2019-05-14T15:19:34-05:00 2018-06-30 ERNST & YOUNG US LLP 201 NORTH FRANKLIN ST STE 2400 TAMPA FL 33602 990 2017-07-01 520591612 FREDERICK MEMORIAL HOSPITAL INC % MICHELLE K MAHAN FRED 2405663000 400 WEST SEVENTH STREET FREDERICK MD 21701 MICHELLE MAHAN CFO 2405663350 2019-05-14 true MELANIE A MCPEAK P01346034 8132254800 181.37.62.158 59196620191345000001 2019-05-14 P 79704D1B1FD29BF7C0C26D7B259B714D6034963E 721E3ACDB1620A7A66E3A23C7EDFA845AECA81ED 2017 2020-01-14 16:20:31Z THOMAS A KLEINHANZL 400 W 7TH STREET FREDERICK MD 21701 403117749 false X WWW.FMH.ORG X 1897 MD to contribute to the health and well-being of area residents by providing quality healthcare in a caring, cost efficient, safe and convenient manner. 21 17 2481 718 -100025 0 3595815 4531422 360060021 361042800 10082601 9647166 -609243 404958 373129194 375626346 50000 50000 0 0 145852064 153776754 54000 54000 701271 203265867 190547838 349221931 344428592 23907263 31197754 552559555 571551539 290277677 267422277 262281878 304129262 X THE MISSION OF FREDERICK MEMORIAL HOSPITAL, INC. IS TO CONTRIBUTE TO THE HEALTH AND WELL-BEING OF AREA RESIDENTS BY PROVIDING QUALITY HEALTH CARE IN A CARING, COST EFFICIENT, SAFE AND CONVENIENT MANNER, THROUGH A COORDINATED PROGRAM OF PREVENTION, DIAGNOSIS AND TREATMENT REHABILITATION, AND SUPPORT. false false 35471478 50000 68202703 INPATIENT SERVICES IN FY2018, FREDERICK MEMORIAL HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 23,924 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, FMH 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, FMH INCURRED $46.7 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 29998530 0 60240683 PERIOPERATIVE SERVICES FREDERICK MEMORIAL HOSPITAL'S PERIoPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 9,943 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2018. 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, FMH INCURRED $46.7 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 14699317 0 28601222 LABORATORY SERVICES AT FREDERICK MEMORIAL HOSPITAL PROVIDED APPROXIMATELY 1,350,000 HIGH QUALITY TESTS TO PATIENTS IN FISCAL YEAR 2018. PROCEDURES WERE PERFORMED IN OUR CAMPUS FACILITY AS WELL AS OUR AMBULATORY LOCATIONS SERVING FREDERICK COUNTY. IN ADDITION TO A FOCUS ON QUALITY, LABORATORY SERVICES IS ALSO FOCUSED ON THE PATIENT EXPERIENCE. IN FY2018, WE LAUNCHED A DEDICATED LABORATORY CALL CENTER TO ENHANCE THE PATIENT EXPERIENCE. WE ALSO COMPLETED AN IMPROVEMENT PROJECT THAT REDUCED PATIENT APPOINTMENT TIMES INCLUDING WAIT TIMES DOWN TO LESS THAN 20 MINUTES. FINALLY, WE LAUNCHED A MOBILE APPLICATION FOR QUICKER DISSEMINATION OF ROUTINE LAB RESULTS THAT WAS AN ENHANCEMENT TO ORDERING PHYSICIANS AND PATIENTS. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FMH INCURRED $46.7 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 216884740 0 205200883 297054065 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 365 0 true 2481 true true true false false false false false false false false false X 21 17 false false false 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 Shawn Wolf Director 2.0 0.0 X 0 0 0 Ravi Yalamanchili DIRECTOR/physician 2.0 0.0 X 517453 0 0 Cornelius Fay Director 2.0 0.0 X 0 0 0 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 1226276 0 274120 R CARL BENNA DIRECTOR 2.0 0.0 X 0 0 0 ALLEN D MAWDSLEY DIRECTOR 2.0 2.0 X 0 0 0 ELIZABETH PAKENAS DIRECTOR 2.0 0.0 X 0 0 0 Gregory P Dormitzer Director 2.0 1.0 X 0 0 0 Theodore Luck Director 2.0 0.0 X 0 0 0 HONORABLE STEPHEN JOHNSON Secretary/Treasurer 2.0 1.0 X X 0 0 0 THOMAS MUNRO MD VC OF STAFF/physician 5.0 0.0 X 27996 0 0 GERRIT SCHIPPER MD CHIEF OF STAFF/physician 10.0 0.0 X 54179 0 0 Joe Collins Director 2.0 0.0 X 0 0 0 E James Reinsch DIRECTOR 2.0 2.0 X 0 0 0 P Gregory Rauschend 93017 Chair, FMH Dev Council 4.0 0.0 X 0 0 0 J Frederick Manning Vice Charmain 4.0 2.0 X X 0 0 0 PATRICIA HANBERRY DIRECTOR 2.0 0.0 X 0 0 0 KARYLYS KLINE DIRECTOR 2.0 0.0 X 0 0 0 NIKKI MOBERLY DIRECTOR 2.0 0.0 X 0 0 0 Rev Roger W Wilmer Jr Director (ENDED 9/30/17) 2.0 0.0 X 0 0 0 Gerald Winnan MD CHAIRMAN 2.0 3.0 X X 0 0 0 Michelle K Mahan Sr VP and CFO 39.0 6.0 X 689814 0 60707 John R Verbus ended 8117 Sr VP and COO 20.0 0.0 X 404725 0 27712 Manuel A Casiano SVP POPULATION HEALTH 14.0 26.0 X 477108 0 49423 Cheryl L Cioffi SVP COO AND CNO 36.0 4.0 X 389479 0 62534 Hannah R Jacobs VP Finance 33.0 7.0 X 232678 0 11994 Rachel I Mandel ended 101018 VP Medical Affairs 40.0 0.0 X 272186 0 13998 Craig F Rosendale VP COMPLIANCE 24.0 16.0 X 234455 0 26980 Donald R Schilling VP Ambulatory Services 6.0 34.0 X 261234 0 20214 Jennifer G Teeter VP CLINICAL INTEGRATION 16.0 24.0 X 265918 0 28244 Jim R Williams ended 1218 SVP POPULATION HEALTH 20.0 20.0 X 313452 0 29606 HEATHER R KIRBY VP INTEGRATED CARE DELIVERY 40.0 0.0 X 187426 0 22246 MARY D BARTON beg 71717 vp-business develop. & Strat. 40.0 0.0 X 105360 0 2909 MICHAEL G MCLANE JR AVP SUPPORT SVCS 40.0 0.0 X 186323 0 24903 ROBIN R ROSE VP DEVELOPMENT 40.0 0.0 X 170751 0 18823 Diane M Mcfarland VP PT Care Svcs (Beg 5/30/17) 40.0 0.0 X 108224 0 872 Mark S Soberman Physician 40.0 0.0 X 451350 0 31166 DUSTIN M SIMONSON ONCOLOGY MEDICAL PHYSICIST 40.0 0.0 X 210871 0 27674 JAMES BLAKE TRUMBLE MEDICAL DIRECTOR 40.0 0.0 X 236646 0 27036 EMMANUEL FRU WANKI RN PER DIEM 60.0 0.0 X 189816 0 17250 CARLOS T GRAVERAN DIRECTOR OF HOSPICE 40.0 4.0 X 198641 0 15741 7412361 0 794152 103 false true false TXTEAM REHAB INC 9101 WESLEYAN RD SUITE 100 INDIANAPOLIS IN 46268 REHAB SERVICES 9003206 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 5124809 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LABORATORY SERVICES 1258156 CRITICAL CARE ASSOCIATES LLC 10711 RED RUN BLVD SUITE 101 OWINGS MILLS MD 21117 PHYSICIAN SERVICES 1207020 FIRST COLONIES ANESTHESIA PO BOX 841069 DALLAS TX 752841069 physician services 950484 54 0 4531422 801985 4531422 INPATIENT REVENUE 624110 206687984 206687984 0 0 OUTPATIENT REVENUE 621410 150289014 150289014 0 0 GROUP PURCHASING PREMIER 525990 93997 64379 29618 0 ALL OTHER PROGRAM SERVICE REVENUE 900099 3971805 3971805 0 0 361042800 3523432 -129643 3653075 0 0 786492 786492 0 786492 786492 33602800 12337 27491403 6111397 12337 6123734 6123734 0 0 0 0 0 0 0 0 0 CAFETERIA REVENUE 722511 1146289 1146289 0 0 MT. 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FEE 541610 56402 56402 0 0 LOSSES INTEREST RATE SWAP 900099 -1584225 0 0 -1584225 -381534 375626346 362215873 -100025 8979076 X 50000 50000 0 0 0 0 0 0 6691228 599628 6091600 0 0 114778181 106633637 7950296 194248 10086574 9074235 995902 16437 13515624 12135827 1357698 22099 8705147 7916967 774496 13684 1985677 1958677 27000 714818 0 714818 0 447316 0 447316 0 25925 0 25925 0 54000 54000 358744 0 358744 0 80239042 68399882 11744538 94622 1705228 18767 1508331 178130 6936913 5048927 1848634 39352 6542034 6201636 340398 0 0 0 0 0 5344167 5216706 127461 0 149203 93287 51556 4360 0 0 0 0 206042 128825 71197 6020 5223974 4894864 318662 10448 0 0 0 0 24141656 17192031 6933013 16612 2641258 15413 2625845 0 SUPPLIES AND COGS 53885841 53433433 428149 24259 344428592 297054065 46673256 701271 0 0 0 23522122 30245309 6095227 5540611 47226337 45496416 0 0 0 0 0 0 5748998 4991906 2778143 2345944 549529172 320976124 239391387 228553048 137936563 148266422 0 0 80583787 94343358 0 0 9276991 11768525 552559555 571551539 49129658 45919788 0 0 0 0 184204092 177594683 0 0 0 0 0 0 0 0 56943927 43907806 290277677 267422277 X 253759101 295861898 7546600 7291187 976177 976177 262281878 304129262 552559555 571551539 X 31197754 -1104547 0 0 0 11754177 X false true X true false X false false false 0 false 0 false 0 false 0 false 0 false 0 true 25925 25925 false SCHEDULE C, PART II-B, LINE 1I EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND VISITING NURSES ASSOCIATIONS OF AMERICA. 976177 976177 976177 976177 976177 976177 976177 976177 976177 976177 1.00000 false false 3893774 3893774 255808546 102516292 153292254 28052032 14171335 13880697 252252093 204288497 47963596 9522727 9522727 228553048 INVESTMENTS IN SUBSIDIARIES 23863317 F ASSETS LIMITED AS TO USE 4466741 F INTERCOMPANY RECEIVABLES 66013300 F 94343358 0 ADVANCES FROM THIRD PARTIES 8026642 INTEREST RATE SWAP CONTRACT 6705566 PENSION LIABILITY 14474654 MALPRACTICE INSURANCE LIABILITY 3305000 CAPITAL LEASE OBLIGATIONS 1992162 OTHER LIABILITIES 9403782 43907806 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 Investments, program-relate 17431201 Central America and the Caribbean 1 Program services SELF INSURANCE 3273203 2 2 20704404 20704404 true false true false false false Procedures for Monitoring Use of Grants 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 0 54000 0 54000 MD true true true X true X true true true false true true 5127875 5127875 0.01490 46394679 46934107 -539428 51522554 46934107 4588447 0.01490 3956219 554252 3401967 0.00990 50000 0 50000 0.00010 19361177 517909 18843268 0.05470 490608 150052 340556 0.00100 23858004 1222213 22635791 0.06570 75380558 48156320 27224238 0.08060 false 8496000 637000 139548562 118497600 21050962 X true true 1 1 FREDERICK MEMORIAL HOSPITAL 400 W 7TH STREET FREDERICK MD 21701 WWW.FMH.ORG 210005 X X X Frederick Memorial Hospital 1 false false true X X X X X X X X X 16 true false true true X SEE PART V, SECTION C X true 16 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 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 Memorial 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 Memorial 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. 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 Womens 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 SCHEDULE H, PART V, SECTION B, LINE 7A http://www.fmh.org/documents/pdfs/56183-community-health_rev-829.pdf SCHEDULE H, PART V, SECTION B, LINE 10A https://www.fmh.org/documents/fmh-community-needs-assessment-implementatio n-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 Memorial Hospitals implementation strategies - access, service navigation, and health literacy. Frederick Memorial 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 Memorial Hospital has adopted implementation strategies around the three priorities. 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, 420 referrals were made to behavioral health specialists in the primary care setting. - Through a partnership with Potomac Case Management, community case managers provide intensive community-based management services for high risk clients. For the report period, 736 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. For the report period, 164 clients were engaged with a peer recovery specialist. - The Hospitals Bridges Program trained community health lay educators about community based crisis services. 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 Memorial 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 Memorial 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. Adverse Childhood Events: Increasing awareness of adverse childhood events (ACEs) was the primary focus of the community action plan. Frederick Memorial 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. SCHEDULE H, PART V, SECTION B, LINE 13H STATE REGULATIONS. SCHEDULE H, PART V, SECTION B, LINE 16A HTTP://WWW.FMH.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY-FN100.PDF SCHEDULE H, PART V, SECTION B, LINE 16B HTTP://WWW.FMH.ORG/DOCUMENTS/FA_327A.PDF SCHEDULE H, PART V, SECTION B, LINE 16C HTTP://WWW.FMH.ORG/ABOUT/BILLING/FINANCIAL-ASSISTANCE.ASPX DESCRIPTION OF FINANCIAL ASSISTANCE POLICY MH 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 (HTTP://WWW.FMH.ORG/ABOUT/BILLING/FINANCIAL-ASSISTANCE.ASPX) 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 TO INCLUDE DETAILED EXPLANATION OF THE FAP. FMH 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. 14 FMH KLINE HOSPICE HOUSE 7000 KIMMEL ROAD MT AIRY MD 21771 INPATIENT HOSPICE PATIENT FACILITY MT AIRY HEALTH SERVICES 1502 SOUTH MAIN STREET MT AIRY MD 21771 OUTPATIENT HEALTH FACILITY PARKVIEW MEDICAL GROUP MT AIRY 1502 SOUTH MAIN STREET MT AIRY MD 21771 PHYSICIAN PRACTICE PARKVIEW MEDICAL GROUP MYERSVILLE 3000-D VENTRIE COURT MYERSVILLE MD 21773 PHYSICIAN PRACTICE PARKVIEW MEDICAL GROUP FREDERICK 1564 OPPOSSUMTOWN PIKE FREDERICK MD 21702 PHYSICIAN PRACTICE FMH REGIONAL CANCER CARE THERAPY CTR 501 WEST SEVENTH STREET FREDERICK MD 21701 OUTPATIENT CANCER TREATMENT CENTER FMH ROSEHILL 1562 OPPOSSUMTOWN PIKE FREDERICK MD 21701 OUTPATIENT HEALTH FACILITY UNION BRIDGE FAMILY PRACTICE 104 NORTH MAIN STREET UNION BRIDGE MD 21701 PHYSICIAN PRACTICE FMH HOME HEALTH SERVICES 605 EAST CHURCH STREET FREDERICK MD 21701 HOME HEALTH NURSING ORGANIZATION HOSPICE OF FREDERICK COUNTY 516 TRAIL AVENUE FREDERICK MD 21701 HOSPICE CARE ORGANIZATION FMH ROSE HILL REHAB SERVICES 1562 OPPOSSUMTOWN PIKE FREDERICK MD 21702 PHYSICAL REHABILITATION CLINIC FMH CRESTWOOD 7211 BANK COURT FREDERICK MD 21703 OUTPATIENT HEALTH FACILITY FMH URBANA 3430 WORTHINGTON BLVD FREDERICK MD 21703 OUTPATIENT HEALTH FACILITY FMH IMMEDIATE CARE 850 OAK STREET FREDERICK MD 21702 WALK-IN CLINIC 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. Disclosure Identifying Costs SCHEDULE H, PART I, LINE 6 Hospitalists, Obstetrics Call, Emergency Department Call, Anesthesia Call, Intensivist, Interventional Cardiology, Prenatal Center and Mental Health 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 Memorial 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 Memorial 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 Memorial 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 Memorial 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 The service area for Frederick Memorial 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: - Total population - 252,022 - 50.7% female - 81.7% white - 14.1% are persons over age 65 - Average household income of $85,715/yr - 6.9% of households below the federal poverty guidelines - 6.7% are uninsured and 15% are Medicaid recipients - 92.6% graduated from high school and 40.5% have Bachelors degrees. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 For the report period, Frederick Memorial 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, 7,445 patients received home or community-based interventions from the care transitions clinical team. - Community Health Fair: Frederick Memorial 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, womens health education, pediatric asthma education, chronic disease prevention education and results counseling were provided by Hospital employees to approximately 800 attendees. - Care Clinic: The Care Clinic focuses on high risk patients diagnosed with heart failure, chronic obstructive pulmonary disease, diabetes and other chronic illnesses that need transition assistance between their hospital stay and follow-up with their health care providers. The Clinic offers a multi-disciplinary team approach to patient care with a nurse practitioner, social worker, registered nurse, medical assistant, behavioral health specialist and pharmacist. The goal of the team is to help people better navigate their complex health needs, provide education and support for their medical treatment plan. During the report period, 606 individuals were seen by clinic staff. - 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, 77 lay health educators completed the Bridges training program. The educators are affiliated with 32 faith and community organizations. - 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 355 newly enrolled maternity patients. - Physician Services: Frederi true frederick community college 7932 OPOSSUMTOWN PIKE FREDERICK MD 21702 520743590 501(c)(3) 50000 SUPPORT OF ALLIED HEALTH PROGram 1 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 Ravi Yalamanchili DIRECTOR/physician 517453 0 0 0 0 0 0 0 0 0 517453 0 0 0 Manuel A Casiano SVP POPULATION HEALTH 388309 0 84930 0 3869 0 35546 0 13877 0 526531 0 0 0 Cheryl L Cioffi SVP COO AND CNO 290597 0 73680 0 25202 0 44983 0 17551 0 452013 0 0 0 Hannah R Jacobs VP Finance 194680 0 37119 0 879 0 10255 0 1739 0 244672 0 0 0 Thomas A Kleinhanzl President and CEO 718934 0 493013 0 14329 0 253350 0 20770 0 1500396 0 0 0 Michelle K Mahan Sr VP and CFO 466472 0 219473 0 3869 0 43584 0 17123 0 750521 0 0 0 Rachel I Mandel ended 101018 VP Medical Affairs 225952 0 45718 0 516 0 12253 0 1745 0 286184 0 0 0 Craig F Rosendale VP COMPLIANCE 188708 0 38303 0 7444 0 12548 0 14432 0 261435 0 0 0 Donald R Schilling VP Ambulatory Services 217562 0 39803 0 3869 0 5761 0 14453 0 281448 0 0 0 Mark S Soberman Physician 419146 0 31172 0 1032 0 14725 0 16441 0 482516 0 0 0 Jennifer G Teeter VP CLINICAL INTEGRATION 210353 0 40718 0 14847 0 13772 0 14472 0 294162 0 0 0 John R Verbus ended 8117 Sr VP and COO 324745 0 77430 0 2550 0 12791 0 14921 0 432437 0 0 0 Jim R Williams ended 1218 SVP POPULATION HEALTH 247882 0 58126 0 7444 0 15153 0 14453 0 343058 0 0 0 DUSTIN M SIMONSON ONCOLOGY MEDICAL PHYSICIST 189764 0 9796 0 11311 0 11374 0 16300 0 238545 0 0 0 JAMES BLAKE TRUMBLE MEDICAL DIRECTOR 236221 0 149 0 276 0 12570 0 14466 0 263682 0 0 0 HEATHER R KIRBY VP INTEGRATED CARE DELIVERY 154876 0 32370 0 180 0 5313 0 16933 0 209672 0 0 0 EMMANUEL FRU WANKI RN PER DIEM 189667 0 149 0 0 0 12145 0 5105 0 207066 0 0 0 MARY D BARTON beg 71717 vp-business develop. & Strat. 105181 0 0 0 179 0 0 0 2909 0 108269 0 0 0 CARLOS T GRAVERAN DIRECTOR OF HOSPICE 171625 0 26500 0 516 0 0 0 15741 0 214382 0 0 0 MICHAEL G MCLANE JR AVP SUPPORT SVCS 153387 0 32590 0 346 0 8287 0 16616 0 211226 0 0 0 ROBIN R ROSE VP DEVELOPMENT 140445 0 28958 0 1348 0 2046 0 16777 0 189574 0 0 0 Diane M Mcfarland VP PT Care Svcs (Beg 5/30/17) 107496 0 0 0 728 0 0 0 872 0 109096 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 MEMORIAL 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 $27,509 THOMAS A. KLEINHANZL $237,235 MANUEL CASIANO $19,471 CHERYL CIOFFI $29,559 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 4435000 0 100229856 0 1287936 0 0 0 0 37200000 0 0 2014 true false false true B 0 0 26779579 0 0 0 0 0 0 26779579 0 0 2017 false false false true C 0 0 57490000 0 0 0 400000 0 0 0 57490000 0 2017 true false true true A false true true true true true 0.00630 0.00000 0.00630 false false false true B false false true true true true 0.00100 0.00000 0.00100 false false false true C false true true true true true 0.00260 0.00000 0.00260 false false false true A false true false false 0 false 0 false true B false true true 0 false false 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. donald r schilling key employee 41907 SEE PART V false j frederick manning officer 176894 SEE PART V false john r verbus officer 51791 SEE PART V false Cheryl Cioffi Key Employee 26141 See Part V false Schedule L, Part IV, Line 1, Column D family member is employed by Monocacy Health Partners, Inc. as a registered nurse. Schedule L, Part IV, Line 2, Column D Payments to Manning Broadcasting, Inc. for radio advertising. The relationship between the hospital and radio station existed prior to Mr. Manning owning the radio station and prior to him being on the board of FMH. Schedule L, Part IV, Line 3, Column D family member is employed by Frederick Memorial Hospital, Inc. as a registered nurse. Schedule L, Part IV, Line 4, Column D family member is employed by Frederick Memorial Hospital, Inc. as an Unit Secretary. Schedule L, Part IV All transactions disclosed are made at arms-length and at fair market value in return for services provided. X 29 801985 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, WOMEN & CHILDREN AND WOUND CARE. Members or stockholders FORM 990, PART VI, LINE 6 The sole member of the organization is Frederick regional health system. Power to elect or appoint members form 990, part vi, line 7a THE SOLE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK MEMORIAL HOSPITAL. Decisions reserved to members or stockholders Form 990, part vi, line 7b THE MEMBER, FREDERICK REGIONAL HEALTH SYSTEM, 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 MEMORIAL 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 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 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 MEMORIAL HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.FMH.ORG. Form 990, Part VII Directors Ravi Yalamanchili, Gerrit Schipper and Thomas Munro received compensation for physician services. Other Changes in Net Assets Form 990, Part XI, Line 9 Unrealized Gains - Interest Rate Swap $ 2,853,124 Loss on Joint Ventures $(1,478,106) Minimum Pension Adjust $10,632,456 Other Changes $ (253,297) ------------ Total $11,754,177 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3547394 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:12719997 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:59036088 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER EXPENSES TOTAL FEES:4935563 HOSPICE OF FREDERICK COUNTY INC 400 West Seventh Street FREDERICK MD 21701 521164513 HOSPICE CARE MD 501(c)(3) 10 FMH INC true FREDERICK REGIONAL HEALTH SYSTEM INC 400 West Seventh Street FREDERICK MD 21701 454133096 HEALTH SYSTEM MD 501(c)(3) 12B NA false MONOCACY HEALTH PARTNERS 400 West Seventh Street FREDERICK MD 21701 453007639 PHYSICIAN ORG MD 501(c)(3) 10 FRHS INC true FREDERICK HEALTH SERVICES CORPORATION 400 WEST SEVENTH STREET FREDERICK MD 21701 521851661 MGMNT COMPANY MD FRHS INC C Corp 0 0 0.00000 false FREDERICK SURGICAL SERVICES CORPORATION 400 West Seventh Street FREDERICK MD 21701 521642334 HOLDING COMPANY MD FHSC INC C Corp 0 0 0.00000 false MONOCACY INSURANCE LTD PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981011570 SELF INSURANCE CJ FRHS INC C Corp 0 0 0.00000 false true false false false false false false false false true true false false false true true true false true MONOCACY HEALTH PARTNERS INC s 19400000 cash FREDERICK REGIONAL HEALTH SYSTEM INC q 99196 DIRECT COSTING HOSPICE OF FREDERICK COUNTY INC o 924334 DIRECT COSTING MONOCACY HEALTH PARTNERS INC j 849462 FMV FREDERICK INTEGRATED HEALTHCARE NETWORK r 236616 CASH FREDERICK INTEGRATED HEALTHCARE NETWORK o 932079 DIRECT COSTING MONOCACY HEALTH PARTNERS INC q 33873235 DIRECT COSTING FREDERICK HEALTH SERVICES CORP a 204596 FMV FREDERICK HEALTH SERVICES CORP k 460281 FMV FREDERICK HEALTH SERVICES CORP o 314255 DIRECT COSTING FREDERICK INTEGRATED HEALTHCARE NETWORK s 1020962 CASH