2018-05-15T07:51:36-05:00 2017-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2016-07-01 520591531 Western Maryland Health System Corp Inc % WESTERN MARYLAND HEALTH SYST WEST 2409648002 PO BOX 539 CUMBERLAND MD 215010539 KIMBERLY S REPAC SR Vp/CFO 2409648002 2018-05-14 true Frank Giardini P00532355 2155614200 2016 2022-09-23 18:48:47Z Kimberly S Repac PO BOX 539 CUMBERLAND MD 21501 431901199 false X WWW.WMHS.COM X 1905 MD 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. 12 8 2205 390 449606 24705 1303369 1607350 400129258 409185539 4041499 6425287 3180382 6830742 408654508 424048918 0 0 0 0 141145451 149808045 0 0 0 260483497 258972966 401628948 408781011 7025560 15267907 549865320 548064764 432110699 380977813 117754621 167086951 X 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. false false 246442828 274504556 ANCILLARY CARE 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. 72669039 80923438 INPATIENT ROUTINE CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) IS A FULL SERVICE COMMUNITY HOSPITAL LICENSED FOR 231 BEDS INCLUDING MEDICAL-SURGICAL, INTENSIVE CARE, HIGH LEVEL CARE, OBSTETRIC, PEDIATRIC, PSYCHIATRIC REHABILITATION, NURSERY, AND 88 NURSING HOME BEDS. FOR THE YEAR, 12,471 PATIENTS WERE ADMITTED TO THE HOSPITAL AND FOR THE NURSING HOME, THE AVERAGE DAILY CENSUS WAS 81 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. 31485018 35065702 PHYSICIAN PRACTICES, CLINICS, AND HOME CARE WESTERN MARYLAND HEALTH SYSTEM (WMHS) OPERATES 17 PHYSICIAN PRACTICES, 2 URGENT CARE CLINICS, AND A HOME CARE PRACTICE. THE PHYSICIAN PRACTICES HAD 124,343 ENCOUNTERS; THE CLINICS HAD 20,584 ENCOUNTERS AND HOME CARE HAD 35,668 VISITS FOR THE YEAR. 16789562 18691842 Emergency Care 16789562 18691842 367386447 true true false false false false false false false true true false false true true true false true false true true false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false true 103 0 true 2205 true true true CJ false false false false false false false false X 12 8 true false false false false false false true true false false true true true true true true true true true true MD X WESTERN MARYLAND HEALTH SYST 2409648002 PO BOX 539 CUMBERLAND MD 21501 ROLF HAARSTAD Chairman 4.0 0.0 X X 0 0 0 Mary Ann Jenkins Vice Chair 4.0 0.0 X X 0 0 0 Joyce Lapp Treasurer 4.0 0.0 X X 0 0 0 David C Mathews Secretary 4.0 0.0 X X 0 0 0 JOHN DAVIS Board Member 3.0 0.0 X 0 0 0 Keith Funkhouser Board Member 3.0 0.0 X 0 0 0 David Gilles Board Member 3.0 0.0 X 0 0 0 Jonathan Hutcherson Board Member 3.0 0.0 X 0 0 0 Patricia Noble Board Member 2.5 0.0 X 0 0 0 John Pappas Board Member 3.0 0.0 X 0 0 0 Courtney Thomas Board Member 3.0 0.0 X 0 0 0 GREGG WOLFF MD Board Member 3.0 0.0 X 0 0 0 Barry P Ronan President/CEO 40.0 0.0 X 895386 0 249901 KIMBERLY S REPAC SR VP/CFO 40.0 0.0 X 467753 0 67751 Nancy D Adams SR VP/COO 40.0 0.0 X 444767 0 81882 GERALD GOLDSTEIN SR VP/CMO 40.0 0.0 X 420951 0 62730 JO M WILSON VP, Population Health 40.0 0.0 X 242584 0 54961 KEVIN R TURLEY VP, SUPPORT OPERATIONS 40.0 0.0 X 252253 0 57970 MICHELE R MARTZ VP, Physician Enterprise 40.0 0.0 X 239591 0 57092 James KARSTETTER VP, CNO 40.0 0.0 X 176470 0 48248 STEVEN R SMITH MD Medical Director 40.0 0.0 X 332875 0 67460 MARK G NELSON MD Physician 40.0 0.0 X 681361 0 110953 Blanche Mavromatis Physician 40.0 0.0 X 666256 0 111293 Nii Lamptey-Mills Physician 40.0 0.0 X 616869 0 106258 Chirstopher B Haas Physician 40.0 0.0 X 588984 0 90325 Beth H Jelinek PHYSICIAN 40.0 0.0 X 570573 0 95238 6596673 0 1262062 112 false true false Cumberland Anesthesia Pain PO Box 1571 CUMBERLAND MD 21502 Anesthesia 3045201 Aramark 25271 Network Place CHICAGO IL 60673 Dietary 2142702 Beckman Coulder Inc 250 South Kraemer Boulevard BREA CA 928220550 Laboratory 1246801 Quest Diagnostics 12436 Collections Ctr Drive CHICAGO IL 606932436 Laboratory 1201580 McDermott Will Emery LLP PO Box 6043 CHICAGO IL 606806043 Legal services 1162544 63 123599 972043 511708 1607350 ANCILLARY CARE 621990 274504556 274381403 123153 INPATIENT ROUTINE CARE 621990 80923439 80923439 PHYSICIAN PRACTICES, CLINICS & HOME CARE 621990 35065702 35065702 EMERGENCY CARE 621990 18691842 18691842 409185539 5746740 18021 5728719 0 0 743992 4500 868960 -124968 4500 -120468 -120468 7497601 164267 6786862 196459 710739 -32192 678547 678547 0 0 0 0 0 0 0 0 0 AMORTIZATION - BOND PREMIUM 900099 3133492 3133492 REIMBURSEMENT OF EXPENSES 900099 441326 441326 CONDO REVNEUES 621500 308432 308432 3067960 3067960 6951210 424048918 412571672 449606 9420290 0 0 0 0 4660716 4334466 326250 0 104920145 97575735 7344410 14837563 13798934 1038629 17965687 16708089 1257598 7423934 6904259 519675 0 1758761 1758761 226353 226353 0 0 369921 369921 2116274 1968135 148139 680755 633102 47653 127453 118531 8922 5081064 4725390 355674 0 5572675 5182588 390087 771910 717876 54034 0 0 11387813 11387813 0 25116156 23358025 1758131 2496253 2321515 174738 CONTRACTUAL/CHARITY 78713252 73203324 5509928 SUPPLIES 53627248 49873341 3753907 PURCHASED SERVICES 42687326 39699213 2988113 MEDICAL PROFESSIONAL FEES 14255760 13257857 997903 13983992 13006067 977925 408781011 367386447 41394564 0 72600638 46910382 71313789 101821133 0 0 37134503 35786746 0 0 0 0 0 0 6291058 6678916 3095612 2912899 554254859 280073472 288844339 274181387 0 0 0 0 0 0 0 0 70585381 79773301 549865320 548064764 33542738 33331828 0 0 0 0 233270000 222040000 0 0 0 0 1074475 1104967 0 0 164223486 124501018 432110699 380977813 X 117254761 166579601 244539 226374 255321 280976 117754621 167086951 549865320 548064764 X 15267907 5153347 28911076 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 499860 37944 25654 30000 86108 447350 318222 186478 -4840 499860 355795 35000 -278 83913 306604 319428 96831 15676 76140 355795 720859 40000 3904 445335 319428 0.55380 0.44620 true false 7614249 7614249 330563274 107985752 222577522 717195 369727 347468 206883648 168108018 38775630 8476493 3609975 4866518 274181387 INVESTMENT IN AFFILIATES 27024323 FUNDS ON DEPOSIT WITH TRUSTEE 17488906 OTHER LONG TERM INVESTMENTS 13480500 INVESTMENT BOARD DESIGNATED 10323560 OTHER ACOOUNT RECEIVABLES 6275247 A/R FROM AFFILIATES 3594672 IMPREST FUND - W/C 1078743 OTHER LONG TERM INVESTMENTS 0 RESTRICTED BY DONOR 507350 79773301 2506 PENSION LIABILITY 74394009 BOND PREMIUM - UNAMORTIZED 26366212 PROFESSIONAL INSURANCE 16679463 PAYABLES TO THIRD PARTY 6645029 FINANCING FEES - UNAMORTIZED -2092216 MINORITY INTEREST PAYABLE - CONS ENT HAYSTACK IMAGING 1455855 DEFERRED COMP 1050160 124501018 X 343289000 5153347 5153347 338135653 369921 85543344 85913265 424048918 320530000 320530000 369921 87881090 88251011 408781011 ENDOWMENT FUNDS PART V, LINE 4 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. LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN 48 FOOTNOTE) SCHEDULE D, PART X, LINE 2 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, 2017 AND 2016. OTHER REVENUES INCLUDED ON FORM 990 SCHEDULE D, PART XI, LINE 4B CONTRACTUAL ALLOW: $ 68,327,697 CHARITY: $ 10,385,555 BAD DEBT: $ 6,920,999 AUXILIARY REVENUE: $ 654,918 CARING FUND REVENUE: $ 123,135 RENTAL EXP: $ (868,960) ------------- TOTAL $ 85,543,344 ============= OTHER EXPENSES INCLUDED ON FORM 990 SCHEDULE D, PART XII, LINE 4B CONTRACTUAL ALLOW: $ 68,327,697 CHARITY: $ 10,385,555 BAD DEBT: $ 6,920,999 MINORITY INTEREST: $ 2,303,982 AUXILIARY EXPENSES: $ 702,527 CARING FUND EXPENSES: $ 109,290 RENTAL EXPENSE: $ (868,960) ------------- TOTAL: $ 87,881,090 ============= Central America and the Caribbean Program Services Insurance 600979 600979 600979 true false true false false false true true true X true X true true false true true 10385555 10385555 0.02580 6771794 5723503 1048291 0.00260 17157349 5723503 11433846 0.02840 113575 2343427 47642 2295785 0.00570 83057 1283979 1283979 0.00320 129582 54443213 28182874 26260339 0.06530 2598 313895 19500 294395 0.00070 328812 58384514 28250016 30134498 0.07490 328812 75541863 33973519 41568344 0.10330 11780 30000 -18220 138386 138386 0.00030 940608 940608 0.00230 1090774 30000 1060774 0.00260 true 6920999 137181797 130086089 7095708 X true true 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 1 1 Western MD Regional Medical Centre 12500 Willowbrook Road Cumberland MD 21502 www.wmhs.com 01.0007 X X X A WESTERN MD REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X X 17 true false true true X www.wmhs.com X http://www.alleganyhealthplanningcoaliti true 17 true www.wmhs.com false true X 200. 300. X X X X true true X X X true X www.whms.com X www.whms.com X X X X X true X X false X X X true X false true SCHEDULE H, PART V, SECTION B, FACILITY INFORMATION LINE 3, COMMUNITY HEALTH NEEDS ASSESSMENT THE ALLEGANY COUNTY HEALTH DEPARTMENT AND THE WESTERN MARYLAND HEALTHSYSTEM (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. LINE 5, PERSONS CONSULTED 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 ALLEGANYCOUNTY 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 THE ALLEGANY COUNTY HEALTH DEPARTMENT AND WESTERN MARYLAND HEALTH SYSTEM IS RESPONSIBLE FOR FACILITATING THE NEEDS ASSESSMENT PROCESS. 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. 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. PARTNERS AGREED THAT IT WOULD BE BEST TO FOCUS ON THE ROOT CAUSE- BEHAVIORAL HEALTH. 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. 1 Frostburg Nursing and Rehabilitation Ctr 48 Tarn Terrace Frostburg MD 21532 Nursing home SCHEDULE H, PART I, LINE 7G FROSTBURG AND HUNT CLUB CLINICS EXPENSE $4,510,237 OFFSETTING REVENUE $3,070,021. 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 BAD DEBT EXPENSES ARE FOR THOSE SERVICES RENDERED TO PATIENTS WHO HAVE BEEN DETERMINED TO HAVE THE FINANCIAL CAPACITY, BUT ARE UNWILLING TO PAY. THE TOTAL EXPENSE IS WRITE-OFFS, MADE AFTER FOLLOWING THE PROVISIONS OF THE HOSPITAL'S COLLECTION AND WRITE-OFF POLICY, LESS BAD DEBT RECOVERIES. AN ESTIMATE OF THE AMOUNT OF CHARITY CARE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, IF SUFFICIENT INFORMATION WAS AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, IS BASED UPON A REVIEW OF RECORDS OF PATIENTS WHO HAD ACCOUNTS WRITTEN OFF. WMHS HAS AN AUDIT OF ITS FINANCIAL STATEMENTS PREPARED. THE COMMUNITY BENEFITS AMOUNTS SHOWN IN SCHEDULE H - PART I DO NOT INCLUDE BAD DEBT EXPENSE. 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 ASSESSMENT, Line 2 THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS. THE LATEST PLAN WAS APPROVED BY THE HOSPITAL'S GOVERNING BODY ON JUNE 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 SEE COMMUNITY BENEFIT SUMMARY IN SCHEDULE O. 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 11 TYPE I, CHARITABLE -WMHS FOUNDATION (EIN: 35-2289841), TAX EXEMPT UNDER 501(C)(3), PUBLIC CHARITY STATUS 11 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). X X X X X X false true false false false false false true false Barry P Ronan President/CEO 732421 0 153965 0 9000 0 230063 0 19838 0 1145287 0 116541 0 KIMBERLY S REPAC SR VP/CFO 390753 0 77000 0 0 0 66117 0 1634 0 535504 0 0 0 Nancy D Adams SR VP/COO 371415 0 73352 0 0 0 63361 0 18521 0 526649 0 0 0 GERALD GOLDSTEIN SR VP/CMO 353951 0 67000 0 0 0 52463 0 10267 0 483681 0 0 0 JO M WILSON VP, Population Health 211219 0 31365 0 0 0 36693 0 18268 0 297545 0 0 0 KEVIN R TURLEY VP, SUPPORT OPERATIONS 220003 0 32250 0 0 0 37227 0 20743 0 310223 0 0 0 MICHELE R MARTZ VP, Physician Enterprise 208226 0 31365 0 0 0 36543 0 20549 0 296683 0 0 0 James KARSTETTER VP, CNO 153250 0 23220 0 0 0 27179 0 21069 0 224718 0 0 0 STEVEN R SMITH MD Medical Director 292875 0 40000 0 0 0 49074 0 18386 0 400335 0 0 0 MARK G NELSON MD Physician 651361 0 30000 0 0 0 92864 0 18089 0 792314 0 0 0 Blanche Mavromatis Physician 465480 0 200776 0 0 0 91399 0 19894 0 777549 0 0 0 Nii Lamptey-Mills Physician 556869 0 60000 0 0 0 85389 0 20869 0 723127 0 0 0 Chirstopher B Haas Physician 528984 0 60000 0 0 0 81373 0 8952 0 679309 0 0 0 Beth H Jelinek PHYSICIAN 417453 0 153120 0 0 0 77204 0 18034 0 665811 0 0 0 SUPPLEMENTAL NON-QUALIFIED RETIRMENT PLAN SCHEDULE J, LINE 4B AND LINE 7 BARRY P. RONAN RECEIVED A SERP payment IN THE AMOUNT OF $110,346 ON JANUARY 14, 2016. A MHHEFA 520591531 574218SP9 2014-11-19 236170000 REFUND 2006 BONDS false false false A 11230000 0 236170000 0 0 0 2392488 0 0 0 0 0 false true true true A false true true true true true 0.02880 0.00170 0.03050 true false false true A true false false 0 true WACHOVIA SECURITIES 30. true false true A true Part IV Arbitrage, Line 2c REBATE COMPUTATION WAS PERFORMED NOVEMBER 15, 2010. Kimberly S Repac Sr. VP/cFO 28323541 MD Physician Care false Barry P Ronan President & CEO 28323541 MD Physician Care false BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L PART IV THESE TRANSACTIONS REPRESENT THE MONETARY VALUE OF BUSINESS TRANSACTIONS BETWEEN MD PHYSICIANS CARE AND WESTERN MARYLAND HEALTH SYSTEM. MD Physicians Care was compensated for Medicaid managed care. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D 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. 46,820 VISITS WERE REGISTERED IN THE EMERGENCY ROOM FOR THE YEAR ENDING JUNE 30, 2017. OFFICERS AND TRUSTEES BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 KEVIN TURLEY (KEY EMPLOYEE) SERVES ON THE BOARD AND EXECUTIVE COMMITTEE OF HRDC OF WHICH COURTNEY THOMAS (TRUSTEE) IS THE EXECUTIVE DIRECTOR. FORM 990 GOVERNING BODY REVIEW FORM 990, PART VI, LINE 11B ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO REVIEW IRS FORM 990 AND 990T BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. THE CHIEF FINANCIAL OFFICER (CFO) PRESENTS AN EXECUTIVE SUMMARY AND THEN PROVIDES A DETAILED REVIEW AND EXPLANATION OF EACH FORM. ANY OPEN ITEMS OR QUESTIONS ARE RESOLVED PRIOR TO THE FILING OF THE FORM. SUBSEQUENT TO ITS REVIEW, THE EXECUTIVE COMMITTEE REPORTS BACK TO THE BOARD REGARDING ITS OVERSIGHT OF THE FORM 990. THE BOARD IS INFORMED THAT A COMPLETE COPY OF THE FORM 990 IS AVAILABLE ON THE BOARD'S SECURE PASSWORD PROTECTED WEB SITE. CONFLICT OF INTEREST POLICY COMPLIANCE FORM 990, PART VI, SECTION B, LINE 12C THE WMHS BOARD OF DIRECTORS MONITORS PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSES 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 CONFLICTS 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. AVAILABILITY OF GOVERNING DOCUMENTS TO PUBLIC FORM 990, PART VI, SECTION C, LINE 19 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCES PART XI LINE 9 PENSION LIABILITY: $ 28,403,000 INCOME RELEASED from restrictions: $ 511,313 Equity transfer - intocompany -$ 3,237 -------------- TOTAL $ 28,911,076 ============== COMMUNITY BENEFIT SUMMARY FORM 990, PART V, SECTION C - 1st 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 HOSPITALIN THE COUNTY, PROVIDING A UNIQUE OPPORTUNITY TO IMPACT COMMUNITY HEALTH. FORM 990, PART V, SECTION C - 2ND 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 hospitals 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 Strategies: Care Transitions and Process Improvements Strategic Goal: Engage Employees, Patients and Families to Improve Health Status and Social Determinants of Health Objective: Further Develop and strengthen relationships with community partners to address social determinants of health Strategies: Define WMHS Role in Community, Transportation, Response to Addiction Epidemic Objective: Strengthen the care coordination process Strategies: 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 Strategies: Mobile Health Objective: Reduce variations in the treatment of patients across the care continuum Strategies: Primary Care, Care Pathways SETON REGIONAL HEALTH SYSTEM 900 SETON DRIVE CUMBERLAND MD 20501 521333566 CHARITABLE MD 501(C)(3) 12-TYPE I NA false CUMBERLAND PROPERTIES INC PO BOX 539 CUMBERLAND MD 21501 521522252 RENTAL MD 501(C)(3) 03 NA false WMHS FOUNDATION PO BOX 539 CUMBERLAND MD 21501 352289841 FUNDRAISING MD 501(C)(3) 12-TYPE I NA false WILLOWBROOK HEALTH SERVICES PO BOX 539 CUMBERLAND MD 20501 522005140 HLTH CARE MD 501(C)(3) 03 NA false JOHNSON HEIGHTS 625 KENT AVENUE CUMBERLAND MD 21502 521775175 RENTAL MD NA RELATED 18884 1146110 false true 0.84000 HAYSTACK IMAGING PO Box 539 CUMBERLAND MD 20501 043783141 HLTH CARE MD NA RELATED 2345602 2145639 false false 0.50000 MEMORIAL MED CTR SVCS PO BOX 539 CUMBERLAND MD 21501 521317704 BLDG MAINT MD NA C Corp -8713 581665 1.00000 true WILLOWBROOK HC CONDO PO BOX 539 CUMBERLAND MD 21501 371538510 CONDO MGMT MD NA C Corp 256 103213 0.53300 true HAYSTACK CONSOLIDATED PO BOX 539 CUMBERLAND MD 21501 521335895 MED SVCS MD NA C Corp 56867 1152910 1.00000 false TRIVERGENT HEALTH ALLIANCE 1800 DUAL HGWY HAGERSTOWN MD 21740 465555337 MGMT SVCS MD NA C Corp -356958 3647151 0.33000 false false false true true false false false false false true true true false true true true true true true WMHS Foundation Inc C 123599 Market Willowbrook Health Center Condominium K 341304 Market Johnson Heights Medical Building P 78006 Market Memorial Medical Center Services Q 60271 Market