UPMC WESTERN MARYLAND CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: UPMC WESTERN MARYLAND CORPORATION (EIN 52-0591531)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201921349349307887
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T16:40:24-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 INTERNATIONAL DRIVE	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	520591531	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Western Maryland Health System Corp	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KIMBERLY S REPAC	InCareOfNm
Business Name Control	WEST	BusinessNameControlTxt
Phone	2409648002	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 539	AddressLine1Txt
City	CUMBERLAND	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	215010539	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KIMBERLY S REPAC	PersonNm
Person Title	SR. VP/CFO	PersonTitleTxt
Phone	2409648002	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JG WHITE	PreparerPersonNm
PTIN	P01498698	PTIN
Phone	7032868000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	54028020191345000013	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	CD1E5CCB2BE3C840F7484A12C7B19BF4FDF69301	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CD1E5CCB2BE3C840F7484A12C7B19BF4FDF69301	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KIMBERLY S REPAC	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 539	AddressLine1Txt
City	CUMBERLAND	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	215010539	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$366,132,858	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WMHS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	MD	LegalDomicileStateCd
Activity Or Mission	WMHS IS DEDICATED TO PROVIDING PATIENT CENTERED CARE AND IMPROVING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE. PLEASE SEE PART III, LINE 1 FOR DETAILS.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2261	TotalEmployeeCnt
Total Volunteers	379	TotalVolunteersCnt
Total Gross UBI	$393,660	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$4,905	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,607,350	PYContributionsGrantsAmt
CY Contributions Grants	$2,638,765	CYContributionsGrantsAmt
PY Program Service Revenue	$323,551,288	PYProgramServiceRevenueAmt
CY Program Service Revenue	$328,157,673	CYProgramServiceRevenueAmt
PY Investment Income	$6,425,287	PYInvestmentIncomeAmt
CY Investment Income	$6,422,820	CYInvestmentIncomeAmt
PY Other Revenue	$6,830,742	PYOtherRevenueAmt
CY Other Revenue	$4,489,864	CYOtherRevenueAmt
PY Total Revenue	$338,414,667	PYTotalRevenueAmt
CY Total Revenue	$341,709,122	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$149,808,045	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$151,864,389	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$173,338,715	PYOtherExpensesAmt
CY Other Expenses	$171,709,679	CYOtherExpensesAmt
PY Total Expenses	$323,146,760	PYTotalExpensesAmt
CY Total Expenses	$323,574,068	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,267,907	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,135,054	CYRevenuesLessExpensesAmt
Total Assets BOY	$548,064,764	TotalAssetsBOYAmt
Total Assets EOY	$537,411,756	TotalAssetsEOYAmt
Total Liabilities BOY	$380,977,813	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$334,814,185	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$167,086,951	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$202,597,571	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF WESTERN MD HEALTH SYSTEM 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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$161,884,010	ExpenseAmt
Revenue	$192,170,231	RevenueAmt
Desc	ANCILLARY CARE - REGULATED WESTERN MARYLAND HEALTH SYSTEM (WMHS) 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$51,880,342	ExpenseAmt
Revenue	$61,627,776	RevenueAmt
Desc	INPATIENT ROUTINE CARE - REGULATED WESTERN MARYLAND HEALTH SYSTEM (WMHS) IS A FULL SERVICE COMMUNITY HOSPITAL LICENSED FOR 233 BEDS INCLUDING MEDICAL-SURGICAL INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC REHABILITATION, NURSERY, AND 88 NURSING HOME BEDS. FOR THE YEAR, 12,145 PATIENTS WERE ADMITTED TO THE HOSPITAL AND FOR THE NURSING HOME, THE AVERAGE DAILY CENSUS WAS 79 PATIENTS. THE 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$55,782,206	ExpenseAmt
Revenue	$52,516,704	RevenueAmt
Desc	PHYSICIAN PRACTICES, CLINICS, HOME CARE, AND HOSPICE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OPERATES 17 PHYSICIAN PRACTICES, 2 URGENT CARE CLINICS, A HOME CARE PRACTICE, AND A HOSPICE PRACTICE. THE PHYSICIAN PRACTICES HAD 138,173 ENCOUNTERS; THE CLINICS HAD 25,214 ENCOUNTERS, HOME CARE HAD 33,397 VISITS, AND HOSPICE HAD 11,194 VISITS FOR THE YEAR.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$19,480,418	ExpenseAmt
Revenue	$23,137,784	RevenueAmt
Desc	EMERGENCY CARE - REGULATED	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$19,480,418	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$23,137,784	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$289,026,976	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	94	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2261	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KIMBERLY S REPAC	PersonNm
Phone	2409648002	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 539	AddressLine1Txt
City	CUMBERLAND	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21501	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ROLF K HAARSTAD
CHAIRMAN	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARY ANN JENKINS
VICE CHAIR	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOYCE K LAPP
TREASURER	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID C MATHEWS
SECRETARY	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MURTAZA AMIR MD
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
KEITH FUNKHOUSER
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
DAVID GILLES
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
JONATHAN HUTCHERSON
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
PATRICIA NOBLE RN
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
RONALD H NOWACZYK PHD
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
JOHN N PAPPAS
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
CARISSA l RODEHEAVER CPA
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
COURTNEY A THOMAS
BOARD MEMBER	3.0	0.0	Yes (X)		$0	$0	$0
BARRY P RONAN
PRESIDENT/CEO	40.0	0.0		Yes (X)	$975,902	$0	$211,589
KIMBERLY S REPAC
SR VP/CFO	40.0	0.0		Yes (X)	$536,627	$0	$64,793
NANCY D ADAMS
SR VP/COO	40.0	0.0		Yes (X)	$514,561	$0	$81,256
GERALD GOLDSTEIN
SR VP/CMO	40.0	0.0		Yes (X)	$459,816	$0	$66,048
JO M WILSON
VP, POPULATION HEALTH	40.0	0.0			$259,168	$0	$39,847	Yes (X)
KEVIN R TURLEY
VP, SUPPORT OPERATIONS	40.0	0.0			$276,753	$0	$41,491	Yes (X)
MICHELE R MARTZ
VP, PHYSICIAN ENTERPRISE	40.0	0.0			$263,272	$0	$41,983	Yes (X)
JAMES KARSTETTER
VP, CNO	40.0	0.0			$239,104	$0	$40,876	Yes (X)
STEVEN R SMITH MD
MEDICAL DIRECTOR	40.0	0.0			$333,030	$0	$45,964	Yes (X)
MARK G NELSON MD
PHYSICIAN	40.0	0.0			$679,913	$0	$60,228		Yes (X)
BLANCHE MAVROMATIS MD
PHYSICIAN	40.0	0.0			$566,401	$0	$59,456		Yes (X)
NII LAMPTEY-MILLS MD
PHYSICIAN	40.0	0.0			$616,300	$0	$27,005		Yes (X)
CHRISTOPHER B HAAS MD
PHYSICIAN	40.0	0.0			$608,267	$0	$51,489		Yes (X)
KENNETH G JUDSON MD
PHYSICIAN	40.0	0.0			$556,888	$0	$60,508		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,886,002	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$892,533	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	111	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HAYSTACK IMAGING SERVICES
PO BOX 539	CUMBERLAND	MD	215010539	DIAGNOSTIC	$6,658,736
GE MEDICAL SYSTEMS
PO BOX 74008831	CHICAGO	IL	606748831	SERVICE CONTRACTS	$2,585,231
CUMBERLAND ANESTHESIA AND PAIN
PO BOX 1571	CUMBERLAND	MD	215011571	ANESTHESIA	$2,177,867
ARAMARK
PO BOX 978839	DALLAS	TX	753978839	DIETARY	$1,887,015
WEATHERBY LOCUMS
PO BOX 972633	DALLAS	TX	753972633	PHYSICIAN STAFFING	$1,666,597

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Related Organizations	$114,395	RelatedOrganizationsAmt
Government Grants	$1,036,285	GovernmentGrantsAmt
All Other Contributions	$1,488,085	AllOtherContributionsAmt
Total Contributions	$2,638,765	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ANCILLARY CARE	621990	$191,472,844	$191,409,550	$63,294
INPATIENT ROUTINE CARE	621990	$61,383,994	$61,383,994
PHYSICIAN PRACTICES, CLINICS, HOME CARE, & HOSPICE	621990	$52,254,588	$52,254,588
EMERGENCY CARE	621990	$23,046,247	$23,046,247

Field	Value	IRS element (for citing)
Total Program Service Revenue	$328,157,673	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,416,104	TotalRevenueColumnAmt
Unrelated Business Revenue	$24,415	UnrelatedBusinessRevenueAmt
Exclusion	$4,391,689	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$746,708	RealAmt
Personal	$4,500	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$896,627	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$149,919	RealAmt
Personal	$4,500	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$145,419	TotalRevenueColumnAmt
Exclusion	-$145,419	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$25,528,487	SecuritiesAmt
Other	$5,338	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$23,524,333	SecuritiesAmt
Other	$2,776	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,004,154	SecuritiesAmt
Other	$2,562	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,006,716	TotalRevenueColumnAmt
Exclusion	$2,006,716	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
AMORTIZATION - BOND PREMIUM	900099	$2,971,216	$2,971,216
REIMBURSEMENT OF EXPENSES	900099	$555,491		$555,491
CONDO REVENUES	621500	$305,951			$305,951

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$802,625	TotalRevenueColumnAmt
Related Or Exempt Func Income	$802,625	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,635,283	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$341,709,122	TotalRevenueColumnAmt
Related Or Exempt Func Income	$329,452,495	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$393,660	UnrelatedBusinessRevenueAmt
Exclusion	$9,224,202	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,831,888	TotalAmt
Program Services	$4,493,656	ProgramServicesAmt
Management And General	$338,232	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$111,641,227	TotalAmt
Program Services	$103,826,341	ProgramServicesAmt
Management And General	$7,814,886	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,643,098	TotalAmt
Program Services	$8,038,081	ProgramServicesAmt
Management And General	$605,017	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,801,815	TotalAmt
Program Services	$17,485,688	ProgramServicesAmt
Management And General	$1,316,127	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,946,361	TotalAmt
Program Services	$7,390,116	ProgramServicesAmt
Management And General	$556,245	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,258,143	TotalAmt
Management And General	$1,258,143	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$233,735	TotalAmt
Management And General	$233,735	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$502,433	TotalAmt
Management And General	$502,433	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,025,951	TotalAmt
Program Services	$1,884,135	ProgramServicesAmt
Management And General	$141,816	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$504,593	TotalAmt
Program Services	$469,271	ProgramServicesAmt
Management And General	$35,322	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$119,610	TotalAmt
Program Services	$111,237	ProgramServicesAmt
Management And General	$8,373	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,751,951	TotalAmt
Program Services	$5,349,314	ProgramServicesAmt
Management And General	$402,637	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$962,746	TotalAmt
Program Services	$895,354	ProgramServicesAmt
Management And General	$67,392	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$780,841	TotalAmt
Program Services	$726,182	ProgramServicesAmt
Management And General	$54,659	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,798,063	TotalAmt
Management And General	$10,798,063	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,355,403	TotalAmt
Program Services	$22,650,525	ProgramServicesAmt
Management And General	$1,704,878	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,904,388	TotalAmt
Program Services	$1,771,081	ProgramServicesAmt
Management And General	$133,307	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$52,708,108	$49,018,540	$3,689,568
PURCHASED SERVICES	$41,787,588	$38,862,457	$2,925,131
MEDICAL PROFESSIONAL FEES	$16,297,861	$15,157,011	$1,140,850
UTILITIES	$4,031,309	$3,749,117	$282,192

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,686,956	TotalAmt
Program Services	$7,148,870	ProgramServicesAmt
Management And General	$538,086	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$323,574,068	TotalAmt
Program Services	$289,026,976	ProgramServicesAmt
Management And General	$34,547,092	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$46,910,382	BOYAmt
EOY	$42,479,546	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$101,821,133	BOYAmt
EOY	$109,461,273	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,786,746	BOYAmt
EOY	$37,451,866	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,678,916	BOYAmt
EOY	$6,817,938	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,912,899	BOYAmt
EOY	$3,982,242	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$559,665,158	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$302,638,823	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$274,181,387	BOYAmt
EOY	$257,026,335	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$32,892,335	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$842,911	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$79,773,301	BOYAmt
EOY	$46,457,310	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$548,064,764	BOYAmt
EOY	$537,411,756	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,331,828	BOYAmt
EOY	$33,061,840	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$222,040,000	BOYAmt
EOY	$210,245,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,104,967	BOYAmt
EOY	$666,279	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$124,501,018	BOYAmt
EOY	$90,841,066	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$380,977,813	BOYAmt
EOY	$334,814,185	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$166,579,601	BOYAmt
EOY	$202,092,992	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$226,374	BOYAmt
EOY	$202,374	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$280,976	BOYAmt
EOY	$302,205	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$167,086,951	BOYAmt
EOY	$202,597,571	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$548,064,764	BOYAmt
EOY	$537,411,756	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,135,054	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,489,566	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$12,886,000	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,830,910	BeginningYearBalanceAmt
Contributions	$234,245	ContributionsAmt
Investment Earnings Or Losses	$362,489	InvestmentEarningsOrLossesAmt
Other Expenditures	$438,699	OtherExpendituresAmt
End Year Balance	$10,988,945	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,650,335	BeginningYearBalanceAmt
Contributions	$182,225	ContributionsAmt
Investment Earnings Or Losses	$190,259	InvestmentEarningsOrLossesAmt
Other Expenditures	$191,909	OtherExpendituresAmt
End Year Balance	$10,830,910	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,393,236	BeginningYearBalanceAmt
Contributions	$443,395	ContributionsAmt
Investment Earnings Or Losses	-$4,712	InvestmentEarningsOrLossesAmt
Other Expenditures	$181,584	OtherExpendituresAmt
End Year Balance	$10,650,335	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,647,149	BeginningYearBalanceAmt
Contributions	$1,813,702	ContributionsAmt
Investment Earnings Or Losses	$123,635	InvestmentEarningsOrLossesAmt
Other Expenditures	$191,250	OtherExpendituresAmt
End Year Balance	$10,393,236	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,784,253	BeginningYearBalanceAmt
Contributions	$3,018,225	ContributionsAmt
Investment Earnings Or Losses	$172,794	InvestmentEarningsOrLossesAmt
Other Expenditures	$328,123	OtherExpendituresAmt
End Year Balance	$8,647,149	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.95410	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02750	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01840	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,036,483	OtherCostOrOtherBasisAmt
Book Value	$15,036,483	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$329,970,666	OtherCostOrOtherBasisAmt
Depreciation	$124,225,780	DepreciationAmt
Book Value	$205,744,886	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$717,195	OtherCostOrOtherBasisAmt
Depreciation	$391,048	DepreciationAmt
Book Value	$326,147	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$213,448,085	OtherCostOrOtherBasisAmt
Depreciation	$178,021,995	DepreciationAmt
Book Value	$35,426,090	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$492,729	OtherCostOrOtherBasisAmt
Book Value	$492,729	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$257,026,335	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN AFFILIATES	$29,625,417
OTHER ACCOUNT RECEIVABLES	$5,875,145
A/R FROM AFFILIATES	$4,752,624
REINSURANCE RECOVERIES - WMIC	$4,631,373
IMPREST FUND - W/C	$1,068,172
RESTRICTED BY DONOR	$504,579

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$46,457,310	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	-$6,412	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$49,162,574
BOND PREMIUM - UNAMORTIZED	$23,394,996
PROFESSIONAL INSURANCE	$11,290,999
PAYABLES TO THIRD PARTY	$6,294,706
FINANCING FEES - UNAMORTIZED	-$1,975,982
MINORITY INTEREST PAYABLE	$1,474,249
DEFERRED COMP	$1,205,936

Field	Value	IRS element (for citing)
Total Liability	$90,841,066	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

ENDOWMENT FUNDS INTENDED USES OF THE INCOME FROM THE PUGH ENDOWMENT FUND ARE TO PROVIDE FREE BEDS AND FREE SERVICE TO THOSE WHO MAY BECOME PATIENTS AND WHO THROUGH FINANCIAL INABILITY MAY BE UNABLE TO MAKE PROVISIONS FOR THEIR OWN MEDICAL AND/OR SURGICAL RELIEF.

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) ACCOUNTING STANDARDS CODIFICATION (ASC) SUBTOPIC 740-10., ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, 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 JUNE 30, 2018 AND 2017.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$21,247,394	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$21,247,394	SubtotalSpentAmt
Total Spent	$21,247,394	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,489,666	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,489,666	NetCommunityBenefitExpnsAmt
Total Expense	0.03240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,932,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,859,156	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,073,138	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,421,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,859,156	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,562,804	NetCommunityBenefitExpnsAmt
Total Expense	0.03570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,482,848	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,472,607	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	44933	PersonsServedCnt
Total Community Benefit Expns	$1,078,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,078,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,710,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,452,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,257,580	NetCommunityBenefitExpnsAmt
Total Expense	0.11820	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$269,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$243,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	44933	PersonsServedCnt
Total Community Benefit Expns	$80,541,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,488,208	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,053,124	NetCommunityBenefitExpnsAmt
Total Expense	0.12690	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	44933	PersonsServedCnt
Total Community Benefit Expns	$97,963,292	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,347,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,615,928	NetCommunityBenefitExpnsAmt
Total Expense	0.16260	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,579	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,246,640	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,246,640	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,392,881	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,379,219	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,310,140	BadDebtExpenseAmt
Reimbursed By Medicare	$143,035,459	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$136,802,760	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,232,699	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Cumberland Propert
Rental	1.0
Johnson Heights Med
Rental	0.8395	0.1605
Memorial Med Ctr Ser
Building Maintenance	1.0
Haystack Imaging
Health Care	0.5	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Western MD Regional Medical Centre	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12500 Willowbrook Road	AddressLine1Txt
City	Cumberland	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21502	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.wmhs.com	WebsiteAddressTxt
State License	01.0007	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WESTERN MD REGIONAL MEDICAL CENTRE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.WMHS.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITI	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.WMHS.COM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.WMHS.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.WMHS.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE H, PART V, SECTION B, FACILITY INFORMATION	FormAndLineReferenceDesc
Explanation	LINE 3, COMMUNITY HEALTH NEEDS ASSESSMENT AND LINE 5, PERSONS CONSULTED THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE WESTERN MARYLAND HEALTH SYSTEM (WMHS) CO-CHAIR THE ALLEGANY COUNTY HEALTH PLANNING COALITION (COMPRISED OF 49 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 WMHS IS A TOTAL PATIENT REVENUE HOSPITAL AND 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 11, ADDRESSING SIGNIFICANT NEEDS IN THE CHNA Priorities in the most recent CHNA are: substance abuse, poverty, heart disease, and access to care/health literacy. There are many common themes when comparing them to the priorities in the prior CHNA (access & socioeconomics, healthy lifestyle & wellbeing, and disease management). After review of health status indicators and causative factors, we selected more specific foci for the current CHNA. Key progress made between 2014-2017: - Residents that reported missing appointments due to transportation declined from 26% to 16% - Level 1 and 2 emergency department visits decreased from 15,501 to 8,219 - Behavioral health related emergency department visits decreased from 7,517.9 visits per 100,000 population to 6,216.5 per 100,000 - 209 patients were engaged in disease management resulting in fewer emergency department and hospital visits Continued Challenges: - 19.3% 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 279.1 per 100,000 population and the rate has increased steadily since 2010 - 18.7 drug induced deaths caused by illicit or prescription drugs per 100,000 population and deaths are rising. Substance abuse and poverty were identified as top priorities through a survey and community partners, so more streamlined strategies were created. With the continued challenge of hypertension and obesity, the priority became heart disease this cycle versus healthy lifestyle & wellbeing. Access to Care became less about insurance coverage in this cycle and more about understanding and education. Though there was not a disease management priority in the current cycle, there were aspects of disease management covered in current priorities such as social determinants of health and education. Through the Community Health Needs Assessment process, there were some community needs identified which will not be included in the Local Health Action Plan strategies. The Coalition felt that many of these community needs were already being addressed by other partnerships in the community, and therefore included them as a supporting strategy in the Local Health Action Plan or examined another aspect of the issue. Needs being addressed elsewhere are: Chronic Obstructive Pulmonary Disease, Sexually Transmitted Infections, Teen Use of E-Vapor Products, and Substance Abuse. THE DATA COLLECTED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS SHARED WITH THE WMHS ADMINISTRATIVE TEAM AND BOARD OF DIRECTORS. THIS INFORMATION ALONG WITH OTHER HOSPITAL DATA AND INFORMATION WAS UTILIZED TO CREATE THE HOSPITAL'S STRATEGIC PLAN. THROUGH THE DIRECTOR OF COMMUNITY HEALTH AND WELLNESS CONNECTIONS ARE IDENTIFIED BETWEEN THE IMPLEMENTATION STRATEGY AND THE STRATEGIC PLAN AS PART OF THE COMMUNITY BENEFIT PLANNING. THE FOLLOWING ARE SECTIONS OF THE STRATEGIC PLAN THAT APPLY TO COMMUNITY BENEFITS. STRATEGIC PLAN FY 2017-2020 STRATEGIC GOAL: ENHANCE PATIENT-CENTERED CARE DELIVERY MODEL OBJECTIVE: CONTINUE TO REDESIGN CARE DELIVERY MODELS STRATEGY: DEFINE WMHS'S ROLE IN COMMUNITY, TRANSPORTATION, RESPONSE TO ADDICTION EPIDEMIC OBJECTIVE: STRENGTHEN THE CARE COORDINATION PROCESS STRATEGY: IMPLEMENT BEST PRACTICES WITH TRANSITIONAL CARE, INCLUDING CENTER FOR CLINICAL RESOURCES STRATEGIC GOAL: COORDINATE CARE TO PROVIDE POPULATION HEALTH MANAGEMENT OBJECTIVE: EXPAND PRE AND POST-ACUTE SERVICES TO REDUCE POTENTIALLY AVOIDABLE UTILIZATION STRATEGY: MOBILE HEALTH OBJECTIVE: REDUCE VARIATIONS IN THE TREATMENT OF PATIENTS ACROSS THE CARE CONTIUUM. STRATEGY: PHYSICIAN INVOLVEMENT LINE 22, FINANCIAL ASSISTANCE POLICY WMHS 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, THE WESTERN MARYLAND HEALTH SYSTEM 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. WMHS 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. COVER MEDICALLY-NECESSARY HOSPITAL CARE. WMHS 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.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Frostburg Nursing and Rehabilitation Ctr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	48 Tarn Terrace	AddressLine1Txt
City	Frostburg	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21532	ZIPCd

Field	Value	IRS element (for citing)
Facility	Nursing Home	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7G	FROSTBURG AND HUNT CLUB CLINICS EXPENSE $4,917,250 OFFSETTING REVENUE $3,532,818 COSTING METHODOLOGY - DIRECT COSTS ARE ADDED TO INDIRECT COSTS WHICH ARE CALCULATED BASED UPON AMOUNTS REPORTED ON A MARYLAND HSCRC ANNUAL COST REPORT.
SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES	COMMUNITY SUPPORT - WMHS HAS IN PLACE A DISASTER READINESS PROGRAM. AS THE LARGEST HOSPITAL IN THE AREA AND THE LARGEST EMPLOYER, WMHS HAS INCURRED COSTS TO BE ABLE TO DEAL WITH A DISASTER IF THE NEED ARISES. COALITION BUILDING - WMHS WORKS WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH IN THE COMMUNITY. EDUCATION PROGRAMS, SCREENINGS, AND VARIOUS OTHER EVENTS ARE CONDUCTED BY WMHS. WORKFORCE DEVELOPMENT - WMHS 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	THE WESTERN MARYLAND HEALTH SYSTEM 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, THE WESTERN MARYLAND HEALTH SYSTEM 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. -THE WESTERN MARYLAND HEALTH SYSTEM 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. - WMHS ADJUSTED ITS POLICIES AND PRACTICES TO MEET ALL 501R REQUIREMENTS AS OF FEBRUARY 2017.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	COMMUNITY HEALTH NEEDS ASSESMENT, 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 15, 2017. HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM THE ALLEGANY COUNTY HEALTH DEPARTMENT AND WESTERN MARYLAND HEALTH SYSTEM IS RESPONSIBLE FOR FACILITATING THE NEEDS ASSESSMENT PROCESS. ALLEGANY COUNTY IS LOCATED IN RURAL WESTERN MARYLAND WITH A POPULATION OF 72,528. 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. WMHS 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 SHIP 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. BASED ON THE RESULTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT, THE ALLEGANY COUNTY HEALTH PLANNING COALITION (COALITION) CREATED THE FOLLOWING LOCAL HEALTH ACTION PLAN (LHAP) HTTP://WWW.ALLEGANYHEALTHPLANNINGCOALITION.COM/PDF/LOCAL%20HEALTH %20ACTION%20PLAN%202017-2020. PDF TO IMPROVE HEALTH AND WELLBEING IN ALLEGANY COUNTY. THE COALITION IS CHARGED WITH IMPLEMENTING THE LHAP, MEASURING PROGRESS, AND BUILDING ON BEST PRACTICES ALREADY IN USE IN THE COMMUNITY. THE LHAP ADDRESSES FOUR PRIORITY AREAS: 1. SUBSTANCE ABUSE 2. POVERTY 3. HEART DISEASE 4. ACCESS TO CARE AND HEALTH LITERACY EACH PRIORITY AREA INCLUDES GOALS, LINK TO THE STATE HEALTH IMPROVEMENT PROCESS (SHIP) AND/OR PHIP, STRATEGIES, SMART OBJECTIVES, RESPONSIBLE PARTIES, TIMELINES, CURRENT PROGRESS TOWARD THE SMART OBJECTIVE, AND OUTCOMES INCLUDING BASELINE, TARGET, AND CURRENT STATUS. THE LHAP IS A THREE-YEAR PLAN AND IMPLEMENTATION IS DIVIDED INTO SIX-MONTH PHASES: PHASE 1 IS JULY-DECEMBER 2017, PHASE 2 IS JANUARY-JUNE 2018, PHASE 3 IS JULY-DECEMBER 2018, PHASE 4 IS JANUARY-JUNE 2019, PHASE 5 IS JULY-DECEMBER 2019, PHASE 6 IS JANUARY-JUNE 2020, AND ONGOING INDICATES THAT IMPLEMENTATION WILL OCCUR OVER ALL SIX PHASES. THE LHAP ALSO INCLUDES SUPPORTING STRATEGIES WHICH ARE UNDERWAY IN THE COMMUNITY AND MAY CONTRIBUTE TO THE ACHIEVEMENT OF LHAP GOALS AND OUTCOMES, BUT ARE NOT OVERSEEN BY THE COALITION. THE LHAP WORKS TO BUILD UPON, AND NOT DUPLICATE, EXISTING COMMUNITY HEALTH IMPROVEMENT EFFORTS.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE, LINE 3 WESTERN MARYLAND HEALTH SYSTEM 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. IT IS THE POLICY OF WMHS TO PROVIDE FINANCIAL ASSISTANCE BASED ON INDIGENCE OR EXCESSIVE MEDICAL DEBT FOR PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERIA AND REQUEST SUCH ASSISTANCE. WMHS WILL POST NOTICES OF AVAILABILITY AT PATIENT REGISTRATION SITES, ADMISSIONS, BUSINESS OFFICE AND AT THE EMERGENCY DEPARTMENT. NOTICE OF AVAILABILITY WILL ALSO BE SENT TO PATIENTS ON PATIENT BILL STATEMENTS. A PATIENT BILLING AND FINANCIAL ASSISTANCE INFORMATION SHEET WILL BE PROVIDED TO INPATIENTS VIA THE ADMISSION HANDBOOK GIVEN TO EVERY ADMITTED PATIENT. THIS IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE AND IS ALSO AVAILABLE TO ALL PATIENTS UPON REQUEST.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	COMMUNITY INFORMATION, LINE 4 WMHS PROVIDES PRIMARY AND SECONDARY ACUTE CARE SERVICES FOR A SIX COUNTY REGION COVERING THE UPPER POTOMAC REGION OF MARYLAND, EASTERN WEST VIRGINIA AND SOUTHWESTERN PENNSYLVANIA. WITH 72% OF THE PATIENTS RESIDING IN EITHER ALLEGANY COUNTY, MARYLAND, WMHS CONSIDERS THIS COMMUNITY ITS COMMUNITY BENEFIT SERVICE AREA.
SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION	PROMOTION OF COMMUNITY HEALTH, LINE 5 COMMUNITY BENEFIT SUMMARY THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE WESTERN MARYLAND HEALTH SYSTEM (WMHS) LEAD COMMUNITY HEALTH NEEDS ASSESSMENTS EFFORTS. THE ALLEGANY COUNTY HEALTH DEPARTMENT WORKS TO PROMOTE HEALTH IN ALLEGANY COUNTY AND WMHS IS A TOTAL PATIENT 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 -SETON REGIONAL HEALTH SYSTEM (EIN: 52-1333566), TAX EXEMPT UNDER 501(C)(3), PUBLIC CHARITY STATUS 12 TYPE I, CHARITABLE -WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(C)(3), PUBLIC CHARITY STATUS 12 TYPE I, FUNDRAISING -MEMORIAL MEDICAL CENTER SERVICES (EIN: 52-1317704), C CORPORATION, BUILDING MAINTENANCE -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).

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY P RONAN
PRESIDENT/CEO	$656,261	$0	$194,100	$0	$125,541	$0	$190,352	$0	$21,237	$0	$1,187,491	$0	$116,541	$0
KIMBERLY S REPAC
SR VP/CFO	$412,242	$0	$101,062	$0	$23,323	$0	$63,398	$0	$1,395	$0	$601,420	$0	$23,323	$0
NANCY D ADAMS
SR VP/COO	$396,068	$0	$96,275	$0	$22,218	$0	$61,344	$0	$19,912	$0	$595,817	$0	$22,218	$0
GERALD GOLDSTEIN
SR VP/CMO	$353,220	$0	$86,375	$0	$20,221	$0	$55,158	$0	$10,890	$0	$525,864	$0	$20,221	$0
JO M WILSON
VP, POPULATION HEALTH	$216,093	$0	$43,075	$0	$0	$0	$20,784	$0	$19,063	$0	$299,015	$0	$0	$0
KEVIN R TURLEY
VP, SUPPORT OPERATIONS	$231,603	$0	$45,150	$0	$0	$0	$21,366	$0	$20,125	$0	$318,244	$0	$0	$0
MICHELE R MARTZ
VP, PHYSICIAN ENTERPRISE	$220,197	$0	$43,075	$0	$0	$0	$21,428	$0	$20,555	$0	$305,255	$0	$0	$0
JAMES KARSTETTER
VP, CNO	$199,504	$0	$39,600	$0	$0	$0	$19,858	$0	$21,018	$0	$279,980	$0	$0	$0
STEVEN R SMITH MD
MEDICAL DIRECTOR	$153,609	$0	$40,000	$0	$139,421	$0	$26,380	$0	$19,584	$0	$378,994	$0	$0	$0
MARK G NELSON MD
PHYSICIAN	$649,913	$0	$30,000	$0	$0	$0	$45,755	$0	$14,473	$0	$740,141	$0	$0	$0
BLANCHE MAVROMATIS MD
PHYSICIAN	$451,211	$0	$115,190	$0	$0	$0	$39,788	$0	$19,668	$0	$625,857	$0	$0	$0
NII LAMPTEY-MILLS MD
PHYSICIAN	$556,300	$0	$60,000	$0	$0	$0	$4,267	$0	$22,738	$0	$643,305	$0	$0	$0
CHRISTOPHER B HAAS MD
PHYSICIAN	$529,139	$0	$79,128	$0	$0	$0	$41,998	$0	$9,491	$0	$659,756	$0	$0	$0
KENNETH G JUDSON MD
PHYSICIAN	$541,888	$0	$15,000	$0	$0	$0	$39,326	$0	$21,182	$0	$617,396	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 4B AND 7	FormAndLineReferenceDesc
Explanation	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 $116,541 ON 01/12/2017. KIMBERLY S. REPAC RECEIVED A SERP PAYMENT IN THE AMOUNT OF $23,323 ON 01/12/2017. NANCY D. ADAMS RECEIVED A SERP PAYMENT IN THE AMOUNT OF $22,218 ON 01/12/2017. GERALD GOLDSTEIN RECEIVED A SERP PAYMENT IN THE AMOUNT OF $20,221 ON 01/12/2017.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MHHEFA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	520591531	BondIssuerEIN
CUSIP	574218SP9	CUSIPNum
Bond Issued	2014-11-19	BondIssuedDt
Issue Price	$236,170,000	IssuePriceAmt
Purpose	REFUND 2006 BONDS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$25,925,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$236,170,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$33,744,008	CapitalizedInterestAmt
Refunding Escrow	$17,784,031	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,392,488	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$218,385,969	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2009	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.02888	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00170	PrivateBusConcerningUBIPct
Total Private Business Use	0.03058	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	Yes (true)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	Wachovia Securities	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	30.	TermOfGICPct
Regulatory Safe Harbor Stsfd	Yes (true)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION.	FormAndLineReferenceDesc
Explanation	REBATE COMPUTATION WAS PERFORMED JULY 1, 2016.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D	OTHER PROGRAM SERVICES EMERGENCY CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OPERATES A 24-HOUR/7-DAY-A-WEEK EMERGENCY ROOM WHICH SERVES AS THE DESIGNATED AREA-WIDE TRAUMA CENTER. 45,408 VISITS WERE REGISTERED IN THE EMERGENCY ROOM FOR THE YEAR ENDING JUNE 30, 2018.
FORM 990, PART VI, SECTION A, LINE 2	OFFICERS AND TRUSTEES BUSINESS RELATIONSHIPS KEVIN TURLEY (KEY EMPLOYEE) SERVES ON THE BOARD AND EXECUTIVE COMMITTEE OF HRDC OF WHICH COURTNEY THOMAS (TRUSTEE) IS THE EXECUTIVE DIRECTOR.
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 BOARDS SECURE PASSWORD PROTECTED WEB SITE.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY COMPLIANCE THE WMHS 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. 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 15 & 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 PENSION LIABILITY: $ 28,403,000 INCOME RELEASED FROM RESTRICTIONS: $ 511,313 EQUITY TRANSFER - INTERCOMPANY: $ (3,237) TOTAL $ 28,911,076 ==============

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Seton Regional Health System
900 Seton Drive	Cumberland	MD	20501	501333566	Charitable	MD	501(c)(3)	12A	NA	false
Cumberland Properties Inc
PO Box 539	Cumberland	MD	20501	521522252	Rental	MD	501(c)(3)	3	NA	false
WMHS Foundation
PO Box 539	Cumberland	MD	20501	352289841	Fundraising	MD	501(c)(3)	12A	NA	false
Willowbrook Health Services
PO Box 539	Cumberland	MD	20501	522005140	Health Care	MD	501(c)(3)	3	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Johnson Heights
625 Kent Avenue	Cumberland	MD	20501	521775175	Rental	MD	NA	Related	$72,374	$1,161,897	false	$0	Yes (true)	0.83950
Haystack Imaging
PO Box 539	Cumberland	MD	20501	043783141	Health Care	MD	NA	Related	$2,384,469	$1,961,883	false	$0	false	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Memorial Med Ctr Svcs
PO Box 539	Cumberland	MD	20501	521317704	Bldg Maint	MD	N/A	C Corp	$7,729	$581,321	1.00000	Yes (true)
Willowbrook HC Condo
PO Box 539	Cumberland	MD	20501	371538510	Condo Mgmt	MD		C Corp	-$10,693	$86,387	0.53300	Yes (true)	NA
Haystack Consolidated
PO Box 539	Cumberland	MD	20501	521335895	Med Svcs	MD		C Corp	-$6,308	$1,146,902	1.00000	false	NA
Trivergent Health Alliance
1800 Dual Hghwy	Hagerstown	MD	20501	465555337	Mgmt Svcs	MD		C Corp	-$113,107	$3,398,977	0.33000	false	NA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WMHS Foundation Inc
C	$77,113	FMV
Willowbrook Health Center Condominium
K	$429,426	FMV
Johnson Heights Medical Building
P	$84,450	FMV
Memorial Medical Center Services
Q	$54,640	FMV