINTMENTS POST HOSPITAL DISCHARGE. THE TASK FORCE HAS EXPLORED TRANSPORTATION GRANTS AND FUNDING OPPORTUNITIES, EVALUATED ALTERNATIVE TRANSPORTATION SOLUTIONS AND COMPLETED AN INVENTORY OF TRANSPORTATION RESOURCES THAT EXIST IN THE COMMUNITY. FREDERICK HEALTH HOSPITAL SERVED AS AN ADVOCATE AND PARTICIPANT IN THE TASK FORCE, BUT OTHERS WITH EXPERTISE IN TRANSPORTATION, SUCH AS FREDERICK COUNTY TRANSIT, ARE RESPONSIBLE FOR IMPLEMENTATION STRATEGIES. FREDERICK HEALTH HOSPITAL HAS PROVIDED EDUCATIONAL RESOURCES AND PROGRAMMING TO ELDERLY CITIZENS IN THE COMMUNITY TO PROMOTE AGING IN PLACE AS PART OF THE ELDERLY SUPPORT WORKGROUP WHICH HAS COMPLETED ITS IMPLEMENTATION STRATEGY AS OF JUNE 30, 2019. ADVERSE CHILDHOOD EVENTS: INCREASING AWARENESS OF ADVERSE CHILDHOOD EVENTS (ACES) WAS THE PRIMARY FOCUS OF THE COMMUNITY ACTION PLAN. FREDERICK HEALTH HOSPITAL PEDIATRIC SERVICES PARTNERED WITH FREDERICK COUNTY HEALTH DEPARTMENT, CHILD ADVOCACY CENTER AND MENTAL HEALTH ASSOCIATION TO DELIVER AN AWARENESS CAMPAIGN FOR PROVIDERS, COMMUNITY ORGANIZATION AND PUBLIC. THE GOAL OF THE CAMPAIGN WAS TO EXPLAIN WHAT ARE ACES AND THE CONDITIONS THAT LEAD TO ACES. AWARENESS IS A NECESSARY STEP TO GETTING ENGAGEMENT ACROSS GOVERNMENT AND PROVIDER ORGANIZATIONS, AS WELL AS TO ACTIVATE CITIZENS AND PARENTS. THE GOAL OF INCREASED AWARENESS HAS BEEN MET, BUT BASED ON THE NEED TO IMPLEMENT PREVENTION AND TREATMENT MEASURES, ADVERSE CHILDHOOD EVENTS HAS AGAIN BEEN IDENTIFIED AS A COMMUNITY HEALTH PRIORITY IN THE 2019 CHNA. FREDERICK HELTH HOSPITAL WILL BE AN ACTIVE PARTICIPANT IN THIS WORKGROUP AND INCLUDE ACES IN ITS IMPLEMENTATION STRATEGY. SCHEDULE H, PART V, SECTION B, LINE 13H STATE REGULATIONS. SCHEDULE H, PART V, SECTION B, LINE 16A https://www.frederickhealth.org/documents/PDFs/Financial-Assistance-Policy -100-updated.pdf SCHEDULE H, PART V, SECTION B, LINE 16B https://www.frederickhealth.org/documents/FA_327a.pdf SCHEDULE H, PART V, SECTION B, LINE 16C https://www.frederickhealth.org/documents/PDFs/Financial-Assistance-Brochu re-FINAL-(rev-20180614).pdf SCHEDULE H, PART V, SECTION B, LINE 16J 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-and-Financial-Assistance.as px) 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 ARE BEING UPDATED DURING FY18 TOINCLUDE 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. SCHEDULE H, PART V, SECTION B, LINE 20E PATIENTS WITH BALANCES GREATER THAN $10,000 RECEIVE A SPECIAL LETTER STATING THEY MAY QUALIFY FOR CHARITY AND REQUESTS THAT THEY CONTACT THE HOSPITAL. 7 FREDERICK HEALTH TOLL HOUSE 501 WEST SEVENTH STREET FREDERICK MD 21701 OUTPATIENT HEALTH CARE FACILITY 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 HEALTHCARE FREDERICK HEALTH ASPEN RIDGE 163 THOMAS JOHNSON DRIVE SUITE A FREDERICK MD 21702 OUTPATIENT REHABILITATION FREDERICK HEALTH URBANA 3430 WORTHINGTON BLVD URBANA MD 21704 OUTPATIENT HEALTHCARE CENTER FREDERICK HEALTH HOSPICE INC 516 TRAIL AVENUE FREDERICK MD 21701 HOSPICE CARE ORGANIZATION CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE SCHEDULE H, PART I, LINE 3C IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $20,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT. COMMUNITY BENEFIT REPORT - RELATED ORGANIZATION SCHEDULE H, PART I, LINE 6 THE 2019 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. DISCLOSURE IDENTIFYING COSTS SCHEDULE H, PART I, LINE 6 COSTS INCLUDE HOSPITALIST AND INTENSIVIST SERVICES. ALSO INCLUDES CALL COVERAGE FOR OBSTETRICS, EMERGENCY DEPARTMENT AND PRENATAL AND MENTAL HEALTH OUTPATIENT SERVICES. TEXT OF BAD DEBT EXPENSE FOOTNOTE SCHEDULE H, PART III, LINE 4 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. MEDICARE COSTING METHODOLOGY SCHEDULE H, PART III, LINE 8 MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS. APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE SCHEDULE H, PART III, LINE 9B PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 FREDERICK HEALTH HOSPITAL AND THE FREDERICK COUNTY HEALTH DEPARTMENT COLLABORATED ON THE CHNA PROCESS, BUT IMPLEMENTED THE COMMUNITY PLANNING PROCESS THROUGH THE FREDERICK COUNTY HEALTH CARE COALITION. THE COALITION IS A NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROMOTE QUALITY HEALTH CARE IN FREDERICK COUNTY THROUGH COLLECTIVE IMPACT EFFORTS THAT ENGAGE LOCAL ORGANIZATIONS AND CITIZENRY. THE COALITION MEMBERS INCLUDE FREDERICK HEALTH HOSPITAL, THE FREDERICK COUNTY HEALTH DEPARTMENT, COMMUNITY ORGANIZATIONS AND WORKGROUP LEADERS FROM THE 2013-2016 HEALTH IMPROVEMENT PRIORITIES. THE COALITION APPOINTED AN AD-HOC CHNA PLANNING COMMITTEE COMPRISED OF COALITION BOARD MEMBERS AND INTERESTED COMMUNITY AGENCIES. THIS GROUP HAD OVERSIGHT RESPONSIBILITY FOR THE CHNA PROCESS STEPS AND REVIEWED THE COMPONENTS AS THEY WERE ACCOMPLISHED. DATA COLLECTION AND ANALYSIS WERE CONDUCTED BY STAFF FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT, AND UNDER CONTRACT WITH THE GEORGE WASHINGTON UNIVERSITY, MILKEN INSTITUTE SCHOOL OF PUBLIC HEALTH. THE CHNA INCLUDED COLLATION OF DATA FROM PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) SOURCES. QUALITATIVE DATA PROVIDES INSIGHT ABOUT THE PERSPECTIVE AND PRIORITY OF HEALTH ISSUES AND SOCIAL DETERMINANTS BY THE FREDERICK COUNTY POPULATION. QUANTITATIVE DATA FOCUSES ON HEALTH OUTCOME INDICATORS GATHERED FROM RELIABLE PUBLIC RESOURCES, AND WHERE POSSIBLE, INCLUDES DATA ON HEALTH DISPARITIES. IN ADDITION TO PUBLIC DATA SOURCES, FREDERICK HEALTH HOSPITAL ALSO PROVIDED AGGREGATE DATA ON COMMUNITY UTILIZATION OF ACUTE CARE SERVICES BY GEOGRAPHY, DIAGNOSIS AND PAYER SOURCE. QUALITATIVE DATA WAS COLLECTED THROUGH FOCUS GROUPS AND IN PERSON SURVEYS. A TOTAL OF 483 RESIDENTS SUBMITTED SURVEYS AND SIX FOCUS GROUPS WERE CONDUCTED. SOURCES OF QUANTITATIVE DATA USED IN ASSESSMENT INCLUDE, BUT WERE NOT LIMITED TO, HEALTHY PEOPLE 2020, MARYLAND BEHAVIORAL RISK SURVEILLANCE SYSTEM, MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE VITAL STATISTIC REPORTS, US CENSUS BUREAU QUICK FACTS AND MARYLAND STATE HEALTH IMPROVEMENT PLAN. WHERE POSSIBLE, FREDERICK COUNTY DATA WAS BENCHMARKED AGAINST HEALTH OUTCOME DATA FROM THESE SOURCES. FOLLOWING THE DATA ANALYSIS COMPONENT OF THE CHNA, A PUBLIC SUMMIT WAS HELD TO REVIEW THE FINDINGS AND TO SEEK INPUT ON ESTABLISHING PRIORITIES. THE SUMMIT WAS OPEN TO THE GENERAL PUBLIC AND ATTENDED BY MORE THAN 100 PERSONS REPRESENTING COMMUNITY ORGANIZATIONS, ADVOCACY GROUPS AND PROVIDERS. THE PROCESS INCLUDED PRESENTATIONS, DISCUSSION AND A MULTI-VOTING METHOD TO DETERMINE THE TOP THREE PRIORITIES. AT THE CONCLUSION OF THE SUMMIT, INTERESTED PERSONS WERE ASKED TO JOIN A FACILITATED SMALL GROUP MEETING FOR EACH OF THE THREE PRIORITIES TO ESTABLISH WORKGROUP LEADERS AND CONTACT INFO FOR COMMUNITY PARTICIPANTS. THIS PROCESS WAS REPEATED BETWEEN JULY, 2018 AND MAY, 2019 TO DEVELOP A CHNA REPORT AND IMPLEMENTATION STRATEGY FOR 2019-2021. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 THE SERVICE AREA FOR FREDERICK HEALTH HOSPITAL IS DEFINED BY WRITTEN AGREEMENT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION, THE DESIGNATED STATE ENTITY CHARGED WITH OVERSIGHT OF COMMUNITY BENEFITS AND HOSPITAL RATES. THE SERVICE AREA IS DETERMINED BASED ON INPATIENT UTILIZATION BY ZIP CODE - FREDERICK COUNTY COMPRISES THE HOSPITALS' PRIMARY AND SECONDARY SERVICE AREAS. THE MOST VULNERABLE POPULATION IN FREDERICK COUNTY ARE LOCATED IN THE CITY OF FREDERICK, WHICH IS ANCHORED GEOGRAPHICALLY CENTERED IN THE COUNTY AND ACCESS BY MAJOR INTERSTATE ROUTES FROM BALTIMORE, MARYLAND AND THE DISTRICT OF COLUMBIA. HEALTH DISPARITY POPULATIONS ARE FOUND IN EMMITSBURG AND THURMONT ZIP CODES IN THE NORTHERN SECTOR OF THE COUNTY, AND BRUNSWICK TO THE SOUTH. DATA COLLECTED BY THE US CENSUS BUREAU AND MARYLAND VITAL STATISTICS OFFERS THE FOLLOWING DEMOGRAPHIC PROFILE OF FREDERICK COUNTY AS OF 7/1/18: - TOTAL POPULATION - 255,648 - 50.7% FEMALE - 82.9% WHITE - 14.5 % ARE PERSONS OVER AGE 65 - AVERAGE HOUSEHOLD INCOME OF $91,999/YR - 6.2 % OF HOUSEHOLDS BELOW THE FEDERAL POVERTY GUIDELINES - 4.8% ARE UNINSURED AND 13.5% ARE MEDICAID RECIPIENTS - 92.4 % GRADUATED FROM HIGH SCHOOL AND 40.6 % HAVE BACHELOR'S DEGREES. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 FOR THE REPORT PERIOD, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: - CARE TRANSITIONS: THIS PROGRAM PROVIDES INTENSIVE COMMUNITY-BASED CARE MANAGEMENT SERVICES TO INDIVIDUALS WITH CHRONIC CONDITIONS THAT HAVE LIMITED ACCESS TO CARE OR ARE CHALLENGED TO MEET SOCIAL DETERMINANTS OF HEALTH. THE PROGRAM GOAL IS REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE INDIVIDUAL HEALTH. HISTORICALLY, THESE PATIENTS RECEIVED LITTLE GUIDANCE RELATIVE TO FOLLOW-UP WITH PHYSICIANS, FILLING AND TAKING THEIR PRESCRIBED MEDICATIONS, AND MAKING APPOINTMENTS FOR OTHER SERVICES. PATIENTS WITH A HIGH EMERGENCY DEPARTMENT VISIT RATE OR THOSE RETURNING TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE MEET WITH A CASE MANAGER TO IDENTIFY THE ROOT CAUSES OF WHY THE PATIENT RETURNED TO THE HOSPITAL FOR CARE. AN INDIVIDUALIZED COMPREHENSIVE CARE PLAN IS CREATED TO MEET THE SPECIFIC PATIENT NEEDS, SUCH AS FINANCIAL SUPPORT FOR MEDICATIONS, TRANSPORTATION AND OTHER MEDICAL AND SOCIAL SUPPORT SERVICES IN THE COMMUNITY. DURING THE REPORT PERIOD, 6335 PATIENTS RECEIVED HOME OR COMMUNITY-BASED INTERVENTIONS FROM THE CARE TRANSITIONS CLINICAL TEAM. - COMMUNITY HEALTH FAIR: FREDERICK HEALTH HOSPITAL PARTNERS WITH THE ASIAN AMERICAN CENTER OF FREDERICK TO CONDUCT A COMMUNITY HEALTH FAIR THAT INCLUDES HEALTH EDUCATION, HEALTH NAVIGATION SERVICES, VACCINATION AND SCREENINGS FOR FREDERICK COUNTY RESIDENTS WITH A FOCUS ON UNDERSERVED AND UNDERINSURED POPULATIONS WHO MAY NOT HAVE ACCESS TO HEALTH CARE. FLU VACCINES, BLOOD GLUCOSE AND CHOLESTEROL SCREENINGS, BONE DENSITY SCREENING, WOMEN'S HEALTH EDUCATION, PEDIATRIC ASTHMA EDUCATION, CHRONIC DISEASE PREVENTION EDUCATION AND RESULTS COUNSELING WERE PROVIDED BY HOSPITAL EMPLOYEES TO APPROXIMATELY 800 ATTENDEES. - LAY HEALTH EDUCATORS: THE BRIDGES PROGRAM WAS DEVELOPED IN RESPONSE TO AN IDENTIFIED NEED FOR TRUSTED HEALTH ADVOCATES WHO COULD PROVIDE HEALTH CARE INFORMATION, IMPROVE HEALTH LITERACY, AND FACILITATE ACCESS TO RESOURCES AND CARE. THE LAY EDUCATORS SERVE FREDERICK COUNTY RESIDENTS WHO ARE ETHNIC AND CULTURAL MINORITIES, THOSE WITH LIMITED ENGLISH PROFICIENCY, SENIOR CITIZENS OR PERSONS WHO LIVE IN ISOLATED GEOGRAPHIC AREAS. FOR THE REPORT PERIOD, 14 LAY HEALTH EDUCATORS COMPLETED THE BRIDGES TRAINING PROGRAM. THE EDUCATORS ARE AFFILIATED WITH FAITH AND COMMUNITY ORGANIZATIONS THROUGHOUT FREDERICK COUNTY. - PRENATAL CENTER: THE PRENATAL CENTER CARES FOR WOMEN WITH NO INSURANCE OR WHO HAVE MEDICAID BUT ARE NOT ABLE TO OBTAIN CARE FROM PRIVATE PRACTICE PROVIDERS. MANY OF THESE WOMEN ARE HIGH RISK PATIENTS, AND PRESENT WITH MEDICAL CONDITIONS FOR WHICH THEY MAY BE UNAWARE AND POSE SIGNIFICANT RISK TO FULL TERM HEALTHY FETAL DEVELOPMENT. PATIENTS MAY BE SELF-REFERRED OR REFERRED BY THE FREDERICK COUNTY HEALTH DEPARTMENT, MISSION OF MERCY, PRIVATE PHYSICIANS OR OTHER COMMUNITY GROUPS. DURING THE REPORT PERIOD, THERE WERE 297 NEWLY ENROLLED MATERNITY PATIENTS. - PHYSICIAN SERVICES: FREDERICK HEALTH HOSPITAL CONTRACTS FOR PROFESSIONAL SERVICES TO CARE FOR ACUTE CARE NEEDS FOR WHICH THERE ARE NO COMMUNITY PROVIDERS. THESE SERVICES INCLUDE HOSPITALIST CARE, INTENSIVE CARE, OBSTETRICAL LABORISTS, NEONATOLOGY, NEUROLOGY, INPATIENT PEDIATRICS, PEDIATRIC OPHTHALMOLOGY, ANESTHESIA, EMERGENCY MEDICINE AND INTERVENTIONAL CARDIOLOGY. FREDERICK COUNTY HAS A SHORTAGE OF PRIMARY CARE PROVIDERS. MOST PRIMARY CARE PHYSICIANS LIMIT PATIENT CARE TO THEIR OFFICES, THEREFORE THEY DO NOT MAINTAIN HOSPITAL PRIVILEGES TO CARE FOR PATIENTS WHO REQUIRE EMERGENCY OR INPATIENT SERVICES. IN ORDER TO SUPPORT ADEQUATE SERVICES, FREDERICK HEALTH HOSPITAL CONTRACTS FOR HOSPITALISTS AND INTENSIVISTS TO PROVIDE NECESSARY CARE COORDINATION FOR COMMUNITY RESIDENTS WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN OR HAVE A PHYSICIAN WHO DOES NOT PROVIDE HOSPITAL COVERAGE. FREDERICK HEALTH HOSPITAL ALSO CONTRACTS FOR SPECIALTY COVERAGE TO CARE FOR PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT AND FOR THOSE NEEDING INPATIENT CARE. CONTRACTED SERVICES INCLUDE ANESTHESIOLOGY, BARIATRIC SURGERY, CARDIOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, GENERAL DENTISTRY, GENERAL SURGERY, HEMATOLOGY/ONCOLOGY, INTERVENTIONAL CARDIOLOGY, NEPHROLOGY, NEUROLOGY, OPHTHALMOLOGY, ORAL SURGERY, ORTHOPEDICS, PEDIATRICS, PLASTIC SURGERY, PULMONARY MEDICINE, UROLOGY, VASCULAR SURGERY AND NEUROSURGERY. WITHOUT SUBSIDIES TO COMPENSATE PROVIDERS FOR THIS COVERAGE, COMMUNITY MEDICAL PRACTICES WOULD NOT BE ABLE TO RECRUIT A SUFFICIENT NUMBER OF PERSONNEL TO PROVIDE 24/7 SERVICES. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 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 A SIXTEEN 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 298-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 HOSPITAL-BASED AND OFF-SITE OUTPATIENT SERVICES ACCOUNT FOR OVER 350,000 VISITS ANNUALLY INCLUDING HOME HEALTH SERVICES, WHICH MAKES APPROXIMATELY 35,000 VISITS PER YEAR. IN ADDITION, HOSPITAL-BASED HOSPICE SERVICES HANDLE APPROXIMATELY 15,000 VISITS PER YEAR. FREDERICK HEALTH, INC. IS THE PARENT CORPORATION FOR FREDERICK HEALTH MEDICAL GROUP, LLC, A PHYSICIAN LED ENTERPRISE COMPOSED OF THE FOLLOWING HEALTH SYSTEM OWNED PRACTICES FREDERICK HEALTH, 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, 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. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 MARYLAND. true FREDERICK COMMUNITY COLLEGE 7932 OPOSSUMTOWN PIKE FREDERICK MD 21702 520743590 501(c)(3) 50000 SUPPORT OF ALLIED HEALTH PROGRAM 1 0 PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I, PART I, LINE 2 THE HOSPITAL PROVIDES FUNDING TO A LOCAL COMMUNITY COLLEGE 501(C)(3) IN AN EFFORT TO ENHANCE ITS ALLIED HEALTH PROGRAM. THROUGH THIS PROGRAM A FORMAL EDUCATION FORUM IS ESTABLISHED RESULTING IN FULLY ACCREDITED PROGRAMS THAT MEET THE HOSPITAL'S NEEDS. X X X X X false true false false false false false false false THOMAS A KLEINHANZL PRESIDENT AND CEO 1783095 0 294150 0 1794 0 296960 0 20666 0 2396665 0 993242 0 DUSTIN M SIMONSON ONCOLOGY MEDICAL PHYSICIST 219041 0 217 0 180 0 16809 0 15850 0 252097 0 0 0 JAMES BLAKE TRUMBLE MEDICAL DIRECTOR (ENDED 11/18) 217935 0 0 0 244 0 18119 0 12012 0 248310 0 0 0 CARLOS T GRAVERAN DIRECTOR OF HOSPICE 177708 0 25489 0 516 0 4426 0 14940 0 223079 0 0 0 RAVI YALAMANCHILI DIRECTOR/PHYSICIAN 428469 0 0 0 0 0 0 0 0 0 428469 0 0 0 MICHELLE K MAHAN SR VP AND CFO 500012 0 130519 0 5148 0 50741 0 14157 0 700577 0 0 0 MANUEL A CASIANO SVP POPULATION HEALTH 396956 0 97801 0 5148 0 41895 0 13498 0 555298 0 0 0 CHERYL L CIOFFI SVP COO AND CNO 499840 0 84557 0 780 0 45990 0 17078 0 648245 0 148794 0 HANNAH R JACOBS VP FINANCE 200120 0 45523 0 1170 0 17101 0 1273 0 265187 0 0 0 RACHEL I MANDEL VP MEDICAL AFFAIRS (END 10/18) 268873 0 54169 0 437 0 19093 0 547 0 343119 0 0 0 CRAIG F ROSENDALE VP COMPLIANCE 191960 0 43506 0 9906 0 17114 0 13974 0 276460 0 0 0 DONALD R SCHILLING VP AMBULATORY SERVICES 223631 0 50150 0 5148 0 17983 0 13984 0 310896 0 0 0 MARK S SOBERMAN PHYSICIAN 418661 0 35350 0 1584 0 20500 0 15836 0 491931 0 0 0 JENNIFER G TEETER VP CLINICAL INTEGRATION 230764 0 47902 0 3354 0 19899 0 14108 0 316027 0 0 0 HEATHER R KIRBY VP INTEGRATED CARE DELIVERY 173941 0 31791 0 180 0 8342 0 16099 0 230353 0 0 0 MARY D BARTON VP-BUSINESS DEVELOP. & STRAT. 250029 0 56146 0 516 0 0 0 7005 0 313696 0 0 0 MICHAEL G MCLANE JR VP SUPPORT SVCS 164345 0 36260 0 780 0 14460 0 16177 0 232022 0 0 0 ROBIN R ROSE VP DEVELOPMENT 146951 0 34490 0 1794 0 12202 0 16323 0 211760 0 0 0 DIANE M MCFARLAND VP PATIENT CARE SVCS 179378 0 40875 0 1794 0 5123 0 15786 0 242956 0 0 0 JACKIE L RICE VP-CIO 218393 0 49176 0 516 0 10219 0 1100 0 279404 0 0 0 MARY A MCDONALD MEDICAL DIRECTOR-HOSPICE 318097 0 9167 0 360 0 1900 0 16099 0 345623 0 0 0 JIM R WILLIAMS ended 118 FORMER SVP POPULATION HEALTH 130516 0 0 0 762 0 13741 0 2216 0 147235 0 0 0 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. 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 $30,241 THOMAS A. KLEINHANZL $276,460 MANUEL CASIANO $21,395 CHERYL CIOFFI $24,838 A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A 520936091 574218LY7 2012-12-05 100229856 SEE PART VI false false false B MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017A 520936091 2018-06-08 26779579 SEE PART VI false false false C MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B 520936091 2018-06-08 57490000 SEE PART VI false false false A 5400000 0 100229856 0 1287936 0 0 0 0 37200000 0 0 2014 true false false true B 900000 0 26779579 0 0 0 0 0 0 26779579 0 0 2017 false false false true C 3275000 0 57490000 0 0 0 400000 0 0 0 57490000 0 2017 true false true true A false true true true true true 0.00640 0.00640 false false false true B false false true true true true 0.00100 0.00100 false false false true C false true true true true true 0.00270 0.00270 false false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true C false false true true true UBS AG 18.04 false false false 0 false true A true B true C true DESCRIPTION OF PURPOSE SCHEDULE K, PART I, COLUMN F MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A: FINANCE 2012 PROJECT AND CURRENT REFUND 2002 BONDS WHICH FUNDED THE 2002 PROJECT. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017A: COMPLETION OF 2017 PROJECT CONSISTING OF CONSTRUCTION OF CANCER BUILDING, RENOVATIONS TO BUSINESS CTR AND STERILE PROCESSING DEPARTMENT. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B: PAY FINANCING COSTS AND FOR THE REFUNDING OF SERIES 2012B BONDS. SCHEDULE K, PART II, LINE 3 DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS MARYLAND HEALTH & HIGHER ED AUTHORITY 2012A: ORIGINAL ISSUE PREMIUM OF $3,989,854 AND PREVIOUSLY TRUSTEED HELD FUNDS OF $8,115,951. SCHEDULE K, PART III, LINE 9 THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX EXEMPT BOND POST ISSUANCE COMPLIANCE. CHERYL CIOFFI KEY EMPLOYEE 29577 SEE PART V false DONALD R SCHILLING KEY EMPLOYEE 40269 SEE PART V false J FREDERICK MANNING OFFICER 159103 SEE PART V false SCHEDULE L, PART IV ALL TRANSACTIONS DISCLOSED ARE MADE AT ARMS-LENGTH AND AT FAIR MARKET VALUE IN RETURN FOR SERVICES PROVIDED. SCHEDULE L, PART IV, LINE 1, COLUMN D FAMILY MEMBER IS EMPLOYED BY FREDERICK HEALTH HOSPITAL, INC. AS AN UNIT SECRETARY. SCHEDULE L, PART IV, LINE 2, COLUMN D FAMILY MEMBER IS EMPLOYED BY FREDERICK HEALTH MEDICAL GROUP, LLC. AS A REGISTERED NURSE. SCHEDULE L, PART IV, LINE 3, COLUMN D 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. X 819 64690 FAIR MARKET VALUE false true false DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, LABORATORY AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $41.6 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. CHANGES TO GOVERNING DOCUMENTS SINCE THE PRIOR 990 WAS FILED FORM 990, PART VI, LINE 4 ON SEPTEMBER 10, 2019, THE SYSTEM FILED ARTICLES OF AMENDMENT OF ARTICLES OF INCORPORATION WITH THE MARYLAND DEPARTMENT OF ASSESSMENTS AND TAXATION FOR THE SOLE PURPOSE OF CHANGING THE NAMES OF THE FOLLOWING ENTITIES: ORIGINAL NAME NEW NAME - FREDERICK MEMORIAL HOSPITAL, INC. FREDERICK HEALTH HOSPITAL, INC. - FREDERICK REGIONAL HEALTH SYSTEM, INC.FREDERICK HEALTH, INC. - MONOCACY HEALTH PARTNERS, LLC FREDERICK HEALTH MEDICAL GROUP, LLC - HOSPICE OF FREDERICK COUNTY, INC FREDERICK HEALTH HOSPICE, INC. - CORPORATE OCCUPATIONAL HEALTH FREDERICK HEALTH EMPLOYER SOLUTIONS CORP. SOLUTIONS, CORP. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC. POWER TO ELECT OR APPOINT MEMBERS FORM 990, PART VI, LINE 7A THE SOLE MEMBER, FREDERICK HEALTH, INC., HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK HEALTH HOSPITAL. DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 7B 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. PROCESS USED TO REVIEW THE FORM 990 FORM 990, PART VI, LINE 11B 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. MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C 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). PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 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 THECHAIRMAN 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. PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 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/About/About-Frederick-Health/Compliance.as px FORM 990, PART VII DIRECTORS RAVI YALAMANCHILI, GERRIT SCHIPPER AND THOMAS MUNRO RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PERFORMED AND NOT FOR SERVING ON THE BOARD. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 UNREALIZED LOSS ON INTEREST RATE SWAP $ (1,659,149) MINIMUM PENSION ADJUSTMENT $ (2,499,893) ASU 2016-01 ADOPTION $ 2,848,000 FORGIVENESS OF INTERCO DEBT WITH RELATED ENTITIES $ (77,931,103) ASSETS RELEASED FROM RESTRICTION FOR THE PURCHASE $ 940,211 OF CAPITAL ITEMS _________________ TOTAL $ (78,301,934) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3238542 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11638039 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:54887829 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER EXPENSES TOTAL FEES:5723841 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) 12B NA false FREDERICK HEALTH MEDICAL GROUP LLC 400 WEST SEVENTH STREET FREDERICK MD 21701 453007639 PHYSICIAN ORG MD 501(c)(3) 10 FHI true FREDERICK HEALTH SERVICES CORPORATION 400 WEST SVENETH STREET FREDERICK MD 21701 521851661 MGMT COMPANY MD FHI C Corp 0 0 0.00000 false MONOCACY INSURANCE LTD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981011570 SELF INSURANCE CJ FHI C Corp 0 0 false true false false false false false false false false true true false false false true true true true true FREDERICK HEALTH MEDICAL GROUP LLC q 46509267 DIRECT COSTING FREDERICK HEALTH INC q 1266750 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC s 39950000 CASH FREDERICK HEALTH HOSPICE INC o 906556 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC o 820548 DIRECT COSTING FREDERICK HEALTH INC o 1089662 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC j 1142499 CASH FREDERICK HEALTH SERVICES CORP k 479452 FMV FREDERICK HEALTH SERVICES CORP a 238000 FMV FREDERICK HEALTH SERVICES CORP o 179723 FMV